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CMT 1F

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Mike,

The same mutation causes Type 1F and Type 2E. A Neurofilament light

chain mutation on chromosome 8p21. See below - you might want to ask

your neurologist to test your daughter for these mutations.

CMT 1F

l Neurofilament light chain ; Chromosome 8p21; Dominant or Sporadic

Genetics Mutations: Missense & Deletions

Head domain: Glu7Lys; Pro8Arg; Pro8Gln; Pro8Leu; Glu89Lys

Coil 1A: Asn97Ser

Coil 2B: Gln333Pro

Tail: Glu528del

Allelic with: CMT 2E

Onset Less than 13 years

2nd decade: Pro8Arg; Glu528del

Early childhood: Other mutations

Differential diagnosis: Dejerine-Sottas

Gait disorder

Clinical

Weakiness

Legs & Arms

Distal > Proximal

May be severe

Early: Delayed motor milestones or gait disorder

Muscle atrophy

Tendon reflexes: Often reduced or absent

Sensory loss

Tremor: Some patients

Electrophysiology Motor NCV: 15 to 38 M/s

SNAPs: Often absent

Axonal loss: Large & unmyelinated axons

Regenerating clusters

Onion bulbs (Small)

Thinly myelinated axons

~ Gretchen

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