PT - JOURNAL ARTICLE AU - Atmananda Hegde AU - Shruthi H Kamath AU - Prajwal Prabhudev Mane AU - Chethan B Shetty TI - Case of bilateral hip joint Charcot arthropathy in a paediatric patient AID - 10.1136/bcr-2022-252420 DP - 2023 Jan 01 TA - BMJ Case Reports PG - e252420 VI - 16 IP - 1 4099 - http://casereports.bmj.com/content/16/1/e252420.short 4100 - http://casereports.bmj.com/content/16/1/e252420.full SO - BMJ Case Reports2023 Jan 01; 16 AB - 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’s 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.