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Living with Charcot-Marie-Tooth disease axonal type 2V

A rare inherited nerve condition that starts in adulthood with leg pain, tingling, and loss of reflexes.

Understanding Charcot-Marie-Tooth disease axonal type 2V

Charcot-Marie-Tooth disease axonal type 2V is a rare, inherited nerve disease affecting movement and feeling.

Adults have repeated pain in the legs, with or without cramps, slow loss of reflexes and sense of vibration, and tingling in the feet and later the hands. People often have trouble sleeping and mild balance trouble from loss of sensation (sensory ataxia). It can start at a variety of ages.

Signs & symptoms

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

  • Leg pain
  • Reduced reflexes
  • Less sense of vibration
  • Loss of feeling in the hands and feet
  • Mild balance problems (sensory ataxia)
  • Trouble sleeping

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 NAGLU 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
Can NAGLU genetic testing confirm the diagnosis?
What options exist for leg pain and cramps?
What can help with sleep trouble?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesNAGLU

Changes in the NAGLU gene cause this condition. It is inherited in an autosomal dominant way, so one changed copy of the gene can cause it.

GeneticNeurological

Also known as: autosomal dominant axonal charcot-marie-tooth disease type 2v; autosomal dominant charcot-marie-tooth disease type 2 due to naglu (n-acetyl-alpha-glucosaminidase) mutation; autosomal dominant charcot-marie-tooth disease type 2 due to naglu mutation; autosomal dominant charcot-marie-tooth disease type 2v; charcot-marie-tooth disease caused by mutation in naglu; charcot-marie-tooth disease, axonal, autosomal dominant, type 2v

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease axonal type 2VGARD ID 17777 · 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 Charcot-Marie-Tooth disease axonal type 2V.

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