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Variant Creutzfeldt–Jakob disease

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632:, who died in 2019, at the age of 33, had been the victim of a work accident in 2010, during which she had pricked herself with a tool contaminated with infected brain. The efficacy of this route of contamination has been unambiguously demonstrated in primates. Pierrette C., who died in 2021, had been victim of the same type of work accident. After her diagnosis, a moratorium was initiated in all French laboratories on research activities on infectious prions. In March 2022, INRAE recognized the occupational cause of these two deaths. This raises serious questions about the safety of personnel in these laboratories. Indeed, inspections have noted serious failures in the protection of agents in the face of this deadly risk, and the long incubation period of this disease leads to fears of new cases in the future, hence great concern. 536:(NZBS) in 2000 introduced measures to preclude permanently donors having resided in the United Kingdom (including the Isle of Man and the Channel Islands) for a total of six months or more between January 1980 and December 1996. The measure resulted in ten percent of New Zealand's active blood donors at the time becoming ineligible to donate blood. In 2003, the NZBS further extended restrictions to permanently preclude donors having received a blood transfusion in the United Kingdom since January 1980, and in April 2006, restrictions were further extended to include the 920: 962:, particularly with cows being fed with cow and sheep remains. Furthermore, the report was critical of the way the crisis had been handled. There was a reluctance to consider the possibility that BSE could cross the species barrier. The government assured the public that British beef was safe to eat, with agriculture minister John Gummer famously feeding his daughter a burger. The British government were reactive more than proactive in response; the worldwide ban on all British beef exports in March 1996 was a serious economic blow. 906:
than found previously and in all genotypes, indicating "infection" may be relatively common. This new study examined over 32,000 anonymous appendix samples. Of these, 16 samples were positive for abnormal prion protein, indicating an overall prevalence of 493 per million population, or one in 2,000 people are likely to be carriers. No difference was seen in different birth cohorts (1941–1960 and 1961–1985), in both sexes, and there was no apparent difference in abnormal prion prevalence in three broad geographical areas.
809: 894: 60: 691: 469:, stated that bovine spongiform encephalopathy (BSE) is the first man-made epidemic, or "Frankenstein" disease, because a human decision to feed meat and bone meal to previously herbivorous cattle (as a source of protein) caused what was previously an animal pathogen to enter into the human food chain, and from there to begin causing humans to contract vCJD. 489:, and other countries in 2003 immediately following the first reported case of BSE in American cattle. Stringent preventative and surveillance practices implemented since then to prevent the disease from entering the human and cattle food chains have caused some to conclude that such bans are unnecessary. 910:
of the 16 positive samples revealed a higher proportion of valine homozygous (VV) genotype on the codon 129 of the gene encoding the prion protein (PRNP) compared with the general UK population. This also differs from the 176 people with vCJD, all of whom to date have been methionine homozygous (MM)
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Prion protein is detectable in lymphoid and appendix tissue up to two years before the onset of neurological symptoms in vCJD. Large scale studies in the UK have yielded an estimated prevalence of 493 per million, higher than the actual number of reported cases. This finding indicates a large number
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In Canada, individuals were formerly ineligible to donate blood or plasma if they had spent a cumulative total of three months or more in the mainland UK or its Crown Dependencies or six months or more in Saudi Arabia from January 1, 1980, through December 31, 1996. They were also ineligible if they
517:. Whilst these restrictions may go some way to preventing a self-sustaining epidemic of secondary infections, the number of infected blood donations is unknown and could be considerable. In June 2013 the government was warned that deaths, then at 176, could rise five-fold through blood transfusions. 884:
scientists expressed concern over the possibility of a second wave of human cases due to the wide exposure and long incubation of some cases of vCJD. In 2015, a man from New York developed vCJD after eating squirrel brains. From November 2017 to April 2018, four suspected cases of the disease arose
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instituted a policy that excludes from blood donation anyone having spent at least six months in certain European countries (or three months in the United Kingdom) from 1980 to 1996. Given the large number of U.S. military personnel and their dependents residing in Europe, it was expected that over
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prions). Both classic and variant CJD are subtypes of Creutzfeldt–Jakob disease. There are three main categories of CJD disease: sporadic CJD, hereditary CJD, and acquired CJD, with variant CJD being in the acquired group along with iatrogenic CJD. The classic form includes sporadic and hereditary
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teenager Stephen Churchill died on 23 May 1995, aged 19. Researchers believe one in 2,000 people in the UK is a carrier of the disease, linked to eating contaminated beef. The survey provides the most robust prevalence measure to date—and identifies abnormal prion protein across a wider age group
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In 2000 a voluntary support group was formed by families of people who had died from vCJD. The goal was to support other families going through a similar experience. This support was provided through a National Helpline, a Carer's Guide, a website and a network of family befriending. The support
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The foundation had been calling for compensation to include a care package to help relatives look after those with vCJD. There have been widespread complaints of inadequate health and social services support. Following the Phillips Report in October 2001, the government announced a compensation
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7% of donors would be deferred due to the policy. Later changes to this policy first relaxed the restriction to a cumulative total of five years or more of civilian travel in European countries (six months or more if military) then, in 2022, removed it entirely.
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at this position. Only a single person with vCJD tested was found to be heterozygous; most of those affected had two copies of the methionine-containing form. It is not yet known whether those unaffected are actually immune or only have a longer
837:. In the 1950s, cannibalism was banned in Papua New Guinea. In the late 20th century, however, kuru reached epidemic proportions in certain Papua New Guinean communities, therefore suggesting that vCJD may also have a similar 472:
The risk of contracting vCJD from ingestion of cattle products has led to many countries banning the import of beef from countries where BSE has been known to occur, such as the ban on beef from the United States imposed by
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Similar regulations are in place where anyone having spent more than six months for Germany or one year for France living in the UK between January 1980 and December 1996 is permanently banned from donating blood.
