Duration of illness in Huntington's disease is not related to age at onset
The age at onset and duration of illness were studied in patients with Huntington's disease in the Leiden Roster which at 1 July 1990 contained 2787 patients. Of 1106 patients, 800 deceased and 306 alive, the age at onset was known. The median duration was 16.2 (range 2-45) years. In contrast t...
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Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1993-01, Vol.56 (1), p.98-100 |
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description | The age at onset and duration of illness were studied in patients with Huntington's disease in the Leiden Roster which at 1 July 1990 contained 2787 patients. Of 1106 patients, 800 deceased and 306 alive, the age at onset was known. The median duration was 16.2 (range 2-45) years. In contrast to the current opinion, the median duration was independent of the age of onset. The median duration in juvenile Huntington's disease was 17.1 years, which is much longer than reported in the literature, and comparable with the categories for the age of onset of 20-34 and 35-49 years. Only in the group where onset was over 50 years of age was the median duration somewhat shorter (15.6 years), which can be ascribed to unrelated causes of death. As age of onset and duration of illness are not related, at least two mechanisms to determine the clinical course have to be postulated: one for age of onset and another for duration of illness. Duration was shorter for males, especially for those with an affected father. |
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Of 1106 patients, 800 deceased and 306 alive, the age at onset was known. The median duration was 16.2 (range 2-45) years. In contrast to the current opinion, the median duration was independent of the age of onset. The median duration in juvenile Huntington's disease was 17.1 years, which is much longer than reported in the literature, and comparable with the categories for the age of onset of 20-34 and 35-49 years. Only in the group where onset was over 50 years of age was the median duration somewhat shorter (15.6 years), which can be ascribed to unrelated causes of death. As age of onset and duration of illness are not related, at least two mechanisms to determine the clinical course have to be postulated: one for age of onset and another for duration of illness. Duration was shorter for males, especially for those with an affected father.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.56.1.98</identifier><identifier>PMID: 8429330</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Chromosome Aberrations - genetics ; Chromosome Disorders ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Family Health ; Female ; Humans ; Huntington Disease - genetics ; Male ; Medical sciences ; Middle Aged ; Neurology ; Pedigree ; Sex Factors</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 1993-01, Vol.56 (1), p.98-100</ispartof><rights>1993 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Jan 1993</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b506t-a47b87e0ac2f00680ea40ca387506e018a8b9de217f5e6a0759d6482f061d0863</citedby><cites>FETCH-LOGICAL-b506t-a47b87e0ac2f00680ea40ca387506e018a8b9de217f5e6a0759d6482f061d0863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1014774/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1014774/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4672681$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8429330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roos, R A</creatorcontrib><creatorcontrib>Hermans, J</creatorcontrib><creatorcontrib>Vegter-van der Vlis, M</creatorcontrib><creatorcontrib>van Ommen, G J</creatorcontrib><creatorcontrib>Bruyn, G W</creatorcontrib><title>Duration of illness in Huntington's disease is not related to age at onset</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>The age at onset and duration of illness were studied in patients with Huntington's disease in the Leiden Roster which at 1 July 1990 contained 2787 patients. Of 1106 patients, 800 deceased and 306 alive, the age at onset was known. The median duration was 16.2 (range 2-45) years. In contrast to the current opinion, the median duration was independent of the age of onset. The median duration in juvenile Huntington's disease was 17.1 years, which is much longer than reported in the literature, and comparable with the categories for the age of onset of 20-34 and 35-49 years. Only in the group where onset was over 50 years of age was the median duration somewhat shorter (15.6 years), which can be ascribed to unrelated causes of death. As age of onset and duration of illness are not related, at least two mechanisms to determine the clinical course have to be postulated: one for age of onset and another for duration of illness. Duration was shorter for males, especially for those with an affected father.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chromosome Aberrations - genetics</subject><subject>Chromosome Disorders</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Family Health</subject><subject>Female</subject><subject>Humans</subject><subject>Huntington Disease - genetics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Pedigree</subject><subject>Sex Factors</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp90c2L1DAYBvAgyjq7evMqBBT3YsekaZP0IsisusqiLH7ewtv27Zixk4xJuuh_b8oMg3qwlxyeHw9PeQl5wNmScyGfbZzbLWu55MtG3yILXkldCMG-3iYLxsqyEKxmd8lpjBs2f7o5ISe6KptsFuTtxRQgWe-oH6gdR4cxUuvo5eSSdevk3XmkvY0IEamN1PlEA46QsKfJU1gjhUS9i5jukTsDjBHvH94z8unVy4-ry-Lq_es3qxdXRVszmQqoVKsVMujKgTGpGULFOhBa5RgZ16DbpseSq6FGCUzVTS8rnbHkPdNSnJHn-97d1G6x79ClAKPZBbuF8Mt4sObvxNlvZu1vDGe8UqrKBU8OBcH_mDAms7Wxw3EEh36KRtW1rIRUGT76B278FFz-OcOVEkw0rJnrnu5VF3yMAYfjFM7MfCEzX8jU0nDT6Mwf_jn_iA8nyfnjQw6xg3EI4Dobj6ySqpSaZ1bsmY0Jfx5jCN9NXq5q8-7zylxcf_gitLw2sz_f-3a7-f_A35zZtLE</recordid><startdate>199301</startdate><enddate>199301</enddate><creator>Roos, R A</creator><creator>Hermans, J</creator><creator>Vegter-van der Vlis, M</creator><creator>van Ommen, G J</creator><creator>Bruyn, G W</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>199301</creationdate><title>Duration of illness in Huntington's disease is not related to age at onset</title><author>Roos, R A ; Hermans, J ; Vegter-van der Vlis, M ; van Ommen, G J ; Bruyn, G W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b506t-a47b87e0ac2f00680ea40ca387506e018a8b9de217f5e6a0759d6482f061d0863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Chromosome Aberrations - genetics</topic><topic>Chromosome Disorders</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. 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Of 1106 patients, 800 deceased and 306 alive, the age at onset was known. The median duration was 16.2 (range 2-45) years. In contrast to the current opinion, the median duration was independent of the age of onset. The median duration in juvenile Huntington's disease was 17.1 years, which is much longer than reported in the literature, and comparable with the categories for the age of onset of 20-34 and 35-49 years. Only in the group where onset was over 50 years of age was the median duration somewhat shorter (15.6 years), which can be ascribed to unrelated causes of death. As age of onset and duration of illness are not related, at least two mechanisms to determine the clinical course have to be postulated: one for age of onset and another for duration of illness. Duration was shorter for males, especially for those with an affected father.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>8429330</pmid><doi>10.1136/jnnp.56.1.98</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Biological and medical sciences Chromosome Aberrations - genetics Chromosome Disorders Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Family Health Female Humans Huntington Disease - genetics Male Medical sciences Middle Aged Neurology Pedigree Sex Factors |
title | Duration of illness in Huntington's disease is not related to age at onset |
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