## Dear Editor I write in response to some of the issues raised by Roth and Kay in their recent review of late paraphrenia (LP) in the Journal (1998; 13: 775Β± 784). The review provides a useful update on LP, including modern epidemiological, neurposychological, brain imaging and postmortem studies
Apolipoprotein e genotype and late paraphrenia
β Scribed by Robert Howard; John Dennehey; Simon Lovestone; Joseph Birkett; Pak Sham; John Powell; David Castle; Robin Murray; Raymond Levy
- Publisher
- John Wiley and Sons
- Year
- 1995
- Tongue
- English
- Weight
- 304 KB
- Volume
- 10
- Category
- Article
- ISSN
- 0885-6230
No coin nor oath required. For personal study only.
β¦ Synopsis
Patients with late paraphrenia or late onset schizophrenia frequently have associated cognitive impairment which may in some cases progress to a recognized dementia. The frequency of the apoE ~4 allele is high in individuals who develop Alzheimer's disease. Twenty-three patients with late paraphrenia were genotyped for ApoE. The frequency of the ~4 allele was comparable with that found in a large group of centenarians, but lower than previously reported from populations of normal controls and Alzheimer's disease patients. Two out of three male patients tested had the rare ~2 / ~2 genotype, which was not found in any of the females.
KEY woms-Late paraphrenia, apolipoprotein E.
Apolipoprotein E (ApoE) is a polymorphic protein involved in the transport of cholesterol in myelin and neuronal membranes and is encoded by a gene with three common alleles: ~2 , ~3 and ~4 (Mahley, 1988). ApoE is found in the brain and may be associated with senile plaques. An increased frequency of the ~4 allele of ApoE among patients with Alzheimer's disease has recently been reported (Hardy
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We investigated the association between schizophrenia and the allelic polymorphism in the apolipoprotein E (Apo E) gene in 51 schizophrenic patients and 35 controls. The Apo E4 allele was equally represented in the schizophrenic group (16%) and the control group (20%) suggesting no association betwe
As part of a field study of the latest draft of WHO'S ICD 10 classification, two clinicians, one familiar with ICD 9 and one with DSM-111, rated 36 cases previously diagnosed as 'late paraphrenia' using ICD 9. When raters adhered closely to the diagnostic guidelines issued with the new classificatio
KEY woms-Late paraphrenia, review. Roth and Morrissey (1952) adopted the term 'late paraphrenia' to describe 'a specific group of elderly patients with a well organised system of paranoid delusions and hallucinations, existing in the setting of a well preserved personality and affective response'. T
## Abstract This is a report of a clinical case presentation from the Neuropsychiatry Conference held at Fulbourn Hospital, Cambridge on March 13, 1992. The conference, chaired by Dr Nigel Hymas, was asked to comment on the diagnosis of a case first referred during September 1990. A 60βyearβold man