Guest guest Posted June 26, 2004 Report Share Posted June 26, 2004 , Found what I was looking for! This is a Q and A from the MDA: SUBJ (05/99): IS DEJERINE-SOTTAS REALLY CMT? I've read much information about Charcot-Marie Tooth disease (CMT), but much less about Dejerine-Sottas syndrome (DS). Is this because CMT is much more common or because DS is just considered the type 3 form of CMT? Have scientists actually confirmed DS as CMT Type 3? There is a DNA test for CMT diagnosis; does it work for DS too? REPLY from MDA: A. , M.D., MDA Clinic Director, Tulane University Medical School, New Orleans, LA Yes, Dejerine-Sottas syndrome (DS or DDS) is a form of CMT. There has been some confusion in the terminology use in the CMT group of disorders. In reality, CMT is a clinical and genetically heterogeneous disorder. The Dejerine-Sottas syndrome or Hereditary motor and sensory neuropathy type 3 (HMSN III), or CMT3, was originally described as an autosomal recessive interstitial hypertrophic neuropathy of infancy. The early onset of the symptoms, the severity of the clinical features and the presence of the enlarged nerves suggest the diagnosis. However, the same phenotype (clinical features) can be seen in some cases of CMT1A and in homozygous (both parents affected) CMT1A cases. In fact, most DDS cases tested represent de novo point mutations (new mutations) in either Myelin Protein Zero (CMT 1B) or PMP 22 (CMT1A). Most cases represent dominant alleles and not recessive alleles as originally described by DDS before all genetic tests were available. The syndrome may be a variant of CMT1A or CMT1B. My own personal opinion is that the Dejerine-Sottas syndrome and the Roussy-Levy and other eponyms should and will disappear soon. If your physician suspects DDS, you should be tested for point mutations in both chromosomes 1 and 17. And dependent on the testing already performed, you may need further tests to confirm or rule out a diagnosis of DDS. , interesting huh? Try searching the MDA site for more info on Type (mdausa.org) 3 or DSS or try searching also at dogpile.com for Dejerine-Sottas I hope this helps! At any rate, you'll be busy reading everything! lol ~ Gretchen Quote Link to comment Share on other sites More sharing options...
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