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CASE REPORT
Year : 2014  |  Volume : 3  |  Issue : 4  |  Page : 259-262

Unusual manifestations of Charcot-Marie-Tooth disease: A clinical observation


Department of Neurology, BLK Super Speciality Hospital, New Delhi, India

Correspondence Address:
Akhila Kumar Panda
Department of Neurology, BLK Super Speciality Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-344X.143068

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Charcot-Marie-Tooth disease (CMT) is the most common hereditary neuromuscular disorder. Careful assessment of clinical presentations, mode of inheritance, electrophysiological studies, and genetic analysis form the basis for the diagnosis of CMT. CMT4 is a group of progressive motor and sensory axonal demyelinating neuropathies. It is distinguished from other forms of CMT by autosomal recessive pattern of inheritance, variable clinical manifestations, electrophysiological study, nerve biopsy, and specific genetic studies. Here, we report an interesting case of hereditary neuropathy with recessive inheritance pattern who presented with combined clinical phenotypes of 4B1, 4C, and 4D subtypes. The histopathological study revealed onion bulb appearance suggestive of demyelination and remyelination phenomenon. The overlapping clinical manifestation may create a diagnostic challenge which would be confirmed by specific molecular analysis.


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