raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:101078

X-linked Charcot-Marie-Tooth disease type 4

Synonyms: CMT4X · CMTX4 · Cowchock syndrome

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Childhood, Infancy, Neonatal
Status
active

A rare genetic, axonal, peripheral sensorimotor neuropathy, characterized by an X-linked recessive inheritance pattern and the neonatal- to early childhood-onset of severe, slowly progressive, distal muscle weakness and atrophy (in particular of the peroneal group), as well as sensory impairment (with the lower extremities being more affected than the upper extremities), pes cavus, areflexia and hammertoes. Sensorineural hearing loss and cognitive impairment may also be associated. Females are asymptomatic and do not display the phenotype.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked Charcot-Marie-Tooth disease type 4CMT4X · CMTX4 · Cowchock syndrome
frMaladie de Charcot-Marie-Tooth liée à l'X type 4CMT4X · CMTX4 · Syndrome de Cowchock
deCharcot-Marie-Tooth-Krankheit, X-chromosomale, Typ 4CMTX4 · Cowchock-Syndrom
esEnfermedad de Charcot-Marie-Tooth ligada al cromosoma X tipo 4CMT4X · CMTX4 · Síndrome de Cowchock
itMalattia di Charcot-Marie-Tooth legata all'X, tipo 4CMT4X · CMTX4 · Sindrome di Cowchock
nlX-gebonden ziekte van Charcot-Marie-Tooth type 4CMT4X · CMTX4 · Syndroom van Cowchock
ptDoença de Charcot-Marie-Tooth, ligada ao X, tipo 4
plChoroba Charcota, Mariego i Tootha typu 4 sprzężona z chromosomem XCMT4X · CMTX4 · Zespół Cowchocka
csX-vázaná Charcotova-Marieova-Toothova nemoc, typ 4CMT4X · CMTX4 · Cowchockové syndrom · X-vázaná Charcot-Marie-Toothova nemoc, typ 4
ukХ-зчеплена хвороба Шарко-Марі-Тута, тип 4CMT4X · CMTX4 · Синдром коровячого хвоста
zhX连锁遗传夏科-马里-图斯病4型Cowchock综合征
trX'e bağlı Charcot-Marie-Tooth hastalığı tip 4CMT4X · CMTX4 · Cowchock sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM310490Evalidated
ICD-10G60.0NTBTattributedvalidated
ICD-11LD90.YNTBTindexvalidated
MONDO0010689Evalidated
MeSHC536450Evalidated
UMLSC0795910Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AIFM1Disease-causing germline mutation(s) inAssessedHGNC:8768ENSG00000156709300169Xq26.1apoptosis inducing factor mitochondria associated 123217327[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families7 casesWorldwideCase(s)Validated23217327[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_23217327[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

16 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001284Areflexia
HP:0000762Decreased nerve conduction velocity
HP:0002460Distal muscle weakness
HP:0001761Pes cavus
HP:0007141Sensorimotor neuropathy
HP:0000763Sensory neuropathy
HP:0003202Skeletal muscle atrophy
Frequent (79-30%)
HP:0000365Hearing impairment
HP:0007328Impaired pain sensation
HP:0001249Intellectual disability
HP:0002808Kyphosis
HP:0002650Scoliosis
Occasional (29-5%)
HP:0001251Ataxia
HP:0001288Gait disturbance
HP:0002360Sleep abnormality
HP:0001337Tremor

Run the differential on the 7 obligate / very frequent terms

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Sources for this card