# Catastrophic results due to unrecognizing of congenital insensitivity to pain with anhidrosis in children with multiple long bones fractures: A case report of 27 years follow-up of two siblings
> Hartono F.

URL kanonis: https://discover.unhas.ac.id/publications/pub_scopus_85088124686
Jurnal / Konferensi: International Journal of Surgery Case Reports
Tahun terbit: 2020
DOI: https://doi.org/10.1016/j.ijscr.2020.07.010
ISSN: 22102612
Kuartil SJR: Q3
Citations: 7

## Authors
- Hartono F.

## Abstract
Unrecognizing of the clinical pictures of CIPA and minimal literature references in the past, misleads to late diagnosis and management. Genetic evaluation should be done for infants with unknown causes of high fever, anhidrosis combined with insensitivity to pain. Surgical intervention of metaphyseal fractures should be avoided due to tendencies of implants loosening, metal failures, recurrent infections followed with non-union, and instability.

## Keywords
- Medicine
- Surgery
- Anhidrosis
- Pediatrics
- Nonunion

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Sumber: Discover Unhas — RIMS Universitas Hasanuddin.
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