Description and characteristics of 81 patients attending the Reference Center for Multiple Sclerosis of the coastal region of the state of São Paulo - Brazil

Abstract

-O b j e c t i v e :65% of all patients were residents of the city of Santos. The mean age of these patients was 43 years (14 to 74 years), and the Expanded Disability Status Scale (EDSS) was ≤ 5.5 in 76.5% of the cases. 82.7% of the assessed patients presented the re l a p s i n g / remitting form of MS. 81.5% of all patients were underg o i n g t reatment with immunomodulators. Conclusion: Due to their clinical profile, patients seem to come to CEREM Litoral Paulista for prescription of immunomodulators. There is a clear need to identify other cases in the region and to allow other forms of treatment to be put into practice.KEY WORDS: multiple sclerosis, immunomodulators, city of Santos.Descrição e características dos 81 pacientes em seguimento no Centro de Referência em Esclero s e Múltipla do litoral paulista. RESUMO -Objetivo: Registrar os pacientes portadores de esclerose múltipla (EM) residentes na região do litoral paulista (CEREM Litoral Paulista). Método: Entrevistas individuais com casos identificados de EM.Resultados: 81 indivíduos com diagnóstico de EM (62 mulheres [76,5%] e 19 homens [23,5%]) concord a r a m em comparecer para re g i s t ro no centro. 65% do grupo total de pacientes eram residentes da cidade de S a n t o s . A idade média destes pacientes era 43 anos (14 a 74 anos), e o Expanded Disability Status Scale (EDSS) foi < 5,5 em 76,5% dos casos. 82,7% dos pacientes registrados apresentava a forma re m i t e n t e -re c o rrente de E M . 81,5% de todos os pacientes estava recebendo tratamento com imunomoduladore s . Conclusão: Pelo perfil clínico, os pacientes parecem vir ao CEREM Litoral Paulista para prescrição de imunomoduladores. Existe uma clara necessidade de identificar outros casos na região e permitir que outras formas de tratamento sejam implantadas.

Evaluación neuropsicológica en 129 pacientes chilenos con esclerosis múltiple recurrente remitente previo a inicio de fármacos inmunomoduladores

“…Estos datos están en concordancia con la literatura respecto de la presencia de AC desde etapas iniciales de la enfermedad en pacientes con poca discapacidad física [18][19][20][21] .…”

The prevalence of multiple sclerosis in Belo Horizonte, Brazil

“…Yet, most investigations have focused on clinical description of hospital-based or MS Centers cohorts in different parts of the country [9][10][11][12][13][14][15][16] . Other studies have concentrated on the association with HLA 17, 18 , the influence of ethnic factors on the phenomenological presentation of the disease 19 ; the neuropsychological aspects of the disease 20,21 and the impact of the disease on patients' quality of life 22 .…”

Clinical features of multiple sclerosis in the south of Brazil: a partial analysis

“…Epidemiologic studies in many Brazilian regions have been published [2][3][4][5][6][7][8][9][10][11][12] presenting demographic and clinical characteristics of treated patients at different clinics and hospitals. Nevertheless, there are no published data on MS patients in the state of Rio Grande do Sul.…”