Mal'tsev D V
Lik Sprava. 2014 May-Jun(5-6):3-19.
Multiple sclerosis--important and unsolved problem of modern neurology. Despite a great deal of publications, in the modern theory of multiple sclerosis there remain many unresolved problems, without solving of which no further advances in the diagnosis and treatment can be possible. The present work elucidates blind spots in pathogenesis of the disease to indicate the most perspective directions of research, the results of which would allow the optimization of existing diagnostic and therapeutic algorithms. Microbial triggers, immunopathological mechanisms, association with immunodeficiencies, efficacy of the immunotherapy and side effects of the immunosuppressants as well as additional antimicrobial treatment are discussed.
多发性硬化症——现代神经病学中重要且未解决的问题。尽管有大量的出版物,但在现代多发性硬化症理论中仍存在许多未解决的问题,不解决这些问题,诊断和治疗就不可能取得进一步进展。本研究阐明了该疾病发病机制中的盲点,以指出最具前景的研究方向,其结果将有助于优化现有的诊断和治疗算法。文中讨论了微生物触发因素、免疫病理机制、与免疫缺陷的关联、免疫治疗的疗效和免疫抑制剂的副作用以及额外的抗菌治疗。