Chapter 10 – Case 1

History:
A 13-year-old boy presents with obsessive self mutilation.

Questions:

1. Which of the following condition are not possible causes of abnormalities seen in figure 1 and 2?


A. Epidermolysis bullosa
B. Trauma
C. Leprosy
D. Congenital insensitivity to pain
E. Fibrous dysplasia
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References:
1 Schulman H, Tsodihow V, Einhorn M. Congenital Insensitivity to Pain with Anhidrosis(CIPA): The Spectrum of Radiological findings.Pediatr Radiol 2001;31:701-705.
2 Tomioka T, Awaya T, Nihei K. Post-herpetic Neuralgia in a Patient with Congenital Insensitivity to Pain and Anhidrosis. J Anesth 2002; 16:84-86.
3 Szoke G, Renyi-Vamos A, Bider MA .Osteoarticular Manifestations of Congenital Insensitivity to Pain with Anhydrosis. International Orthopaedics; 1996: 107-110.

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