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NEUROLOGY 1988;38:786
© 1988 American Academy of Neurology

Risk of dementia in relatives of patients with Alzheimer's disease

F. Jacob Huff, MD, Jonathan Auerbach, BA, Aravinda Chakravarti, PhD and François Boiler, MD, PhD

From the Departments of Neurology and Psychiatry (Drs. Huff and Boiler), and the Department of Epidemiology (Mr. Auerbach) and Human Genetics Program (Dr. Chakravarti), Graduate School of Public Health, University of Pittsburgh School of Medicine, Pittsburgh, PA.

Using a family history questionnaire, we investigated the occurrence of dementia among relatives of patients with a clinical diagnosis of Alzheimer's disease (AD) and among the relatives of age-matched control subjects. Cumulative lifetime risk of developing AD-type dementia was greater among relatives of AD probands and was consistent with an autosomal dominant genetic mode of transmission. Although the lifetime risk of AD-type dementia was similar among relatives of early-onset and late-onset AD probands, relatives of early-onset probands tended to have an earlier onset of dementia than did relatives of late-onset AD probands. This result raises the possibility that age at onset of dementia in AD may be genetically determined.

Address correspondence and reprint requests to Dr. Huff, Alzheimer's Disease Research Center, Suite 400, Iroquois Building, 3600 Forbes Avenue, Pittsburgh, PA 15213.

Supported by NIH grants AG00232, AG03705, AG05133, MH30915, GM33771, and HD00774.

Received July 31, 1987. Accepted for publication in final form September 30, 1987.




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