De eerste patiënt in Nederland met de nieuwe variant van de ziekte van Creutzfeldt-Jakob

Translated title of the contribution: The first patient with the new variant of Creutzfeldt-Jakob's disease in the Netherlands

C. Jansen*, M. P.W.A. Houben, J. I. Hoff, P. Sanchez-Juan, A. J.M. Rozemuller, C. M. Van Duijn

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

A Dutch woman died at the age of 26 years, after a disease duration of 18 months, due to the new variant of Creutzfeldt-Jakob's disease (vCJD). She had never travelled to the United Kingdom and there was no history of potential iatrogenic exposure. However, she had worked in the catering and food production industry for the previous 6 years and had frequently consumed raw meat. The disease course showed the classical clinical picture of vCJD, which was confirmed by post-mortem examination of the brain. Contrary to classical sporadic CJD, patients with the variant disease are usually younger and present predominantly with psychiatric symptoms. Sensory complaints like pain and dysaesthesiae usually follow soon. Only later are these symptoms followed by rapidly progressive neurological symptoms and signs. All patients genotyped so far are homozygous for methionine on codon 129 of the prion protein gene. Recognition of the disease is of particular importance because of possible transmission via blood and tissues. In patients with rapidly progressive psychiatric symptoms and unexplained neurological signs, particularly sensory complaints, one must consider the possibility of vCJD.

Original languageDutch
Pages (from-to)2949-2954
Number of pages6
JournalNederlands Tijdschrift voor Geneeskunde
Volume149
Issue number53
Publication statusPublished - 31 Dec 2005

Cite this

Jansen, C., Houben, M. P. W. A., Hoff, J. I., Sanchez-Juan, P., Rozemuller, A. J. M., & Van Duijn, C. M. (2005). De eerste patiënt in Nederland met de nieuwe variant van de ziekte van Creutzfeldt-Jakob. Nederlands Tijdschrift voor Geneeskunde, 149(53), 2949-2954.