A Rare Case of Charcot-Mari-Tooth Disease Type 2S in a 20-year-old Man

CASE REPORT
Natalia A. Shnayder, PhD, ScD*; Olga V. Petryaeva, MD; Ivan P. Artyuhov, PhD, ScD; Margarita R. Sapronova, PhD; Irina O. Loginova, PhD

V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University. Krasnoyarsk, the Russian Federation

*Corresponding author:  Prof. Natalia A. Shnayder, PhD, ScD; Head of the Neurological Center of Epileptology, Neurogenetics and Brain Research of the University Clinic of V.F. Voino-Yasenetsky Krasnoyarsk State Medical University.  Krasnoyarsk, the Russian Federation.  E-mail: nataliashnayder@gmail.com

Published: December 15, 2017.  doi: 10.21103/Article7(4)_CR1

Abstract: 

Charcot-Marie-Tooth disease type 2 (CMT2S) is rare form of Charcot-Marie-Tooth disease (CMT) that is characterized by a mutation in the IGHMBP2 gene. This gene encodes a helicase superfamily member that binds a specific DNA sequence from the region of the immunoglobulin mu chain switch. Mutation of this gene leads to spinal muscle atrophy with respiratory distress type 1 and CMT2S. This case report presents a 20-year-old male with genetically confirmed CMT2S having clinical respiratory involvement and symmetrically involved lower extremities. DNA sequencing revealed a previously unknown heterozygous mutation in the exone 2 of the IGHMBP2 gene leading to the replacement of the amino acid in the 46 position of the protein (chr11q13.3: 68673587 G>C).  These atypical features widen the clinical spectrum of CMT2S. In describing this clinical case, we also improve diagnostic management and try to increase the alertness of various doctors towards neuromuscular diseases, including CMT. 

Keywords: 
Charcot-Marie-Tooth disease ● Inherited Axonal Predominant Neuropathy ● Neuromuscular Disease ● Chomosome11q13.3 ● Management
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International Journal of Biomedicine. 2017;7(4):324-326. ©2017 International Medical Research and Development Corporation. All rights reserved.