Congenital Indifference to Pain
Abstract
Introduction. In the acute phase, pain exerts a natural protective mechanism, However, there are two congenital disorders, in which the main characteristic is a low or nule reactivity to trauma: congenital insensitivity to pain and congenital indifference to pain. The last one is an uncommon condition in which, while not having neurological abnormalities in the pain pathways, the individual lacks of an emotional response to tissue injury.
Objectives. To show the case of a girl with congenital indifference to pain and to make a review of the pathophysiology and diagnostic approach.
Methodology and results. Presentation of a clinical case.
Conclusions. The diagnosis of congenital indifference to pain is basically a diagnosis by exclusión and since a cure for this disorder is not yet known, prevention, education and interdisciplinary treatment are the priority aspects in this entities.
References
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3. Karkashan EM, Joharji HS, Al-Harbi NN. Congenital insensitivity to pain in four related Saudi Families. Pediatric Dermatol. 2002;19(4):333-5.
4. Dearborn G. A case of congenital general pure analgesia. J Nerv Ment Dis. 1932;75:612-5.
5. Vicente-Fatela L, Acedo MS. Trastornos de la reactividad al dolor. Rev Soc Esp Dolor. 2004;11:31-7.
6. Hirsch E, Moye D, Dimen JH. Congenital indifference to pain: Long term follow-up two cases. South Med J. 1995;88:851-7.
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