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Start free with EleplanAutosomal recessive axonal Charcot-Marie-Tooth disease due to copper metabolism defect
ORPHA:521411Disease
Also called Autosomal recessive axonal CMT due to copper metabolism defect
What it is
A rare autosomal recessive axonal hereditary motor and sensory neuropathy characterized by motor-predominant axonal polyneuropathy due to a defect in copper metabolism. Patients become symptomatic in infancy or childhood with subtle motor delay or regression, manifesting with progressive weakness, muscle wasting, and absent reflexes in the lower and upper extremities. In addition, vibratory sensation is mildly diminished. Involvement of the face with weakness and fasciculation of facial muscles has also been described.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Adolescent, Infancy
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
19- Abnormality of copper homeostasis
- Areflexia
- Clumsiness
- Dysarthria
- EMG: chronic denervation signs
- Exotropia
- Facial diplegia
- Fasciculations
- Foot dorsiflexor weakness
- Frequent falls
- Generalized limb muscle atrophy
- Impaired vibration sensation in the lower limbs
- Increased circulating lactate concentration
- Lower limb muscle weakness
- Motor delay
- Motor polyneuropathy
- Pes planus
- Ptosis
- Steppage gait
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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