title: Chronic plantar ulcer secondary to congenital indifference to pain.
abstract: Congenital indifference to pain (CIP) is a rare condition characterised by painless injuries beginning in early life, with normal sensory exam findings. Young people with inexplicable, painless chronic wounds may present to the plastic surgeon for surgical management. Given the young age of onset and high likelihood of postoperative failure, alternative options for closure of non-healing wounds should be considered. We present the case of a 17-year-old boy with congenital indifference to pain and successful management of his longstanding plantar ulcer.
authors.affiliation: Faculty of Medicine, Dalhousie University, Novia Scotia, Canada.
authors.forename: A
authors.initials: A
authors.lastname: Simpson
authors.forename: M E
authors.initials: ME
authors.lastname: Graham
authors.forename: J
authors.initials: J
authors.lastname: Williams
mesh_terms: D016512:Ankle Injuries / Q000150:complications; D001177:Arthropathy, Neurogenic / Q000150:complications; D002648:Child; D002908:Chronic Disease; D016523:Foot Ulcer / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D000699:Pain Insensitivity, Congenital / Q000150:complications*; D010349:Patient Compliance; D053832:Surgical Tape; D058106:Wound Closure Techniques