title: Pediatric neuropathic arthropathy initially masquerading as inflammatory arthritis.
abstract: We describe a case of neuropathic arthropathy in the knees of a child eventually diagnosed with a hereditary sensory and autonomic neuropathy. The child was initially treated for rheumatologic disease at an outside institution. History and neurological workup revealed a neuropathy most consistent with hereditary sensory and autonomic neuropathy type II. Hereditary sensory and autonomic neuropathy should be considered in the differential diagnosis of children with joint abnormalities whose workup for an inflammatory arthropathy is negative and who exhibit diminished pain sensation on examination.
authors.affiliation: From the *Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, WI; and †Levine Children's Hospital/Carolinas Medical Center, Charlotte, NC.
authors.forename: Markus G
authors.initials: MG
authors.lastname: Zei
authors.forename: Arthur B
authors.initials: AB
authors.lastname: Meyers
authors.forename: Sheetal
authors.initials: S
authors.lastname: Vora
mesh_terms: D001171:Arthritis, Juvenile / Q000175:diagnosis*; D001177:Arthropathy, Neurogenic / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D002648:Child; D003937:Diagnosis, Differential; D009477:Hereditary Sensory and Autonomic Neuropathies / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male