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June 12, 2012; 78 (24) Editorials

Multiple sclerosis or multiple possibilities

The continuing problem of misdiagnosis

Richard A. Rudick, Aaron E. Miller
First published May 11, 2012, DOI: https://doi.org/10.1212/WNL.0b013e318259e2e2
Richard A. Rudick
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Aaron E. Miller
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Citation
Multiple sclerosis or multiple possibilities
The continuing problem of misdiagnosis
Richard A. Rudick, Aaron E. Miller
Neurology Jun 2012, 78 (24) 1904-1906; DOI: 10.1212/WNL.0b013e318259e2e2

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Article Information

vol. 78 no. 24 1904-1906
DOI: 
https://doi.org/10.1212/WNL.0b013e318259e2e2
PubMed: 
22581931

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
0028-3878
Online ISSN: 
1526-632X
History: 
  • First Published May 11, 2012.

Article Versions

  • Previous version (May 11, 2012 - 05:28).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
Copyright © 2012 by AAN Enterprises, Inc.

Author Disclosures

    1. Richard A. Rudick, MD and
    2. Aaron E. Miller, MD
  1. Richard A. Rudick, MD and
  2. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. Speaking Engagement, Biogen Idec, 2010; Investigator Meeting, Biogen Idec, 2010

    Editorial Boards:
    1. Editorial Board, Lancet Neurology 2008-present Editorial Board, Neurotherapeutics, 2010-present

    Patents:
    1. Biomarker for interferon response in multiple sclerosis. Patent pending

    Publishing Royalties:
    1. Multiple Sclerosis Therapeutics, Third Edition, Cohen, JA, Rudick RA (Eds). Informa Healthcare, UK, 2007

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. Biogen Idec Consultation x 2, 2011; x 1, 2012 Wyeth/Pfizer Pharmaceuticals, Consultation 2011 Genzyme Consultation 2011 Novartis Consultation 2011

    Speakers’ Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Biomarkers for the therapeutic response to IFNb. Measuring gene expression before and after IFNb injections in 85 patients (original study sponsored by NIH - PO1NS38667 - current extension of that study sponsored by Biogen Idec).

    Research Support, Government Entities:
    1. NIH - PO1NS38667 (2004-2009)Director, Project 4 NIH - UL1RR024989 (2007-2011)Co-Principal Investigator NIH - KL2RR024990 (2007-2011) Principal Investigator

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. National Multiple Sclerosis Society, Research Program Advisory Committee (Chairman) American Society for Experimental Neurotherapeutics (Member, Board of Directors)

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Aaron E. Miller, MD
  4. Scientific Advisory Boards:
    1. Sanofi-aventis, Biogen Idec, GlaxoSmithKline, EMD Serono, Teva Neuroscience; Daiichi-Sankyo, Merck Serono, Novartis, ONO, Acorda

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. sanofi-aventis--travel expenses to Paris for steering committee meeting, May 09; BiogenIdec travel expenses for scientific advisory meeting Feb 09, Jan 10; Daiichi- Sankyo travel expenses for trip to Chicago for DSMB meeting July 09; ONO travel expenses for trip to Philadelphia for DSMB meeting November 09; Acorda travel expenses to Washington to testify before FDA Advisory panel October 09

    Editorial Boards:
    1. Continuum (AAN) received fees as editor 2003-2012

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. Sanofi-aventis, Biogen Idec, GlaxoSmithKline, EMD Serono, Teva Neuroscience; Daiichi-Sankyo, Merck Serono, Novartis, ONO, Acorda Speakers’ Bureaus: BiogenIdec--2009--dinner presentation EMD Serono--2009-10--Dinner presentations

    Speakers’ Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Acorda--subinvestigator 2008-10 Novartis--2008-12 Site PI and subinvestigator Genzyme 2008-2012 subinvestigator Sanofi-aventis 2009-2012 site subinvestigator BiogenIdec--2010-2012 site subinvestigator

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. I have occasionally reviewed medico-legal cases as a defense expert; the cases are not in the public domain and remain confidential

  1. From the Department of Neurology (R.A.R.), Mellen Center for Multiple Sclerosis Treatment and Research, Neurological Institute, Cleveland Clinic, Cleveland, OH; and Department of Neurology (A.E.M.), Mount Sinai School of Medicine, New York, NY.
  1. Correspondence & reprint requests to Dr. Rudick: rudickr{at}ccf.org
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Cited By...

  • 20 Citations
  • Google Scholar

Disputes & Debates: Rapid online correspondence

  • Re:The problem of Misdiagnosis: Ongoing problem even if you make the correct initial diagnosis
    • Israel Steiner, Neurologist, Department of Neurology, Rabin Medical Center, Petach Tikva, Israelisteiner@cc.huji.ac.il
    Submitted July 25, 2012
  • The problem of Misdiagnosis: Ongoing problem even if you make the correct initial diagnosis
    • Joseph D. Weissman, Neurologist, Neurology Specialists of DecaturNimonitor@gmail.com
    Submitted June 25, 2012
  • Response to Dr. Deisenhammer
    • Richard A Rudick, Director, Mellen Center, Cleveland Clinicrudickr@ccf.org
    • Aaron Miller, New York
    Submitted June 21, 2012
  • MS diagnosis - back to the roots
    • Florian Deisenhammer, Professor of Neurology, Dept. of Neurology, Innsbruck Medical Universityflorian.deisenhammer@uki.at
    • Florian Deisenhammer
    Submitted June 20, 2012
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