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Kuru

MedGen UID:
9653
Concept ID:
C0022802
Disease or Syndrome
Synonyms: Encephalopathy, Kuru; Kuru Encephalopathy
SNOMED CT: Kuru encephalitis (86188000); Kuru (86188000)
Modes of inheritance:
Non-Mendelian inheritance
MedGen UID:
109109
Concept ID:
C0600599
Genetic Function
Source: Orphanet
A mode of inheritance that depends on genetic determinants in more than one gene.
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
Monarch Initiative: MONDO:0006825
Orphanet: ORPHA454745

Definition

A rare acquired human prion disease characterized by rapidly progressive, fatal neurodegeneration, caused by the consumption of prion-containing tissue in endocannibalistic funeral rituals in Papua New Guinea until the late 1950s. After a decades-long asymptomatic period and a non-specific prodromal phase with headaches and arthralgia, the most prominent neurological feature is ataxia, in addition to other symptoms involving the cerebellum, brain stem, mid-brain, hypothalamus, and cerebral cortex, and emotional changes including inappropriate euphoria and compulsive laughter, or depression and apprehension. The last reported patient died in 2005 with an incubation period extending over four decades. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVKuru

Professional guidelines

PubMed

Cracco L, Puoti G, Cornacchia A, Glisic K, Lee SK, Wang Z, Cohen ML, Appleby BS, Cali I
Acta Neuropathol Commun 2023 Aug 31;11(1):141. doi: 10.1186/s40478-023-01631-9. PMID: 37653534Free PMC Article
Gaudino S, Gangemi E, Colantonio R, Botto A, Ruberto E, Calandrelli R, Martucci M, Vita MG, Masullo C, Cerase A, Colosimo C
Radiol Med 2017 May;122(5):369-385. Epub 2017 Jan 21 doi: 10.1007/s11547-017-0725-y. PMID: 28110369
Kobayashi A, Parchi P, Yamada M, Mohri S, Kitamoto T
Neuropathology 2016 Jun;36(3):305-10. Epub 2015 Dec 15 doi: 10.1111/neup.12270. PMID: 26669818

Recent clinical studies

Etiology

Ytterberg SR, Bhatt DL, Mikuls TR, Koch GG, Fleischmann R, Rivas JL, Germino R, Menon S, Sun Y, Wang C, Shapiro AB, Kanik KS, Connell CA; ORAL Surveillance Investigators
N Engl J Med 2022 Jan 27;386(4):316-326. doi: 10.1056/NEJMoa2109927. PMID: 35081280
Kes D, Aydin Yildirim T, Kuru C, Pazarlıoglu F, Ciftci T, Ozdemir M
J Trauma Nurs 2021 Jul-Aug 01;28(4):228-234. doi: 10.1097/JTN.0000000000000590. PMID: 34210941
Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Beglundh T, Sculean A, Tonetti MS; EFP Workshop Participants and Methodological Consultants
J Clin Periodontol 2020 Jul;47 Suppl 22(Suppl 22):4-60. doi: 10.1111/jcpe.13290. PMID: 32383274Free PMC Article
Baldwin KJ, Correll CM
Semin Neurol 2019 Aug;39(4):428-439. Epub 2019 Sep 18 doi: 10.1055/s-0039-1687841. PMID: 31533183
Geschwind MD
Continuum (Minneap Minn) 2015 Dec;21(6 Neuroinfectious Disease):1612-38. doi: 10.1212/CON.0000000000000251. PMID: 26633779Free PMC Article

Diagnosis

Herrera D, Sanz M, Kebschull M, Jepsen S, Sculean A, Berglundh T, Papapanou PN, Chapple I, Tonetti MS; EFP Workshop Participants and Methodological Consultant
J Clin Periodontol 2022 Jun;49 Suppl 24:4-71. doi: 10.1111/jcpe.13639. PMID: 35688447
Baldwin KJ, Correll CM
Semin Neurol 2019 Aug;39(4):428-439. Epub 2019 Sep 18 doi: 10.1055/s-0039-1687841. PMID: 31533183
Kuru S, Kismet K
Rev Esp Enferm Dig 2018 Nov;110(11):726-732. doi: 10.17235/reed.2018.5628/2018. PMID: 30032625
Ironside JW, Ritchie DL, Head MW
Handb Clin Neurol 2017;145:393-403. doi: 10.1016/B978-0-12-802395-2.00028-6. PMID: 28987186
Geschwind MD
Continuum (Minneap Minn) 2015 Dec;21(6 Neuroinfectious Disease):1612-38. doi: 10.1212/CON.0000000000000251. PMID: 26633779Free PMC Article

