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196 Clinical and molecular characterisation of a Scottish Charcot-Marie-Tooth disease cohort
  1. Taylor Watson-Fargie1,
  2. Marcus Boyd2,
  3. Aisha Mahjoub3,
  4. Kathryn Brennan1
  1. 1Department of Neurology, Queen Elizabeth University Hospital, Glasgow
  2. 2Medical School, University of Glasgow
  3. 3Department of Clinical Neurophysiology, Queen Elizabeth University Hospital, Glasgow

Abstract

Charcot-Marie-Tooth (CMT) disease is the commonest inhereted neuropathy with previous studies charac- terising cohorts in Europe and USA. This Scottish single-centre retrospective cross-sectional study aimed to report frequency of CMT subtypes and characterise clinical, genetic, and electrophysiological features.

Electronic medical record data were collected from patients attending a specialist clinic. Data included patient demographics, neurological examination, family history, pain, and reports from allied health pro- fessionals, genetics, and neurophysiology. Data were analysed using descriptive statistics.

150 molecularly characterised and 39 uncharacterised patients were included comprising 78 patients with CMT1A (78), 5 with CMT1B, 5 with CMT1E, 25 with CMT1X, 17 with CMT2, 3 with CMT4 and 14 with Hereditary Neuropathy with Liability to Pressure Palsies (HNPP). There were similarities in generic neuropathy features, however, differences were observed. In this cohort, CMT1A patients had a lower prevalence of distal muscle wasting; CMT1B patients had an earlier mean presentation age and greater scoliosis prevalence; CMT1E patients had a later mean presentation age; CMT1X patients had greater tremor prevalence; HNPP patients showed lower morbidity.

This study provides the first Scottish data on CMT subtypes and their associated characteristics. It is anticipated this provides a representative baseline that will support investigation, management, and research of CMT.

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