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多发性硬化症的诊断、鉴别诊断及误诊

Diagnosis, Differential Diagnosis, and Misdiagnosis of Multiple Sclerosis.

作者信息

Solomon Andrew J

出版信息

Continuum (Minneap Minn). 2019 Jun;25(3):611-635. doi: 10.1212/CON.0000000000000728.

Abstract

PURPOSE OF REVIEW

The diagnosis of multiple sclerosis (MS) is often challenging. This article discusses approaches to the clinical assessment for MS that may improve diagnostic accuracy.

RECENT FINDINGS

Contemporary diagnostic criteria for MS continue to evolve, while knowledge about diseases that form the differential diagnosis of MS continues to expand. Recent data concerning causes of MS misdiagnosis (the incorrect assignment of a diagnosis of MS) have further informed approaches to syndromes that may mimic MS and the accurate diagnosis of MS.

SUMMARY

This article provides a practical update on MS diagnosis through a discussion of recently revised MS diagnostic criteria, a renewed consideration of MS differential diagnosis, and contemporary data concerning MS misdiagnosis.

摘要

综述目的

多发性硬化症(MS)的诊断往往具有挑战性。本文讨论了可能提高诊断准确性的MS临床评估方法。

最新发现

MS的当代诊断标准不断演变,而构成MS鉴别诊断的疾病知识也在不断扩展。关于MS误诊(错误地诊断为MS)原因的最新数据,进一步为可能模仿MS的综合征及MS的准确诊断方法提供了信息。

总结

本文通过讨论最近修订的MS诊断标准、重新考虑MS鉴别诊断以及关于MS误诊的当代数据,对MS诊断进行了实用的更新。

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