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Doctor insights on: Ms Relapse Remitting

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What is relapse remitting ms?

What is relapse remitting ms?

RRMS: Relapsing-remitting MS is the most common form of MS. In this, there are episodic "attacks" or relapses of symptoms interfering with neurological function. These could affect vision, movement, sensation, speaking, coordination, bowel or bladder function, etc. Normally these attacks last 2-3 days. They often are treatable and the symptoms resolve. ...Read more

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Dr. Bennett Machanic
1,453 doctors shared insights

Multiple Sclerosis (Definition)

A progressive disease that interferes with the functioning of the central nervous system and brain. Symptoms include numbness, impairment of speech and muscular coordination, blurred ...Read more


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What's new in treatment for relapsing remitting ms

What's new in treatment for relapsing remitting ms

Stay tuned: Stay tuned! this field is changing rapidly. Whereas injectable medications are the first tier of therapy, we are entering an era of oral medications and infrequent infusion therapies. Choosing the right therapy from this more and more crowded field of contenders will only get more complex. An MS specialist can help guide the discussion so that individuals can make the best informed choice. ...Read more

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What helps with MS relapsing?

What helps with MS relapsing?

Strategies: You first should prevent relapses by use of potent medication such as Gilenya or Tysabri (natalizumab). If you do have a relapse, should use steroids or ACTH. Vitamin D supplements do help, and a low fat, low salt diet may be considered. ...Read more

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Ms symptoms...Mri has MS typical lesions on brain...All else ruled out?

Ms symptoms...Mri has MS typical lesions on brain...All else ruled out?

How to diagnose MS: There are MS symptoms, and then there are symptoms that help to make the diagnosis of MS. For example, muscle spasm is a symptom of MS, and many other illnesses. Lesions of the brain are caused by MS, but also by viruses, head injuries, etc. If you have the right symptoms and the right MRI findings, the diagnosis should be clear. With MS, the diagnosis is rarely that easy to make. ...Read more

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Chance of ttp relapse while having/had rituximab therapy?

Chance of ttp relapse while having/had rituximab therapy?

TTP/rituximab: Twelve articles have reported 27 patients treated with Rituximab for ttp, with bene?t described in 25 (93%) of the patients. These observations from small uncontrolled case series is said to provide the background and rationale for a randomized clinical trial to establish the efficacy of Rituximab in this disease. ...Read more

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What expect when abruptly quitting natalizumab infusion? I'm being treated for ms

What expect when abruptly quitting natalizumab infusion? I'm being treated for ms

Risky idea: If you stop your infusions abruptly, and do not replace with a potent ms agent such as gilenya, you will be at very high risk for a relapse, and a substantial rebound of the disease, at about 3 months. If you do have a positive anti-jcv antibody test, you and your doctor might decide to stop tysabri (natalizumab) by 18-24 months, but you need to start a new medication. Discuss with your neurologist. ...Read more

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Treatment for relapsed myeloma?

Treatment for relapsed myeloma?

New agents: Pomalidomide and Kyprolis (carfilzomib) were recently approved for treatment of relapsed myeloma- should talk to a hematologist/oncologist for more details. ...Read more

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For Neurologist with sizeable Tecfidera MS pt load...Acute eosinophilia 1.4/12% 3wks on Tecfidera w/o new Sxs. What "transient increase"s have u seen?

For Neurologist with sizeable Tecfidera MS pt load...Acute eosinophilia 1.4/12% 3wks on Tecfidera w/o new Sxs. What "transient increase"s have u seen?

Experiences: First, am not enamored with Tecfidera, as over 20% of my patients have found it intolerable due to GI adverse events, and many have found it to be ineffectual. Can cause drops in lymphocytes and also affect other white cells, and your eosinophil elevation could very well represent a low level allergic response which may depart in a few weeks. Clarify the issues with your neurologist. ...Read more

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Is fibromyalgia forever progressive?

Is fibromyalgia forever progressive?