409:, and 50 cases in the rest of the world. The disease has become less common since 2000. The typical age of onset is less than 30 years old. It was first identified in 1996 by the National CJD Surveillance Unit in 508:
of the disease could result in the near future. A blood test for vCJD infection is possible but is not yet available for screening blood donations. Significant restrictions exist to protect the blood supply. The
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Despite the consumption of contaminated beef in the UK being high, vCJD has infected a small number of people. One explanation for this can be found in the genetics of people with the disease. The human
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of 20 to 50 years. A critique to this theory is that while mortuary cannibalism was banned in Papua New Guinea in the 1950s, that does not necessarily mean that the practice ended. Fifteen years later
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In France, the last two victims of variant Creutzfeldt–Jakob disease, who died in 2019 and 2021, were research technicians at the National Research Institute for Agriculture, Food and the Environment (
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banned anyone who had received a blood transfusion since January 1980 from donating blood. Since 1999 there has been a ban in the UK for using UK blood to manufacture fractional products such as
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had spent a cumulative total of five years or more in France or the Republic of Ireland from January 1, 1980, through 31 December 2001. These restrictions were removed by December 2023.
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Edgeworth JA, Farmer M, Sicilia A, Tavares P, Beck J, Campbell T, et al. (February 2011). "Detection of prion infection in variant Creutzfeldt-Jakob disease: a blood-based assay".
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Collinge J, Whitfield J, McKintosh E, Beck J, Mead S, Thomas DJ, Alpers MP (June 2006). "Kuru in the 21st century--an acquired human prion disease with very long incubation periods".
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Dark green areas are countries that have confirmed human cases of variant Creutzfeldt–Jakob disease and light green are countries that have bovine spongiform encephalopathy cases
2232: 1719: 856:. They have also proposed that individuals having contracted CJD in the early 1990s represent a distinct genetic subpopulation, with unusually short incubation periods for 928:
groups had an internet presence at the turn of the 21st century. The driving force behind the foundation was Lester Firkins, whose young son had died from the disease.
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Deaths in the UK from Creutzfeldt–Jakob disease 1990–2014: while cases of vCJD have declined (green), reported cases of sporadic CJD continue to increase (blue)
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As of 2018, evidence suggests that there may be prions in the blood of individuals with vCJD, but this is not the case in individuals with sporadic CJD.
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A memorial plaque for those who have died due to vCJD was installed in central London in approximately 2000. It is located on the boundary wall of
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Peden AH, Head MW, Ritchie DL, Bell JE, Ironside JW (2004). "Preclinical vCJD after blood transfusion in a PRNP codon 129 heterozygous patient".
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sperm. Despite this, the scientific consensus is that the risk is negligible, as there is no evidence Creutzfeldt–Jakob is sexually transmitted.
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Mortimer D, Barratt CL (December 2006). "Is there a real risk of transmitting variant Creutzfeldt-Jakob disease by donor sperm insemination?".
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genotype. The concern is that individuals with this VV genotype may be susceptible to developing the condition over longer incubation periods.
761:, or visual signs. (If persistent painful sensory symptoms exist, ≥4 months' delay in the development of the neurologic signs is not required). 2359:"Deuxième mission d'expertise de la sécurité dans les laboratoires de recherche sur les prions infectieux - conditions de sortie du moratoire" 1921: 625: 2965: 2441: 2334:"Creutzfeldt-Jakob : la contamination de deux anciennes salariées relevait bien de l'accident du travail, confirme l'INRAE de Toulouse" 1817: 669:
at amino acid 129, without any apparent physiological difference. Of the overall white population, about 40% have two methionine-containing
1454: 943: 3180: 2020: 2724:"International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for 2016 — A81.0" 1939: 3505: 860:(BSE). This means that there may be many more people with vCJD with longer incubation periods, which may surface many years later. 749:
Dementia, and development ≥4 months after illness onset of at least two of the following five neurologic signs: poor coordination,
629: 1727: 363:. The length of time between exposure and the development of symptoms is unclear, but is believed to be years to decades. Average 3591: 3518: 2987: 2467: 344: 202: 739:
Current age or age at death less than 55 years (a brain autopsy is recommended, however, for all physician-diagnosed CJD cases).
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Spongiform change and extensive prion protein deposition shown by immunohistochemistry throughout the cerebellum and cerebrum.
3565: 2550: 786: 2416:"ENTRETIEN. Maladie de Creutzfeldt Jakob : " On demande un recensement des personnels qui ont travaillé sur le prion "" 3091:"Prevalent abnormal prion protein in human appendixes after bovine spongiform encephalopathy epizootic: large scale survey" 1369:"Prevalence in Britain of abnormal prion protein in human appendices before and after exposure to the cattle BSE epizootic" 206: 2309:"L'Inrae reconnaît que la technicienne toulousaine morte de Creutzfeldt-Jakob a été victime d'un accident de laboratoire" 932: 3272: 1989: 966:
scheme for British people affected with vCJD. The multi-million-pound financial package was overseen by the vCJD Trust.
3075: 437:. The length of time between exposure and the development of symptoms is unclear, but is believed to be years. Average 589:
between the years 1980 and 1996 or received transfusion in the UK after the year 1980 is not allowed to donate blood.
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brains. A coincidental relationship between the disease and this dietary practice may have been involved. In 2008,
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for a total of over six months between 1 January 1980 and 31 December 1996 is permanently barred from donating.
3671: 2233:"Toulouse : la technicienne de l'Inrae morte de Creutzfeldt-Jakob avait déclaré deux accidents du travail" 559:, anyone having spent cumulatively six months or longer between 1 January 1980 and 31 December 1996 in the UK, 340: 3609: 3581: 3545: 3483: 1749: 391: 22: 800:
has no separate code for vCJD and such cases are reported under the Creutzfeldt–Jakob disease code (A81.0).
3692: 3498: 3471: 1451:"Summary results of the second national survey of abnormal prion prevalence in archived appendix specimens" 1027: 852:
These researchers noticed a genetic variation in some people with kuru that has been known to promote long
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Sikorska, B, Liberski, PP (2012). "Human Prion Diseases: From Kuru to Variant Creutzfeldt-Jakob Disease".
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is required to confirm a diagnosis of variant CJD. The following confirmatory features should be present:
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until symptoms appear. Studies in transgenetic mice indicate that all of these genotypes can be affected.
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a total of over one year between 1 January 1980 and 31 December 1996 is permanently barred from donating.
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Berger JR, Waisman E, Weisman B (August 1997). "Creutzfeldt-Jakob disease and eating squirrel brains".
425:, behavioral changes, and painful sensations. In the later stages of the illness, patients may exhibit 351:, behavioral changes, and painful sensations. In the later stages of the illness, patients may exhibit 3299: 533: 223: 742:
Psychiatric symptoms at illness onset and/or persistent painful sensory symptoms (frank pain and/or
3560: 459: 2723: 1872: 1341: 612:, motivated by a risk of variant Creutzfeldt–Jakob disease, inhibiting the once popular import of 3656: 3491: 3089:
Gill ON, Spencer Y, Richard-Loendt A, Kelly C, Dabaghian R, Boyes L, et al. (October 2013).
