title: Congenital Insensitivity to Pain and Anhydrosis: Diagnostic and Therapeutic Dilemmas revisited.
abstract: First described in 1932 by Dearborn as 'congenital pure analgesia', congenital insensitivity to pain and anhydrosis (CIPA) or hereditary sensory and autonomic neuropathy (HSAN) type IV is an extremely rare autosomal recessive disorder. A 7-year-old female child who is an established case of congenital insensitivity to pain and anhydrosis visited the department of pediatric medicine with osteoarthritic neuropathy. A multidisciplinary team approach was utilized to treat the child under general anesthesia. This article also discusses the diagnostic and therapeutic dilemmas involved in treating this type of children. How to cite this article: Ravichandra KS, Kandregula CR, Koya S, Lakhotia D. Congenital Insensitivity to Pain and Anhydrosis: Diagnostic and Therapeutic Dilemmas revisited. Int J Clin Pediatr Dent 2015;8(1):75-81.
authors.affiliation: Professor and Head, Department of Pedodontics and Preventive Dentistry, Drs Sudha and Nageswara Rao Siddhartha Institute of Health Sciences, Chinnoutpalli, Andhra Pradesh, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Ravichandra
authors.affiliation: Senior Lecturer, Department of Pedodontics, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnoutpalli Andhra Pradesh, India.
authors.forename: Chaitanya Ram
authors.initials: CR
authors.lastname: Kandregula
authors.affiliation: Senior Lecturer, Department of Pedodontics, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnoutpalli Andhra Pradesh, India.
authors.forename: Srikanth
authors.initials: S
authors.lastname: Koya
authors.affiliation: Senior Lecturer, Department of Pedodontics, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnoutpalli Andhra Pradesh, India.
authors.forename: Disha
authors.initials: D
authors.lastname: Lakhotia
keywords: Congenital insensitivity to pain and anhydrosis; Marvan syndrome; Pain insensitivity; Painless whitlows.