MovDisordV3, Main, Exploration, bibRecord, 001B13

Parkinsonism in patients with a history of amphetamine exposure

Identifieur interne : 001B13 ( Main/Exploration ); précédent : 001B12; suivant : 001B14

Parkinsonism in patients with a history of amphetamine exposure

Auteurs : Chadwick W. Christine [États-Unis] ; Elisabeth R. Garwood [États-Unis] ; Lauren E. Schrock [États-Unis] ; Daniel E. Austin [États-Unis] ; Charles E. Mcculloch [États-Unis]

Source :

Movement Disorders [ 0885-3185 ] ; 2010-01-30.

RBID : ISTEX:13231344BAE719D1985262921EA0739AE1D6AF96

Descripteurs français

Pascal (Inist)
- Amfétamine, Homme, Neurotoxine, Parkinsonisme, Pathologie du système nerveux, Vulnérabilité.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Adult, Amfetamine, Amphetamine (poisoning), Amphetamine-Related Disorders (epidemiology), Amphetamine-Related Disorders (etiology), Case-Control Studies, Dopamine Agents (poisoning), Environmental Exposure, Female, Follow-Up Studies, Human, Humans, Male, Medical Records, Middle Aged, Nervous system diseases, Neurotoxin, Parkinsonian Disorders (chemically induced), Parkinsonian Disorders (epidemiology), Parkinsonian Disorders (physiopathology), Parkinsonism, Questionnaires, Retrospective Studies, Risk Factors, Time Factors, Vulnerability, neurotoxicant, neurotoxin, selective vulnerability.
MESH :
- chemical , poisoning : Amphetamine, Dopamine Agents.
- chemically induced : Parkinsonian Disorders.
- epidemiology : Amphetamine-Related Disorders, Parkinsonian Disorders.
- etiology : Amphetamine-Related Disorders.
- physiopathology : Parkinsonian Disorders.
- Adult, Case-Control Studies, Environmental Exposure, Female, Follow-Up Studies, Humans, Male, Medical Records, Middle Aged, Questionnaires, Retrospective Studies, Risk Factors, Time Factors.

Abstract

We recently found a higher rate of prolonged amphetamine exposure in patients diagnosed with Parkinson's disease (PD) than in spouse/caregiver controls. Since distinguishing features have been described in some patients with parkinsonism due to environment exposures (e.g., manganese), we sought to compare the clinical features of patients with PD with prolonged amphetamine exposure with unexposed patients with PD. Prolonged exposure was defined as a minimum of twice a week for ≥3 months, or weekly use ≥1 year. We reviewed the clinical records of patients with PD who had participated in a telephone survey of drug and environmental exposures and compared the clinical features of patients with a history of prolonged amphetamine exposure to patients who had no such exposure. Records were available for 16 of 17 (94%) patients with prior amphetamine exposure and 127 of 137 (92%) of those unexposed. Age at diagnosis was younger in the amphetamine‐exposed group (49.8 ± 8.2 years vs. 53.1 ± 7.4 years; P < 0.05), but other features, including presenting symptoms, initial and later treatments, development of motor fluctuations, and MRI findings were similar between these groups. Because we did not detect clinical features that differentiate parkinsonism in patients with prolonged amphetamine exposure, research to determine whether amphetamine exposure is a risk factor for parkinsonism will require detailed histories of medication and recreational drug use. © 2009 Movement Disorder Society

Url:

DOI: 10.1002/mds.22915

Affiliations:

Le document en format XML

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<term>Amphetamine-Related Disorders (etiology)</term>
<term>Case-Control Studies</term>
<term>Dopamine Agents (poisoning)</term>
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<term>Humans</term>
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<term>Medical Records</term>
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<term>Nervous system diseases</term>
<term>Neurotoxin</term>
<term>Parkinsonian Disorders (chemically induced)</term>
<term>Parkinsonian Disorders (epidemiology)</term>
<term>Parkinsonian Disorders (physiopathology)</term>
<term>Parkinsonism</term>
<term>Questionnaires</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Time Factors</term>
<term>Vulnerability</term>
<term>neurotoxicant</term>
<term>neurotoxin</term>
<term>selective vulnerability</term>
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<term>Dopamine Agents</term>
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<term>Parkinsonian Disorders</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Amphetamine-Related Disorders</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Case-Control Studies</term>
<term>Environmental Exposure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
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<term>Middle Aged</term>
<term>Questionnaires</term>
<term>Retrospective Studies</term>
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<term>Pathologie du   système nerveux</term>
<term>Vulnérabilité</term>
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<front><div type="abstract" xml:lang="en">We recently found a higher rate of prolonged amphetamine exposure in patients diagnosed with Parkinson's disease (PD) than in spouse/caregiver controls. Since distinguishing features have been described in some patients with parkinsonism due to environment exposures (e.g., manganese), we sought to compare the clinical features of patients with PD with prolonged amphetamine exposure with unexposed patients with PD. Prolonged exposure was defined as a minimum of twice a week for ≥3 months, or weekly use ≥1 year. We reviewed the clinical records of patients with PD who had participated in a telephone survey of drug and environmental exposures and compared the clinical features of patients with a history of prolonged amphetamine exposure to patients who had no such exposure. Records were available for 16 of 17 (94%) patients with prior amphetamine exposure and 127 of 137 (92%) of those unexposed. Age at diagnosis was younger in the amphetamine‐exposed group (49.8 ± 8.2 years vs. 53.1 ± 7.4 years; P < 0.05), but other features, including presenting symptoms, initial and later treatments, development of motor fluctuations, and MRI findings were similar between these groups. Because we did not detect clinical features that differentiate parkinsonism in patients with prolonged amphetamine exposure, research to determine whether amphetamine exposure is a risk factor for parkinsonism will require detailed histories of medication and recreational drug use. © 2009 Movement Disorder Society</div>
</front>
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Movement Disorders (revue)

Parkinsonism in patients with a history of amphetamine exposure

Parkinsonism in patients with a history of amphetamine exposure

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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