Why does this patient have difficulty walking?

October 31, 2018

Figure 1 Quiz of the Week

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.

What diagnosis is suggested?

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Original image posted by @dimitriusss.


Answer:  Charcot-Marie-Tooth disease

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.

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