Solomon Andrew J, Klein Eran
Department of Neurology, University of Vermont College of Medicine, Burlington, VT 05401, USA.
Continuum (Minneap Minn). 2013 Aug;19(4 Multiple Sclerosis):1087-91. doi: 10.1212/01.CON.0000433281.18146.5b.
The difficulty of diagnosing multiple sclerosis (MS) has been well documented. However, recent data also suggests that neurologists frequently encounter the clinical challenge of having to undo a misdiagnosis of MS. Undiagnosing MS has important clinical, psychosocial, and economic consequences for the patient, the treating neurologist, and the healthcare system at large. This article presents a case of misdiagnosed MS and discusses ethical challenges and obligations for the neurologist.
多发性硬化症（MS）的诊断难度已有充分记录。然而，最近的数据也表明，神经科医生经常面临不得不纠正MS误诊这一临床挑战。撤销对MS的误诊对患者、主治神经科医生以及整个医疗系统都有重要的临床、心理社会和经济后果。本文介绍了一例MS误诊病例，并讨论了神经科医生面临的伦理挑战和责任。
