期刊
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
卷 18, 期 3, 页码 138-140出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BPB.0b013e3283298815
关键词
anhydrosis; Charcot joint; fracture; hereditary sensory and autonomic neuropathy; osteomyelitis
Painless fractures with delayed healing or abnormal callus formation require exclusion of a systemic disorder. We report a 9-year-old girl with hereditary sensory and autonomic neuropathy type IV who developed bone changes in the hind foot after a protracted healing of a tibia fracture. Osteomyelitis was considered as a possible cause of destruction of the tarsal bones. Negative sweat test documented anhydrosis. Late diagnosis in our patient occurred because of an unusual clinical course of the disease. J Pediatr Orthop B 18:138-140 (c) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
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