Charcot Marie Tooth Disease Flashcards

1
Q

What is another term for Charcot Marie tooth disease?

A

Hereditary sensorimotor neuropathy

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2
Q

What is Charcot Marie tooth disease?

A

It is defined as an inherited condition, in which there is dysfunction of the myelin or axons in peripheral neurones – resulting in peripheral neuropathy

There are various classifications, with different genetic mutations and different pathophysiology

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3
Q

In most cases what is the inheritance of Charcot Marie tooth disease?

A

Autosomal dominant

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4
Q

What is the most common inherited peripheral neuropathy?

A

Charcot Marie tooth disease

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5
Q

What are the two main classifications of Charcot Marie tooth disease?

A

Charcot Marie Tooth Disease Type I

Charcot Marie Tooth Disease Type II

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6
Q

What is the inheritance of Charcot Marie tooth disease type I?

A

Autosomal dominant

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7
Q

What is the pathology of Charcot Marie tooth disease type I?

A

There is a mutation of the PMP-22 gene, which results in demyelinating pathology of peripheral neurones

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8
Q

When does Charcot Marie tooth disease type I tend to present?

A

Puberty

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9
Q

What is the inheritance of Charcot Marie tooth disease type II?

A

Autosomal dominant

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10
Q

What is the pathophysiology of Charcot Marie tooth disease type II?

A

There is a mutation of the PMP-22 gene, which results in an axonal pathology of peripheral neurones

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11
Q

When does Charcot Marie tooth disease type II tend to present?

A

Puberty

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12
Q

What are the five risk factors of Charcot Marie tooth disease?

A

ABCDE

Alcohol

Vitamin B12 Deficiency

Cancer/Chronic Kidney Disease

Diabetes/Drug Administration

Every Vasculitis

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13
Q

Which three drugs are associated with Charcot Marie tooth disease?

A

Isoniazid

Amiodarone

Cisplatin

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14
Q

What are the nine clinical features of Charcot Marie tooth disease?

A

Pes Cavus

Foot Drop

Hammer Toes

Stork Leg Deformity

Peripheral Sensory Loss

Distal Muscle Weakness

Distal Muscle Atrophy

High-Stepping Gait

Hyporeflexia

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15
Q

What is pes cavus?

A

It is defined as high foot arches

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16
Q

What is the most common muscle weakness associated with Charcot Marie tooth disease? How does it present?

A

Tibialis anterior

Ankle dorsiflexion

17
Q

In general, how is Charcot Marie tooth disease managed?

A

There is no management to alter the underlying disease or slow disease progression

Instead, management is supportive

18
Q

What are the four management options of Charcot Marie tooth disease?

A

Physiotherapy

Occupational Therapist Input

Foot Insoles & Orthoses

Joint Deformity Surgery