General: There is currently no known cure for congenital insensitivity to pain with anhidrosis (CIPA). Treatment is instead focused on the management of symptoms and prevention of injury and infection.
Antibiotics: Antibiotics may be taken by mouth or applied to the skin to treat infections of the mouth or skin.
Behavioral therapy: Several different types of behavioral therapy are available to help people with CIPA improve their communication and social skills, and strengthen learning abilities and adaptive behaviors. Evidence suggests that behavioral therapy is most effective if it is started early in life.
Education: Patients with CIPA who suffer from intellectual disabilities must have access to education tailored to their specific strengths and weaknesses. According to the Individuals with Disabilities Education Act, all children with disabilities must receive free and appropriate education. This law states that staff at the patient's school must consult with the patient's parents or caregivers to design and write an individualized education plan based on the child's needs. The school faculty should document the child's progress in order to ensure that the child's needs are being met.
Educational programs vary depending on a child's specific learning disabilities. In general, most experts believe that children with disabilities should be educated alongside their nondisabled peers. The idea is that nondisabled students will help the patient learn appropriate behavioral, social, and language skills. For this reason some people with CIPA are educated in mainstream classrooms. Other patients attend public schools but take special education classes. Others attend specialized schools that are designed to teach children with disabilities.
Occupational therapy: Patients with CIPA may benefit from occupational therapy. During sessions, a therapist helps the child learn the skills needed to perform basic daily tasks, such as feeding, dressing, and communicating with others. Some patients work with therapists who specialize in disorders and disabilities. Parents and caregivers can ask their children's pediatricians to recommend a therapist.
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