CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Čes.-slov. Patol., 42, 2006, No. 2, p. 66–70 |
Argyrophilic Grain Disease: Case Report
of the First Two Cases in the Czech Republic
and Review of the Literature Matěj R., Koukolík F. Department of Pathology and Working Group for Diagnosis and Study of Neurodegenerative Disorders, Thomayer Teaching Hospital, Prague, Czech Republic |
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Summary: Argyrophilic grain disease (AgD) is a relatively newly described neurodegenerative disease with
late-onset dementia. Morphologically it is characterized by the presence of abundant spindleshaped
argyrophilic grains (ArG) in neuronal processes and coiled bodies in oligodendrocytes. ArG
consist of abnormally hyperphosphorylated form of tau protein. AgD is a substrate of at least 5% of
all dementia cases with increasing incidence in the old age. Here we report the cases of a 91-yearold
woman and an 83-year-old man clinically diagnosed with dementia. Neuropathological,
histochemical and immunohistochemical examination of the brain tissue show the changes to be
compatible with a definite diagnosis of AgD. This is the first description of two cases of AgD in the
Czech Republic.
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