Portal de Cartagena
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Nearly 100 doctors participate in the second course of neuroimmunology 'Differential diagnosis of multiple sclerosis: neuromyelitis optica and encephalitis autoimmune', especially neurologists and other medical specialties involved in the treatment of these patients, and which is organized by the Neurology service from the Santa Lucía hospital, the Menéndez Pelayo International University in Cartagena and the Neurology Association of Cartagena (Ancar).
This training action is divided into three thematic blocks and aims to update knowledge on the forms of presentation of multiple sclerosis and pathologies of immune origin that can be confused in their diagnosis as neuromyelitis optics and encephalitis.
Sometimes it can be difficult to determine, at first, if the symptoms that a patient experiences have their origin in multiple sclerosis, and this diagnosis is complicated since, every time, more diseases of immune origin are identified that can be confused with this pathology.
However, the appearance of new diagnostic methods for the detection of antibodies involved favors the diagnosis of other less frequent pathologies.
Multiple sclerosis has an incidence of approximately 100 cases per 100,000 population.
It is a progressive disease of the central nervous system of immunological origin that has an important impact on the life of the patient and their family environment, and in which early treatment and control of the disease are essential.
Other pathologies
Among the pathologies that will be addressed in the course is optical neuromyelitis, which has a frequency of between 0.7 to 4 cases per 100,000 inhabitants and affects the spinal cord and the optic nerve, so it can be confusing with multiple sclerosis
Encephalitis is a diffuse involvement of the brain in most cases of infectious cause, but up to 20 percent of cases can be caused by the immune system.
A third type of pathology that is discussed in the course is disseminated acute encephalomyelitis, more frequent in children with an incidence of around 0.5 per 100,000 in children under 15 years of age, and which often occurs after infectious processes.
Neuroimmunology consultations
At present, about 400 patients at the local level are in follow-up in the neuroimmunology and multiple sclerosis clinics of the Santa Lucía Hospital of the Hospital Complex of Cartagena.
The management of these patients requires the appropriate choice of a medication in each circumstance and its modification at the precise moment depending on the personal characteristics of each patient, the activity of the disease and the side effects present, and specialized units are increasingly necessary and specific training for this pathology, in continuous therapeutic and research progress.
Source: CARM
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