The impact of diagnostic criteria for neuromyelitis optica in patients with MS: a 10-year follow-up of the South Atlantic Project

Background: It is recognized that there is a particular geographic and ethnic distribution of neuromyelitis optica (NMO) among Caucasian and non-Caucasian populations. Objective: To review the diagnoses of patients whom were enrolled in the South Atlantic Project, a Brazilian multiple sclerosis (MS)...

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Veröffentlicht in:Multiple sclerosis 2014-03, Vol.20 (3), p.374-381
Hauptverfasser: Papais-Alvarenga, Regina M, Vasconcelos, Claudia CF, Alves-Leon, Soniza V, Batista, Elizabeth, Santos, Claudia MM, Camargo, Solange MGG, Godoy, Mauricio, Lacativa, Maria C, Lorenti, Mariangela, Damasceno, Benito, Damasceno, Alfredo, Brum, Doralina, Barreira, Amilton A, Guimarães Rocha, Maria S, Alvarenga, Helcio, Tilbery, Charles P
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container_end_page 381
container_issue 3
container_start_page 374
container_title Multiple sclerosis
container_volume 20
creator Papais-Alvarenga, Regina M
Vasconcelos, Claudia CF
Alves-Leon, Soniza V
Batista, Elizabeth
Santos, Claudia MM
Camargo, Solange MGG
Godoy, Mauricio
Lacativa, Maria C
Lorenti, Mariangela
Damasceno, Benito
Damasceno, Alfredo
Brum, Doralina
Barreira, Amilton A
Guimarães Rocha, Maria S
Alvarenga, Helcio
Tilbery, Charles P
description Background: It is recognized that there is a particular geographic and ethnic distribution of neuromyelitis optica (NMO) among Caucasian and non-Caucasian populations. Objective: To review the diagnoses of patients whom were enrolled in the South Atlantic Project, a Brazilian multiple sclerosis (MS) survey performed from 1995–1998, and to identify NMO and MS case frequencies. Methods: We reviewed the data from a 10-year follow-up of MS patients. To apply the current diagnostic criteria, the neurologists were asked to collect clinical and laboratory data from the medical records of study patients treated from 1999–2009. Results: The spectrum of inflammatory demyelinating disease in 322 patients (67% white; 33% African-Brazilian) was: 49 (15%) with NMO; 14 (4%) with NMO syndromes; 10 (3%) with acute disseminated encephalomyelitis (ADEM); one isolated tumefactive brain lesion; 249 (77%) with MS (151 with relapsing–remitting MS (RRMS), 70 with secondary progressive MS (SPMS) and 27 with primary progressive MS (PPMS)). Disability was more severe in NMO and PPMS. One-third of the NMO patients had died. Conclusions: The frequency of NMO was 6.8% in São Paulo and 20.5% in Rio de Janeiro, and mainly seen in persons of African descent, which strengthens the hypothesis of there being an ethnic association of this disease. We recommend that epidemiological studies on MS that were performed previously be reviewed again, to ensure more accurate diagnoses.
doi_str_mv 10.1177/1352458513495580
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Objective: To review the diagnoses of patients whom were enrolled in the South Atlantic Project, a Brazilian multiple sclerosis (MS) survey performed from 1995–1998, and to identify NMO and MS case frequencies. Methods: We reviewed the data from a 10-year follow-up of MS patients. To apply the current diagnostic criteria, the neurologists were asked to collect clinical and laboratory data from the medical records of study patients treated from 1999–2009. Results: The spectrum of inflammatory demyelinating disease in 322 patients (67% white; 33% African-Brazilian) was: 49 (15%) with NMO; 14 (4%) with NMO syndromes; 10 (3%) with acute disseminated encephalomyelitis (ADEM); one isolated tumefactive brain lesion; 249 (77%) with MS (151 with relapsing–remitting MS (RRMS), 70 with secondary progressive MS (SPMS) and 27 with primary progressive MS (PPMS)). Disability was more severe in NMO and PPMS. One-third of the NMO patients had died. Conclusions: The frequency of NMO was 6.8% in São Paulo and 20.5% in Rio de Janeiro, and mainly seen in persons of African descent, which strengthens the hypothesis of there being an ethnic association of this disease. We recommend that epidemiological studies on MS that were performed previously be reviewed again, to ensure more accurate diagnoses.