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Multiple Sclerosis l: Introduction01:19

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Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
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Experimental Autoimmune Uveitis: An Intraocular Inflammatory Mouse Model
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Multiple sclerosis-associated uveitis in Persian population, a multicenter study.

Pasha Anvari1, Sahba Fekri2, Alireza Hedayatfar3

  • 1Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Multiple Sclerosis and Related Disorders
|October 30, 2024
PubMed
Summary
This summary is machine-generated.

Multiple sclerosis-associated uveitis (MSU) in Persians often presents as chronic, bilateral intermediate uveitis in females, sometimes mimicking undifferentiated intermediate uveitis. Early neuroimaging is recommended in high MS prevalence areas for suspected cases.

Keywords:
Demyelinating plaque associated uveitisGranulomatous keratic precipitateMultiple sclerosis associated uveitisNeuroimagingRetinal vasculitisUndifferentiated Intermediate uveitis

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Area of Science:

  • Ophthalmology
  • Neurology
  • Immunology

Background:

  • Multiple sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system.
  • Uveitis, inflammation of the vascular layer of the eye, can be associated with MS.
  • Understanding the characteristics of MS-associated uveitis (MSU) is crucial for timely diagnosis and management.

Purpose of the Study:

  • To characterize multiple sclerosis-associated uveitis (MSU) in the Persian population.
  • To identify epidemiological, clinical, and visual outcome patterns of MSU.

Main Methods:

  • Retrospective, nonrandomized, multicenter study.
  • Analysis of epidemiological data, ocular and neurological findings, angiographic features, and visual outcomes in 92 patients with MSU.
  • Review of fluorescein angiography (FA) findings and causes of visual impairment.

Main Results:

  • MSU predominantly affected females (84.8%) with a mean age of 35.9 years, often presenting as bilateral intermediate uveitis (84.8%) with a chronic, granulomatous course (81.9%).
  • MS diagnosis preceded uveitis in 48.8% of cases (median 7 years prior) and followed in 52.2% (median 2 years later).
  • Peripheral retinal perivascular leakage (81.4%) and optic disc hyperfluorescence (74.4%) were common FA findings; cataracts (52.7%) and cystoid macular edema (31.5%) were major causes of visual impairment.

Conclusions:

  • MSU typically manifests as chronic, bilateral, granulomatous intermediate uveitis, particularly in females, and can present as isolated anterior uveitis or retinal vasculitis.
  • Clinically, MSU may resemble undifferentiated intermediate uveitis, highlighting the need for neuroimaging in endemic areas.
  • Expanded neuroimaging indications for chronic granulomatous uveitis, especially with retinal vasculitis, are suggested in regions with high MS prevalence.