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Living with Charcot-Marie-Tooth disease X-linked recessive 5

A rare inherited nerve condition with weakness in the legs, profound hearing loss from birth, and optic nerve damage.

Understanding Charcot-Marie-Tooth disease X-linked recessive 5

Charcot-Marie-Tooth disease X-linked recessive 5 is a rare form of X-linked Charcot-Marie-Tooth disease that starts in infancy or childhood.

It has three main features. Weakness and wasting in the muscles farthest from the center of the body, usually first in the legs, cause foot drop and walking trouble. People also have profound hearing loss that is present before speech develops. They also have optic neuropathy that slowly worsens.

Signs & symptoms

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

  • Weakness in the legs and feet
  • Hearing loss
  • Optic nerve damage (optic atrophy)
  • Absent tendon reflexes
  • High foot arches (pes cavus)
  • Nerve damage affecting feeling

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PRPS1 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); Eye disease specialists (ophthalmologists); 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 PRPS1 genetic testing confirm the diagnosis?
What hearing and vision support is available?
How does X-linked inheritance affect my family?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceX-Linked
GenesPRPS1

Changes in the PRPS1 gene cause this condition. It is X-linked recessive, which means the gene is on the X chromosome.

GeneticNeurologicalInherited Metabolic

Also known as: charcot-marie-tooth disease x-linked recessive type 5; charcot-marie-tooth disease, x-linked recessive, 5; charcot-marie-tooth disease, x-linked recessive, 5, x-linked recessive; charcot-marie-tooth disease, x-linked recessive, type 5; charcot-marie-tooth neuropathy x type 5; charcot-marie-tooth neuropathy x-linked recessive 5

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease X-linked recessive 5GARD ID 114 · 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 recessive 5.

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