Fulminant multiple sclerosis in a 36-year-old man

Zaeem et al discuss the case study of a 36-year-old man with fulminant multiple sclerosis. The man has a 9-year history of stable, relapsing-remitting multiple sclerosis (MS) who presented to the emergency department with a 1-week history of blurred vision, vertigo, perioral numbness, difficulty wal...

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Bibliographic Details
Published inCanadian Medical Association journal (CMAJ) Vol. 194; no. 22; p. E776
Main Authors Zaeem, Zoya, Emery, Derek, Blevins, Gregg
Format Journal Article
LanguageEnglish
Published Canada CMA Impact Inc 06.06.2022
CMA Impact, Inc
Subjects
Care and treatment
Case reports
Case studies
Coma
Diagnosis
Emergency medical care
Immunoglobulins
Magnetic resonance imaging
Medical diagnosis
Mens health
Multiple sclerosis
Practice
Canada
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Summary:Zaeem et al discuss the case study of a 36-year-old man with fulminant multiple sclerosis. The man has a 9-year history of stable, relapsing-remitting multiple sclerosis (MS) who presented to the emergency department with a 1-week history of blurred vision, vertigo, perioral numbness, difficulty walking, aggression and confusion. Symptoms persisted despite the patient having started prednisolone 3 days before presentation. Several months previously, he had discontinued his maintenance therapy for MS--dimethyl fumarate, a nuclear factor erythroid 2-reIated factor 2 activator--owing to severe diarrhea.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.211807