Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Differential Diagnosis of Suspected Multiple Sclerosis: Global Health Considerations Publisher Pubmed



Correale J1, 2 ; Solomon AJ3 ; Cohen JA4 ; Banwell BL5 ; Gracia F6 ; Gyang TV8 ; De Bedoya FHD9 ; Harnegie MP10 ; Hemmer B11 ; Jacob A12 ; Kim HJ13 ; Marrie RA14 ; Mateen FJ15 ; Newsome SD16 Show All Authors
Authors
  1. Correale J1, 2
  2. Solomon AJ3
  3. Cohen JA4
  4. Banwell BL5
  5. Gracia F6
  6. Gyang TV8
  7. De Bedoya FHD9
  8. Harnegie MP10
  9. Hemmer B11
  10. Jacob A12
  11. Kim HJ13
  12. Marrie RA14
  13. Mateen FJ15
  14. Newsome SD16
  15. Pandit L17
  16. Prayoonwiwat N18
  17. Sahraian MA19
  18. Sato DK20
  19. Saylor D16, 21
  20. Shi FD22, 23
  21. Siva A24
  22. Tan K25, 26
  23. Viswanathan S27
  24. Wattjes MP28
  25. Weinshenker B29
  26. Yamout B30
  27. Fujihara K31
Show Affiliations
Authors Affiliations
  1. 1. Department of Neurology, Fleni, Buenos Aires, Argentina
  2. 2. Institute of Biological Chemistry and Biophysics, CONICET/University of Buenos Aires, Buenos Aires, Argentina
  3. 3. Department of Neurological Sciences, Larner College of Medicine at the University of Vermont, Burlington, VT, United States
  4. 4. Department of Neurology, Mellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States
  5. 5. Division of Child Neurology, Department of Pediatrics, The Children's Hospital of Philadelphia, Department of Neurology, University of Pennsylvania, Philadelphia, PA, United States
  6. 6. Hospital Santo Tomas, Panama City, Panama
  7. 7. Universidad Interamericana de Panama, School of Medicine, Panama City, Panama
  8. 8. Department of Neurology, The Ohio State University, Columbus, OH, United States
  9. 9. Universidad Nacional de Asuncion, Centro Nacional de MS -Ministerio de Salud-Hospital IMT, Paraguay
  10. 10. Cleveland Clinic Libraries, Cleveland Clinic, Cleveland, OH, United States
  11. 11. Department of Neurology, Klinikum Rechts der Isar, School of Medicine and Health, Technical University of Munich, Munich Cluster for Systems Neurology, Munich, Germany
  12. 12. Cleveland Clinic, Abu Dhabi, United Arab Emirates
  13. 13. Department of Neurology, National Cancer Center, Goyang, South Korea
  14. 14. Departments of Internal Medicine and Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
  15. 15. Department of Neurology, Massachusetts General Hospital, Harvard University, Boston, United States
  16. 16. Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States
  17. 17. Center for Advanced Neurological Research, KS Hedge Medical Academy, Nitte University, Mangalore, India
  18. 18. Division of Neurology, Department of Medicine and Siriraj Neuroimmunology Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  19. 19. MS Research Center, Neuroscience Institute, Teheran University of Medical Sciences, Iran
  20. 20. Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, Brazil
  21. 21. University Teaching Hospital, Lusaka, Zambia
  22. 22. Tianjin Medical University General Hospital, Tianjin, China
  23. 23. National Clinical Research Center for Neurological Disorders, Beijing Tiantan Hospital, Beijing, China
  24. 24. Istanbul University Cerrahpasa, School of Medicine, Department of Neurology, Clinical Neuroimmunology Unit and MS Clinic, Istanbul, Turkey
  25. 25. Department of Neurology, National Neuroscience Institute, Singapore
  26. 26. Duke-NUS Medical School, Singapore
  27. 27. Department of Neurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
  28. 28. Department of Neuroradiology, Charite Berlin, Corporate Member of Freie Universitat zu Berlin, Humboldt-Universitat zu Berlin, Berlin, Germany
  29. 29. Department of Neurology, University of Virginia, Charlottesville, VA, United States
  30. 30. Neurology Institute, Harley Street Medical Center, Abu Dhabi, United Arab Emirates
  31. 31. Department of Multiple Sclerosis Therapeutics, Fukushima Medical University School of Medicine and Multiple Sclerosis and Neuromyelitis Optica Center, Southern TOHOKU Research Institute for Neuroscience, Koriyama, Japan

Source: The Lancet Neurology Published:2024


Abstract

The differential diagnosis of multiple sclerosis can present specific challenges in patients from Latin America, Africa, the Middle East, eastern Europe, southeast Asia, and the Western Pacific. In these areas, environmental factors, genetic background, and access to medical care can differ substantially from those in North America and western Europe, where multiple sclerosis is most common. Furthermore, multiple sclerosis diagnostic criteria have been developed primarily using data from North America and western Europe. Although some diagnoses mistaken for multiple sclerosis are common regardless of location, a comprehensive approach to the differential diagnosis of multiple sclerosis in Latin America, Africa, the Middle East, eastern Europe, southeast Asia, and the Western Pacific regions requires special consideration of diseases that are prevalent in those locations. A collaborative effort has therefore assessed global differences in multiple sclerosis differential diagnoses and proposed recommendations for evaluating patients with suspected multiple sclerosis in regions beyond North America and western Europe. © 2024 Elsevier Ltd