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Dementia and Down syndrome

C V Tyler1, J C Shank

  • 1Family Practice Residency, Fairview Health Systems, Cleveland, Ohio, USA.

The Journal of Family Practice
|June 1, 1996
PubMed
Summary
This summary is machine-generated.

Adults with Down syndrome are at increased risk for early-onset Alzheimer's disease. This case highlights the importance of recognizing dementia symptoms in this population as they transition to community care.

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Area of Science:

  • Neurology
  • Geriatrics
  • Genetics

Background:

  • Deinstitutionalization trends have increased the number of adults with intellectual disabilities living in community settings.
  • Family physicians are increasingly responsible for the primary care of these individuals.
  • Individuals with Down syndrome have a significantly higher risk of developing early-onset Alzheimer's disease.

Observation:

  • A 43-year-old woman with Down syndrome experienced a progressive decline in daily functioning over a three-year period.
  • Her symptoms included cognitive impairment and functional deficits consistent with dementia.

Findings:

  • The patient was diagnosed with dementia of the Alzheimer type.
  • This diagnosis was made despite her relatively young age, underscoring the accelerated risk in Down syndrome.

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Implications:

  • Early recognition and diagnosis of Alzheimer's disease are crucial for individuals with Down syndrome.
  • Healthcare providers need to be vigilant for dementia symptoms in this demographic.
  • Further research is needed to understand and manage Alzheimer's disease in the context of Down syndrome.