LAUSR

Dear Editor, Here we report a case of an elderly patient with progress cognitive impairment and hoarding behavior who was diagnosed with cerebral amyloid angiopathy. The study was approved by the Institutional Review Board (IRB) of Soonchunhyang University Bucheon Hospital (2019-11-020). A 75-year-old female patient visited the outpatient clinic presented with a 1-year history of cognitive decline and hoarding behavior. She was an elementary school graduate and a widow who used to live alone. When her mother passed away a year ago, she had a period of bereavement. Around that time, she started to have trouble remembering the location of her possessions. Her memory impairment rapidly worsened over time and deficits in instrumental activities of her daily living performance became prominent over the past several months. A month ago, she had to move in with her daughter and her disorientation to time and person was worsened to a degree which she became difficult to recognize her sister or her sonin-law. Her hoarding behavior also had developed over the past year. She had difficulty discarding objects and compulsively collected various items that were no value to her and accumulated in her home. When her daughter cleared the patient’s house a month ago, every surface in her home except for where she slept and ate was covered with stacks of items. During the interview, she showed euthymic mood and appropriate range of affect. She showed concerns of her cognitive impairment but lacked awareness of her problem of hoarding. Print ISSN 1738-3684 / On-line ISSN 1976-3026 OPEN ACCESS