raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:99949

Charcot-Marie-Tooth disease type 4C

Synonyms: CMT4C

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

A form of Charcot-Marie-Tooth disease type 4 characterized by childhood or adolescent-onset of a relatively mild, demyelinating sensorimotor neuropathy that contrasts with a severe, rapidly progressing, early-onset scoliosis, and the typical CMT phenotype (i.e. distal muscle weakness and atrophy, sensory loss, absence of deep tendon reflexes, and often foot deformity). A wide spectrum of nerve conduction velocities are observed and cranial nerve involvement and kyphoscoliosis have also been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCharcot-Marie-Tooth disease type 4CCMT4C
frMaladie de Charcot-Marie-Tooth type 4C= en
deCharcot-Marie-Tooth-Krankheit Typ 4C= en
esEnfermedad de Charcot-Marie-Tooth tipo 4C
itMalattia di Charcot-Marie-Tooth, tipo 4C= en
nlZiekte van Charcot-Marie-Tooth type 4C= en
ptDoença de Charcot-Marie-Tooth tipo 4C
plChoroba Charcota, Mariego i Tootha typu 4C= en
csCharcotova-Marieova-Toothova nemoc, typ 4CCMT4C · Charcot-Marie-Toothova nemoc, typ 4C
ukХвороба Шарко-Марі-Тута, тип 4С= en
zh腓骨肌萎缩症4C型= en
trCharcot-Marie-Tooth hastalığı tip 4C= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM601596Evalidated
ICD-10G60.0NTBTattributedvalidated
ICD-118C20.0NTBTindexvalidated
MONDO0011113Evalidated
MeSHC535423Evalidated
UMLSC1866636Evalidated

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
SH3TC2Disease-causing germline mutation(s) inAssessedHGNC:29427ENSG000001692476082065q32SH3 domain and tetratricopeptide repeats 220301514[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

51 annotations · validated 2025-05-15
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001760Abnormal foot morphology
HP:0003431Decreased motor nerve conduction velocity
HP:0003380Decreased number of peripheral myelinated nerve fibers
HP:0007108Demyelinating peripheral neuropathy
HP:0003444EMG: chronic denervation signs
HP:0004302Functional motor deficit
HP:0001288Gait disturbance
HP:0007141Sensorimotor neuropathy
Frequent (79-30%)
HP:0001284Areflexia
HP:0003693Distal amyotrophy
HP:0002460Distal muscle weakness
HP:0009027Foot dorsiflexor weakness
HP:0002359Frequent falls
HP:0002066Gait ataxia
HP:0001765Hammertoe
HP:0006886Impaired distal vibration sensation
HP:0003394Muscle spasm
HP:0003326Myalgia
HP:0001761Pes cavus
HP:0002650Scoliosis
HP:0008443Spinal deformities
HP:0001308Tongue fasciculations
Occasional (29-5%)
HP:0000587Abnormal optic nerve morphology
HP:0007695Abnormal pupillary light reflex
HP:0009916Anisocoria
HP:0001272Cerebellar atrophy
HP:0000651Diplopia
HP:0002307Drooling
HP:0001260Dysarthria
HP:0007209Facial paralysis
HP:0001508Failure to thrive
HP:0002346Head tremor
HP:0001385Hip dysplasia
HP:0002791Hypoventilation
HP:0007328Impaired pain sensation
HP:0002540Inability to walk
HP:0000639Nystagmus
HP:0001763Pes planus
HP:0002403Positive Romberg sign
HP:0002093Respiratory insufficiency
HP:0000407Sensorineural hearing impairment
HP:0010871Sensory ataxia
HP:0000486Strabismus
HP:0012473Tongue atrophy
HP:0000183Tongue muscle weakness
HP:0001604Vocal cord paresis
HP:0030319Weakness of facial musculature
Very rare (<4-1%)
HP:0000648Optic atrophy
HP:0007994Peripheral visual field loss
HP:0008081Pes valgus
HP:0100661Trigeminal neuralgia

Run the differential on the 8 obligate / very frequent terms

Annotation source: 28981955[PMID]_20301514[PMID]_27231023[PMID]

7

Sources for this card