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Early onset hereditary sensory autonomic neuropathy type I and not leprosy

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Author(s): Pande Sushil | Kharkar Vidya | Mahajan Sunanda | Khopkar Uday

Journal: Indian Journal of Dermatology
ISSN 0019-5154

Volume: 54;
Issue: 5;
Start page: 1;
Date: 2009;
Original page

Keywords: Hereditary sensory autonomic neuropathy | Hyperhidrosis | leprosy

ABSTRACT
Hereditary sensory autonomic neuropathies (HSAN) are rare forms of chronic neuropathies in children, which lead to severe complications like foot ulcers, mutilations, fractures and deformities. We report an eight years old female who presented with nonhealing perforating ulcer over anterior sole, resorption of terminal portion of right middle finger and hyperhidrosis over back since two years of age. Deep tendon reflexes were absent in lower legs but were preserved in upper limbs. Nerve conduction studies and nerve biopsy confirmed the diagnosis of HSAN, Type I. Early diagnosis of hereditary sensory neuropathy led to significant reduction in morbidity and hence improvement in the quality of life in our patient.
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