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in 2006 suggested that it may take more than 50 years for vCJD to develop, from their studies of
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Jonathan Quick, instructor of medicine at the Department of Global Health and Social Medicine at
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Diack AB, Head MW, McCutcheon S, Boyle A, Knight R, Ironside JW, et al. (1 November 2014).
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Brandel JP, Vlaicu MB, Culeux A, Belondrade M, Bougard D, Grznarova K, et al. (July 2020).
1450: 1420:"Creutzfeldt-Jakob Disease Fact Sheet | National Institute of Neurological Disorders and Stroke" 3707: 970: 466: 379: 214: 3326: 3205: 3432: 1469: 398: 2574:
Diack AB, Head MW, McCutcheon S, Boyle A, Knight R, Ironside JW, Manson JC, Will RG (2014).
2024: 1028:"Clinical and Pathologic Characteristics | Variant Creutzfeldt-Jakob Disease, Classic (CJD)" 2266: 1082: 833:
in Papua New Guinea when family members would eat the body of a dead relative as a sign of
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Gill ON, Spencer Y, Richard-Loendt A, Kelly C, Brown D, Sinka K, et al. (June 2020).
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No history of CJD in a first degree relative or prion protein gene mutation in the person.
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No history of getting human pituitary growth hormone or a dura mater graft from a cadaver.
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A normal or an abnormal EEG, but not the diagnostic EEG changes often seen in classic CJD.
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of a person with suspected CJD showing typical periodic bursts of triphasic sharp waves
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Mikol J, Delmotte J, Jouy D, Vaysset E, Bastian C, Deslys JP, Comoy E (January 2021).
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New variant Creutzfeldt–Jakob disease (nvCJD) (dated), human mad cow disease, human
3380: 3244: 3110: 3102: 3045: 2921: 2884: 2876: 2803: 2757: 2669: 2661: 2595: 2587: 2538: 2505: 2274: 2178: 2170: 2121: 2110:"Variant Creutzfeldt-Jakob Disease Diagnosed 7.5 Years after Occupational Exposure" 2055: 1690: 1682: 1604: 1561: 1524: 1508: 1388: 1380: 1163: 826: 390:
but can be suspected based on certain other criteria. It is different from typical
958:. The report concluded that the escalation of BSE into a crisis was the result of 3017: 2665: 2542: 2278: 1202: 907: 438: 374:, which are misfolded proteins. Spread is believed to be primarily due to eating 364: 348: 241: 160: 141: 2535:
Protein Aggregation and Fibrillogenesis in Cerebral and Systemic Amyloid Disease
1512: 3619: 3586: 3555: 2208:"Recherche sur les prions, la sécurité des laboratoires français mise en cause" 2174: 1384: 990: 829:. The reasoning behind the claim is that kuru was possibly transmitted through 822: 715: 609: 578: 571: 402: 303: 121: 3513: 3447: 3375: 3686: 3304: 3067: 2395: 1686: 1520: 1314: 1228: 842: 758: 383: 2697: 2257:
Casassus B (July 2021). "France halts prion research amid safety concerns".
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is not recommended as one person contracted vCJD from eating the brain of a
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found that around 1 in 2000 had abnormal prions present in appendix cells.
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Commemorative plaque in London paying tribute to people who died from vCJD
2842: 2471: 2159:"Direct neural transmission of vCJD/BSE in macaque after finger incision" 2126: 2109: 947: 743: 613: 529: 478: 273: 179: 105: 3415: 1083:"Diagnostic Criteria | Variant Creutzfeldt-Jakob Disease, Classic (CJD)" 770:
Routine investigations do not suggest an alternative, non-CJD diagnosis.
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The End of Epidemics: The Looming Threat to Humanity and How to Stop it
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In the UK, the primary cause of vCJD has been eating beef tainted with
265: 248: 3106: 2880: 2591: 2510: 2493: 596:, anyone having lived or stayed in the mainland United Kingdom or its 378:(BSE) infected beef. Infection is also believed to require a specific 2807: 2494:"The genetics of susceptibility to variant Creutzfeldt-Jakob disease" 1964: 996: 902: 750: 641: 434: 410: 360: 281: 269: 261: 125: 85: 1795: 1259:
Ironside JW (2012). "Variant Creutzfeldt-Jakob disease: an update".
3466: 2988:"Man Dies from Extremely Rare Disease After Eating Squirrel Brains" 2839:"Eating Brains: Cannibal Tribe Evolved Resistance to Fatal Disease" 2468:"Man Dies from Extremely Rare Disease After Eating Squirrel Brains" 877: 873: 834: 723: 645: 505: 430: 356: 257: 117: 2442:"Kentucky Doctors Warn Against a Regional Dish: Squirrels' Brains" 1942:(in Czech). Fakultní nemocnice Královské Vinohrady. Archived from 661:
protein which is subverted in prion disease can occur with either
3651: 3376:"memorial should be moved from listed wall, say Lambeth planners" 974: 846: 593: 514: 1764:"CJD (Creutzfeldt–Jakob Disease) - Information for blood donors" 1229:"Variant Creutzfeldt-Jakob Disease (VCJD) | Prion Diseases" 901:
The first human death from vCJD occurred in the United Kingdom;
673:, 10% have two valine-containing alleles, and the other 50% are 3442: 3427: 893: 797: 754: 670: 666: 586: 567: 556: 541: 486: 482: 426: 352: 113: 71:
in variant CJD. PrP deposits are stained brown and are visible.