Therapy

Herrera D, Berglundh T, Schwarz F, Chapple I, Jepsen S, Sculean A, Kebschull M, Papapanou PN, Tonetti MS, Sanz M; EFP workshop participants and methodological consultant
J Clin Periodontol 2023 Jun;50 Suppl 26:4-76. Epub 2023 Jun 4 doi: 10.1111/jcpe.13823. PMID: 37271498
Ytterberg SR, Bhatt DL, Mikuls TR, Koch GG, Fleischmann R, Rivas JL, Germino R, Menon S, Sun Y, Wang C, Shapiro AB, Kanik KS, Connell CA; ORAL Surveillance Investigators
N Engl J Med 2022 Jan 27;386(4):316-326. doi: 10.1056/NEJMoa2109927. PMID: 35081280
Kes D, Aydin Yildirim T, Kuru C, Pazarlıoglu F, Ciftci T, Ozdemir M
J Trauma Nurs 2021 Jul-Aug 01;28(4):228-234. doi: 10.1097/JTN.0000000000000590. PMID: 34210941
Fleischmann R, Mysler E, Hall S, Kivitz AJ, Moots RJ, Luo Z, DeMasi R, Soma K, Zhang R, Takiya L, Tatulych S, Mojcik C, Krishnaswami S, Menon S, Smolen JS; ORAL Strategy investigators
Lancet 2017 Jul 29;390(10093):457-468. Epub 2017 Jun 16 doi: 10.1016/S0140-6736(17)31618-5. PMID: 28629665
Kuru T, Yeldan İ, Dereli EE, Özdinçler AR, Dikici F, Çolak İ
Clin Rehabil 2016 Feb;30(2):181-90. Epub 2015 Mar 16 doi: 10.1177/0269215515575745. PMID: 25780260

Prognosis

Nakamura A, Matsumura T, Ogata K, Mori-Yoshimura M, Takeshita E, Kimura K, Kawashima T, Tomo Y, Arahata H, Miyazaki D, Takeshima Y, Takahashi T, Ishigaki K, Kuru S, Wakisaka A, Awano H, Funato M, Sato T, Saito Y, Takada H, Sugie K, Kobayashi M, Ozasa S, Fujii T, Maegaki Y, Oi H, Tachimori H, Komaki H
Ann Clin Transl Neurol 2023 Dec;10(12):2360-2372. Epub 2023 Oct 26 doi: 10.1002/acn3.51925. PMID: 37882106Free PMC Article
Cracco L, Puoti G, Cornacchia A, Glisic K, Lee SK, Wang Z, Cohen ML, Appleby BS, Cali I
Acta Neuropathol Commun 2023 Aug 31;11(1):141. doi: 10.1186/s40478-023-01631-9. PMID: 37653534Free PMC Article
Ytterberg SR, Bhatt DL, Mikuls TR, Koch GG, Fleischmann R, Rivas JL, Germino R, Menon S, Sun Y, Wang C, Shapiro AB, Kanik KS, Connell CA; ORAL Surveillance Investigators
N Engl J Med 2022 Jan 27;386(4):316-326. doi: 10.1056/NEJMoa2109927. PMID: 35081280
Itoh H, Hisamatsu T, Tamura T, Segawa K, Takahashi T, Takada H, Kuru S, Wada C, Suzuki M, Suwazono S, Sasaki S, Okumura K, Horie M, Takahashi MP, Matumura T
J Am Heart Assoc 2020 Sep;9(17):e015709. Epub 2020 Aug 19 doi: 10.1161/JAHA.119.015709. PMID: 32812471Free PMC Article
Johnson RT
Lancet Neurol 2005 Oct;4(10):635-42. doi: 10.1016/S1474-4422(05)70192-7. PMID: 16168932

Clinical prediction guides

Nakamura A, Matsumura T, Ogata K, Mori-Yoshimura M, Takeshita E, Kimura K, Kawashima T, Tomo Y, Arahata H, Miyazaki D, Takeshima Y, Takahashi T, Ishigaki K, Kuru S, Wakisaka A, Awano H, Funato M, Sato T, Saito Y, Takada H, Sugie K, Kobayashi M, Ozasa S, Fujii T, Maegaki Y, Oi H, Tachimori H, Komaki H
Ann Clin Transl Neurol 2023 Dec;10(12):2360-2372. Epub 2023 Oct 26 doi: 10.1002/acn3.51925. PMID: 37882106Free PMC Article
Itoh H, Hisamatsu T, Tamura T, Segawa K, Takahashi T, Takada H, Kuru S, Wada C, Suzuki M, Suwazono S, Sasaki S, Okumura K, Horie M, Takahashi MP, Matumura T
J Am Heart Assoc 2020 Sep;9(17):e015709. Epub 2020 Aug 19 doi: 10.1161/JAHA.119.015709. PMID: 32812471Free PMC Article
Kuru T, Olçar HA
Turk J Med Sci 2020 Feb 13;50(1):117-125. doi: 10.3906/sag-1906-57. PMID: 31742370
Kuru T, Yeldan İ, Dereli EE, Özdinçler AR, Dikici F, Çolak İ
Clin Rehabil 2016 Feb;30(2):181-90. Epub 2015 Mar 16 doi: 10.1177/0269215515575745. PMID: 25780260
Johnson RT
Lancet Neurol 2005 Oct;4(10):635-42. doi: 10.1016/S1474-4422(05)70192-7. PMID: 16168932

Recent systematic reviews

Basoz Behmen M, Guler N, Kuru E, Bal N, Gedik Toker O
Eur Arch Otorhinolaryngol 2023 May;280(5):2099-2118. Epub 2023 Jan 18 doi: 10.1007/s00405-023-07830-3. PMID: 36651959
Kuru Alici N, Arikan Dönmez A
Complement Ther Clin Pract 2020 Nov;41:101252. Epub 2020 Oct 28 doi: 10.1016/j.ctcp.2020.101252. PMID: 33217706
Akyuz G, Kuru P
Am J Phys Med Rehabil 2016 Aug;95(8):618-27. doi: 10.1097/PHM.0000000000000542. PMID: 27175563

Supplemental Content

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