Charcot–Marie–Tooth disease
Charcot–Marie–Tooth disease (CMT) is a hereditary motor and sensory neuropathy of the peripheral nervous system characterized by progressive loss of muscle tissue and touch sensation across various parts of the body. This disease is the most commonly inherited neurological disorder, affecting about one in 2,500 people. It is named after those who classically described it: the Frenchman Jean-Martin Charcot (1825–1893), his pupil Pierre Marie (1853–1940), and the Briton Howard Henry Tooth (1856–1925).
Charcot–Marie–Tooth disease | |
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Other names | Charcot–Marie–Tooth neuropathy, peroneal muscular atrophy, Dejerine-Sottas syndrome |
The foot of a person with Charcot–Marie–Tooth disease: The lack of muscle, a high arch, and claw toes are signs of this genetic disease. | |
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Specialty | Neurology, podiatry, orthopedics, physical medicine and rehabilitation |
Symptoms | Foot drop, hammertoe, peripheral muscle wasting of lower legs and lower arm/hands |
Usual onset | Childhood – early adulthood |
Duration | Lifelong |
Causes | Family history (genetics) |
Risk factors | Family history (genetics), high-arched feet, flat-arched feet |
Diagnostic method | Genetic testing, nerve conduction study or electromyogram (EMG) |
Differential diagnosis | Muscular dystrophy |
Treatment | Management to maintain function |
Prognosis | Progressive |
Frequency | Prevalence: 1 in 2,500 |
There is no known cure. Care focuses on maintaining function. CMT was previously classified as a subtype of muscular dystrophy.
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