disease 3,474 words KG: ent-dise-9422fb45
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semantic-dementia

Disease Info
PrevalenceApproximately 2–3 per 100,000 (representing ~20–30% of Frontotemporal Dementia cases)
Age at onsetTypically 55–65 years (range 40–80); slightly younger average onset than alzheimers
SexSlight male predominance in some series (M:F ~1.3:1)
Proportion of PPAsvPPA accounts for approximately 20–30% of all PPA cases
Proportion of FTDRepresents ~20–25% of Frontotemporal Dementia cases
SurvivalMedian 8–12 years from symptom onset; slower progression than behavioral variant FTD (bvFTD)
Family historyMost cases (~90%) have no significant family history of dementia or neurodegenerative disease [@landinromero2016]
Genetic mutationsRarely associated with known FTD genes; occasional cases linked to:
Distributiontdp-43 type C inclusions are most dense in **cortical layer 2** of the anterior and inferior temporal neocortex [@josephs2011], [@spinelli2017]
Frequency75–90% of svPPA cases show tdp-43 type C; remainder show tau] pathology (~5–10%, usually Pick's disease) or alzheimers pathology (~5%)
Anterior temporal lobe (ATL) atrophyBilateral but asymmetric, with the left ATL more severely affected in typical svPPA cases presenting with language symptoms
Specific subregionsThe temporal pole, anterior fusiform gyrus, anterior inferior and middle temporal gyri, and anterior hippocampus are most severely affected
DatabasesOMIMOrphanetClinicalTrialsPubMed

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