Evidence map›Paper›PMID 40342333›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2025

Clinical neuropathology of early-stage Pick's disease initially diagnosed as depressive disorder: A case report and case series comparison.

Araki Kimura, Ito Kawakami, Kenji Ikeda, Akito Nagakura, Kazuhiro Niizato, Kenichi Oshima, Tadafumi Kato, Masato Hasegawa

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Depression and apathy in frontotemporal dementia: a short assessment of facts and outlook.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Araki KimuraDementia Research Project Tokyo Metropolitan Institute of Medical Science Setagaya Tokyo Japan.ORCID https://orcid.org/0009-0006-7710-9364
Ito KawakamiDepartment of Psychiatry Tokyo Metropolitan Matsuzawa Hospital Setagaya Tokyo Japan.
Kenji IkedaDementia Research Project Tokyo Metropolitan Institute of Medical Science Setagaya Tokyo Japan.
Akito NagakuraDepartment of Psychiatry and Behavioral science Juntendo University Graduate School of Medicine Bunkyo Tokyo Japan.
Kazuhiro NiizatoDepartment of Psychiatry Tokyo Metropolitan Matsuzawa Hospital Setagaya Tokyo Japan.
Kenichi OshimaDepartment of Psychiatry Tokyo Metropolitan Matsuzawa Hospital Setagaya Tokyo Japan.
Tadafumi KatoDepartment of Psychiatry and Behavioral science Juntendo University Graduate School of Medicine Bunkyo Tokyo Japan.ORCID https://orcid.org/0000-0001-7856-3952
Masato HasegawaDementia Research Project Tokyo Metropolitan Institute of Medical Science Setagaya Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pick's disease (PiD) is a subtype of frontotemporal lobar degeneration. However, the pathogenesis and symptomatic lesions remain unclear. We report a case of PiD with a short disease duration and compare it to a case series to reveal the association between degenerative patterns and clinical manifestations. Case Presentation: The patient showed a marked decline in motivation at the age of 54 years. He was admitted with a clinical diagnosis of depressive disorder at the age of 56 years. He exhibited only apathy and lacked typical behavioral symptoms. Specialist observation revealed behavioral symptoms such as disinhibition, a lack of empathy, and hyperorality that had previously unnoticed by the patient's family members. The patient died of acute heart failure 4 days after hospitalization. Postmortem examination revealed a brain weight of 1090 g, with focal atrophy of the bilateral frontal and temporal lobes. Neuropathological findings mainly presented as numerous Pick bodies (PBs), mainly in the frontal lobe and hippocampus. PBs were immunopositive for phosphorylated tau and 3-repeat tau but negative for 4-repeat tau. The pathological findings in this case corresponded to phase II of PiD staging as defined in a previous study. Conclusion: The clinical symptoms in this case, primarily characterized by apathy with minimal behavioral symptoms, were consistent with the predominant pathological involvement of the dorsolateral frontal lobe. The present case was interpreted as early-phase PiD. A comparison of the case series suggested that early-phase PiD cases may help clarify the association between early clinical manifestations and focal degenerative lesions in the frontal lobe.

Indexed as

apathydepressionpathologyPick's diseasetau

Identifiers

PMID40342333
PMCPMC12059257

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.