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Cerebral amyloid angiopathies: a pathologic, biochemical, and genetic view.
[hereditary cerebral hemorrhage with amyloidosis]
Amyloid
deposition
can
take
place
in
the
walls
of
arteries
,
arterioles
,
and
,
less
often
,
capillaries
and
veins
of
the
central
nervous
system
,
a
phenomenon
known
as
cerebral
amyloid
angiopathy
(
CAA
)
.
The
major
clinicopathological
manifestations
of
CAA
include
cerebral
hemorrhage
,
ischemic
lesions
,
and
dementia
.
CAA
may
be
classified
according
to
the
amyloid
protein
deposited
.
In
the
most
common
form
,
sporadic
CAA
,
and
in
CAA
related
to
sporadic
Alzheimer
disease
(
AD
)
.
A
beta
deposition
is
characteristic
.
CAA
can
also
be
severe
in
variants
of
familial
AD
caused
by
mutations
of
the
amyloid-
beta
precursor
protein
or
presenilin-
1
genes
in
which
deposition
of
A
beta
variants
and
/
or
wild-
type
A
beta
occurs
.
Other
amyloid
proteins
involved
in
familial
CAAs
include
1
)
the
mutant
cystatin
C
(
ACys
)
in
hereditary
cerebral
hemorrhage
with
amyloidosis
of
Icelandic
type
,
2
)
variant
transthyretins
(
ATTR
)
in
meningo-
vascular
amyloidoses
,
3
)
mutated
gelsolin
(
AGel
)
in
familial
amyloidosis
of
Finnish
type
,
4
)
disease-associated
prion
protein
(
PrP
(
Sc
)
)
in
a
variant
of
the
Gerstmann-
Sträussler-
Scheinker
syndrome
,
and
5
)
ABri
and
ADan
in
CAAs
observed
in
the
recently
described
BRI
2
gene
-related
dementias
,
familial
British
dementia
and
familial
Danish
dementia
,
respectively
.
This
review
addresses
issues
related
to
the
correlation
between
morphology
,
biochemistry
,
and
genetics
,
and
briefly
discusses
both
the
pathogenesis
and
animal
models
of
CAAs
.
Diseases
Validation
Diseases presenting
"familial danish dementia"
symptom
hereditary cerebral hemorrhage with amyloidosis
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