De Novo MFN2 p.Arg95Met in Severe Charcot-Marie-Tooth Disease Type 2A.
Hsi-Yen Lee, Wen-Ling Cheng, Shin-Hung Pan et al.
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Case in brief
A 30-year-old Taiwanese woman presented with severe axonal sensorimotor neuropathy, characterized by early-onset weakness, distal wasting, optic atrophy, and bilateral sensorineural hearing loss. She became wheelchair-dependent in adolescence. Nerve conduction studies indicated severe chronic axonal sensorimotor polyneuropathy. Genetic analysis revealed a de novo MFN2 variant, p.Arg95Met, contributing to her condition.
Diagnostic / clinical pearl
Clinicians should consider the Arg94/Arg95 region of the MFN2 gene when evaluating patients with severe early-onset Charcot-Marie-Tooth disease type 2A.