Upper Respiratory Infections and MRI Activity in Relapsing-Remitting Multiple Sclerosis
Artikel i vetenskaplig tidskrift, 2015

Background: Although clinical reports have suggested a relationship between systemic infections and multiple sclerosis (MS) relapses, MRI evidence supporting an association is conflicting. Here we evaluated the temporal relationship between upper respiratory infections (URIs) and MRI activity in relapsing-remitting (RR) MS. Methods: We combined individual data on URI with data on active lesions in pre-scheduled MRI examinations performed every 4 weeks for 28 weeks in 69 patients. A 4-week at-risk (AR) period started, by definition, 1 week before the onset of a URI. We recorded the relationship between the number of active lesions in each MRI with (1) the number of days of AR time in the immediately preceding 4-week period and (2) the number of days passed since the onset of a preceding URI. Results: Average MRI lesions/day showed no difference between AR (0.0764) and not-AR (0.0774) periods. The number of lesions in 483 pre-scheduled MRI examinations did not correlate with the AR proportion in the prior 4-week period (rho = -0.03), and time from URI onset did not correlate with lesion number on the next MRI examination (rho = 0.003). Conclusion: The occurrence of a URI did not increase the risk of MRI activity evaluated in an adjacent 4-week window in RRMS.

skov

övre luftvägsinfektioner

magnetkamera (MR)

multipel skleros

Författare

Maria Kneider

Göteborgs universitet

Vera Lisovskaja

Göteborgs universitet

Chalmers, Matematiska vetenskaper, matematisk statistik

Jan Lycke

Göteborgs universitet

Clas Malmeström

Göteborgs universitet

Johannes Jakobsen

Olle Nerman

Chalmers, Matematiska vetenskaper, matematisk statistik

Göteborgs universitet

Oluf Andersen

Göteborgs universitet

Neuroepidemiology

0251-5350 (ISSN) 1423-0208 (eISSN)

Vol. 45 2 83-89

Ämneskategorier

Klinisk medicin

Neurologi

DOI

10.1159/000437371

PubMed

26316226

Mer information

Skapat

2017-10-07