Mixed Dementia Alzheimer and Lewy body with congenital diseases: Case Study

Abstract

Objectives: Dementia due to Alzheimer's disease (AD) and dementia with Lewy bodies (DLB) are the diseases that appear together, especially in elderly people. Still, clinical identification of dementia is difficult in such circumstances. Therefore, we conducted a case study with a comprehensive prospective clinical assessment and complete mental, physical, and psychiatric examination to diagnose such mixed cases clinically and for curative management of mixed dementia of Alzheimer's disease (AD) and dementia with Lewy bodies (DLB). Case: a 76 years old woman have anxiety that fluctuated. The history of medical disorders, physical examination and supporting examinations, was found that the patient had hypertension, dyslipidemia, hypothyroidism in treatment, Barrett's esophagus in therapy, osteoarthritis genu dextra, history of malnutrition, breast cancer and hysterectomy. The patient was advised to administer antipsychotics because the patient's agitation was severe and the caregiver's distress was high. The patient improved with pharmacological therapy and family monitoring support. Conclusion: The diagnosis of mixed dementia patients (Alzheimer's disease (AD) and dementia with Lewy bodies (DLB)) with a medical history of congenital disease has overlapping symptoms so that very selective drug treatment is needed so as not to worsen the condition of other diseases. The supportive role of the family can help cure mixed Alzheimer's disease (AD) and dementia with Lewy bodies (DLB) by creating a logbook of daily behavior and symptoms that appear in the patient.