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Rapid-onset Alzheimer's: Could it be something else?

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Rapid-onset Alzheimer's: Could it be something else?

Question

Is it possible for Alzheimer's to have a rapid onset and progression?

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Answer

Alzheimer's is a degenerative disease, which usually implies a slow progression. However, rarely Alzheimer's can progress more rapidly — over weeks or months instead of years.

A rapid progression may also suggest that a second type of dementia is complicating the Alzheimer's — such as vascular dementia or Lewy body disease. In addition, rapid progression of dementia may indicate another condition that mimics the symptoms of Alzheimer's, such as:

  • Infections that affect the central nervous system, such as HIV and Creutzfeldt-Jakob disease
  • A side effect of certain medications, such as anticholinergic drugs and narcotic pain relievers
  • Vitamin B-12 deficiency
  • Depression
  • Hypothyroidism

A prompt and thorough medical evaluation is important to determine the exact cause of rapidly progressing dementia. Some causes are treatable.

Last Updated: 03/06/2006
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