68: 3088: 3013:"Agonising decline that led to first diagnosis of new illness" 2747: 1366: 59: 3514: 2107: 1594: 474: 371: 171: 3233:"From nannyism to public disclosure: the BSE inquiry report" 3536: 2537:. Subcellular Biochemistry. Vol. 65. pp. 457–96. 1922:"Quelles sont les contre-indications au don de sang ?" 790: 658: 504:. The finding alarmed healthcare officials because a large 690: 401:. As of 2020, 178 cases of vCJD have been recorded in the 2626:. National Institute of Neurological Disorders and Stroke 718:-type amyloid plaques surrounded by vacuoles in both the 500:
In 2004, a report showed that vCJD can be transmitted by
2862: 2573: 2156: 1287:"Creutzfeldt-Jakob disease in the UK (by calendar year)" 544:. The restriction was rescinded in late February 2024. 2532: 881: 876:
developed CJD. It was discovered that all had consumed
582: 3355:"CREUTZFELDT-JAKOB DISEASE SUPPORT NETWORK NEWSLETTER" 2698:"About CJD | Creutzfeldt-Jakob Disease, Classic (CJD)" 1897:"Permanent exclusion criteria / Dyskwalifikacja stała" 1820:(in German). Blutspendedienst Hamburg. Archived from 1644:. National Blood Service. August 2004. Archived from 1442: 1233:
U.S. Centers for Disease Control and Prevention (CDC)
3405: 3160: 3004: 2911: 2865:"Variant CJD. 18 years of research and surveillance" 2794:
Diamond JM (September 2000). "Talk of cannibalism".
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or contaminated surgical equipment. Diagnosis is by
3297: 2743: 2741: 1495:Kim KS, Kim T, Choi H, Ahn C, Lee CC (July 2016). 1343:Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1 1077: 1075: 1073: 1071: 1069: 581:, anyone having spent more than six months in the 3265: 3198: 1750:"Learn More About FDA's Updated Guidance on VCJD" 1067: 1065: 1063: 1061: 1059: 1057: 1055: 1053: 1051: 1049: 563:, or France is permanently barred from donating. 3684: 3146:The Patient - Patient-Centered Outcomes Research 3131: 1448: 939:was published. The BSE report criticised former 640:Eating other types of brains such as those from 3032: 2738: 2045: 864:of asymptomatic cases and the need to monitor. 1309: 1307: 1305: 1303: 1046: 608:In the U.S., the FDA has banned import of any 441:following the onset of symptoms is 13 months. 367:following the onset of symptoms is 13 months. 3499: 1494: 1203:"Treatment Variant Creutzfeldt-Jakob Disease" 1116: 1114: 1112: 1110: 1108: 1106: 1104: 1022: 1020: 1018: 1016: 1014: 1012: 931:In October 2000 the report of the government 794:forms. Sporadic CJD is the most common type. 619: 2205: 1873:"Eligibility for mad cow-affected countries" 1717: 1545: 3291: 3168:"James Lind Alliance Affiliates Newsletter" 1940:"Blood donor guidance / Poučení dárce krve" 1899:(in Polish). RCKiK Warszawa. Archived from 1668: 1300: 1197: 1195: 16:Degenerative brain disease caused by prions 3506: 3492: 3319: 3068:"Estimate doubled for vCJD carriers in UK" 2789: 2787: 1796:"Variant Creutzfeldt-Jakob Disease (vCJD)" 1497:"Beef from the United States: Is It Safe?" 1467: 1414: 1412: 1254: 1252: 1250: 1248: 1246: 1244: 1242: 1145: 1143: 1101: 1009: 197:Suspected based on symptoms, confirmed by 58: 3698:Transmissible spongiform encephalopathies 3248: 3114: 2888: 2673: 2647: 2599: 2567: 2509: 2491: 2439: 2182: 2125: 1694: 1528: 1392: 1346:. Elsevier Health Sciences. p. 343. 1167: 3368: 3298:Ainsworth C, Carrington D (2019-10-25). 2660:(6 Neuroinfectious Disease): 1612–1638. 2256: 2039: 1990:"Mad Cow Rules Hit Sperm Banks' Patrons" 1720:"Mad cow infected blood 'to kill 1,000'" 1258: 1192: 1149: 918: 892: 807: 689: 382:. Spread may potentially also occur via 294:Fewer than 250 reported cases as of 2012 3592:Variably protease-sensitive prionopathy 3551:Gerstmann–Sträussler–Scheinker syndrome 3519:transmissible spongiform encephalopathy 2956:"Warning over second wave of CJD cases" 2836: 2793: 2784: 2643: 2641: 2465: 2080: 2074: 1843:"Les contre-indications au don de sang" 1409: 1239: 1140: 914: 570:, anyone having lived or stayed in the 345:transmissible spongiform encephalopathy 203:Protein misfolding cyclic amplification 3685: 3010: 2624:"Creutzfeldt-Jakob Disease Fact Sheet" 2018: 2012: 1711: 1474:. St. Martin's Press. pp. 51–53. 867: 3487: 3038: 2616: 1987: 1981: 1339: 767:Duration of illness of over 6 months. 416: 321:New variant Creutzfeldt–Jakob disease 2638: 1457:from the original on March 25, 2013. 1449:HPA Press Office (August 10, 2012). 207:Real-time quaking-induced conversion 2114:The New England Journal of Medicine 2089:from the original on 8 January 2017 1152:"Variant Creutzfeldt-Jakob disease" 327:) and referred to colloquially as " 13: 2968:from the original on 28 March 2017 2000:from the original on 26 April 2012 1776:from the original on 10 April 2017 1662: 1631: 1588: 1461: 1360: 1333: 785:vCJD is a separate condition from 520:On 28 May 2002, the United States 14: 3719: 3662:Transmissible mink encephalopathy 3401: 2726:. World Health Organization. 