"Undiagnosing" multiple sclerosis: the challenge of misdiagnosis in MS.

Abstract:

OBJECTIVE:To describe the clinical characteristics of encounters with patients misdiagnosed with multiple sclerosis (MS). METHODS:A cross-sectional Internet-based physician survey of MS specialists was performed. RESULTS:The response rate for the survey was 50.4%. Of those who responded, the majority (95%) reported having evaluated 1 or more patients who had been diagnosed with MS, but who they strongly felt did not have MS, within the last year. The majority of respondents (>90%) also reported the use of disease-modifying therapy in a proportion of these patients. Most respondents (94%) found clinical encounters with these patients equally or more challenging than giving a new diagnosis of MS. Fourteen percent of respondents reported that they did not always inform such patients of their opinion that they did not have MS. CONCLUSIONS:The misdiagnosis of MS is common and has significant consequences for patient care and health care system costs. Caring for a patient with a misdiagnosis of MS is challenging, and at times honest disclosure of a misdiagnosis represents an important ethical concern for neurologists. More data are needed on this patient population to improve diagnostic acumen and the care of these patients.

journal_name

Neurology

journal_title

Neurology

authors

Solomon AJ,Klein EP,Bourdette D

doi

10.1212/WNL.0b013e318259e1b2

subject

Has Abstract

pub_date

2012-06-12 00:00:00

pages

1986-91

issue

24

eissn

0028-3878

issn

1526-632X

pii

WNL.0b013e318259e1b2

journal_volume

78

pub_type

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