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Title
  • en X-linked Charcot-Marie-Tooth disease (CMTX) in a severely affected female patient with scattered lesions in cerebral white matter
Creator
    • en Basri, Rehana
    • en Soma, Hiroyuki
    • en Matsushima, Masaaki
    • en Tsuji, Sachiko
    • en Sasaki, Hidenao
Accessrights open access
Subject
  • Other en gap junction protein β1
  • Other en connexin 32
  • Other en hereditary demyelinating neuropathy
  • Other en magnetic resonance imaging
  • Other en X-linked Charcot-Marie-Tooth disease
  • NDC 493
Description
  • Abstract en Charcot-Marie-Tooth neuropathy (CMT) is an inherited degenerative disorder of the peripheral nervous system that results in slowly progressive distal muscle weakness, atrophy and loss of proprioception in the affected areas. X-linked CMT (CMTX) has been localized to the pericentric region of the X chromosome. CMTX neuropathy is usually associated with mutations in exon 2 of the gap junction protein β1 (GJB1) gene. GJB1 is a gap junction protein expressed in various cells including oligodendrocytes, astrocytes and myelinating schwann cells. Here, we report a female case of CMTX with a GJB1 mutation. The patient was severely clinically affected and exhibited both the features of demyelination and axonopathy. This is the first female patient with CMTX who showed permanent atypical scattered lesions in cerebral white matter of the brain on T2-weighted magnetic resonance images (MRI), which is very rare. The existence of a female patient with severe clinical symptoms may show that gain of function mechanism also leads to the disorders seen in these patients.
Publisher ja 社団法人 日本内科学会 en Japanese Society of Internal Medicine
Date
    Issued2007
Language
  • eng
Resource Type journal article
Version Type AM
Identifier HDL http://hdl.handle.net/2115/25175
Relation
  • isVersionOf DOI https://doi.org/10.2169/internalmedicine.46.0047
  • PMID 17603245
Journal
    • PISSN 0918-2918
    • EISSN 1349-7235
      • en Internal Medicine
      • Volume Number46 Issue Number13 Page Start1023 Page End1027
File
    • fulltext IM46-13.pdf
    • 323.84 KB (application/pdf)
      • Issued2007
Oaidate 2023-07-26