{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:11:29Z","timestamp":1793171489124,"version":"4.5.0"},"reference-count":18,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,12,22]]},"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>An adolescent girl came with swelling of both thighs with difficulty in walking for a few months. Based on clinical, and radiological evaluation and nerve conduction studies, she was diagnosed to be having bilateral hips Charcot\u2019s arthropathy due to hereditary sensory autonomic neuropathy type 4. Other common causes of Charcot arthropathy were ruled out. The patient was conservatively managed and parents were educated about preventive measures. Through this case report, we want to highlight the myriad number of manifestations and clinical presentations of a child presenting with hereditary sensory autonomic neuropathy type 4.<\/jats:p>","DOI":"10.1136\/bcr-2022-252420","type":"journal-article","created":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T10:55:41Z","timestamp":1672656941000},"page":"e252420","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Case of bilateral hip joint Charcot arthropathy in a paediatric patient"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6893-4238","authenticated-orcid":false,"given":"Atmananda","family":"Hegde","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruthi H","family":"Kamath","sequence":"additional","affiliation":[{"name":"Kasturba Medical College Mangalore, Manipal Academy of Higher Education(MAHE), Manipal, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6031-1607","authenticated-orcid":false,"given":"Prajwal Prabhudev","family":"Mane","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4459-6099","authenticated-orcid":false,"given":"Chethan B","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,1,2]]},"reference":[{"key":"2025082713075220000_16.1.e252420.1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-2-39"},{"key":"2025082713075220000_16.1.e252420.2","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1002\/ajmg.a.35803","article-title":"Epidemiology of hereditary sensory and autonomic neuropathy type IV and V in Japan","volume":"161A","author":"Haga","year":"2013","journal-title":"Am J Med Genet A"},{"key":"2025082713075220000_16.1.e252420.3","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.neures.2015.10.011","article-title":"Hereditary sensory and autonomic neuropathy types 4 and 5: review and proposal of a new rehabilitation method","volume":"104","author":"Yozu","year":"2016","journal-title":"Neurosci Res"},{"key":"2025082713075220000_16.1.e252420.4","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1093\/brain\/106.2.373","article-title":"Not 'indifference to pain' but varieties of hereditary sensory and autonomic neuropathy","volume":"106 (Pt 2","author":"Dyck","year":"1983","journal-title":"Brain"},{"key":"2025082713075220000_16.1.e252420.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0004.2012.01943.x"},{"key":"2025082713075220000_16.1.e252420.6","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2006.1894"},{"key":"2025082713075220000_16.1.e252420.7","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/j.otsr.2013.05.006","article-title":"Hereditary sensory and autonomic neuropathy type IV and orthopaedic complications","volume":"99","author":"Kim","year":"2013","journal-title":"Orthop Traumatol Surg Res"},{"key":"2025082713075220000_16.1.e252420.8","doi-asserted-by":"crossref","first-page":"307","DOI":"10.35787\/jimdc.v9i4.595","article-title":"Two case reports of hereditary sensory autonomic neuropathy type IV","volume":"9","author":"Khalid","year":"2020","journal-title":"J Islamabad Med Dental Coll"},{"key":"2025082713075220000_16.1.e252420.9","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1007\/s00776-014-0595-2","article-title":"Skeletal complications in congenital insensitivity to pain with anhidrosis: a case series of 14 patients and review of articles published in Japanese","volume":"19","author":"Zhang","year":"2014","journal-title":"J Orthop Sci"},{"key":"2025082713075220000_16.1.e252420.10","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.80047"},{"key":"2025082713075220000_16.1.e252420.11","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-006-0205-6"},{"key":"2025082713075220000_16.1.e252420.12","first-page":"83","article-title":"Hereditary sensory and autonomic neuropathy type IV in 9 year old boy: a case report","volume":"10","author":"Azadvari","year":"2016","journal-title":"Iran J Child Neurol"},{"key":"2025082713075220000_16.1.e252420.13","doi-asserted-by":"crossref","first-page":"2270","DOI":"10.4103\/ijo.IJO_2101_19","article-title":"The painless eye: neurotrophic keratitis in a child suffering from hereditary sensory autonomic neuropathy type IV","volume":"68","author":"Sethi","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"2025082713075220000_16.1.e252420.14","doi-asserted-by":"crossref","first-page":"231","DOI":"10.4103\/0028-3886.338691","article-title":"Hereditary sensory and autonomic neuropathy: a case series of six children","volume":"70","author":"Suthar","year":"2022","journal-title":"Neurol India"},{"key":"2025082713075220000_16.1.e252420.15","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.ejpn.2016.08.009","article-title":"Orthopaedic manifestations of congenital indifference to pain with anhidrosis (hereditary sensory and autonomic neuropathy type IV)","volume":"21","author":"Kayani","year":"2017","journal-title":"Eur J Paediatr Neurol"},{"key":"2025082713075220000_16.1.e252420.16","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s10006-015-0486-5","article-title":"Hereditary sensory and autosomal peripheral neuropathy-type IV: case series and review of literature","volume":"19","author":"Ashwin","year":"2015","journal-title":"Oral Maxillofac Surg"},{"key":"2025082713075220000_16.1.e252420.17","doi-asserted-by":"publisher","DOI":"10.1086\/420795"},{"key":"2025082713075220000_16.1.e252420.18","doi-asserted-by":"crossref","first-page":"134","DOI":"10.4103\/0972-2327.94999","article-title":"A case of hereditary sensory autonomic neuropathy type IV","volume":"15","author":"Prashanth","year":"2012","journal-title":"Ann Indian Acad Neurol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-252420","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:08:01Z","timestamp":1756325281000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-252420"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,1,2]]},"published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1136\/bcr-2022-252420"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-252420","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}