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Iatrogenic Creutzfeldt-Jakob disease

MedGen UID:
908476
Concept ID:
C2349757
Disease or Syndrome
Synonyms: iatrogenic Creutzfeldt-Jakob disease; Iatrogenic Jakob-Creutzfeldt disease; Iatrogenic MCJ; iCJD
SNOMED CT: Iatrogenic Jakob-Creutzfeldt disease (715662009); Iatrogenic Creutzfeldt-Jakob disease (715662009)
 
Monarch Initiative: MONDO:0034976
Orphanet: ORPHA576379

Definition

A rare acquired human prion disease characterized by progressive, invariably fatal neurodegeneration resulting from accidental transmission of CJD prions in the course of medical procedures or treatments (treatment with human pituitary growth hormone or gonadotrophin, human dura mater or corneal graft, exposure to contaminated neurosurgical instruments). Patients present rapidly progressive cognitive impairment, as well as myoclonus, visual or cerebellar problems, pyramidal or extrapyramidal features, and/or akinetic mutism. EEG examination may show characteristic generalized periodic sharp wave complexes. Neuropathologic analysis reveals spongiform change, neuronal loss and gliosis, and deposition of abnormal prion protein. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIatrogenic Creutzfeldt-Jakob disease

Professional guidelines

PubMed

De Sousa PA, Ritchie D, Green A, Chandran S, Knight R, Head MW
Acta Neuropathol 2019 Mar;137(3):363-377. Epub 2018 Nov 27 doi: 10.1007/s00401-018-1941-9. PMID: 30483944Free PMC Article

Recent clinical studies

Etiology

Llorens F, Villar-Piqué A, Hermann P, Schmitz M, Calero O, Stehmann C, Sarros S, Moda F, Ferrer I, Poleggi A, Pocchiari M, Catania M, Klotz S, O'Regan C, Brett F, Heffernan J, Ladogana A, Collins SJ, Calero M, Kovacs GG, Zerr I
Biomolecules 2020 Feb 12;10(2) doi: 10.3390/biom10020290. PMID: 32059611Free PMC Article
Sakudo A
Curr Issues Mol Biol 2020;36:23-32. Epub 2019 Sep 11 doi: 10.21775/cimb.036.023. PMID: 31507270
Mead S, Lloyd S, Collinge J
Annu Rev Genet 2019 Dec 3;53:117-147. Epub 2019 Sep 19 doi: 10.1146/annurev-genet-120213-092352. PMID: 31537104
Brown P, Preece M, Brandel JP, Sato T, McShane L, Zerr I, Fletcher A, Will RG, Pocchiari M, Cashman NR, d'Aignaux JH, Cervenáková L, Fradkin J, Schonberger LB, Collins SJ
Neurology 2000 Oct 24;55(8):1075-81. doi: 10.1212/wnl.55.8.1075. PMID: 11071481
Rappaport EB
Neurology 1987 Sep;37(9):1520-2. doi: 10.1212/wnl.37.9.1520. PMID: 3306455

Diagnosis

Llorens F, Villar-Piqué A, Hermann P, Schmitz M, Calero O, Stehmann C, Sarros S, Moda F, Ferrer I, Poleggi A, Pocchiari M, Catania M, Klotz S, O'Regan C, Brett F, Heffernan J, Ladogana A, Collins SJ, Calero M, Kovacs GG, Zerr I
Biomolecules 2020 Feb 12;10(2) doi: 10.3390/biom10020290. PMID: 32059611Free PMC Article
Brodbelt AR, Vinten J, Larkin S
J Hosp Infect 2020 Jun;105(2):325-328. Epub 2020 Jan 28 doi: 10.1016/j.jhin.2020.01.015. PMID: 32004515
Kobayashi A, Kitamoto T, Mizusawa H
Handb Clin Neurol 2018;153:207-218. doi: 10.1016/B978-0-444-63945-5.00012-X. PMID: 29887137
Ironside JW, Ritchie DL, Head MW
Handb Clin Neurol 2017;145:393-403. doi: 10.1016/B978-0-12-802395-2.00028-6. PMID: 28987186
Lang CJ, Heckmann JG, Neundörfer B
J Neurol Sci 1998 Oct 8;160(2):128-39. doi: 10.1016/s0022-510x(98)00226-3. PMID: 9849795

