What diagnosis best accounts for a child with cutaneous scars and burns, and joint findings of destruction, disorganization, diminished joint space and intraarticular debris, all of which are unnoticed by the patient?

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Congenital indifference to pain is a condition that results in the inability to feel pain. This can lead to unnoticed injuries, such as cutaneous scars and burns, as well as joint damage due to the lack of protective pain responses. The joint findings described, including destruction, disorganization, diminished joint space, and intraarticular debris, can occur because the patient does not feel pain from the damage and therefore does not seek treatment or modify activities to prevent further injury.

What Diagnosis Best Accounts for a Child with Cutaneous Scars