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Living with Hereditary sensory and autonomic neuropathy type 2

An inherited nerve condition in which the ability to feel pain and temperature is lost, starting in infancy or early childhood.

Understanding Hereditary sensory and autonomic neuropathy type 2

Hereditary sensory and autonomic neuropathy type 2 (HSAN2) is a condition that mainly affects sensory nerve cells, which carry pain, temperature, and touch to the brain.

It usually starts in infancy or early childhood with numbness in the hands and feet, followed by the loss of pain and temperature sensing. Unnoticed injuries can lead to open sores, infections, and joint damage (Charcot joints). People may injure themselves by biting the tongue, lips, or fingers. Effects on the automatic nervous system vary.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Numbness in the hands and feet
  • Loss of pain and temperature sense
  • Sores on the hands and feet
  • Excessive sweating
  • Bone and joint changes
  • Poorly formed fingernails and toenails

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: The Foundation for Peripheral Neuropathy
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with The Foundation for Peripheral Neuropathy and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can we check hands and feet for injuries every day?
Could genetic testing confirm the diagnosis?
Which specialists should follow nerves, bones, and skin?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes (also called variants) cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: autosomal recessive sensory radicular neuropathy; dominant hereditary sensory neuropathy, type ii; hereditary sensory and autonomic neuropathy type ii; hereditary sensory and autonomic neuropathy, type ii; hereditary sensory neuropathy type 2; hsan2

Patient organizations

Source: NIH GARD · Hereditary sensory and autonomic neuropathy type 2GARD ID 3976 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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