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儿童多发性硬化症

Multiple sclerosis in children.

作者信息

Inaloo Soroor, Haghbin Saideh

机构信息

Associate Professor of Pediatric Neurology, Neonatal Research Center, Pediatrics Department, Shiraz University of Medical Sciences, Shiraz, Iran.

Fellow of Pediatric ICU, Assistant Professor of Pediatrics, Neonatal Research Center, Pediatrics Department, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Child Neurol. 2013 Spring;7(2):1-10.

PMID:24665290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3943036/
Abstract

Multiple sclerosis (MS) is the most important immune-mediated demyelinated disease of human which is typically the disease of young adults. A total of 4% to 5% of MS population are pediatric. Pediatric MS is defined as the appearance of MS before the age of sixteen. About 80% of the pediatric cases and nearly all adolescent onset patients present with attacks typical to adult MS. Approximately 97% to 99% of the affected children have relapsing-remitting MS, while 85% to 95% of the adults experience such condition. MS in children is associated with more frequent and severe relapses. Treatment is the same as adults. We aimed to review the epidemiology, etiology, clinical manifestations, and treatment of MS in children.

摘要

多发性硬化症(MS)是人类最重要的免疫介导性脱髓鞘疾病,通常是年轻人易患的疾病。MS患者中4%至5%为儿童患者。儿童MS被定义为16岁之前出现的MS。约80%的儿童病例以及几乎所有青少年起病的患者都表现出与成人MS典型发作相同的症状。约97%至99%的患病儿童患有复发缓解型MS,而成人患者中这一比例为85%至95%。儿童MS的复发更为频繁和严重。其治疗方法与成人相同。我们旨在综述儿童MS的流行病学、病因、临床表现及治疗方法。

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Multiple sclerosis in children.儿童多发性硬化症
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2
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Increased relapse rate in pediatric-onset compared with adult-onset multiple sclerosis.与成人起病的多发性硬化症相比,儿童起病的多发性硬化症复发率更高。
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Ten-year prognosis in multiple sclerosis: a better outcome in relapsing-remitting patients but not in primary progressive patients.多发性硬化症的十年预后:复发缓解型患者预后较好,但原发进展型患者并非如此。
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引用本文的文献

1
Comparison of Diffuse Weighted Imaging and Fluid Attenuation Inversion Recovery Sequences of MRI in Brain Multiple Sclerosis Plaques Detection.磁共振成像的弥散加权成像与液体衰减反转恢复序列在脑多发性硬化斑块检测中的比较
Iran J Child Neurol. 2017 Winter;11(1):13-20.
2
Diagnosis and Management of Multiple Sclerosis in Children.儿童多发性硬化症的诊断与管理
Iran J Child Neurol. 2016 Summer;10(3):13-23.
3
Neuroplasticity in Early Onset Multiple Sclerosis.早发性多发性硬化症中的神经可塑性
Iran J Child Neurol. 2014 Fall;8(4):80-1.

本文引用的文献

1
Antibody response to common viruses and human leukocyte antigen-DRB1 in pediatric multiple sclerosis.儿童多发性硬化症中常见病毒和人类白细胞抗原-DRB1 的抗体反应。
Mult Scler. 2013 Jun;19(7):891-5. doi: 10.1177/1352458512469693. Epub 2012 Dec 11.
2
The management of pediatric multiple sclerosis.小儿多发性硬化症的管理
J Child Neurol. 2012 Nov;27(11):1384-93. doi: 10.1177/0883073812452785. Epub 2012 Aug 21.
3
Multiple sclerosis: risk factors and their interactions.多发性硬化症:危险因素及其相互作用。
CNS Neurol Disord Drug Targets. 2012 Aug;11(5):545-55. doi: 10.2174/187152712801661266.
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Common viruses associated with lower pediatric multiple sclerosis risk.常见病毒与儿童多发性硬化症风险降低相关。
Neurology. 2011 Jun 7;76(23):1989-95. doi: 10.1212/WNL.0b013e31821e552a.
5
Management of pediatric central nervous system demyelinating disorders: consensus of United States neurologists.小儿中枢神经系统脱髓鞘疾病的管理:美国神经科医生的共识
J Child Neurol. 2011 Jun;26(6):675-82. doi: 10.1177/0883073810395141. Epub 2011 Apr 25.
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Clinical, environmental, and genetic determinants of multiple sclerosis in children with acute demyelination: a prospective national cohort study.儿童急性脱髓鞘性疾病中多发性硬化的临床、环境和遗传决定因素:一项前瞻性全国队列研究。
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Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria.多发性硬化症的诊断标准:2010 年麦克唐纳标准修订版。
Ann Neurol. 2011 Feb;69(2):292-302. doi: 10.1002/ana.22366.
8
Safety and efficacy of natalizumab in children with multiple sclerosis.那他珠单抗治疗儿童多发性硬化症的安全性和疗效。
Neurology. 2010 Sep 7;75(10):912-7. doi: 10.1212/WNL.0b013e3181f11daf.
9
Jean-Martin Charcot: the father of neurology.让-马丁·夏科:神经病学之父。
Clin Med Res. 2011 Mar;9(1):46-9. doi: 10.3121/cmr.2009.883. Epub 2010 Aug 25.
10
Vitamin D status is associated with relapse rate in pediatric-onset multiple sclerosis.维生素 D 状态与儿童发病多发性硬化症的复发率相关。
Ann Neurol. 2010 May;67(5):618-24. doi: 10.1002/ana.21972.