Creutzfeldt-Jakob disease (CJD)

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1
Disease Classification
Neurodegenerative Prion Diesease
2
Causative Agent
Miss folded Prion Protien (PRPsc)
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More Classirfication notes
coded by PRNP gene;
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Epidemiology; Reservoir
Humans, mammals, enviroments
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Epidemiology: POE
Digestive tract or open wound
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Epidemiology; MOT
Ingestion of infected meat, conact with infected tissue/enviromental protien; sporadic (85-94% of cases), hereditary (10% of cases)- onset age 50-60 yrs
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Incubation Period
Variable- weeks to years
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Pathogenesis
Mis-folded prion protiens resist digestion and induce misfolding of normal prion protiens. PRPsc forms water insoluble aggregates that damage nerve cells and impair brain function
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Symptoms
Dementia, memory loss, hallucinations, paranoia, obessive-complusive, sleep distrubance, problems w/ muscle control
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Complications
severe brain damage, secondary infections, mortality- 85% w/in two years of symptoms onset (median life expectancy 4 months)
11
Prevention
dont eat contaminated animals, avoid blood transfusions or tissue donations from at risk individuals, follow strict safety precautions, incinerate contaminated material
12
Treatment
No cure, pallative care
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