A 24 year-old female presents with a history of multiple ankle sprains and complains of difficulty keeping up with her peers on group walks. An X-Ray of her foot demonstrates pes cavus and hammer toes.
This patient has Charcot-Marie-Tooth disease, a hereditary peripheral neuropathy that affects myelinated neurons. Common signs of this illness include reduced power in affected extremities and a loss of distal reflexes. Nerve conduction studies and genetic testing should be included in the workup.