Presentation
Individuals with CMT 3 (Dejerine-Sottas disease) have a primarily demyelinating peripheral neuropathy with a more severe phenotype presenting in infancy. [academlib.com]
[…] distal juvenile spinal muscular atrophy type 1 dHMN1 Prevalence: - Inheritance: Autosomal dominant Age of onset: Adolescent, Adult, Childhood ICD-10: G12.2 OMIM: 182960 UMLS: C1866784 MeSH: - GARD: - MedDRA: - The documents contained in this web site are presented [orpha.net]
We present a family with autosomal dominant adult onset dHMN type II consisting of fi ve affected individuals spanning three generations. They developed mild symmetrical distal lower limb weakness, muscle wasting, and severe foot… CONTINUE READING [semanticscholar.org]
Present in ≤ 0.1 % of dbSNP137, 1000 genomes and/or ESP 2. and/or present in ≤ 1 internal controls 3. [tidsskriftet.no]
[…] little to no "onion bulb formation" as this is more an axonopathy than myelinating problem; can be wallerian degeneration of the nerves; sensation is lost more than motor skills and hypertrophic nerves are not clinically apparent; in early clinically presenting [pathologyoutlines.com]
Entire Body System
- Pain
Other Hereditary Sensory Neuropathies Disorder gene locus inheritance onset clinical Absent pain NGF-b 1p13 Recessive Early childhood to Adult Absence of pain No anhidrosis Inability to experience pain SCN 9A 2q24 Recessive Congenital Absence of pain [slideshare.net]
States { Spawn: HMN1 P 5 A_Look2 Loop HMN1 Q 8 Loop HMN1 R 8 Loop HMN1 ABCDABCD 6 A_Wander Loop See: HMN1 AABBCCDD 3 A_Chase Loop Missile: HMN1 E 10 A_FaceTarget HMN1 F 10 Bright A_ShootGun HMN1 E 10 A_ShootGun Goto See Pain: HMN1 O 3 HMN1 O 3 A_Pain [zdoom.org]
Pain is rarely an initial symptom but most patients experience pain during the course of their disease. [ 6 ] Generalised tendon areflexia. There may be foot drop and foot deformity. [patient.info]
Shooting pains may be treated with medications commonly used for painful peripheral neuropathies including amitriptyline, gabapentin and pregabalin. Damaged joints may need a specialized orthopedic opinion and occasionally surgery. [rarediseases.org]
If pain is a factor, determining where and how long the pain has been present is important, one also needs to know what disorders are present within the family and what diseases the person may have. [wikipredia.net]
- Crying
Characteristics of spinal muscular atrophy 0-6 months (infant-onset) Highest motor milestone achieved UNABLE TO SIT (“nonsitters”) Type I (also known as Werdnig-Hoffmann disease) Characteristics Poor head control Weak cough Weak cry Progressive weakness [togetherinsma.com]
Other early symptoms of SMARD can include foot deformities and a weak cry. Some children have fatty finger pads. [smasupportuk.org.uk]
- Severe Pain
Some patients suffer from severe pain attacks. Hypacusis or deafness, or cough and gastrooesophageal reflux have been observed in rare cases. [ojrd.biomedcentral.com]
Respiratoric
- Respiratory Distress
These conditions include: Spinal muscular atrophy with respiratory distress (SMARD) —SMARD has similar symptoms to infant-onset spinal muscular atrophy, though it affects the upper spinal cord neurons instead of the lower motor neurons. [togetherinsma.com]
Spinal muscular atrophy with respiratory distress type 1 (SMARD1), also known as distal spinal muscular atrophy Tpe 1 (DSMA1) or distal hereditary motor neuropathy Type 6 (dHMN6 or HMN6) is an inherited condition that causes muscle weakness and respiratory [mda.org.nz]
The first and most noticeable symptom of SMARD is usually breathing difficulties ( respiratory distress). [smasupportuk.org.uk]
Failure Severe Infantile Axonal Neuropathy With Respiratory Failure Spinal Muscular Atrophy With Respiratory Distress 1 Spinal Muscular Atrophy, Diaphragmatic DSMA1 DHMN6 HMN VI HMN6 SIANRF SMARDI 604320 Genetic Test Registry Spinal Muscular Atrophy, [ukgtn.nhs.uk]