2016 2363:enseignementsup-recherche.gouv.fr 1501:Journal of Korean Medical Science 888: 872:In 1997, a number of people from 787:classic Creutzfeldt–Jakob disease 780: 603: 492: 394:, though both are due to prions. 347:family. Initial symptoms include 313:Variant Creutzfeldt–Jakob disease 41:Variant Creutzfeldt–Jakob disease 3667:Feline spongiform encephalopathy 3642:Bovine spongiform encephalopathy 3139:"Pioneer profile: Lester Firkin" 3078:from the original on 2014-02-10. 1639:"Variant CJD and blood donation" 1430:from the original on 4 July 2017 1169:10.1111/j.1365-2516.2010.02317.x 1122:"Classic CJD versus Variant CJD" 858:bovine spongiform encephalopathy 456:bovine spongiform encephalopathy 376:bovine spongiform encephalopathy 339:counterpart, is a fatal type of 186:bovine spongiform encephalopathy 30:Bovine spongiform encephalopathy 3647:Camel spongiform encephalopathy 3347: 3225: 3082: 3060: 3041:"The 'Mad Cow Disease' Scandal" 2980: 2948: 2905: 2856: 2830: 2716: 2690: 2526: 2485: 2459: 2433: 2408: 2376: 2351: 2326: 2301: 2250: 2225: 2199: 2150: 2101: 2081:Lapidos J (26 September 2007). 2048:Reproductive Biomedicine Online 1957: 1932: 1914: 1889: 1865: 1835: 1810: 1788: 1756: 1742: 1718:Rowena Mason (April 28, 2013). 1669:Regan F, Taylor C (July 2002). 1488: 803: 635: 449: 28:For the disease in cattle, see 3672:Exotic ungulate encephalopathy 2648:Geschwind MD (December 2015). 2466:Rettner R (October 15, 2018). 2440:Blakeslee S (29 August 1997). 2019:Kotler S (27 September 2007). 1847:Etablissement français du sang 1818:"Permanent exclusion criteria" 1279: 1221: 1: 3327:"BSE victims to get millions" 3243:(2): 165, 167. January 2001. 2926:10.1016/S0140-6736(05)63333-8 2762:10.1016/S0140-6736(06)68930-7 2060:10.1016/S1472-6483(10)61024-3 1769:. New Zealand Blood Service. 1609:10.1016/S0140-6736(10)62308-2 1566:10.1016/S0140-6736(04)16811-6 1002: 993:, a person who died from vCJD 977:facing the Riverside Walk of 849:that the practice continued. 701: 335:" to distinguish it from its 272:(for involuntary movements), 3179:. 2012-01-01. Archived from 2666:10.1212/CON.0000000000000251 2543:10.1007/978-94-007-5416-4_17 2365:(in French). 26 January 2022 2279:10.1126/science.373.6554.475 1671:"Blood transfusion medicine" 733: 685: 651: 522:Food and Drug Administration 397:Treatment for vCJD involves 233:Not eating contaminated beef 151:Years after initial exposure 7: 3566:Huntington's disease-like 1 3300:"BSE disaster: the history" 2837:Rettner R (June 12, 2015). 2206:La-Croix.com (2021-12-06). 2023:. LA Weekly. Archived from 1798:. New Zealand Blood Service 1513:10.3346/jkms.2016.31.7.1009 984: 789:(though both are caused by 184:Eating beef from cows with 10: 3724: 3364:. October 2016. p. 3. 3011:Arthur C (19 March 1997). 2340:(in French). 16 March 2022 2175:10.1007/s00401-020-02231-w 1988:Stein R (13 August 2008). 1926:www.santepubliquefrance.fr 1468:Quick HD, Fryer B (2018). 1385:10.1007/s00401-020-02153-7 620:Occupational contamination 27: 20: 3632: 3600: 3574: 3534: 3525: 3457: 3409: 2492:Saba R, Booth SA (2013). 2390:(in French). 2022-01-31. 1150:Ironside JW (July 2010). 534:New Zealand Blood Service 421:Initial symptoms include 392:Creutzfeldt–Jakob disease 298: 290: 280: 247: 237: 229: 224:Creutzfeldt-Jakob disease 213: 191: 178: 167: 155: 147: 131: 91: 75: 66: 57: 45: 40: 23:Creutzfeldt–Jakob disease 3561:PrP systemic amyloidosis 3273:"The BSE Inquiry Report" 3039:Wells C (Jan 16, 2022). 1726:. London. Archived from 1687:10.1136/bmj.325.7356.143 460:Health Protection Agency 444: 21:Not to be confused with 3657:Chronic wasting disease 3587:Sporadic fatal insomnia 3556:Fatal familial insomnia 825:, a similar disease in 163:after onset of symptoms 3206:"BSE crisis: Timeline" 2498:Public Health Genomics 1261:Folia Neuropathologica 924: 898: 813: 698: 467:Harvard Medical School 458:. A 2012 study by the 380:genetic susceptibility 215:Differential diagnosis 104:, behavioral changes, 3277:The Health Foundation 2163:Acta Neuropathologica 1373:Acta Neuropathologica 922: 896: 811: 693: 435:involuntary movements 361:involuntary movements 333:human mad cow disease 319:), formerly known as 126:involuntary movements 3214:. London. 2019-10-26 2127:10.1056/NEJMc2000687 2083:"Is Mad Cow an STD?" 1162:(Suppl 5): 175–180. 915:Human BSE Foundation 714:Numerous widespread 695:Electroencephalogram 423:psychiatric problems 349:psychiatric problems 254:Pentosan polysulfate 138:aspiration pneumonia 102:Psychiatric problems 3693:Foodborne illnesses 3362:CJD Support Network 3176:James Lind Alliance 2756:(9528): 2068–2074. 