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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Clinical features and genetics of Charcot-Marie-Tooth (CMT) disease types 1, 2, X, 3, and 4

Clinical features and genetics of Charcot-Marie-Tooth (CMT) disease types 1, 2, X, 3, and 4
Disorder Gene Locus Clinical features
CMT1
  • Onset in first or second decade
CMT1A PMP22 17p12
  • Motor symptoms predominate (clumsy walking)
  • Gradual loss of proprioception and vibration
  • Ambulation usually maintained
  • Normal life expectancy
  • Palpable enlargement of the peripheral nerves
  • NCV slowed to <60% normal
CMT1B MPZ 1q23.3
CMT1C LITAF 16p13.13
CMT1D EGR2 10q21.3
CMT1E PMP22 17p12
CMT1F NEFL 8p21
Roussy-Levy MPZ 1q23.3
  • CMT1 features plus:
    • Postural tremor and gait ataxia
PMP22 17p12
CMT2
  • Onset in second or third decade
CMT2A MFN2 1p36.2
  • Sensory symptoms predominate
CMT2B RAB7 3q21.3
CMT2C TRPV4 12q24.1
CMT2D GARS 7p15
CMT2E NEFL 8p
CMT2F HSPB1 7q11.23
CMT2H Unknown 8q13-q23
CMT2I/2J MPZ 1q23.3
CMT2K GDAP1 (JPH1 modifier) 8q21.11
CMT2L HSPB8 12q24.23
CMT2M DNM2 19p13.2
CMT2N AARS1 16q22.1
CMT2O DYNC1H1 14q32.31
CMT2P LRSAM1 9q33.3-q34.1
CMT2S IGHMBP2 11q13.3
CMT2T MME 3q25.2
CMT2U MARS1 12q13.3
Early onset   Not known
  • Onset before age 5 years
  • Rapid progression of weakness below the knee
  • Loss of ambulation by mid-teens
  • NCV normal or mildly reduced
CMTX
  • X-linked
CMTX1 GJB1 Xq13.1
  • CMT1 features plus:
    • Symptoms more prominent in males
    • Symptomatic in second decade
    • Loss of ankle reflexes
    • NCV moderately slowed
CMTX2 Not known Xp22
  • Affects males only
  • Infantile onset with risk of intellectual disability
  • May have both axonal and demyelinating physiology
CMTX3 78kb insertion from chromosome 8 Xq27.1
  • Affects males only
  • Juvenile onset
  • Prominent sensory symptoms

CMTX4

(Cowchock syndrome)
AIFM1 Xq26
  • Affects primarily males, who have infantile onset axonal neuropathy with deafness and intellectual disability
  • Females have mild symptoms
CMTX5 PRPS1 Xq22.3
  • Affects males only
  • Deafness and optic neuropathy
CMTX6 PDK3 Xp22.11
  • Affects primarily males
  • Predominantly axonal sensorimotor polyneuropathy
CMT3
  • Severe, early onset
Dejerine-Sottas syndrome PMP22 17p12
  • Hypotonia in early infancy
  • Delayed motor development
  • Initial sensory loss and distal weakness
  • Ataxia
  • NCV profoundly slowed (10 m/second)
MPZ 1q23.3
EGR2 10q21.3
Congenital hypomyelinating neuropathy PMP22 17p12
  • Profound hypotonia and contractures at birth
  • Feeding difficulties
  • Respiratory distress
  • Death in infancy
  • NCV extremely slowed or absent
MPZ 1q23.3
EGR2 10q21.3
CMT4
CMT4A GDAP1 8q21.11
  • Onset in early childhood
  • Distal weakness
  • Mild sensory loss
  • Rapidly progressive
  • Incapacity in first decade
CMT4B1 MTMR2 11q21
  • Onset at age 2 to 4 years
  • Distal and proximal weakness
  • Moderate sensory loss
  • Frequent involvement of cranial nerves
CMT4B2 SBF2 11p15.4
  • Onset in first two decades
  • Initial distal weakness
  • Proximal weakness after several years
CMT4B3 SBF1 22q13.33
  • Onset mean age 8 years
  • Slowly progressive leg weakness and gait difficulty
  • Areflexia and sensory loss (vibration/position affected more than pain/temperature)
  • Pes planus
CMT4C SH3TC2 5q32
  • Severe spinal deformities and weakness
  • Onset in childhood and adolescence
CMT4D NDRG1 8q24.22
  • Early onset neuropathy
  • Muscle weakness and wasting
  • Skeletal deformities
  • Sensory loss
  • Neural deafness in second or third decade
  • NCV severely reduced
CMT4E EGR2 10q21.3
  • Distal weakness at birth
CMT4F PRX 19q13.2
  • Onset in early childhood
  • Distal muscle weakness
  • Severe sensory loss
  • Absent sensory and motor evoked response on NCV
CMT4H FGD4 12p11.21
  • Severe demyelinating neuropathy
  • Unsteady gait
CMT4J FIG4 6q21
  • Childhood or adult onset
  • Widespread denervation
NCV: nerve conduction velocity.
Graphic 72688 Version 9.0

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