RT Journal Article SR Electronic T1 Case of bilateral hip joint Charcot arthropathy in a paediatric patient JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e252420 DO 10.1136/bcr-2022-252420 VO 16 IS 1 A1 Hegde, Atmananda A1 Kamath, Shruthi H A1 Mane, Prajwal Prabhudev A1 Shetty, Chethan B YR 2023 UL http://casereports.bmj.com/content/16/1/e252420.abstract 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.