The third patient was a 56-year-old male with past medical history of Sjogren's syndrome and rheumatoid arthritis who presented with chronic severe burning pain in the hands and feet necessitating the chronic use of narcotics to allow him to continue his profession. As a child he did have some difficulties with coordination and playing basketball. He had a daughter who also had flat feet and not athletic. He did not have other siblings. Exam showed decreased vibratory sense in the toes and flat feet with low arches (Figure 1(b)). Reflexes were present. CMT examination score was 2 out of 28. Electrophysiological study was unremarkable except for a mildly reduced tibial motor conduction velocity at the popliteal fossa (Table 1). Skin biopsy of the right distal leg and proximal thigh revealed normal epidermal small fiber densities. Sjogren's syndrome profile showed positive salivary protein IgA antibodies, parotid specific protein IgG, IgA, IgM antibodies, positive rheumatoid factor, and anticyclic citrullinated peptide antibody. ANA, double stranded DNA antibody, TSH, and free T4 were negative. Genetic testing showed heterozygous T118M variant of the PMP22 gene and heterozygous Y22C variant of the TFG gene (c.98 A> G). The daughter declined genetic testing.