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Pediatric Neuropathic Arthropathy Initially Masquerading as Inflammatory Arthritis

Zei, Markus G. BA*; Meyers, Arthur B. MD*; Vora, Sheetal MD

JCR: Journal of Clinical Rheumatology: October 2014 - Volume 20 - Issue 7 - p 383–385
doi: 10.1097/RHU.0000000000000122
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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.

From the *Children’s Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, WI; and †Levine Children’s Hospital/Carolinas Medical Center, Charlotte, NC.

No funding was received for this study.

The authors declare no conflict of interest.

Correspondence: Arthur B. Meyers, MD, Children’s Hospital of Wisconsin/Medical College of Wisconsin, PO Box 1997, MS 721, Milwaukee, WI 53211. E-mail: ameyers@chw.org.

© 2014 by Lippincott Williams & Wilkins, Inc.