多发性硬化症的错误诊断:沙特阿拉伯的两个高等中心的经验
Yaser Al Malik1, Abdulaziz A Aldbas2, Eythar S Alrushid2
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Department of Neurology, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Multiple sclerosis and related disorders
|November 1, 2025
概括
多发性硬化症 (MS) 的误诊影响了4.4%的转诊患者,经常被误诊为其他神经疾病. 这凸显了诊断警的关键需要,以确保及时和适当的患者护理.
科学领域:
- 神经学 神经学
- 诊断的准确性 诊断的准确性
- 神经免疫学 神经免疫学
背景情况:
- 准确的诊断对于有效的疾病管理至关重要.
- 多发性硬化症 (MS) 的错误诊断可能导致治疗延迟,不必要的干预和严重的患者负担.
研究的目的:
- 确定MS误诊的发病率在被转诊到专门诊所的患者中.
- 为了描述错误诊断的患者群体.
- 为了确定MS误诊的常见替代诊断.
主要方法:
- 从2017-2022年对1,223名患者的病历进行了回顾性审查.
- 由四名具有多发性硬化症子专业专业知识的神经病学家进行评估.
- 对人口统计数据和替代诊断的分析.
主要成果:
- 54名患者 (4.4%) 被误诊为MS.
- 大多数被误诊的患者是女性 (62.96%).
- 常见的替代诊断包括无差异白质疾病 (16.6%) 和非特异的神经症状与异常MRI (14.81%).
结论:
- 错误诊断MS发生在一个显著的速度,影响患者的结果和医疗保健资源.
- 提高诊断警和对差异诊断的认识是必不可少的.
- 像神经髓炎光学谱系障碍和MOGAD这样的疾病应在MS差异诊断中考虑.
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