distress type 1 (SMARD1) Infant onset, severe, with diaphragmatic failure DHMN7A 158580 SLC5A7 2q12.3 Autosomal dominant Spinal muscular atrophy with vocal cord paralysis ; Harper–Young myopathy Infant onset with vocal cord paralysis DHMN7B 607641 DCTN1 [en.wikipedia.org]
- Aspiration
Swallowing or feeding may also become difficult, and children may lose the ability to swallow safely without choking or inhaling food into the lungs (aspiration). [togetherinsma.com]
Laryngeal dysfunction with aspiration pneumonia. [patient.info]
[…] hypertension, profuse sweating &marked skin blotching due to defective autonomic control Defective lacrimation ,absence of tongue papillae Hypotonia delayed motor milestones, gait ataxia, stunted growth & scoliosis Potentially life threatening condition due to aspiration [slideshare.net]
Gastrointestinal
- Choking
Swallowing or feeding may also become difficult, and children may lose the ability to swallow safely without choking or inhaling food into the lungs (aspiration). [togetherinsma.com]
Musculoskeletal
- Joint Stiffness
stiffness symptoms Children may develop spinal problems such as scoliosis (curvature of the spine), which may require bracing or surgery 18 months+ (juvenile-onset) Highest motor milestone achieved ABLE TO WALK INDEPENDENTLY (“walkers,” although they [togetherinsma.com]
Neurologic
- Tremor
Essential tremor Intention tremor Restless legs Stiff-person Dementia Tauopathy Alzheimer's Early-onset Primary progressive aphasia Frontotemporal dementia / Frontotemporal lobar degeneration Pick's Dementia with Lewy bodies Posterior cortical atrophy [en.wikipedia.org]
[…] the arms Muscle aching Joint overuse symptoms Late adolescence/adulthood (adult-onset) Highest motor milestone achieved ALL Characteristics Physical symptoms are similar to juvenile-onset spinal muscular atrophy, with the gradual onset of weakness, tremors [togetherinsma.com]
I–VII de E hlers–Danlos-Syndrom Typen I–VII Familial e rythrocytosis F abry disease Familial adenomatous polyposis ( FAP ) and attenuated FAP (AFAP) F ibrodysplasia ossificans progressiva F ragile X mental retardation syndrome, fragile X-associated tremor [gfhev.de]
Other common symptoms and signs include hand tremors, muscle cramps and acrocyanosis. It may be possible to palpate enlarged and excessively firm nerves. [patient.info]
A source of confusion was the description of a progressive childhood neuropathy associated with tremor ( Roussy and Levy 1926 ), which has been defined genetically ( Auer-Grumbach et al 1998 ; Plante-Bordeneuve et al 1999 ). [medlink.com]
- Areflexia
The disease is characterized by an early-onset (i.e. in childhood) demyelinating neuropathy, and usually manifests as gradual progression of distal weakness, sensory loss, and areflexia in the legs. [radiopaedia.org]
Pain is rarely an initial symptom but most patients experience pain during the course of their disease. [ 6 ] Generalised tendon areflexia. There may be foot drop and foot deformity. [patient.info]
Top 5 symptoms associated to DNAJB2 gene Symptoms // Phenotype % Cases Autosomal recessive inheritance Very Common - Between 80% and 100% cases Areflexia Very Common - Between 80% and 100% cases Sensory impairment Very Common - Between 80% and 100% cases [mendelian.co]
Neurological examinations at age 49 revealed a pes cavus, generalized areflexia except for brisk knee jerks, bilateral flexor plantar responses, symmetrical weakness and atrophy of the muscles in distal extremities, and a steppage gait with mild spastic [journals.plos.org]
[…] syndrome Caudal appendage-deafness syndrome Caudal regression sequence Central bilateral macrogyria Central nervous system calcification-deafness-tubular acidosis-anemia syndrome Centronuclear myopathy Cerebellar ataxia, Cayman type Cerebellar ataxia-areflexia-pes [se-atlas.de]
- Confusion
This syndrome should not be confused with Déjerine syndrome or Déjerine-Roussy syndrome. [radiopaedia.org]