No: ? Whether fibromyalgia (FM) is "forever progressive". FM multifactorial & causes can vary from person to person. Deconditioning, weight gain, sedentary lifestyle, & multiple mechanical injuries seem to worsen prognosis. Those persons who improve do so by avoiding injuries, losing weight, & increasing gentle physical activity via yoga, walking & aquatherapy; also optimum nutrition, massage... ...Read more

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CSF says "mature lymphocytes" present. Also 5 OCBs. 4cm brain lesion, persistent enhancement, relapsing remitting symptoms. 5 years trying to dx. ?

CSF says "mature lymphocytes" present. Also 5 OCBs. 4cm brain lesion, persistent enhancement, relapsing remitting symptoms. 5 years trying to dx. ?

Not finished: You only present half the story, not the full feature. It is tempting to blurt out "MS" with 5 OCB, but there are other autoimmune disorders that are more rare. NOBODY (in my opinion) has a stronger autoimmune Neurology program than Mayo. If its been five years, no diagnosis, time to see an institution of that power. ...Read more

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Iis there anyone who has multiple sclerosis and taking tysabri (natalizumab)?

Iis there anyone who has multiple sclerosis and taking tysabri (natalizumab)?

Tysabri (natalizumab): I dont know the numbers but there are several patients who are taking injections of tysabri (natalizumab). ...Read more

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Dr. Agos Luca Dr. Luca
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Acute myeloid leukemia m2 relapse, what to do?

Dr. Agos Luca Dr. Luca
3 doctors agreed:
Acute myeloid leukemia m2 relapse, what to do?

See below...: Relapses of various types of leukemia including AML are still treatable. Consultation with an oncologist to discuss treatment options including chemotherapy and possibly bone marrow or stem cell transplantation is of paramount importance in managing the disease. ...Read more

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Has anyone ever taken tysabri (natalizumab) for multiple sclorosis with relief?

Has anyone ever taken tysabri (natalizumab) for multiple sclorosis with relief?

MS: Tysabri (natalizumab) is a well tolerated medicine, infused once monthly. It is clearly the most effective ms drug on the market but has a risk of a life threatening infection, pml. Does reduce relapses, disabiity, and MRI lesions, and seems to improve fatique and depression also. ...Read more

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Help.Lupus-like condition.Get flares of severe brain fog, confusion, dizziness -affects my job.Neg neuro work-up.Increasing prednisone during episodes& symptoms resolve.Lupus cerebritis still likely?

Help.Lupus-like condition.Get flares of severe brain fog, confusion, dizziness -affects my job.Neg neuro work-up.Increasing prednisone during episodes& symptoms resolve.Lupus cerebritis still likely?

Rheumatologist: You must be seeing a physician for this condition. Have them consider consultation with a neurologist. While on steroids you are at significantly greater risk for central nervous system and other infections. Cannot advise more without knowing your full medical history. ...Read more

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A friend had chronic demyelinating polyneuropathy (cidp), then got chronic lymphocytic leukemia 2 years later. Is cidp paraneoplastic syndrome sometimes?

A friend had chronic demyelinating polyneuropathy (cidp), then got chronic lymphocytic leukemia 2 years later. Is cidp paraneoplastic syndrome sometimes?

Not likely: Chronic inflammatory demyelinating polyradiculopathy (cidp) is almost always an autoimmune condition incited by some antecedent infection--c. Jejuni, ebv, cmv, or another infection. Antibodies produced against the virus/ bacteria/ pathogen cross-react with the myelin sheath on the nerve roots, first causing guillain-barre (aidp), then later cidp. It's exceedingly rare that cancer could cause this. ...Read more

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What is secondary progressive ms

See below: Secondary progressive MS is a more advanced stage of relapsing remitting ms. In this stage, individuals experience fewer recognized neurological relapses, and betwen such attacks begin to accumulate measureable worsening of physical or cognitive disability. It is not a distinct form of disease, but part of the spectrum of relapsing ms. ...Read more

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