2271:2021Sci...373..475C 1853:on 2 September 2019 1651:on October 11, 2007 971:St Thomas' Hospital 868:Society and culture 538:Republic of Ireland 264:(for pain relief), 3458:External resources 2446:The New York Times 2338:France 3 Occitanie 2021:"The God of Sperm" 1903:on August 30, 2009 1321:. 10 February 2015 1235:. 25 January 2022. 1209:. 10 February 2015 1128:. 11 February 2015 1089:. 10 February 2015 1034:. 10 February 2015 941:Conservative Party 925: 899: 885:in Rochester, NY. 854:incubation periods 814: 699: 598:Crown Dependencies 502:blood transfusions 417:Signs and symptoms 220:Multiple sclerosis 174:, specifically PrP 106:painful sensations 82:Infectious disease 3680: 3679: 3628: 3627: 3481: 3480: 3385:. 23 January 2016 3383:community website 3335:. 22 October 2000 3107:10.1136/bmj.f5675 2964:. 8 August 2008. 2881:10.4161/pri.29237 2592:10.4161/pri.29237 2552:978-94-007-5415-7 2511:10.1159/000345203 2265:(6554): 475–476. 1681:(7356): 143–147. 1603:(9764): 487–493. 1560:(9433): 527–529. 1340:Ferri FF (2017). 979:Albert Embankment 960:intensive farming 839:incubation period 726:– florid plaques. 680:incubation period 427:poor coordination 353:poor coordination 310: 309: 193:Diagnostic method 114:Poor coordination 35:Medical condition 3715: 3635:in other animals 3532: 3531: 3508: 3501: 3494: 3485: 3484: 3407: 3406: 3395: 3394: 3392: 3390: 3372: 3366: 3365: 3359: 3351: 3345: 3344: 3342: 3340: 3323: 3317: 3316: 3314: 3313: 3295: 3289: 3288: 3286: 3284: 3269: 3263: 3262: 3252: 3229: 3223: 3222: 3220: 3219: 3202: 3196: 3195: 3193: 3191: 3185: 3172: 3164: 3158: 3157: 3155: 3153: 3143: 3135: 3129: 3128: 3118: 3086: 3080: 3079: 3064: 3058: 3057: 3055: 3053: 3036: 3030: 3029: 3027: 3025: 3008: 3002: 3001: 2999: 2998: 2984: 2978: 2977: 2975: 2973: 2952: 2946: 2945: 2909: 2903: 2902: 2892: 2860: 2854: 2853: 2851: 2849: 2834: 2828: 2827: 2808:10.1038/35024175 2791: 2782: 2781: 2745: 2736: 2735: 2733: 2731: 2720: 2714: 2713: 2711: 2709: 2704:. 2 October 2018 2694: 2688: 2687: 2677: 2650:"Prion Diseases" 2645: 2636: 2635: 2633: 2631: 2620: 2614: 2613: 2603: 2571: 2565: 2564: 2530: 2524: 2523: 2513: 2489: 2483: 2482: 2480: 2478: 2463: 2457: 2456: 2454: 2452: 2437: 2431: 2430: 2428: 2427: 2412: 2406: 2405: 2403: 2402: 2380: 2374: 2373: 2371: 2370: 2355: 2349: 2348: 2346: 2345: 2330: 2324: 2323: 2321: 2320: 2305: 2299: 2298: 2254: 2248: 2247: 2245: 2244: 2229: 2223: 2222: 2220: 2219: 2203: 2197: 2196: 2186: 2154: 2148: 2147: 2129: 2105: 2099: 2098: 2096: 2094: 2078: 2072: 2071: 2043: 2037: 2036: 2034: 2032: 2016: 2010: 2009: 2007: 2005: 1985: 1979: 1978: 1976: 1975: 1961: 1955: 1954: 1952: 1951: 1936: 1930: 1929: 1918: 1912: 1911: 1909: 1908: 1893: 1887: 1886: 1884: 1883: 1869: 1863: 1862: 1860: 1858: 1849:. Archived from 1839: 1833: 1832: 1830: 1829: 1824:on 9 August 2016 1814: 1808: 1807: 1805: 1803: 1792: 1786: 1785: 1783: 1781: 1775: 1768: 1760: 1754: 1753: 1746: 1740: 1739: 1737: 1735: 1715: 1709: 1708: 1698: 1666: 1660: 1659: 1657: 1656: 1650: 1643: 1635: 1629: 1628: 1592: 1586: 1585: 1549: 1543: 1542: 1532: 1507:(7): 1009–1010. 1492: 1486: 1485: 1465: 1459: 1458: 1446: 1440: 1439: 1437: 1435: 1416: 1407: 1406: 1396: 1364: 1358: 1357: 1337: 1331: 1330: 1328: 1326: 1311: 1298: 1297: 1294:www.cjd.ed.ac.uk 1291: 1283: 1277: 1276: 1256: 1237: 1236: 1225: 1219: 1218: 1216: 1214: 1199: 1190: 1189: 1171: 1147: 1138: 1137: 1135: 1133: 1118: 1099: 1098: 1096: 1094: 1079: 1044: 1043: 1041: 1039: 1024: 933:inquiry into BSE 845:was informed by 827:Papua New Guinea 370:It is caused by 256:(experimental), 62: 38: 37: 3723: 3722: 3718: 3717: 3716: 3714: 3713: 3712: 3683: 3682: 3681: 3676: 3634: 3624: 3602: 3596: 3570: 3527: 3521: 3512: 3482: 3477: 3476: 3453: 3452: 3418: 3404: 3399: 3398: 3388: 3386: 3374: 3373: 3369: 3357: 3353: 3352: 3348: 3338: 3336: 3325: 3324: 3320: 3311: 3309: 3296: 3292: 3282: 3280: 3271: 3270: 3266: 3231: 3230: 3226: 3217: 3215: 3204: 3203: 3199: 3189: 3187: 3183: 3170: 3166: 3165: 3161: 3151: 3149: 3141: 3137: 3136: 3132: 3087: 3083: 3066: 3065: 3061: 3051: 3049: 3037: 3033: 3023: 3021: 3018:The Independent 3009: 3005: 2996: 2994: 2986: 2985: 2981: 2971: 2969: 2954: 2953: 2949: 2910: 2906: 2861: 2857: 2847: 2845: 2835: 2831: 2802:(6800): 25–26. 