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Living with Charcot-Marie-Tooth disease type 1D

An inherited nerve condition caused by EGR2 gene changes, with weakness in the hands and feet that varies in age of onset.

Understanding Charcot-Marie-Tooth disease type 1D

Charcot-Marie-Tooth disease type 1D (CMT1D) is a form of inherited nerve disease caused by changes in the EGR2 gene.

Severity and age of onset vary, from infancy to adulthood. It usually causes walking problems and slowly worsening weakness and wasting in the muscles farthest from the center of the body, which can spread later to muscles closer in. Foot differences are common. Some people have scoliosis, double vision, or weak vocal cords.

Signs & symptoms

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

  • Foot drop
  • Weakness in the hands and feet
  • Wasting of muscles in the hands and feet
  • Weakness in the arms
  • High-stepping walk (steppage gait)
  • Nerve damage (peripheral neuropathy)

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 EGR2 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

    Hereditary Neuropathy Foundation Inc., Charcot-Marie-Tooth Association and Muscular Dystrophy Association 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: Hereditary Neuropathy Foundation Inc., Charcot-Marie-Tooth Association, Muscular Dystrophy Association
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 Hereditary Neuropathy Foundation Inc. 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 EGR2 genetic testing confirm the diagnosis?
Should my spine, vision, and voice be checked?
What braces or therapy can help with foot drop?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesEGR2

Changes in the EGR2 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: charcot-marie-tooth disease type 1 caused by mutation in egr2; charcot-marie-tooth disease type id; charcot-marie-tooth disease, demyelinating, type 1d; charcot-marie-tooth disease, type 1d; charcot-marie-tooth neuropathy type 1d; charcot-marie-tooth neuropathy, type 1d

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease type 1DGARD ID 9189 · 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 type 1D.

Explore the Charcot-Marie-Tooth disease type 1D blog

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Explore actively recruiting Charcot-Marie-Tooth disease type 1D studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Charcot-Marie-Tooth disease type 1D with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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