title: Chronic Foot Pain due to Pachyonychia Congenita in a Pediatric Patient: A Successful Management Strategy.
abstract: We report the case of an 11-year-old girl who presented to our multidisciplinary pain center with the chief complaint of chronic bilateral foot pain because of a rare congenital keratin disorder. This patient had been diagnosed with pachyonychia congenita, an extremely rare genetic disorder primarily affecting the skin and nails. The child had bilateral foot pain for years because of the characteristic blisters and calluses on the soles of her feet. Chronic pain was negatively impacting her quality of life; she was severely limited in her activities of daily living secondary to pain. Furthermore, she reported absenteeism from school, lack of social activities, and frequent nighttime awakenings. We discuss the successful management of her chronic foot pain using a multimodal, multidisciplinary approach.
authors.affiliation: From the *Department of Anesthesiology and Pain Medicine, UT Houston, Texas Medical Center, Houston, Texas; †Arkansas Children's Hospital, Little Rock, Arkansas; and ‡Texas Children's Hospital, Houston, Texas.
authors.forename: Sarah
authors.initials: S
authors.lastname: Tariq
authors.forename: Michael L
authors.initials: ML
authors.lastname: Schmitz
authors.forename: Megha Karkera
authors.initials: MK
authors.lastname: Kanjia
mesh_terms: D002648:Child; D059350:Chronic Pain / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D003131:Combined Modality Therapy / Q000379:methods; D005260:Female; D005528:Foot / Q000473:pathology*; D006801:Humans; D053549:Pachyonychia Congenita / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D059408:Pain Management / Q000379:methods*