Paroxysmal Extreme Pain Disorder PEPD

Synonyms:

formerly familial rectal pain syndrome

Diagnosis:

A type of channelopathy

Genetics:

Autosomal dominant
SCN9A gene. Protein= Nav1.7 voltage gated sodium channel alpha subunit

Clinical features:

Begins in infancy
Autonomic: syncope, bradycardia, skin colour changes (flushing, or harlequin),
Tonic nonepileptic seizures
Paroxysmal pain: rectal, periorbital or jaw

Treatment:

Carbamazepine CBZ P.O.

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