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Living with Autosomal dominant Charcot-Marie-Tooth disease type 2W

A rare inherited nerve condition that causes slowly worsening weakness and walking difficulty in the legs, starting from childhood to late adulthood.

Understanding Autosomal dominant Charcot-Marie-Tooth disease type 2W

Autosomal dominant Charcot-Marie-Tooth disease type 2W is a rare inherited nerve condition, mainly affecting the legs, with a broad range of symptoms.

Most people have walking difficulties and reduced feeling at the ends of the limbs, but some have no sensory symptoms. High-arched feet are common. The age it starts varies widely, from childhood to late adulthood. Symptoms progress slowly.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Walking difficulty
  • Weakness in the lower legs and feet
  • High-stepping walk
  • High-arched feet (pes cavus)
  • Reduced vibration sense in the legs
  • Weakness in the hands

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in HARS1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: The Foundation for Peripheral Neuropathy
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with CMT Research Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which foot and ankle braces could help?
Which physical therapy is best for my needs?
Would HARS1 testing help my relatives?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant
GenesHARS1

GARD says changes in the HARS1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: autosomal dominant axonal charcot-marie-tooth disease type 2w; autosomal dominant charcot-marie-tooth disease type 2 due to hars (histidyl-trna synthetase 1) mutation; autosomal dominant charcot-marie-tooth disease type 2 due to hars mutation; charcot-marie-tooth disease type 2 caused by mutation in hars; charcot-marie-tooth disease, axonal, autosomal dominant, type 2w; charcot-marie-tooth disease, axonal, type 2w

Patient organizations

Source: NIH GARD · Autosomal dominant Charcot-Marie-Tooth disease type 2WGARD ID 17891 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autosomal dominant Charcot-Marie-Tooth disease type 2W.

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