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Hereditary motor and sensory neuropathy, Okinawa type is a rare, genetic, axonal hereditary motor and sensory neuropathy characterized by the adult-onset of slowly progressive, symmetric, proximal dominant muscle weakness and atrophy, painful muscle cramps, fasciculations and distal sensory impairment, mostly (but not exclusively) in individuals (and their descendents) from the Okinawa region in Japan. Absent deep tendon reflexes, elevated creatine kinase levels and autosomal dominant inheritance are also characteristic.
Features include common findings: Hyperglycemia; and sometimes findings: Hand tremor and High blood fat levels (hyperlipidemia). 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 6 | Hand tremor, Difficulty walking (gait disturbance), Fasciculations |
TFG function has not been fully characterized.
Hereditary motor and sensory neuropathy, Okinawa type is associated with mutations in the TFG gene on chromosome 3.
Genetic testing for TFG is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 common feature.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for hereditary motor and sensory neuropathy, Okinawa type.
2 publications have been identified in PubMed for hereditary motor and sensory neuropathy, Okinawa type. Research spans Other (50%) and Review / Meta-Analysis (50%).
Maeda M (2025). [PMID: 40047103](https://pubmed.ncbi.nlm.nih.gov/40047103/). *Traffic*. [Review / Meta-Analysis]
Finsterer J (2024). [PMID: 39265484](https://pubmed.ncbi.nlm.nih.gov/39265484/). *Clin Neurol Neurosurg*. [Other]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:34 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
3 |
Muscle spasm, Fasciculations, Proximal muscle weakness |
Arms and legs | 1 | Hand tremor |
Metabolism | 1 | High blood fat levels (hyperlipidemia) |
Lab test results | 1 | Mildly elevated creatine kinase |