Presentation
(Val717Ile) substitution, which was present in 12 subjects from 11 families. Clinical features were typical of AD with amnestic presentation. The c.2137G>A, p.(Ala713Thr) mutation was found in 7 patients from 5 unrelated families. [journals.plos.org]
He has been the Editor in Chief, JAMA Neurology (1997- present) and a member of the Editorial Board of JAMA (1997-present). [books.google.de]
The socio-demographic and clinical characteristics of the two cohorts are presented in Table 1. [alzres.biomedcentral.com]
[…] with presenilin-1 Alzheimer's disease. 6 Halliday GM...Kril JJ 15622541 2005 26 APOE and other loci affect age-at-onset in Alzheimer's disease families with PS2 mutation. 6 Wijsman EM...Schellenberg GD 15389756 2005 27 A presenilin 1 R278I mutation presenting [malacards.org]
The clinical features similar to those presented in the sporadic Alzheimer’s disease patients. Duration of the disease: 4.4-10.8 years. [alzheimer-europe.org]
Entire Body System
- Falling
Injuries from falls. People with Alzheimer's may become disoriented, increasing their risk of falls. Falls can lead to fractures. In addition, falls are a common cause of serious head injuries, such as bleeding in the brain. [alzheimersreadingroom.com]
People with this type of dementia also experience visual hallucinations and have trouble falling asleep at night or fall asleep unexpectedly during the day. They also might faint or become lost or disoriented. [healthline.com]
[…] has many of the symptoms of Alzheimer's disease, and people with the condition typically also experience: periods of being alert or drowsy, or fluctuating levels of confusion visual hallucinations becoming slower in their physical movements repeated falls [nhs.uk]
- Family History of Alzheimer Disease
[…] age and family history. [healthypeople.gov]
Identified risk factors for developing the condition include: Increasing age Down syndrome History of a head injury Risk factors for blood vessel disease such as smoking Family history of Alzheimer's disease Obesity High blood pressure High cholesterol [southerncross.co.nz]
However, an estimated 40-80% of individuals with EOAD and a family history of Alzheimer’s disease have a pathogenic variant in APP, PSEN1, or PSEN2. [invitae.com]
CONCLUSIONS PS1 L250S familial Alzheimer’s disease is an early onset form of Alzheimer’s disease with clinical features similar to other reported familial Alzheimer’s disease pedigrees, except that seizures were absent. presenilin 1 familial Alzheimer [jnnp.bmj.com]
Eyes
- Visual Impairment
Instead, this subtype of the disease tends to alter behavior, causing uncontrollable anger, visual impairments, speech problems, and the feeling that your limbs do not belong to you. [articles.mercola.com]
Hearing and visual impairment among older persons with dementia could lead to more delusions and visual hallucinations, respectively [49]. [alzres.biomedcentral.com]
Mutations in APP Val715Met (GTG→ATG) was discovered in a 41-year-old male patient in Korea who had a positive family history of dementia.14 The symptoms were memory and visual impairment, bradykinesia, and epilepsy. [dovepress.com]
Musculoskeletal
- Muscle Twitch
A form of muscle twitching and spasm, called myoclonus, is also more common in early-onset Alzheimer's. Late-onset Alzheimer's. This is the most common form of the disease, which happens to people age 65 and older. It may or may not run in families. [webmd.com]
People with early Alzheimer's are more likely to develop muscle twitching and spasms. They may be more active and physically fit than people with late-onset Alzheimer's disease, but decline at a faster rate, according to the Mayo Clinic. [usatoday.com]
Psychiatrical
- Suggestibility
Current evidence suggests hyperinsulinemia, and/or insulin resistance specifically, is most strongly linked to increased risk of Alzheimer’s. [crossfit.com]
Animal studies suggest disrupted sleep may result in increased amyloid accumulation. [theconversation.com]
This study suggests individuals with the APOE-4 gene will develop Alzheimer’s disease at an earlier age. Another study has suggested that there is a genetic cause for the sporadic form of Alzheimer’s disease. [rarediseases.org]
Findings of this case study as published in Nature Medicine suggest that two copies of the APOE3ch variant, named after Christchurch, New Zealand where it was first identified, may protect against Alzheimer's. [sciencedaily.com]
- Dyslexia
GNAQ Developmental delay, KMT2C related KMT2C DI-CMTB DNM2 DI-CMTC YARS DI-CMTD MPZ Dravet syndrome GABRG2 Dravet syndrome SCN2A Dravet syndrome, modifier of SCN9A Dysautonomia, FRRS1L-related FRRS1L Dyskinesia, familial, with facial myokymia ADCY5 Dyslexia [centogene.com]
- Anxiety Disorder
Excludes: mood disorders, nonorganic or unspecified ( F30-F39 ) F06.4 Organic anxiety disorder A disorder characterized by the essential descriptive features of a generalized anxiety disorder (F41.1), a panic disorder (F41.0), or a combination of both [apps.who.int]
Neurologic
- Aphasia
[…] also develop, such as: increasing confusion and disorientation obsessive, repetitive or impulsive behaviour delusions - believing things that are untrue feeling paranoid and suspicious about carers or family members problems with speech or language (aphasia [www2.hse.ie]
