title: Late onset autosomal dominant Charcot-Marie-Tooth 2 neuropathy in a Costa Rican family.
abstract: OBJECTIVE
  To describe the clinical, electrophysiologic and morphologic features of a Costa Rican family with an autosomal dominant inherited Charcot-Marie-Tooth (CMT) neuropathy.
  
  
  METHODS
  The field study took place in Costa Rica, Central America. Seven patients underwent neurological examinations and standard electrodiagnostic tests, and a sural nerve biopsy was taken from one patient. Fifteen family members were screened for gene defects associated with CMT disease.
  
  
  RESULTS
  Characteristic features of this family were a late age of onset (35-56 years), positive sensory symptoms and muscle cramps. Based on electrodiagnostic and morphologic data, the patients were classified as having a CMT2 neuropathy. The CMT1A duplication/HNPP deletion and point mutations in genes PMP22, MPZ, Cx32 and EGR2 implicated in the most common types of CMT disease were excluded. Subsequently, almost all known CMT loci were excluded by linkage analysis.
  
  
  CONCLUSIONS
  Features of this family were a late age of onset and positive sensory symptoms. This new autosomal dominant CMT neuropathy is associated with an unknown gene defect.
authors.affiliation: Department of Psychiatry, LWL-Klinik Muenster, Münster, Germany.
authors.forename: Corinna
authors.initials: C
authors.lastname: Berghoff
authors.forename: Martin
authors.initials: M
authors.lastname: Berghoff
authors.forename: Alejandro
authors.initials: A
authors.lastname: Leal
authors.forename: Bernal
authors.initials: B
authors.lastname: Morera
authors.forename: Carlos
authors.initials: C
authors.lastname: Contreras
authors.forename: Ramiro
authors.initials: R
authors.lastname: Barrantes
authors.forename: Bernd
authors.initials: B
authors.lastname: Rautenstrauss
authors.forename: Gerardo
authors.initials: G
authors.lastname: Del Valle
authors.forename: Dieter
authors.initials: D
authors.lastname: Heuss
mesh_terms: D000328:Adult; D017668:Age of Onset; D000368:Aged; D002607:Charcot-Marie-Tooth Disease / Q000175:diagnosis* / Q000235:genetics* / Q000473:pathology / Q000503:physiopathology; D003364:Costa Rica; D005192:Family Health; D005260:Female; D005799:Genes, Dominant; D006801:Humans; D008297:Male; D008875:Middle Aged; D010375:Pedigree