Table 1.
Particularities of early and late onset familial amyloid polyneuropathy and its course.
Early onset met30 TTR FAP [Coutinho et al. 1980; Koike et al. 2002] | Late onset met30 TTR FAP [Koike et al. 2002 ; Koike et al. 2012] | |
---|---|---|
Age of onset | <50 years | >50 years |
Country | Portugal, Japan, Brazil | Sweden, France, UK, Italy, Japan |
Positive family history | 94% | 48% |
Initial clinical presentation | ||
Peripheral neuropathy | 57% | 81% |
Autonomic neuropathy | 48% | 10% |
Weight loss | 5% | 0 |
Mean delay for aid for walking | >5.6 years | 3 years |
Cardiac | Progressive conduction disorders | Restrictive cardiomyopathy Cardiac insufficiency |
Median survival | 11 years | 7.3 years |
Causes of death | Cachexia, infections | Cardiac insufficiency Sudden death Cachexia or secondary infection |
FAP, familial amyloid polyneuropathy; TTR, transthyretin.