2792: 2785: 2746: 2739: 2729: 2727: 2722: 2721: 2717: 2707: 2705: 2696: 2695: 2691: 2646: 2639: 2629: 2627: 2622: 2621: 2617: 2572: 2568: 2553: 2531: 2527: 2490: 2486: 2476: 2474: 2464: 2460: 2450: 2448: 2438: 2434: 2425: 2423: 2414: 2413: 2409: 2400: 2398: 2382: 2381: 2377: 2368: 2366: 2357: 2356: 2352: 2343: 2341: 2332: 2331: 2327: 2318: 2316: 2307: 2306: 2302: 2255: 2251: 2242: 2240: 2231: 2230: 2226: 2217: 2215: 2204: 2200: 2155: 2151: 2106: 2102: 2092: 2090: 2079: 2075: 2044: 2040: 2030: 2028: 2017: 2013: 2003: 2001: 1994:Washington Post 1986: 1982: 1973: 1971: 1963: 1962: 1958: 1949: 1947: 1938: 1937: 1933: 1920: 1919: 1915: 1906: 1904: 1895: 1894: 1890: 1881: 1879: 1871: 1870: 1866: 1856: 1854: 1841: 1840: 1836: 1827: 1825: 1816: 1815: 1811: 1801: 1799: 1794: 1793: 1789: 1779: 1777: 1773: 1766: 1762: 1761: 1757: 1748: 1747: 1743: 1733: 1731: 1730:on July 3, 2013 1724:Daily Telegraph 1716: 1712: 1667: 1663: 1654: 1652: 1648: 1641: 1637: 1636: 1632: 1593: 1589: 1550: 1546: 1493: 1489: 1482: 1466: 1462: 1447: 1443: 1433: 1431: 1418: 1417: 1410: 1365: 1361: 1354: 1338: 1334: 1324: 1322: 1313: 1312: 1301: 1289: 1285: 1284: 1280: 1257: 1240: 1227: 1226: 1222: 1212: 1210: 1201: 1200: 1193: 1148: 1141: 1131: 1129: 1120: 1119: 1102: 1092: 1090: 1081: 1080: 1047: 1037: 1035: 1026: 1025: 1010: 1005: 987: 917: 908:Genetic testing 891: 870: 806: 783: 736: 706:Examination of 704: 688: 654: 638: 622: 606: 495: 452: 447: 439:life expectancy 419: 399:supportive care 365:life expectancy 329:mad cow disease 276:(for agitation) 242:Supportive care 161:life expectancy 142:akinetic mutism 108: 36: 33: 26: 17: 12: 11: 5: 3721: 3711: 3710: 3705: 3700: 3695: 3678: 3677: 3675: 3674: 3669: 3664: 3659: 3654: 3649: 3644: 3638: 3636: 3633:Prion diseases 3630: 3629: 3626: 3625: 3623: 3622: 3617: 3612: 3606: 3604: 3603:transmissible: 3598: 3597: 3595: 3594: 3589: 3584: 3578: 3576: 3572: 3571: 3569: 3568: 3563: 3558: 3553: 3548: 3542: 3540: 3529: 3526:Prion diseases 3523: 3522: 3515:Prion diseases 3511: 3510: 3503: 3496: 3488: 3479: 3478: 3475: 3474: 3462: 3461: 3459: 3455: 3454: 3451: 3450: 3435: 3419: 3414: 3413: 3411: 3410:Classification 3403: 3402:External links 3400: 3397: 3396: 3367: 3346: 3318: 3290: 3264: 3224: 3197: 3159: 3130: 3081: 3074:. 2013-10-15. 3059: 3031: 3003: 2979: 2947: 2904: 2875:(4): 286–295. 2855: 2829: 2783: 2737: 2715: 2689: 2637: 2615: 2586:(4): 286–295. 2566: 2551: 2525: 2504:(1–2): 17–24. 2484: 2458: 2432: 2407: 2375: 2350: 2325: 2300: 2249: 2224: 2198: 2169:(1): 119–122. 2149: 2100: 2073: 2054:(6): 778–790. 2038: 2027:on 6 July 2009 2011: 1980: 1956: 1931: 1913: 1888: 1864: 1834: 1809: 1787: 1755: 1752:. 23 May 2022. 1741: 1710: 1661: 1630: 1587: 1544: 1487: 1480: 1460: 1441: 1426:. March 2003. 1408: 1379:(6): 965–976. 1359: 1352: 1332: 1299: 1278: 1238: 1220: 1191: 1139: 1100: 1045: 1007: 1006: 1004: 1001: 1000: 999: 994: 991:Jonathan Simms 986: 983: 952:John MacGregor 916: 913: 890: 889:United Kingdom 887: 869: 866: 805: 802: 782: 781:Classification 779: 778: 777: 774: 771: 768: 765: 762: 747: 740: 735: 732: 731: 730: 727: 703: 700: 687: 684: 653: 650: 637: 634: 630:Emilie Jaumain 621: 618: 605: 604:Sperm donation 602: 579:Czech Republic 572:United Kingdom 494: 493:Blood products 491: 451: 448: 446: 443: 418: 415: 407:1990s outbreak 403:United Kingdom 384:blood products 308: 307: 304:United Kingdom 300: 296: 295: 292: 288: 287: 284: 278: 277: 251: 245: 244: 239: 235: 234: 231: 227: 226: 217: 211: 210: 195: 189: 188: 182: 176: 175: 169: 165: 164: 157: 153: 152: 149: 145: 144: 135: 129: 128: 122:hallucinations 95: 89: 88: 79: 73: 72: 67:Biopsy of the 64: 63: 55: 54: 47: 43: 42: 34: 15: 9: 6: 4: 3: 2: 3720: 3709: 3708:Rare diseases 3706: 3704: 3701: 3699: 3696: 3694: 3691: 3690: 3688: 3673: 3670: 3668: 3665: 3663: 3660: 3658: 3655: 3653: 3650: 3648: 3645: 3643: 3640: 3639: 3637: 3631: 3621: 3618: 3616: 3613: 3611: 3608: 3607: 3605: 3599: 3593: 3590: 3588: 3585: 3583: 3580: 3579: 3577: 3573: 3567: 3564: 3562: 3559: 3557: 3554: 3552: 3549: 3547: 3544: 3543: 3541: 3538: 3533: 3530: 3524: 3520: 3516: 3509: 3504: 3502: 3497: 3495: 3490: 3489: 3486: 3473: 3469: 3468: 3464: 3463: 3460: 3456: 3449: 3445: 3444: 3440: 3436: 3434: 3430: 3429: 3425: 3421: 3420: 3417: 3412: 3408: 3384: 3382: 3377: 3371: 3363: 3356: 3350: 3334: 3333: 3328: 3322: 3307: 3306: 3305:New Scientist 3301: 3294: 3278: 3274: 3268: 3260: 3256: 3251: 3246: 3242: 3238: 3234: 3228: 3213: 3212: 3207: 3201: 3186:on 2020-03-31 3182: 3178: 3177: 3169: 3163: 3147: 3140: 3134: 3126: 3122: 3117: 3112: 3108: 3104: 3100: 3096: 3092: 3085: 3077: 3073: 3069: 3063: 3048: 3047: 3042: 3035: 3020: 3019: 3014: 3007: 2993: 2989: 2983: 2967: 2963: 2962: 2957: 2951: 2943: 2939: 2935: 2931: 2927: 2923: 2920:(9078): 642. 