Hereditary sensory and autosomal peripheral neuropathy-type IV: case series and review of literature

Hereditary sensory and autonomic neuropathy (HSAN) IV is a rare autosomal recessive disorder which is characterized by a decrease in the number of myelinated and non-myelinated nerve fibers of peripheral nerves which causes diminished or absent pain sensation leading to increase in self-mutilative h...

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Veröffentlicht in:Oral and maxillofacial surgery 2015-06, Vol.19 (2), p.117-123
Hauptverfasser: Ashwin, D. P., Chandan, G. D., Jasleen, Handa Kaur, Rajkumar, G. C., Rudresh, K. B., Prashanth, R.
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container_end_page 123
container_issue 2
container_start_page 117
container_title Oral and maxillofacial surgery
container_volume 19
creator Ashwin, D. P.
Chandan, G. D.
Jasleen, Handa Kaur
Rajkumar, G. C.
Rudresh, K. B.
Prashanth, R.
description Hereditary sensory and autonomic neuropathy (HSAN) IV is a rare autosomal recessive disorder which is characterized by a decrease in the number of myelinated and non-myelinated nerve fibers of peripheral nerves which causes diminished or absent pain sensation leading to increase in self-mutilative habits. A retrospective study of eight cases ranging from age group of 4 to 17 years for oral and digital signs and symptoms is presented. All the patients showed congenital insensitivity to pain and anhidrosis. Oral self-mutilations, such as autoextraction of teeth and severe bite injuries (with resultant scarring) of the finger tips and oral soft tissues (tongue, lip, and buccal mucosa) were found in most patients. Our study suggests that early diagnosis and specific treatment plan are important for prevention of characteristic of the oral as well as digital trauma associated with this disorder.
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subjects Adolescent
Child
Child, Preschool
Chromosome Aberrations
Dentistry
Early Diagnosis
Genes, Recessive - genetics
Hereditary Sensory and Autonomic Neuropathies - diagnosis
Hereditary Sensory and Autonomic Neuropathies - genetics
Humans
Medicine
Medicine & Public Health
Oral and Maxillofacial Surgery
Pain Insensitivity, Congenital - diagnosis
Pain Insensitivity, Congenital - genetics
Peripheral Nerves - abnormalities
Phenotype
Retrospective Studies
Review Article
Self Mutilation - diagnosis
Self Mutilation - genetics
Self Mutilation - prevention & control
title Hereditary sensory and autosomal peripheral neuropathy-type IV: case series and review of literature
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