Milder multiple sclerosis course in patients with concomitant inflammatory bowel disease
An association between multiple sclerosis (MS) and inflammatory bowel disease (IBD) has been suggested. The purpose of this study was to compare the disease course of patients with both MS and IBD with that of patients with isolated MS or isolated IBD. Sixty-six MS-IBD patients were identified and w...
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Veröffentlicht in: | Multiple sclerosis 2014-07, Vol.20 (8), p.1135-1139 |
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creator | Zéphir, Hélène Gower-Rousseau, Corinne Salleron, Julia Simon, Olivier Debouverie, Marc Le Page, Emmanuelle Bouhnik, Yoram Lebrun-Frenay, Christine Papeix, Caroline Vigneron, Benoît Allez, Matthieu Prin, Lionel Cosnes, Jacques Vermersch, Patrick Colombel, Jean-Frédéric |
description | An association between multiple sclerosis (MS) and inflammatory bowel disease (IBD) has been suggested. The purpose of this study was to compare the disease course of patients with both MS and IBD with that of patients with isolated MS or isolated IBD. Sixty-six MS-IBD patients were identified and were matched with 251 isolated MS and 257 isolated IBD controls. Main outcomes were scores using the Expanded Disability Status Scale (EDSS) in MS and extent of disease extension in IBD at last clinical evaluation. After a median 12 years of disease duration, the median EDSS and the percentages of patients reaching an EDSS of 3.0 and 4.0 were significantly lower in MS-IBD patients than in controls. MS had no impact on IBD. MS course appears to be milder in patients with concomitant IBD. |
doi_str_mv | 10.1177/1352458513515081 |
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The purpose of this study was to compare the disease course of patients with both MS and IBD with that of patients with isolated MS or isolated IBD. Sixty-six MS-IBD patients were identified and were matched with 251 isolated MS and 257 isolated IBD controls. Main outcomes were scores using the Expanded Disability Status Scale (EDSS) in MS and extent of disease extension in IBD at last clinical evaluation. After a median 12 years of disease duration, the median EDSS and the percentages of patients reaching an EDSS of 3.0 and 4.0 were significantly lower in MS-IBD patients than in controls. MS had no impact on IBD. MS course appears to be milder in patients with concomitant IBD.</description><identifier>ISSN: 1352-4585</identifier><identifier>EISSN: 1477-0970</identifier><identifier>DOI: 10.1177/1352458513515081</identifier><identifier>PMID: 24326672</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Biological and medical sciences ; Case-Control Studies ; Chemical Sciences ; Colitis, Ulcerative - diagnosis ; Colitis, Ulcerative - epidemiology ; Colitis, Ulcerative - immunology ; Crohn Disease - diagnosis ; Crohn Disease - epidemiology ; Crohn Disease - immunology ; Cross-Sectional Studies ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Disability Evaluation ; Female ; France - epidemiology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Immunomodulators ; Male ; Medical sciences ; Multiple Sclerosis - diagnosis ; Multiple Sclerosis - epidemiology ; Multiple Sclerosis - immunology ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Neurology ; Organic chemistry ; Other diseases. Semiology ; Pharmacology. Drug treatments ; Prognosis ; Protective Factors ; Risk Factors ; Severity of Illness Index ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Time Factors</subject><ispartof>Multiple sclerosis, 2014-07, Vol.20 (8), p.1135-1139</ispartof><rights>The Author(s) 2013</rights><rights>2015 INIST-CNRS</rights><rights>The Author(s) 2013.</rights><rights>SAGE Publications © Jul 2014</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-65ffb4a13349064b29e188765abbf520575da501270354f11718cd3ff66cd3d13</citedby><cites>FETCH-LOGICAL-c462t-65ffb4a13349064b29e188765abbf520575da501270354f11718cd3ff66cd3d13</cites><orcidid>0000-0003-4029-2012 ; 0000-0003-4074-6125 ; 0000-0002-7921-4583 ; 0000-0002-5787-4943 ; 0000-0003-0997-8817 ; 0000-0002-6659-6148 ; 0000-0002-2012-7522 ; 0000-0002-3713-2416</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1352458513515081$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1352458513515081$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,780,784,885,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28578117$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24326672$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-00917585$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Zéphir, Hélène</creatorcontrib><creatorcontrib>Gower-Rousseau, Corinne</creatorcontrib><creatorcontrib>Salleron, Julia</creatorcontrib><creatorcontrib>Simon, Olivier</creatorcontrib><creatorcontrib>Debouverie, Marc</creatorcontrib><creatorcontrib>Le