title: Hereditary sensory and autonomic neuropathy type IV orthopaedic complications.
abstract: 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.
authors.affiliation: Ambulant Centre for Defects of Locomotor Apparatus, Praha, Czech Republic.
authors.forename: Ivo
authors.initials: I
authors.lastname: Marik
authors.forename: Miroslav
authors.initials: M
authors.lastname: Kuklik
authors.forename: Dana
authors.initials: D
authors.lastname: Kuklikova
authors.forename: Kazimierz
authors.initials: K
authors.lastname: Kozlowsk