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Identifying SPMS in practice

 

Highlights of the 29th Congress of the European Committee for Treatment and Research in MS (ECTRIMS), Copenhagen, DK, October 2-5, 2013 – Secondary-progressive MS (SPMS) has been variously defined, but physicians’ determinations may substantially delay the diagnosis, according to an analysis by the MSBase group (Spelman et al. ECTRIMS 2013; abstract 125).

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Dietary sodium linked to increased disease activity in MS

 

Highlights of the 29th Congress of the European Committee for Treatment and Research in MS (ECTRIMS), Copenhagen, DK, October 2-5, 2013 – A Yale University study presented earlier this year suggested that dietary sodium chloride levels may drive autoimmune diseases by induced pathogenic Th17 cells, based on results from mouse and human cell cultures (Kleinewietfeld et al. Nature 2013;496:518-522). In high-salt conditions, Th17 cells increased production of inflammatory cytokines such as TNF-alpha and IL-2.

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MRI measures provide reliable indication of treatment response

 

Highlights of the 29th Congress of the European Committee for Treatment and Research in MS (ECTRIMS), Copenhagen, DK, October 2-5, 2013 – Recent treatment optimization recommendations have emphasized the importance of monitoring both clinical (relapses, EDSS progression) and radiological (T2 or T1 lesions) changes when assessing treatment response (Freedman et al. Can J Neurol Sci 2013;40: 307-323).

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