Repetition of single words and pronounceable nonwords (pseudowords) wa
s assessed in Alzheimer's Disease (AD) patients to evaluate how lexica
l phonological processing might be accomplished when semantic and conc
eptual knowledge is impaired. AD patients performed significantly wors
e than healthy elderly controls on all repetition tasks. However, repe
tition abilities and dementia severity were not correlated, and AD pat
ients produced the same distribution of error types as controls. Furth
ermore, despite their semantic problems, AD patients, Like controls, s
howed a significant advantage for repeating real words compared to pse
udowords, even when repeating low frequency phonologically complex wor
ds whose meaning is not likely to have been retained. The results supp
ort the postulated existence of a lexical phonological system that is
used to repeat both known and novel words and that processes linguisti
c information independent of its meaning.