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Epidemiology

PD is part of a larger class of so-called "Parkinsonian Disorders". These are all characterised by the same set of physical symptoms — collectively termed "Parkinsonism" — but differ in the underlying pathology. As the name suggests, the disease now thought of as "classical" PD was the first of this type to be described. It is the most common cause of Parkinsonism (about 80% of cases) and may be divided into two further categories.

Cases where the underlying cause of the neurodegeneration has not been established and where there is no clear genetic linkage are described as idiopathic (or sporadic). Such cases (about 95% of those diagnosed as PD) are typically late-onset and display the classical PD symptoms and pathology. The remaining 5% of cases (classified as familial or inherited) have been associated with a family history of the disorder. Many of these have been linked with one or more specific mutations. Familial cases tend to be young-onset (diagnosed below the age of 40) and are sometimes classified as "atypical Parkinsonism".

PD occurs worldwide, but incidence can differ significantly between countries. For example, prevalence rates in China and Africa are much lower than elsewhere in the world. In the UK, prevalence is about 1 in 500 to 1 in 1000 of the general population. The average age of onset varies between about 55 and 65 years of age and the incidence increases with age to about 1% of those over 65. Because of this, it is generally seen as a disease of the elderly. However, about 10% of cases are diagnosed below the age of 40. (This is described as young-onset PD.) According to some studies, incidence appears to vary between the genders, with 3 men affected for every woman diagnosed.

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