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Table 5 Overview of studies on Huntington disease and risk factors in sub-Sahara African countries

From: Epidemiology of neurodegenerative diseases in sub-Saharan Africa: a systematic review

Author, year of publication

Country

Setting

Design/year of the study

Population characteristics

Diagnostic tool/criteria

Prevalence

Hayden [141], 1977

South Africa

Community

Cross-sectional

26 cases (men 11); age 12–68 y.

Clinical

3.5/100,000

Samuels [147], 1978

Zimbabwe

Community

Case series

1 family of HD

Clinical

NA

4 cases (men 2) age 14–26 y.

Glass [148], 1979

South Africa

Community

Case series

2 cases of HD (men 1) age 42-52

Clinical

NA

Hayden [142], 1980

South Africa

Community/hospital

Cross-sectional,

481 cases (m en 241) of whom 153 (m en 69) alive by the time of the study

Clinical

Overall: 0.65/100,000, Whites: 2.22/100,000, Mixed ancestry: 2.17/100,000, Blacks: 0 · 01/100,000

Scrimgeour [149], 1981

Tanzania

Community

Case series

11 cases, aged 25–80 y.

Clinical

NA

Hayden [143], 1981

Mauritius

Hospital

Cross-sectional

2166 persons, 6 cases of HD (men 3)

Not provided

46/100,000

Hayden [144], 1981

South Africa

Hospital

Cross-sectional/NR

17 children (onset before 20 y.) identified during a national survey among of 219 patients

Not provided

Overall: 0.6/100,000

Whites: 0.37/100,000

Mixed ancestry: 0.89/100,000

Blacks: No case

Hayden [150], 1982

South Africa

Community/hospital

Cross-sectional

157 (men 71) individuals investigated and 328 (women 156, only 3 negro-Africans) deceased individuals with probably HD

Not specified

Combined white and black heterozygote frequency = 6 · 7 x 100,000

Scrimgeour [151], 1982

Tanzania

Hospital

Case series (National registry)

7 patients with chorea (1 aged 80 y.) and 50 potential patients with chorea in 23 families

Not specified

NA

Mean age at onset: 36 y.

Aiyesimoju [145], 1984

Nigeria

Hospital

Cross sectional 1957-1982

2.1 million patients admitted to the hospital.

Not specified

HD: 0.2/100,000

4 cases (men 3) of HD aged 24–50 y at diagnosis.

Stephany [146], 1984

Senegal

Hospital

Cross sectional

12370 patients seen in a neurologic clinic; 3 (men 2) with HD; age 31–64 y.

Family history

24.2/100,000

All patients had movement disorders and neuropsychiatric features

1960-1980

Joubert [136], 1988

South Africa

Community/hospital

Cross-sectional 1983-1986

8 cases in hospital setting (n = 6. all men) and at home (n = 2);

Clinical/genetic testing/screening for Wilson disease

NA

Age at onset: 8–47 y.

Age at diagnosis: 13–50 y.

Scrimgeour [152], 1992

Zimbabwe

Hospital

Case series1991

11 cases in a 4 generation of a single family; 2 probable cases

Clinical

0.5/100,000

Scrimgeour [153], 1995

Sudan

Hospital

Case-report

1 case of HD: A

Clinical/MRI

NA

40 year old black Sudanese man

Grunitzky [154], 1995

Togo

Hospital

Case series

A family including 8 patients with HD and 67 at risk across 6 generations; mean age at onset: 33 y.

Not specified

NA

Silber [137], 1998

South Africa

Community

Case series

5 families of HD including a total of 7 genetically confirmed cases of HD and 10 clinically suspect cases of HD

Clinical/genetic testing

NA

Kabore [138], 2000

Burkina-Faso

Hospital

Case series

4 cases of HD; age at diagnosis 33–43 y.

Clinical/genetic testing

0.04/100,000

Bardien [139], 2007

South Africa

Hospital

Case series 2001-2005

A family with HD like 2

Clinical/genetic testing

1

Total 39 family members

13 had the disease

Magazi [140], 2008

South Africa

Hospital

Case series

12 cases (men 6); age 25–52 y.

Clinical/genetic testing

NA

  1. HD; Huntington disease; MRI: magnetic resonance imaging; NA: not applicable; NINCDS-ADRDA, National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer’s Disease and Related Disorders Association; y: year.