Cautions Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances Clinical Correlations: Some individuals who have involvement of 1 or more [mayomedicallaboratories.com]
It often comes as a shock and you may experience feelings such as disbelief, confusion, anger and sadness. You may find it difficult to take everything or anything in. [smasupportuk.org.uk]
A source of confusion was the description of a progressive childhood neuropathy associated with tremor ( Roussy and Levy 1926 ), which has been defined genetically ( Auer-Grumbach et al 1998 ; Plante-Bordeneuve et al 1999 ). [medlink.com]
[…] severe, infantile form of inherited neuropathy. [3] As more heterogeneity and overlap in clinical appearance, pathological features, and forms of inheritance were recognized in the following decades, an improved classification system was needed to avoid confusion [emedicine.medscape.com]
Workup
Nerve conduction studies may be more expeditiously carried out on an affected FIGURE 18.13 Progressive cavus foot deformities with clawing of the toes on CMT. parent to guide the molecular genetic workup of an affected child. [academlib.com]
Clinical Testing and Workup Nerve conduction studies (NCS) and electromyography (EMG) are very useful. [rarediseases.org]
Treatment
Part one discusses the approach to neuromuscular disorders, covering principles and basics, neuromuscular investigations, and assessment and treatment of neurological disorders. [books.google.de]
Translation of "neuropatía motora hereditaria distal tipo 1 " (Spanish → English) : neuropatía motora hereditaria distal tipo 1 Autosomal dominant distal juvenile spinal muscular atrophy type 1 SNOMEDCT-ES (trastorno) / 770630005 SNOMEDCT-ES (treatment [wordscope.com]
The supportive treatment is generally provided by a multidisciplinary team including neurologists, orthopedic surgeons, physical and occupational therapists; with treatment choices limited to physical therapy, the use of orthotics, surgical treatment [bcbst.com]
[edit] In the treatment of polyneuropathies one must ascertain and manage the cause, among management activities are: weight decrease, use of a walking aid, and occupational therapist assistance. [wikipredia.net]
HMN1_HUMAN,P0CJ68 UniProtKB/Swiss-Prot Induction: Down-regulated 6 hours following staurosporine (STS) treatment and up-regulated 24 hours following STS treatment. Down-regulated 6 hours following beta-carotene treatment. [genecards.org]
Prognosis
[…] based on the type of mutations and underlying factors HMSN varies; form with Dejerine Sottas has a poor prognosis; CMT1 has minimal impact on survival Treatment Therapy is aimed at the underlying etiology SMA III may require physical therapy ALS is generally [pathologyoutlines.com]
Parents should talk to their own or their children’s physician and medical team about their specific case, associated symptoms and overall prognosis. [rarediseases.org]
CMT in pregnancy increases the risk for complications during delivery and a higher risk of intervention. [ 11 ] Prognosis This is dependent on subtype; clinical impairment and disability correlate with axonal loss: Most patients with CMT1A have normal [patient.info]
However, if the cause is removed, then regeneration is possible, although the prognosis depends on the duration and severity of the original stimulus[medical citation needed]. [wikipredia.net]
Prognosis If patients with HSN I receive appropriate counselling and treatment, the prognosis is good. Early treatment of foot infections may avoid serious complications. Also the complications are manageable, allowing an acceptable quality of life. [ojrd.biomedcentral.com]
Etiology
Definition / general Neurogenic type atrophy is a descriptive diagnosis that has multiple different etiologies; underlying etiology generally cannot be further elucidated by the muscle biopsy itself and needs clinicopathologic or radiologic correlation [pathologyoutlines.com]
