Current Advances in Pediatric Onset Multiple Sclerosis

Multiple sclerosis (MS) is an autoimmune inflammatory disease affecting the central nervous system leading to demyelination. MS in the pediatric population is rare, but has been shown to lead to significant disability over the duration of the disease. As we have learned more about pediatric MS, ther...

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Main Authors: Kristen S. Fisher, Fernando X. Cuascut, Victor M. Rivera, George J. Hutton
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/8/4/71
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author Kristen S. Fisher
Fernando X. Cuascut
Victor M. Rivera
George J. Hutton
author_facet Kristen S. Fisher
Fernando X. Cuascut
Victor M. Rivera
George J. Hutton
author_sort Kristen S. Fisher
collection DOAJ
description Multiple sclerosis (MS) is an autoimmune inflammatory disease affecting the central nervous system leading to demyelination. MS in the pediatric population is rare, but has been shown to lead to significant disability over the duration of the disease. As we have learned more about pediatric MS, there has been a development of improved diagnostic criteria leading to earlier diagnosis, earlier initiation of disease-modifying therapies (DMT), and an increasing number of DMT used in the treatment of pediatric MS. Over time, treatment with DMT has trended towards the initiation of higher efficacy treatment at time of diagnosis to help prevent further disease progression and accrual of disability over time, and there is evidence in current literature that supports this change in treatment patterns. In this review, we discuss the current knowledge in diagnosis, treatment, and clinical outcomes in pediatric MS.
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spelling doaj.art-62eea336db694fc8a1d47c916dc9c7572023-11-16T14:32:30ZengMDPI AGBiomedicines2227-90592020-03-01847110.3390/biomedicines8040071Current Advances in Pediatric Onset Multiple SclerosisKristen S. Fisher0Fernando X. Cuascut1Victor M. Rivera2George J. Hutton3Baylor College of Medicine, Texas Children’s Hospital, Houston, TX 77030, USABaylor College of Medicine, Maxine Mesinger Multiple Sclerosis Center, Houston, TX 77030, USABaylor College of Medicine, Maxine Mesinger Multiple Sclerosis Center, Houston, TX 77030, USABaylor College of Medicine, Maxine Mesinger Multiple Sclerosis Center, Houston, TX 77030, USAMultiple sclerosis (MS) is an autoimmune inflammatory disease affecting the central nervous system leading to demyelination. MS in the pediatric population is rare, but has been shown to lead to significant disability over the duration of the disease. As we have learned more about pediatric MS, there has been a development of improved diagnostic criteria leading to earlier diagnosis, earlier initiation of disease-modifying therapies (DMT), and an increasing number of DMT used in the treatment of pediatric MS. Over time, treatment with DMT has trended towards the initiation of higher efficacy treatment at time of diagnosis to help prevent further disease progression and accrual of disability over time, and there is evidence in current literature that supports this change in treatment patterns. In this review, we discuss the current knowledge in diagnosis, treatment, and clinical outcomes in pediatric MS.https://www.mdpi.com/2227-9059/8/4/71multiple sclerosispediatric multiple sclerosisneuroimmunologydemyelinating diseasepediatric neurologychild neurology
spellingShingle Kristen S. Fisher
Fernando X. Cuascut
Victor M. Rivera
George J. Hutton
Current Advances in Pediatric Onset Multiple Sclerosis
Biomedicines
multiple sclerosis
pediatric multiple sclerosis
neuroimmunology
demyelinating disease
pediatric neurology
child neurology
title Current Advances in Pediatric Onset Multiple Sclerosis
title_full Current Advances in Pediatric Onset Multiple Sclerosis
title_fullStr Current Advances in Pediatric Onset Multiple Sclerosis
title_full_unstemmed Current Advances in Pediatric Onset Multiple Sclerosis
title_short Current Advances in Pediatric Onset Multiple Sclerosis
title_sort current advances in pediatric onset multiple sclerosis
topic multiple sclerosis
pediatric multiple sclerosis
neuroimmunology
demyelinating disease
pediatric neurology
child neurology
url https://www.mdpi.com/2227-9059/8/4/71
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