Therapy

Llorens F, Villar-Piqué A, Hermann P, Schmitz M, Calero O, Stehmann C, Sarros S, Moda F, Ferrer I, Poleggi A, Pocchiari M, Catania M, Klotz S, O'Regan C, Brett F, Heffernan J, Ladogana A, Collins SJ, Calero M, Kovacs GG, Zerr I
Biomolecules 2020 Feb 12;10(2) doi: 10.3390/biom10020290. PMID: 32059611Free PMC Article
Brodbelt AR, Vinten J, Larkin S
J Hosp Infect 2020 Jun;105(2):325-328. Epub 2020 Jan 28 doi: 10.1016/j.jhin.2020.01.015. PMID: 32004515
Thomas JG, Chenoweth CE, Sullivan SE
J Clin Neurosci 2013 Sep;20(9):1207-12. Epub 2013 Jul 27 doi: 10.1016/j.jocn.2013.01.007. PMID: 23896549
Brown P, Brandel JP, Sato T, Nakamura Y, MacKenzie J, Will RG, Ladogana A, Pocchiari M, Leschek EW, Schonberger LB
Emerg Infect Dis 2012 Jun;18(6):901-7. doi: 10.3201/eid1806.120116. PMID: 22607808Free PMC Article
Brown P
Aust N Z J Med 1990 Oct;20(5):633-5. doi: 10.1111/j.1445-5994.1990.tb00390.x. PMID: 2285379

Prognosis

Rivero Sanz E, Torralba Cabeza MÁ, Sanjuán Portugal F, García-Bragado F
BMJ Case Rep 2014 Sep 8;2014 doi: 10.1136/bcr-2013-201246. PMID: 25199185Free PMC Article
Thomas JG, Chenoweth CE, Sullivan SE
J Clin Neurosci 2013 Sep;20(9):1207-12. Epub 2013 Jul 27 doi: 10.1016/j.jocn.2013.01.007. PMID: 23896549
Brown P, Brandel JP, Sato T, Nakamura Y, MacKenzie J, Will RG, Ladogana A, Pocchiari M, Leschek EW, Schonberger LB
Emerg Infect Dis 2012 Jun;18(6):901-7. doi: 10.3201/eid1806.120116. PMID: 22607808Free PMC Article
Meissner B, Kallenberg K, Sanchez-Juan P, Ramljak S, Krasnianski A, Heinemann U, Eigenbrod S, Gelpi E, Barsic B, Kretzschmar HA, Schulz-Schaeffer WJ, Knauth M, Zerr I
J Neurol 2009 Mar;256(3):355-63. Epub 2009 Jan 23 doi: 10.1007/s00415-009-0026-z. PMID: 19159063
Verdrager J
Southeast Asian J Trop Med Public Health 1997 Sep;28(3):535-40. PMID: 9561604

Clinical prediction guides

Duyckaerts C, Clavaguera F, Potier MC
Curr Opin Neurol 2019 Apr;32(2):266-271. doi: 10.1097/WCO.0000000000000672. PMID: 30724769
Peckeu L, Brandel JP, Welaratne A, Costagliola D, Haïk S
Neurology 2018 Aug 21;91(8):e724-e731. Epub 2018 Jul 25 doi: 10.1212/WNL.0000000000006028. PMID: 30045957
Cali I, Cohen ML, Haik S, Parchi P, Giaccone G, Collins SJ, Kofskey D, Wang H, McLean CA, Brandel JP, Privat N, Sazdovitch V, Duyckaerts C, Kitamoto T, Belay ED, Maddox RA, Tagliavini F, Pocchiari M, Leschek E, Appleby BS, Safar JG, Schonberger LB, Gambetti P
Acta Neuropathol Commun 2018 Jan 8;6(1):5. doi: 10.1186/s40478-017-0503-z. PMID: 29310723Free PMC Article
Kovacs GG
Prion 2016 Sep 2;10(5):369-376. doi: 10.1080/19336896.2016.1228507. PMID: 27649940Free PMC Article
Thomas JG, Chenoweth CE, Sullivan SE
J Clin Neurosci 2013 Sep;20(9):1207-12. Epub 2013 Jul 27 doi: 10.1016/j.jocn.2013.01.007. PMID: 23896549

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