Diabetes and alcoholism are the most common etiologies of peripheral neuropathy in adults living in developed countries. [aafp.org]
Several demyelinating etiologies can produce a “Dejerine-Sottas” phenotype with early onset, palpable nerves, and marked onion-bulb formation. [now.aapmr.org]
Although the separation of neuronal and nonneuronal forms is an important etiologic and pathogenic distinction, it is noteworthy that even in HMSN1, the clinical deficits appear to correlate better with progressive axonal degeneration than slowed nerve [medlink.com]
Although dHMN shows similar involvement of posterior compartment muscles, it also severely affects anterior compartment muscles, especially the vastus muscle group, which suggests that the etiologies and pathophysiologies of CMT1A and dHMN differ. [nature.com]
Epidemiology
Relevant External Links for FBXO38 Genetic Association Database (GAD) FBXO38 Human Genome Epidemiology (HuGE) Navigator FBXO38 Atlas of Genetics and Cytogenetics in Oncology and Haematology: FBXO38 No data available for Genatlas for FBXO38 Gene A dominant [genecards.org]
Epidemiologic Study of Charcot-Marie-Tooth Disease: A Systematic Review. Neuroepidemiology. 2016. 46 (3):157-65. [Medline]. Garcia CA, Malamut RE, England JD, Parry GS, Liu P, Lupski JR. [emedicine.medscape.com]
Epidemiology It is the most common inherited neuromuscular disorder affecting 1 in 2,500 people. [ 1 ] It has no predilection for a particular race or sex. [patient.info]
Atrophic myofibers with myofiber type grouping (groups of myofibers of the same histochemical type) No / minimal inflammation Terminology No specific terminology Skeletal muscle with neurogenic atrophy Skeletal muscle with features of neurogenic atrophy Epidemiology [pathologyoutlines.com]
Epidemiology Hereditary sensory neuropathy type I (HSN I) constitutes a clinically and genetically heterogenous group of disorders of low prevalence. No detailed epidemiological data are currently available. [ojrd.biomedcentral.com]
Pathophysiology
[edit] In regard to the pathophysiology of polyneuropathy, of course, the former depends on which polyneuropathy. [wikipredia.net]
See Hereditary Peripheral Neuropathies Testing Algorithm in Special Instructions Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test Inherited peripheral neuropathies are a relatively [mayomedicallaboratories.com]
2500 to 1 in 1214 in Scandinavian countries Sites Muscle biopsy can be obtained from the more distal muscles depending on the disease process and the muscle that is affected Generally, distal is more affected than proximal in many of these disorders Pathophysiology [pathologyoutlines.com]
Pathophysiology Although peripheral neuropathy has multiple etiologies, the nerve has a limited number of ways to respond to injury. 4, 5 The damage can occur at the level of the axon (i.e., axonopathy). [aafp.org]
Although dHMN shows similar involvement of posterior compartment muscles, it also severely affects anterior compartment muscles, especially the vastus muscle group, which suggests that the etiologies and pathophysiologies of CMT1A and dHMN differ. [nature.com]
Prevention
The prevention of HNPP manifestations can be accomplished by wearing protective padding (e.g., elbow or knee pads) to prevent trauma to nerves during activity. [bcbst.com]
Centers for Disease Control and Prevention. Developmental milestones. Available at: http://www.cdc.gov/ncbddd/actearly/milestones/. Updated January 21, 2016. Accessed April 27, 2016. 14. [care.togetherinsma.fr]
The NCARDRS helps scientists look for better ways to prevent and treat CMT. You can opt out of the register at any time. Page last reviewed: 18/02/2019 Next review due: 18/02/2022 [nhs.uk]
Primary prevention is genetic counseling. [now.aapmr.org]
Weakened ankles can be treated with orthotics, but special care (e.g. sleeves, etc.) may be necessary to prevent skin abrasion. Genetic counseling may be of benefit for affected individuals and their families. [rarediseases.org]