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Living with Charcot-Marie-Tooth disease type 4B2

An inherited nerve condition that affects nerves in the feet, legs, and hands and can also cause glaucoma.

Understanding Charcot-Marie-Tooth disease type 4B2

Charcot-Marie-Tooth disease type 4B2 (CMT4B2) is a disorder that affects the peripheral nerves, which connect the brain and spinal cord to muscles and sensory cells.

Nerve damage can cause loss of feeling and wasting of muscles in the feet, legs, and hands. It can also cause glaucoma (damage to the eye's optic nerve). It starts in childhood.

Signs & symptoms

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

  • Weakness in the legs and arms
  • Loss of feeling in the hands and feet
  • Absent reflexes in the arms and legs
  • Walking trouble
  • Foot differences
  • Glaucoma

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 SBF2 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 genetic testing confirm the diagnosis?
How often should eye pressure be checked for glaucoma?
What therapy can help with walking?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesSBF2

Changes in the SBF2 gene cause this condition. It is inherited in an autosomal recessive way, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: autosomal recessive charcot-marie-tooth disease with focally folded myelin sheaths type 4b2; charcot-marie-tooth disease type 4 caused by mutation in sbf2; charcot-marie-tooth disease, demyelinating, type 4b2; charcot-marie-tooth disease, with focally folded myelin sheaths, autosomal recessive, type 4b2; charcot-marie-tooth neuropathy type 4b2; charcot-marie-tooth neuropathy type 4b2 (cmt4b2)

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease type 4B2GARD ID 9200 · 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 4B2.

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