September is Charcot-Marie-Tooth Awareness Month. Help spread the word by changing your Facebook profile picture and any social media avatar to our poster.
CMT Awareness Month poster 2012
Whenever I answer the question of “What’s wrong with you?”- with I have Charcot-Marie-Tooth disease, the response is, usually: “Shark teeth. What? followed by: “What’s wrong with your teeth?” Hence the need for Awareness Month.
What is CMT?
CMT, a genetic peripheral neuropathy, leads to the loss of normal function of arms, legs hands & feet, due to nerve damage and muscle wasting. CMT affects approximately 1 out of 2,500 people or around 150,000 Americans, yet most people and many doctors are unfamiliar with it.
Hence the need for Awareness Month.
Symptoms:
- weakness & muscle wasting in the extremities
- foot drop loss of balance\
- hammer toes
- high arches or flat feet
- muscle cramping
- loss of some reflexes
- loss of sensory nerve function
- bone abnormalities
- curvature of the spine
- rarely difficulty breathing
Diagnosis:
- family history and neurological exam- CMT is primarily hereditary with the most common forms of CMT inherited in an autosomal dominant pattern. However, spontaneous mutations resulting in “de novo” cases do occur.
- nerve conduction velocity test (NCV) - delayed responses signified demyelination (type 1) and reduced responses indicates axonopathy (type 2).
- electromyogram (EMG) to measure the electrical signals’ strength in the muscles of the arms or legs.
- genetic testing- currently, 22 types can be identified by DNA blood testing: 1A, 1B, 1C, 1D, 1E, 1F, 1X, 2A, 2B, 2E, 2F, 2I, 2J, 2K, 4A, 4C, 4E, 4F, 4J, HNPP, CHN, and DSN.
For more information visit: http://www.athenadiagnostics.com/content/test-catalog/
- If all the diagnostic work-up is inconclusive or genetic testing comes back negative, a nerve biopsy may confirm the diagnosis
Treatments:
- there is no cure or medication for CMT
- physical therapy
- occupational therapy
- braces, AFO’s
- orthopedic surgery
- pain medications
For more information: www.cmtausa.org
Resources: www.cmtausa.org
www.ninds.nih.gov
www.athenadiagnostics.com