Familial amyloid neuropathy due to transthyretin gene mutations (TTR-FAP) is a rare autosomal dominant inherited disease resulting in the abnormal multi-system deposition of amyloid proteins. These deposits produce a multi-organ disease. AP is usually fatal 10 to 15 years after onset of symptoms if untreated. The prevalence of the disease remains still poorly understood and usually the search for this pathology is done in a third line of investigation. So the average time to diagnosis is extremely long, from 12 to 24 month. Now that the investigators have etiological treatment ( famidis (Vyndaqel®) and Diflunisal (Dolobid)) of this disease, it is essential to be able to detect FAP patients as early as possible. With this study, investigator decided to test for TTR mutation all patients presented with neuropathy of unknown etiology at the first line of investigation. The goal of this study is to evaluate the prevalence of FAP-TTR among neuropathy and defined the best strategy to test this population for TTR mutations.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
400
two 5 ML EDTA tubes of blood will be collected once by patient
Chu Angers
Angers, France
Chru Brest
Brest, France
Chd La Roche Sur Yon
La Roche-sur-Yon, France
Ch La Rochelle
La Rochelle, France
Ch Le Mans
Le Mans, France
Chu Nantes
Nantes, France
Chu Poitiers
Poitiers, France
Ch Quimper
Quimper, France
Ch Saint Brieuc
Saint-Brieuc, France
CHP Saint-Grégoire - Cabinet de Neurologie ENMG
Saint-Grégoire, France
...and 2 more locations
to evaluate the prevalence of TTR amyloidosis
number of patients with TTR mutation
Time frame: inclusion
To identify risk factors of carrying TTR mutations amongst those presenting with "unknown aetiology" neuropathy
comparison between patient of medical history, alcohol use, familial neuropathy history, age of first symptoms apparition, description of first symptoms
Time frame: inclusion
Description of the TTR-FAP cohort
medical history, alcohol use, smoking habits, familial neuropathy history, age of first symptoms apparition, description of first symptoms
Time frame: inclusion
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