2919: 2915: 2908: 2900: 2896: 2891: 2886: 2882: 2878: 2874: 2870: 2866: 2859: 2844: 2840: 2833: 2825: 2821: 2817: 2813: 2809: 2805: 2801: 2797: 2790: 2788: 2779: 2775: 2771: 2767: 2763: 2759: 2755: 2751: 2744: 2742: 2725: 2719: 2703: 2699: 2693: 2685: 2681: 2676: 2671: 2667: 2663: 2659: 2655: 2651: 2644: 2642: 2625: 2619: 2611: 2607: 2602: 2597: 2593: 2589: 2585: 2581: 2577: 2576:"Variant CJD" 2570: 2562: 2558: 2554: 2548: 2544: 2540: 2536: 2529: 2521: 2517: 2512: 2507: 2503: 2499: 2495: 2488: 2473: 2469: 2462: 2447: 2443: 2436: 2421: 2417: 2411: 2397: 2393: 2389: 2385: 2379: 2364: 2360: 2354: 2339: 2335: 2329: 2314: 2310: 2304: 2296: 2292: 2288: 2284: 2280: 2276: 2272: 2268: 2264: 2260: 2253: 2238: 2234: 2228: 2213: 2209: 2202: 2194: 2190: 2185: 2180: 2176: 2172: 2168: 2164: 2160: 2153: 2145: 2141: 2137: 2133: 2128: 2123: 2119: 2115: 2111: 2104: 2088: 2084: 2077: 2069: 2065: 2061: 2057: 2053: 2049: 2042: 2026: 2022: 2015: 1999: 1995: 1991: 1984: 1970: 1969:Blood Service 1966: 1960: 1946:on 2011-07-18 1945: 1941: 1935: 1927: 1923: 1917: 1902: 1898: 1892: 1878: 1874: 1868: 1852: 1848: 1844: 1838: 1823: 1819: 1813: 1797: 1791: 1772: 1765: 1759: 1751: 1745: 1729: 1725: 1721: 1714: 1706: 1702: 1697: 1692: 1688: 1684: 1680: 1676: 1672: 1665: 1647: 1640: 1634: 1626: 1622: 1618: 1614: 1610: 1606: 1602: 1598: 1591: 1583: 1579: 1575: 1571: 1567: 1563: 1559: 1555: 1548: 1540: 1536: 1531: 1526: 1522: 1518: 1514: 1510: 1506: 1502: 1498: 1491: 1483: 1481:9781250117779 1477: 1473: 1472: 1464: 1456: 1452: 1445: 1429: 1425: 1421: 1415: 1413: 1404: 1400: 1395: 1390: 1386: 1382: 1378: 1374: 1370: 1363: 1355: 1353:9780323529570 1349: 1345: 1344: 1336: 1320: 1316: 1310: 1308: 1306: 1304: 1295: 1288: 1282: 1274: 1270: 1266: 1262: 1255: 1253: 1251: 1249: 1247: 1245: 1243: 1234: 1230: 1224: 1208: 1204: 1198: 1196: 1187: 1183: 1179: 1175: 1170: 1165: 1161: 1157: 1153: 1146: 1144: 1127: 1123: 1117: 1115: 1113: 1111: 1109: 1107: 1105: 1088: 1084: 1078: 1076: 1074: 1072: 1070: 1068: 1066: 1064: 1062: 1060: 1058: 1056: 1054: 1052: 1050: 1033: 1029: 1023: 1021: 1019: 1017: 1015: 1013: 1008: 998: 995: 992: 989: 988: 982: 980: 976: 972: 967: 963: 961: 957: 953: 949: 945: 942: 938: 937:Lord Phillips 934: 929: 921: 912: 909: 904: 895: 886: 883: 879: 875: 865: 861: 859: 855: 850: 848: 844: 843:Jared Diamond 840: 836: 832: 828: 824: 820: 819: 810: 801: 799: 795: 792: 788: 775: 772: 769: 766: 763: 760: 759:hyperreflexia 756: 752: 748: 745: 741: 738: 737: 728: 725: 721: 717: 713: 712: 711: 709: 696: 692: 683: 681: 676: 672: 668: 664: 660: 649: 647: 643: 633: 631: 627: 617: 615: 611: 601: 599: 595: 590: 588: 584: 580: 575: 573: 569: 564: 562: 558: 553: 549: 545: 543: 539: 535: 531: 526: 523: 518: 516: 512: 511:UK government 507: 503: 498: 490: 488: 484: 480: 476: 470: 468: 463: 461: 457: 442: 440: 436: 432: 428: 424: 414: 412: 408: 404: 400: 395: 393: 389: 385: 381: 377: 373: 368: 366: 362: 358: 354: 350: 346: 342: 341:brain disease 338: 334: 330: 326: 322: 318: 314: 305: 301: 297: 293: 289: 285: 283: 279: 275: 271: 267: 263: 259: 255: 252: 250: 246: 243: 240: 236: 232: 228: 225: 221: 218: 216: 212: 208: 204: 200: 196: 194: 190: 187: 183: 181: 177: 173: 170: 166: 162: 158: 154: 150: 146: 143: 139: 136: 134: 133:Complications 130: 127: 123: 119: 115: 111: 107: 103: 99: 96: 94: 90: 87: 83: 80: 78: 74: 70: 65: 61: 56: 52: 48: 44: 39: 31: 24: 19: 3614: 3465: 3437: 3422: 3387:. 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Retrieved 2237:ladepeche.fr 2236: 2227: 2216:. Retrieved 2211: 2201: 2166: 2162: 2152: 2120:(1): 83–85. 2117: 2113: 2103: 2091:. Retrieved 2076: 2051: 2047: 2041: 2029:. Retrieved 2025:the original 2014: 2002:. Retrieved 1993: 1983: 1972:. Retrieved 1968: 1959: 1948:. Retrieved 1944:the original 1934: 1925: 1916: 1905:. Retrieved 1901:the original 1891: 1880:. Retrieved 1876: 1867: 1855:. Retrieved 1851:the original 1846: 1837: 1826:. Retrieved 1822:the original 1812: 1800:. Retrieved 1790: 1778:. Retrieved 1758: 1744: 1732:. Retrieved 1728:the original 1723: 1713: 1678: 1674: 1664: 1653:. Retrieved 1646:the original 1633: 1600: 1596: 1590: 1557: 1553: 1547: 1504: 1500: 1490: 1470: 1463: 1444: 1432:. Retrieved 1423: 1376: 1372: 1362: 1342: 1335: 1323:. Retrieved 1318: 1315:"About vCJD" 1293: 1281: 1267:(1): 50–56. 1264: 1260: 1232: 1223: 1211:. Retrieved 1206: 1159: 1155: 1130:. Retrieved 1125: 1091:. Retrieved 1086: 1036:. 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Index

Creutzfeldt–Jakob disease
Bovine spongiform encephalopathy
BSE

tonsil
Specialty
Infectious disease
Neurology
Symptoms
Psychiatric problems
painful sensations
Poor coordination
dementia
hallucinations
involuntary movements
Complications
aspiration pneumonia
akinetic mutism
life expectancy
Prions
Risk factors
bovine spongiform encephalopathy
Diagnostic method
brain biopsy
Protein misfolding cyclic amplification
Real-time quaking-induced conversion
Differential diagnosis
Multiple sclerosis
Creutzfeldt-Jakob disease
Supportive care

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