In this observational study, 1.6% of patients who were initially suspected of having dementia were actually diagnosed with attention-deficit/hyperactivity disorder. Our previous case report suggested that very late-onset attention-deficit/hyperactivity disorder patients could be incorrectly diagnosed with dementia. These patients had four characteristics in common: (1) they were significantly younger than the complete study population (2) they predominantly showed inattention-related symptoms (3) they showed latent manifestation and (4) they experienced a stressful life event before manifestation. Although these 7 patients were initially suspected to have Alzheimer’s disease (considering their age, 6 of these 7 patients were suspected to have early onset Alzheimer’s disease), it was found that these symptoms were due to attention-deficit/hyperactivity disorder. Of 446 patients (246 women and 200 men), 7 patients were finally diagnosed with attention-deficit/hyperactivity disorder. Finally, these patients who were diagnosed with attention-deficit/hyperactivity disorder were investigated in detail to clarify their clinical characteristics. Those not diagnosed with dementia were examined for the presence or absence of attention-deficit/hyperactivity disorder in our specialty outpatient clinic for developmental disorders. First, the patients were examined for the presence or absence of dementia in our specialty outpatient clinic for dementia. Methodsįour hundred forty-six consecutive patients visiting our specialty outpatient clinic for dementia during the 2-year period from Apto Mawere included in this study. In this observational study, we aimed to investigate the prevalence and clinical features of such attention-deficit/hyperactivity disorders in older adults visiting our dementia clinic. As such, we had previously presented the first case report of “very” late-onset attention-deficit/hyperactivity disorder, wherein the symptoms presented in senile age. These reports have been limited to that of young adults, and details in older adults remain unknown. The age of attention-deficit/hyperactivity disorder onset is usually during the first 12 years of life however, there have been recent reports of late-onset attention-deficit/hyperactivity disorder.
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