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ORIGINAL CONTRIBUTION Comparison of Clinical Manifestations in Alzheimer Disease and Dementia With Lewy Bodies Angela Nervi, MD; Christiane Reitz, MD, PhD; Ming-Xin Tang, PhD; Vincent Santana, MBA; Angel Piriz, MD; Dolly Reyes-Dumeyer, BS; Rafael Lantigua, MD; Martin Medrano, MD; Ivonne Z. Jime´nez-Vela´zquez, MD; Joseph H. Lee, DrPH; Richard Mayeux, MD, MSc Background: The clinical delineation of dementia with heritable factors, we repeated analyses in the epidemio- Lewy bodies (DLB) from Alzheimer disease (AD) re- logic sample after excluding familial cases. We applied mains unclear. general linear models adjusted for age, sex, educational level, disease duration, and apolipoprotein E ε4 (OMIM Objectives: To compare neuropsychological profiles in 104310) genotype. DLB and AD among Caribbean Hispanic family mem- bers and participants in a population-based epidemio- Results: Patients with DLB in both samples were more logic sample using extended neuropsychological test bat- severely impaired in orientation, visuoconstruction, and teries and to explore whether these differences were related nonverbal reasoning after controlling for potential con- to heritable factors. founders. Patients having at least 2 family members with Design: Cross-sectional study. DLB had the most severe impairment in memory, fol- lowed by patients having 1 family member with DLB, and Setting: Clinics in northern
JAMA Neurology – American Medical Association
Published: Dec 1, 2008
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