Central Nervous System Demyelination in a Charcot-Marie-Tooth Type 1A Patient

Autor: Christos Koros, Maria-Eleftheria Evangelopoulos, Costas Kilidireas, Elisabeth Andreadou
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Case Reports in Neurological Medicine, Vol 2013 (2013)
Druh dokumentu: article
ISSN: 2090-6668
2090-6676
DOI: 10.1155/2013/243652
Popis: Introduction. Central nervous system involvement, either clinical or subclinical, has been reported mainly in X-linked Charcot-Marie-Tooth (CMT-X) patients. Case Presentation. We present the case of a 31-year-old man with a genetically confirmed history of CMT1A who developed CNS involvement mimicking multiple sclerosis (MS). Clinical, imaging, and laboratory findings suggested an autoimmune CNS demyelination. Discussion. Although the simultaneous existence of CMT1A and MS could be coincidental we postulate that overexpression of PMP22, the target protein in CMT1A, might influence the immunological self-tolerance to CNS proteins via molecular mimicry, leading to a CNS autoimmune demyelinating disorder.
Databáze: Directory of Open Access Journals