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Published Online First: 20 April 2006. doi:10.1136/jnnp.2006.090613
Journal of Neurology, Neurosurgery, and Psychiatry 2006;77:811
Copyright © 2006 by the BMJ Publishing Group Ltd.

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EDITORIAL COMMENTARY

Exposure to aluminium

Exposure to aluminium and the subsequent development of a disorder with features of Alzheimer’s disease

D P Perl

Correspondence to:
Correspondence to:
Dr Daniel P Perl
Neuropathology Division, Mount Sinai School of Medicine, New York, New York 10029, USA; daniel.perl@mssm.edu


Increased efforts towards surveillance of people exposed to aluminium in Camelford is necessary to correctly identify the relationship of the exposure to increasing risks of the development of Alzheimer’s disease.

The first 150 words of the full text of this article appear below.

The paper by Exley and Esiri1(see p 877) reports a most unusual case, namely, a 58-year-old woman with a rapidly progressive, fatal dementing illness, who, at autopsy, shows dramatic ß-amyloid deposition of cerebral cortical and leptomeningeal blood vessels, modest numbers of neurofibrillary tangles and Lewy bodies, and evidence of very high aluminium content in affected brain regions. Of particular interest is that she was among the 20 000 people who were accidentally exposed, in July 1988, to exceedingly high concentrations of aluminium in their water supply in the so-called "Camelford incident". This is the first autopsy-documented case of Alzheimer’s disease-like neurodegeneration in a victim of this incident.

This case raises the question of whether the relatively short but massive exposure to aluminium in the water supply played a part in the development of subsequent neurological illness in this woman. The association of aluminium and Alzheimer’s . . . [Full text of this article]


Relevant Article

Severe cerebral congophilic angiopathy coincident with increased brain aluminium in a resident of Camelford, Cornwall, UK
C Exley and M M Esiri
J. Neurol. Neurosurg. Psychiatry 2006 77: 877-879. [Abstract] [Full Text] [PDF]



eLetters:

Read all eLetters

Alzheimer's Dementia and Aluminum in Drinking Water
Russell L. Blaylock, M.D.
JNNP Online, 21 Apr 2006 [Full text]
Re: Alzheimer's Dementia and Aluminum in Drinking Water
Douglas W Cross
JNNP Online, 5 May 2006 [Full text]



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