</description><identifier>ISSN: 1352-4585</identifier><identifier>EISSN: 1477-0970</identifier><identifier>DOI: 10.1177/1352458513495580</identifier><identifier>PMID: 23970504</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Child ; Cross-Sectional Studies ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Disease Progression ; Diseases of visual field, optic nerve, optic chiasma and optic tracts ; Female ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Middle Aged ; Multiple Sclerosis - complications ; Multiple Sclerosis - pathology ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Nervous system (semeiology, syndromes) ; Neurology ; Neuromyelitis Optica - diagnosis ; Neuromyelitis Optica - etiology ; Ophthalmology ; Young Adult</subject><ispartof>Multiple sclerosis, 2014-03, Vol.20 (3), p.374-381</ispartof><rights>The Author(s) 2013</rights><rights>2015 INIST-CNRS</rights><rights>SAGE Publications © Mar 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-27f6e4249013b8a71ba33c99a08226cb75440921a5c4b5062e847ad347a884933</citedby><cites>FETCH-LOGICAL-c428t-27f6e4249013b8a71ba33c99a08226cb75440921a5c4b5062e847ad347a884933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1352458513495580$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1352458513495580$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28269334$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23970504$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Papais-Alvarenga, Regina M</creatorcontrib><creatorcontrib>Vasconcelos, Claudia CF</creatorcontrib><creatorcontrib>Alves-Leon, Soniza V</creatorcontrib><creatorcontrib>Batista, Elizabeth</creatorcontrib><creatorcontrib>Santos, Claudia MM</creatorcontrib><creatorcontrib>Camargo, Solange MGG</creatorcontrib><creatorcontrib>Godoy, Mauricio</creatorcontrib><creatorcontrib>Lacativa, Maria C</creatorcontrib><creatorcontrib>Lorenti, Mariangela</creatorcontrib><creatorcontrib>Damasceno, Benito</creatorcontrib><creatorcontrib>Damasceno, Alfredo</creatorcontrib><creatorcontrib>Brum, Doralina</creatorcontrib><creatorcontrib>Barreira, Amilton A</creatorcontrib><creatorcontrib>Guimarães Rocha, Maria S</creatorcontrib><creatorcontrib>Alvarenga, Helcio</creatorcontrib><creatorcontrib>Tilbery, Charles P</creatorcontrib><title>The impact of diagnostic criteria for neuromyelitis optica in patients with MS: a 10-year follow-up of the South Atlantic Project</title><title>Multiple sclerosis</title><addtitle>Mult Scler</addtitle><description>Background: It is recognized that there is a particular geographic and ethnic distribution of neuromyelitis optica (NMO) among Caucasian and non-Caucasian populations. 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Conclusions: The frequency of NMO was 6.8% in São Paulo and 20.5% in Rio de Janeiro, and mainly seen in persons of African descent, which strengthens the hypothesis of there being an ethnic association of this disease. We recommend that epidemiological studies on MS that were performed previously be reviewed again, to ensure more accurate diagnoses.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Disease Progression</subject><subject>Diseases of visual field, optic nerve, optic chiasma and optic tracts</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Sclerosis - complications</subject><subject>Multiple Sclerosis - pathology</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. 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Objective: To review the diagnoses of patients whom were enrolled in the South Atlantic Project, a Brazilian multiple sclerosis (MS) survey performed from 1995–1998, and to identify NMO and MS case frequencies. Methods: We reviewed the data from a 10-year follow-up of MS patients. To apply the current diagnostic criteria, the neurologists were asked to collect clinical and laboratory data from the medical records of study patients treated from 1999–2009. Results: The spectrum of inflammatory demyelinating disease in 322 patients (67% white; 33% African-Brazilian) was: 49 (15%) with NMO; 14 (4%) with NMO syndromes; 10 (3%) with acute disseminated encephalomyelitis (ADEM); one isolated tumefactive brain lesion; 249 (77%) with MS (151 with relapsing–remitting MS (RRMS), 70 with secondary progressive MS (SPMS) and 27 with primary progressive MS (PPMS)). Disability was more severe in NMO and PPMS. One-third of the NMO patients had died. Conclusions: The frequency of NMO was 6.8% in São Paulo and 20.5% in Rio de Janeiro, and mainly seen in persons of African descent, which strengthens the hypothesis of there being an ethnic association of this disease. We recommend that epidemiological studies on MS that were performed previously be reviewed again, to ensure more accurate diagnoses.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>23970504</pmid><doi>10.1177/1352458513495580</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Cerebrospinal fluid. Meninges. Spinal cord
Child
Cross-Sectional Studies
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Disease Progression
Diseases of visual field, optic nerve, optic chiasma and optic tracts
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Multiple Sclerosis - complications
Multiple Sclerosis - pathology
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Nervous system (semeiology, syndromes)
Neurology
Neuromyelitis Optica - diagnosis
Neuromyelitis Optica - etiology
Ophthalmology
Young Adult
title The impact of diagnostic criteria for neuromyelitis optica in patients with MS: a 10-year follow-up of the South Atlantic Project
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