Caspian Journal of Internal Medicine، جلد ۸، شماره ۴، صفحات ۳۲۱-۳۲۸
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی A challenging entity: multiple sclerosis or collagen tissue disorders: A case series of 6 patients
چکیده انگلیسی مقاله Background: Multiple sclerosis and other demyelinating processes are sometimes difficult to differentiate from the neurological involvement in autoimmune diseases. Distinguishing multiple sclerosis from other lesions due to autoimmune diseases is crucial to avoid unsuitable or delayed treatments. Methods: Charts of 6 patients diagnosed with mimicking multiple sclerosis between 1996 and 2014 were retrospectively assessed. Results: The mean age at diagnosis was 35±7 years. The most commonly neurological manifestation at onset was paraparesis due to transverse myelopathy and uni/bilateral optic neuropathy. All our patients suffered from recurrent episodes of optic neuritis with a mean lag time of 12 months. Other initial presenting neurological manifestations in our patients included ataxic gait and pyramidal syndrome. Systemic symptoms occurred a long time before or after their initial neurological presentation. All patients had numerous T2 hyperintense lesions in the periventricular white matter and spinal cord with contrast enhancement. The antibodies tests revealed the presence of significant amounts of anti-nuclear antibodies. The anti-phospholipid antibodies were negative in all patients. All patients were treated with corticosteroid therapy and neurological features were cleared in all cases. Conclusion: Multiple sclerosis, other myelitis and optic neuritis, are sometimes difficult to differentiate from CNS involvement in autoimmune disease. Indeed, the clinical presentation, immunological profile and MRI lesions may be similar.
کلیدواژه‌های انگلیسی مقاله multiple sclerosis, autoimmne disease, optic neurits
نویسندگان مقاله raida بنیامین صلاح | raida ben salah
hedi chaker hospital, departement of internal medicine, sfax, tunisia


یسری cherif | yosra cherif
hedi chaker hospital, departement of internal medicine, sfax, tunisia


feten frikha | feten frikha
hedi chaker hospital, departement of internal medicine, sfax, tunisia


chifa dammak | chifa dammak
hedi chaker hospital, departement of internal medicine, sfax, tunisia


مونا snoussi | mouna snoussi
hedi chaker hospital, departement of internal medicine, sfax, tunisia


معز jallouli | moez jallouli
department of internal medicine, hedi chaker university hospital, sfax-tunisie


سامه marzouk | sameh marzouk
department of internal medicine, hedi chaker university hospital, sfax-tunisie


mhiri chokri | mhiri chokri
department of neurology, habib bourguiba university hospital, sfax-tunisie.


zouhir بهلول | zouhir bahloul
hedi chaker hospital, departement of internal medicine, sfax, tunisia
نشانی اینترنتی http://caspjim.com/browse.php?a_code=A-10-615-1&slc_lang=en&sid=en
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/176/article-176-449007.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Neurology
نوع مقاله منتشر شده Case Series
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