By William A. Sheremata

Even if you're a newly clinically determined sufferer or a friend of somebody with a number of sclerosis, this booklet deals details and luxury. thoroughly revised and up to date, a hundred Questions & solutions approximately a number of Sclerosis, moment variation presents authoritative, sensible solutions to the most typical questions requested by means of sufferers. Written by means of a number one expert within the therapy of MS, this easy-to-read publication is a complete advisor to realizing explanations, analysis, therapy, and masses extra. together with real statement from sufferers, a hundred Questions & solutions approximately a number of Sclerosis, moment version is a useful source for somebody dealing with the scientific, mental, and emotional turmoil of this disorder.

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Extra info for 100 Questions & Answers About Multiple Sclerosis

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The committee has simply and clearly outlined MRI criteria that can be used together with a history of a single clinical attack (called clinically isolated syndrome [CIS]) to make a diagnosis of MS with a high degree of certainty. Approximately one in five or six persons diagnosed with MS based on MRI criteria will not have MS, however. In all probability, most of this small group will have had an attack of acute disseminated encephalomyelitis (a one-time “MS” attack). Recent evidence indicates that this kind of attack seems to be related to a different kind of immune reaction.

With effective treatment of infection, the bladder is likely to function more normally than one that is chronically irritated. Drugs that reduce the irritability of the bladder can be helpful but do not replace antibiotics for infections. qxd 12/22/05 1:23 PM Page 49 PART FOUR Causes of Multiple Sclerosis What causes MS? Do viruses cause MS? What is the role of the immune system in MS? Is MS hereditary? More... qxd 12/22/05 1 0 0 Q & A 1:23 PM Page 50 A B O U T M U L T I P L E S C L E R O S I S 38.

34. Why do some people get worse so quickly? Will I? There are probably many reasons why some people worsen more quickly than others. Stress is implicated in many other diseases, and without question, it plays an important role in MS. It is clear that some patients are genetically predisposed to rapid progression of illness. Persons who have the DR-2 (DR-1 1501) gene have more severe disease than those who do not. However, Dr. Dupont in Denmark showed 30 years ago that when patients have both the DR-2 gene and HLA-B7, they predictably have rapidly progressive disease and severe disability (malignant MS).

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