has material basis in germline mutation in TFG motor peripheral neuropathy hereditary motor and sensory neuropathy, Okinawa type https://github.com/monarch-initiative/mondo/issues/6877 https://www.malacards.org/card/neuropathy_hereditary_motor_and_sensory_okinawa_type hereditary motor and sensory neuropathy, proximal type HMSNO UMLS:C1858338 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. MONDO:0011468 MESH:C535717 neuropathy, hereditary motor and sensory, Okinawa type Orphanet:90117 HMSNP GARD:0010131 MEDGEN:346886 OMIM:604484 hereditary peripheral neuropathy