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Living with Charcot-Marie-Tooth disease X-linked dominant 6

A rare inherited nerve condition starting in childhood, with weakness in the lower legs and foot differences, usually milder in females.

Understanding Charcot-Marie-Tooth disease X-linked dominant 6

Charcot-Marie-Tooth disease X-linked dominant 6 is a rare, inherited nerve disease affecting movement and feeling.

It begins in childhood with moderate to severe, slowly worsening weakness and wasting of the lower legs, loss of feeling, foot differences such as high arches and clawed toes, absent ankle reflexes, and a high-stepping walk. Females usually have no symptoms or only mild ones, such as mild hand tremor.

Signs & symptoms

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

  • Weakness and wasting in the lower legs
  • High-stepping walk (steppage gait)
  • Absent ankle reflexes
  • High foot arches (pes cavus)
  • Loss of feeling in the feet
  • Hand tremor

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, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PDK3 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); Ear, nose, and throat specialists (otolaryngologists); 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 PDK3 genetic testing confirm the diagnosis?
How does X-linked inheritance affect my family?
Should hearing be checked?

Quick facts

Symptoms usually startChild
InheritanceX-Linked
GenesPDK3

Changes in the PDK3 gene cause this condition. It is X-linked, which means the gene is on the X chromosome.

GeneticNeurological

Also known as: charcot-marie-tooth disease x-linked dominant type 6; charcot-marie-tooth disease, x-linked dominant, 6, x-linked dominant; charcot-marie-tooth disease, x-linked dominant, type 6; charcot-marie-tooth neuropathy x-linked dominant 6; charcot-marie-tooth neuropathy, x-linked dominant, 6; cmt6x

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease X-linked dominant 6GARD ID 12445 · 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 X-linked dominant 6.

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