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Recognizing early Parkinson disease (PD) can be tricky because patients can present with nonspecific signs or symptoms that overlap other common neurological and non-neurological disorders. In this case-control study, researchers focused on functional impairment prior to PD diagnosis, to gain a better understanding of prodromal or unrecognized PD. Using data from a U.S. national health survey, they recorded functional impairment-related symptoms reported by 56 PD patients (median age, 80) during the 3 years before the patients received diagnoses of PD; these cases were compared with several thousand age- and sex-matched control patients without PD.
Patients and controls were compared on 27 neurological signs and functional symptoms for each …