raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:99950

Charcot-Marie-Tooth disease type 4D

Synonyms: CMT4D · HMSN, Lom type · HMSN-Lom · Hereditary motor and sensory neuropathy, Lom type

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

A form of Charcot-Marie-Tooth disease type 4 characterized by a childhood-onset of severe, progressive, demyelinating sensorimotor neuropathy manifesting with distal muscle weakness and atrophy, sensorineural hearing impairment leading to deafness (usually in third decade), severely reduced nerve conduction velocities, and skeletal, especially foot, deformities. Tongue atrophy has also been reported. It was initially reported in the Lom Roma community due to a common founder variant, and called hereditary motor and sensory neuropathy, Lom type. Other variants were reported since.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCharcot-Marie-Tooth disease type 4DCMT4D · HMSN, Lom type · HMSN-Lom · Hereditary motor and sensory neuropathy, Lom type
frMaladie de Charcot-Marie-Tooth type 4DCMT4D · HMSN type Lom · HMSN-Lom · NSMH type Lom · NSMH-Lom · Neuropathie sensitivo-motrice héréditaire type Lom
deCharcot-Marie-Tooth-Krankheit Typ 4DCMT4D · HMSN, Typ Lom · Neuropathie, hereditäre motorisch-sensorische, Typ Lom
esEnfermedad de Charcot-Marie-Tooth tipo 4DCMT4D · HMSN tipo Lom · HMSN-Lom · Neuropatía hereditaria sensitivo-motora, tipo Lom
itMalattia di Charcot-Marie-Tooth, tipo 4DCMT4D · HMSN, tipo Lom · HMSN-Lom · Neuropatia sensitivo-motoria ereditaria, tipo Lom
nlZiekte van Charcot-Marie-Tooth type 4DCMT4D · HMSN, Lom-type · HMSN-Lom · Hereditaire motorische en sensorische neuropathie, Lom-type
ptDoença de Charcot-Marie-Tooth tipo 4D
plChoroba Charcota, Mariego i Tootha typu 4DCMT4D · Dziedziczna neuropatia ruchowa i czuciowa, typ Loma · HMSN, typ Loma · HMSN-Lom
csCharcotova-Marieova-Toothova nemoc, typ 4DCMT4D · HMSN, lomský typ · Lomská HMSN · Hereditární motorická a senzorická neuropatie, lomský typ · Charcot-Marie-Toothova nemoc, typ 4D
ukХвороба Шарко-Марі-Тута, тип 4DCMT4D · Спадкова моторна та сенсорна нейропатія, тип Лом · HMSN, тип Lom · HMSN-Lom
zh腓骨肌萎缩症4D型Lom型HMSN
trCharcot-Marie-Tooth hastalığı tip 4DCMT4D · HMSN-Lom · HMSN, Lom tip · Kalıtsal motor ve duyusal nöropati, Lom tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM601455Evalidated
ICD-10G60.0NTBTattributedvalidated
ICD-118C20.0NTBTindexvalidated
MONDO0011085Evalidated
MeSHC535716Evalidated
UMLSC1832334Evalidated

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
NDRG1Disease-causing germline mutation(s) inAssessedHGNC:7679ENSG000001044196052628q24.22N-myc downstream regulated 110831399[PMID]_20301641[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET

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

22 annotations · validated 2021-03-11
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007078Decreased amplitude of sensory action potentials
HP:0003431Decreased motor nerve conduction velocity
HP:0007108Demyelinating peripheral neuropathy
HP:0009053Distal lower limb muscle weakness
Frequent (79-30%)
HP:0001760Abnormal foot morphology
HP:0002460Distal muscle weakness
HP:0007210Lower limb amyotrophy
HP:0001270Motor delay
HP:0000407Sensorineural hearing impairment
HP:0002317Unsteady gait
Occasional (29-5%)
HP:0002936Distal sensory impairment
HP:0008959Distal upper limb muscle weakness
HP:0001765Hammertoe
HP:0002540Inability to walk
HP:0002751Kyphoscoliosis
HP:0001761Pes cavus
HP:0002174Postural tremor
HP:0003701Proximal muscle weakness
HP:0032649Skewfoot
HP:0003474Somatic sensory dysfunction
HP:0001171Split hand
HP:0009129Upper limb amyotrophy

Run the differential on the 4 obligate / very frequent terms

Annotation source: 28003645[PMID]_24136616[PMID]

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Sources for this card