RT Journal Article SR Electronic T1 Late onset recessive ataxia with Friedreich's disease phenotype. JF Journal of Neurology, Neurosurgery & Psychiatry JO J Neurol Neurosurg Psychiatry FD BMJ Publishing Group Ltd SP 1398 OP 1401 DO 10.1136/jnnp.52.12.1398 VO 52 IS 12 A1 De Michele, G A1 Filla, A A1 Barbieri, F A1 Perretti, A A1 Santoro, L A1 Trombetta, L A1 Santorelli, F A1 Campanella, G YR 1989 UL http://jnnp.bmj.com/content/52/12/1398.abstract AB The Quebec Cooperative Study on Friedreich's ataxia required an onset before age 20 as an obligatory criterion of Friedreich's disease (FD). Harding included patients with onset before 25 years. We studied nine patients with FD phenotype but with onset ranging from 21 to 29 years (mean 24.4). Statistical analysis of the distribution and intrafamilial variation of onset age suggests that late onset Friedreich's disease (LOFD) is a distinct genetic entity or results from modifying genes in some families. Scoliosis was less common in LOFD than FD patients but otherwise the clinical picture was similar.