Insensibilité Congénitale à la Douleur avec Anhidrose en Milieu Africain : À Propos d’un Cas Familial
Familial Case of Congenital Insensitivity to Pain with Anhidrosis in a Black African Patient
DOI :
https://doi.org/10.5281/hra.v2i11.6143Mots-clés :
Insensibilité congénitale, Douleur, AnhidroseRésumé
RÉSUMÉ
L’insensibilité congénitale à la douleur avec anhidrose (CIPA ; MIM #256800) est la neuropathie sensitive autonomique de type IV à transmission autosomique récessive. Il faut l’évoquer devant la symptomatologie clinique distinctif associant une insensibilité à la douleur, une anhidrose, des épisodes d’hyperthermie inexpliquée et des lésions d’automutilations oro-digitales. L’objectif était de rapporter un cas familial deux soeurs présentant une CIPA et de discuter les difficultés de prise en charge au Sénégal. Il s’agissait de deux soeurs âgées de 10 ans et 6 ans issues d’un mariage consanguin qui présentaient des complications fonctionnelles et de graves séquelles orthopédiques liées à la méconnaissance et au retard du diagnostic.
ABSTRACT
Congenital insensitivity to pain with anhidrosis (CIPA ; MIM #256800) is a type IV autonomic sensory neuropathy with autosomal recessive inheritance. It should be mentioned in the face of the distinctive clinical symptomatology associating insensitivity to pain, anhidrosis, episodes of unexplained hyperthermia and oro-digital self-mutilation lesions. The objective was to report a family case of two sisters presenting with CIPA and to discuss the difficulties of treatment in Senegal. These were two sisters aged 10 and 6 years from a consanguineous marriage who presented functional complications and serious orthopedic after-effects linked to lack of awareness and delay in diagnosis.
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(c) Tous droits réservés Camara Souleymane, Lo Faty Balla, Cissé Lissoune, Gassama Fatou, Kamaté André Matièré, Sarr Adji Marème, Ndour Oumar, Ngom Gabiel 2024
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