A 26-year-old man, from the age of 4 years, complaining of pain in hands and feet associated with fever.
Since childhood, it always presents episodes of indigestion, hypoanhydrosis, occasional episodes.
EF was diagnosed at 14 years, with genetic study and enzyme levels.
Over time, you have noticed improvement in symptoms of indigestion.
He maintains pain at baseline in both feet and occasionally presents pain crises with fever.
Replacement therapy for 2 years.
Treatment of neuropatic pain with carbamazepine 400 mg daily.
Clinical features compatible with polyneuropathy and neurophysiological evaluation findings of thin and unmyelinated myelinated fibers.
CRS absent in the feet and evaluation R-R interval within normal limits.
