Defining Disease of Alzheimer

When Dr. Alzheimer’s patient died, he was able to study her brain at autopsy.
Alzheimer noted that the cerebral cortex, the outer layer of the brain responsible for numerous functions such as movement, perception, memory, and speaking, was thinner than normal and had severe atrophy. He also noted two other abnormalities. The first was “senile plaque” (now known as neuritic plaque) that had earlier been seen in the brains of the elderly. Second, there were neurofibrillary tangles within the cortex that had not been previously described. These hallmarks for which Alzheimer coined the term presenile dementia, are now known as Alzheimer’s disease (Figure 1.1). Neuritic plaques and neurofibrillary tangles will be discussed in more detail in Chapter 3. Interestingly, to this day, the only way to definitively know that a person has AD is at autopsy.

Who gets Disease of Alzheimer?
It is estimated that over 4 million Americans have Alzheimer’s disease. It is also estimated that by the year 2050, the number could increase to 14 million. One out of every ten persons 65 years of age and older develops AD, although some develop it in their 40s and 50s. Alzheimer’s affects approximately 20% of people between the ages of 75 and 84. The percentage of AD increases to almost 50% in Americans 85 years and older.

The clinical course of the disease is between 2 years and 20 years from the onset of symptoms until death, with an average of about 8 years. There are about 360,000 new cases of Alzheimer’s diagnosed every year and about 100,000 deaths each year from AD.1, 2 Alzheimer’s disease affects people from all walks of life.

The death of President Ronald Reagan from complications of AD has re-ignited an interest in finding a cure for the disease. Other famous people with Alzheimer’s include actors Charles Bronson, Rita Hayworth, Charlton Heston, Jack Lord, and James Doohan; sports stars Sugar Ray Robinson, Joe Adcock, Bill Quackenbush, and Tom Fears; E.B. White, the author of the children’s classic Charlotte’s Web, and Barry Goldwater, former senator of Arizona.