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A Test for Creutzfeldt–Jakob Disease Using Nasal Brushings
Author(s) -
Christina D. Orrú,
Matilde Bongianni,
Giovanni Tonoli,
Sérgio Ferrari,
Andrew G. Hughson,
Bradley R. Groveman,
Michele Fiorini,
Maurizio Pocchiari,
Salvatore Monaco,
Byron Caughey,
Gianluigi Zanusso
Publication year - 2014
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa1315200
Subject(s) - medicine , cerebrospinal fluid , pathology , creutzfeldt jakob syndrome , disease , virology , prion protein
Definite diagnosis of sporadic Creutzfeldt-Jakob disease in living patients remains a challenge. A test that detects the specific marker for Creutzfeldt-Jakob disease, the prion protein (PrP(CJD)), by means of real-time quaking-induced conversion (RT-QuIC) testing of cerebrospinal fluid has a sensitivity of 80 to 90% for the diagnosis of sporadic Creutzfeldt-Jakob disease. We have assessed the accuracy of RT-QuIC analysis of nasal brushings from olfactory epithelium in diagnosing sporadic Creutzfeldt-Jakob disease in living patients.

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