Page, Emmanuelle</creatorcontrib><creatorcontrib>Bouhnik, Yoram</creatorcontrib><creatorcontrib>Lebrun-Frenay, Christine</creatorcontrib><creatorcontrib>Papeix, Caroline</creatorcontrib><creatorcontrib>Vigneron, Benoît</creatorcontrib><creatorcontrib>Allez, Matthieu</creatorcontrib><creatorcontrib>Prin, Lionel</creatorcontrib><creatorcontrib>Cosnes, Jacques</creatorcontrib><creatorcontrib>Vermersch, Patrick</creatorcontrib><creatorcontrib>Colombel, Jean-Frédéric</creatorcontrib><creatorcontrib>CFSEP, GETAID and EPIMAD Groups</creatorcontrib><creatorcontrib>for the CFSEP, GETAID and EPIMAD Groups</creatorcontrib><title>Milder multiple sclerosis course in patients with concomitant inflammatory bowel disease</title><title>Multiple sclerosis</title><addtitle>Mult Scler</addtitle><description>An association between multiple sclerosis (MS) and inflammatory bowel disease (IBD) has been suggested. The purpose of this study was to compare the disease course of patients with both MS and IBD with that of patients with isolated MS or isolated IBD. Sixty-six MS-IBD patients were identified and were matched with 251 isolated MS and 257 isolated IBD controls. Main outcomes were scores using the Expanded Disability Status Scale (EDSS) in MS and extent of disease extension in IBD at last clinical evaluation. After a median 12 years of disease duration, the median EDSS and the percentages of patients reaching an EDSS of 3.0 and 4.0 were significantly lower in MS-IBD patients than in controls. MS had no impact on IBD. MS course appears to be milder in patients with concomitant IBD.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Chemical Sciences</subject><subject>Colitis, Ulcerative - diagnosis</subject><subject>Colitis, Ulcerative - epidemiology</subject><subject>Colitis, Ulcerative - immunology</subject><subject>Crohn Disease - diagnosis</subject><subject>Crohn Disease - epidemiology</subject><subject>Crohn Disease - immunology</subject><subject>Cross-Sectional Studies</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Immunomodulators</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multiple Sclerosis - diagnosis</subject><subject>Multiple Sclerosis - epidemiology</subject><subject>Multiple Sclerosis - immunology</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Neurology</subject><subject>Organic chemistry</subject><subject>Other diseases. Semiology</subject><subject>Pharmacology. Drug treatments</subject><subject>Prognosis</subject><subject>Protective Factors</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Leukodystrophies. Prion diseases</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>France - epidemiology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Immunomodulators</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multiple Sclerosis - diagnosis</topic><topic>Multiple Sclerosis - epidemiology</topic><topic>Multiple Sclerosis - immunology</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Neurology</topic><topic>Organic chemistry</topic><topic>Other diseases. Semiology</topic><topic>Pharmacology. Drug treatments</topic><topic>Prognosis</topic><topic>Protective Factors</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. 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The purpose of this study was to compare the disease course of patients with both MS and IBD with that of patients with isolated MS or isolated IBD. Sixty-six MS-IBD patients were identified and were matched with 251 isolated MS and 257 isolated IBD controls. Main outcomes were scores using the Expanded Disability Status Scale (EDSS) in MS and extent of disease extension in IBD at last clinical evaluation. After a median 12 years of disease duration, the median EDSS and the percentages of patients reaching an EDSS of 3.0 and 4.0 were significantly lower in MS-IBD patients than in controls. MS had no impact on IBD. 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subjects | Adult Biological and medical sciences Case-Control Studies Chemical Sciences Colitis, Ulcerative - diagnosis Colitis, Ulcerative - epidemiology Colitis, Ulcerative - immunology Crohn Disease - diagnosis Crohn Disease - epidemiology Crohn Disease - immunology Cross-Sectional Studies Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Disability Evaluation Female France - epidemiology Gastroenterology. Liver. Pancreas. Abdomen Humans Immunomodulators Male Medical sciences Multiple Sclerosis - diagnosis Multiple Sclerosis - epidemiology Multiple Sclerosis - immunology Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Neurology Organic chemistry Other diseases. Semiology Pharmacology. Drug treatments Prognosis Protective Factors Risk Factors Severity of Illness Index Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Time Factors |
title | Milder multiple sclerosis course in patients with concomitant inflammatory bowel disease |
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