A 17 year old boy is evaluated for frequent ankle sprains and difficulty running. Examination shows high arches, hammer toes, distal lower extremity weakness, decreased vibration sense in the feet, and absent ankle reflexes. Nerve conduction studies show uniformly slow conduction velocities. Which of the following is the most likely diagnosis?
- A)Myasthenia gravis
- B)Amyotrophic lateral sclerosis
- C)Charcot Marie Tooth diseaseGABARITO
- D)Friedreich ataxia
- E)Tabes dorsalis
Explicação
Charcot Marie Tooth disease is correct. This inherited peripheral neuropathy causes distal muscle wasting, pes cavus, hammer toes, sensory loss, and diminished reflexes due to demyelination or axonal degeneration of peripheral nerves. Uniformly slowed conducti... Ver explicação completa e trilha adaptativa →