This may sometimes be called aphasia. People can have difficulty recognising words and objects and judging speed or distance. When visual problems are a major symptom, the disease may be called posterior cortical atrophy. [alzheimersresearchuk.org]
These include behavioral variant frontotemporal dementia (FTD), semantic dementia, primary progressive aphasia, and FTD-motor neuron disease. In about 15 to 40 percent of people, a genetic (hereditary) cause can be identified. [depts.washington.edu]
Mendez (see Further Reading below) describes how EOAD can present atypically, and he groups these together as “Type 2 AD”: Some people with EOAD show difficulty finding words, which could look like a condition called aphasia (the loss of ability to understand [brightfocus.org]
Workup
Standard Medical Workup for Alzheimer's Disease. Alzheimer Research Forum [On-line information]. Available online at http://www.alzforum.org/members/research/treatment_guide/workup.html through http://www.alzforum.org. Family Caregiver Alliance. [labtestsonline.it]
Standard Medical Workup for Alzheimer's Disease. Alzheimer Research Forum [On-line information]. Available online at http://www.alzforum.org/members/research/treatment_guide/workup.html. Family Caregiver Alliance. [labtestsonline.org]
Treatment
Fig 2 Global outcome over 3 years of cholinesterase inhibitor (ChEI) treatment. [alzres.biomedcentral.com]
Other treatments that may play a role in slowing the progress of early-onset Alzheimer disease include physical activity, cardiovascular and diabetes treatments, antioxidants, and cognitive training. [hopkinsmedicine.org]
Treatment can also improve your quality of life and help treat symptoms. Talk with your doctor about your treatment options. A study identified several factors that affect a person’s life expectancy. [healthline.com]
Treatment of EOAD Treatment of Alzheimer's disease is largely supportive. Treatment for aggression, depression, seizure activity, sleep disturbances as well as any hallucinations the person may experience are all managed on an individual basis. [disabled-world.com]
Prognosis
Prognosis The disease is progressive; patients have deterioration in their behavior, cognition, and ability to perform activities of daily living. At an advanced stage, patients are confined to bed. [orpha.net]
According to the MMSE model, the use of antipsychotics in participants with LOAD implied worse prognosis. [alzres.biomedcentral.com]
Outlook (Prognosis) How quickly AD gets worse is different for each person. If AD develops quickly, it is more likely to worsen quickly. [ufhealth.org]
Etiology
[…] the underlying etiology. [icd10data.com]
There may be a further genetic factor involved in the etiology of autosomal dominant early onset AD. Received February 26, 2002. Accepted September 26, 2002. [n.neurology.org]
Etiology EOAD is the consequence of either PSEN1 mutations (69%), APP mutations (13%), or APP duplication (7,5%), and exceptionally of PSEN2 mutations (2%). [orpha.net]
It can be differentiated from postencephalitic syndrome (F07.1) and postconcussional syndrome (F07.2) by its different etiology, more restricted range of generally milder symptoms, and usually shorter duration. [apps.who.int]
Epidemiology
Journal of Epidemiology and Community Health, 33, 199 – 202. [bjp.rcpsych.org]
Summary Epidemiology EOAD represents less than 1% of all cases of AD. Clinical description Initial findings of EOAD are mainly disorders of episodic memory or changes in behavior. [orpha.net]
Overall, the hypothesis that Alzheimer’s is a metabolic disease remains preliminary and supported by limited evidence in humans beyond epidemiological correlations. [crossfit.com]
[…] are very low, and large epidemiology studies of dementia rarely capture people below 65. [alzforum.org]
Pathophysiology
[…] disease; however, inheriting an APOE ε4 allele does not mean that a person will definitely develop Alzheimer disease. [9, 11] Although research supports the relation of the APOE ε4 variant and the occurrence of LOAD, the full mechanism of action and the pathophysiology [emedicine.medscape.com]
Molecular biology and pathophysiological aspects of plasma cholestery ester transfer protein. Biochim Biophys Acta. 1529: 257-275, 2000. 2) Nagano M et al. [bml.co.jp]
[…] cleavage site for β-secretase, results in an overall higher production of Aβ peptides by increasing the β-secretory cleavage,[22] the Arctic mutation leads to a conformation change of the Aβ peptide and increased formation of toxic Aβ protofibrils.[23] Pathophysiology [en.wikipedia.org]
Pathophysiology In 1984, Glenner first proposed that cerebral A drives all subsequent pathology [44]. [hindawi.com]
Prevention
In the case of vascular dementia, brain cells die due to lack of oxygen, preventing brain cells from communicating with each other. [alzheimer.ca]
Prevention / risk reduction There are no proven ways to prevent the development of Alzheimer's disease. However, there is epidemiological evidence to suggest that leading a healthy lifestyle can reduce the risk of Alzheimer's disease. [southerncross.co.nz]
“What can we do to prevent dementia ?” The truth is, dementia is a very big problem that’s becoming bigger every day. [drhyman.com]
Perlmutter: "[Alzheimer's] is a preventable disease. [articles.mercola.com]
Not enough is known about the causes of Alzheimer's disease for any specific preventative measures to be recommended. [alz.co.uk]