Neuropathic Osteoarthropathy in a Patient with Congenital Insensitivity to Pain

This report describes a 23-year-old man who presented with multiple joint deformities as a consequence of multiple painless intra-articular fractures. Blood counts, biochemistry, and nerve conduction velocity were all normal. X-ray studies showed joint destruction in hips, elbows and knees. We concluded that he is a case of congenital insensitivity to pain culminating in multiple charcot joints.