A woman with sensory deficits, paresthesias, and ataxia

Jon Casto1, Jennifer Childers

  • 1Jon Casto practices at Family Health Associates in South Charleston, W.Va. Jennifer Childers is an associate professor in the PA program at Marietta College in Marietta, Ohio, and practices part-time in occupational medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Multiple sclerosis (MS) is a demyelinating and inflammatory disease that is thought to be autoimmune in nature. MS typically affects young women ages 20 to 40 years, but late-onset MS (after age 50 years) is more prevalent than previously thought. Between 4% and 9% of patients with MS have symptoms onset after age 50 years.

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