Peripheral Neuropathy, Myopathy, Hoarseness, and Hearing Loss, also known as peripheral neuropathy-myopathy-hoarseness-hearing loss syndrome, is related to contractures, pterygia, and spondylocarpotarsal fusion syndrome 1a and deafness, autosomal dominant 4a. An important gene associated with Peripheral Neuropathy, Myopathy, Hoarseness, and Hearing Loss is MYH14 (Myosin Heavy Chain 14). Affiliated tissues include skeletal muscle, and related phenotypes are myopathy and decreased nerve conduction velocity