Tumor necrosis factor (TNF), a proinflammatory cytokine, may be involved in the pathogenesis of Alzheimer disease (AD) based on observations that senile plaques have been found to upregulate proinflammatory cytokines. Additionally, nonsteroidal anti-inflammatory drugs have been found to delay and pr
Validity of family history for the diagnosis of dementia among siblings of patients with late-onset Alzheimer's disease
โ Scribed by G. Devi; K. Marder; P.W. Schofield; M.X. Tang; Y. Stern; R. Mayeux
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 31 KB
- Volume
- 15
- Category
- Article
- ISSN
- 0741-0395
No coin nor oath required. For personal study only.
โฆ Synopsis
We examined 180 siblings of 127 probands with probable or possible Alzheimer's dementia (AD) in a family study of AD. The overall sensitivity of a simple family history questionnaire was 64% and the specificity was 84%. Sensitivity improved 90-100% with minimal decline in specificity when we considered clinic-based vs. population survey patients. Higher education among informants and the availability of a spouse or a sibling as informant significantly increased sensitivity. Awareness of such factors may improve the yield of the family history in AD using a simple questionnaire.
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