Format

Send to

Choose Destination
Mult Scler. 2015 Mar;21(3):282-93. doi: 10.1177/1352458514564490. Epub 2014 Dec 22.

A systematic review of the incidence and prevalence of autoimmune disease in multiple sclerosis.

Author information

1
Departments of Internal Medicine and Community Health Sciences, University of Manitoba, Canada rmarrie@hsc.mb.ca.
2
Departments of Internal Medicine and Community Health Sciences, University of Manitoba, Canada.
3
Mellen Center for MS Treatment and Research, Cleveland Clinic, USA.
4
Department of Neurology and Neurotherapeutics, University of Texas Southwestern, USA.
5
Department of Neurology, Copenhagen University Hospital Rigshospitalet, Denmark.
6
Department of Biostatistics, University of Alabama at Birmingham, USA.
7
Scientific and Clinical Review Associates, LLC, USA.
8
Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari, Italy.

Abstract

BACKGROUND:

As new therapies emerge which increase the risk of autoimmune disease it is increasingly important to understand the incidence of autoimmune disease in multiple sclerosis (MS).

OBJECTIVE:

The purpose of this review is to estimate the incidence and prevalence of comorbid autoimmune disease in MS.

METHODS:

The PUBMED, EMBASE, SCOPUS and Web of Knowledge databases, conference proceedings, and reference lists of retrieved articles were searched, and abstracts were independently screened by two reviewers. The data were abstracted by one reviewer using a standardized data collection form, and the findings were verified by a second reviewer. We assessed quality of the included studies using a standardized approach and conducted meta-analyses of population-based studies.

RESULTS:

Sixty-one articles met the inclusion criteria. We observed substantial heterogeneity with respect to the populations studied, methods of ascertaining comorbidity, and reporting of findings. Based solely on population-based studies, the most prevalent autoimmune comorbidities were psoriasis (7.74%) and thyroid disease (6.44%). Our findings also suggest an increased risk of inflammatory bowel disease, likely uveitis and possibly pemphigoid.

CONCLUSION:

Fewer than half of the studies identified were of high quality. Population-based studies that report age, sex and ethnicity-specific estimates of incidence and prevalence are needed in jurisdictions worldwide.

KEYWORDS:

Multiple sclerosis; autoimmune disease; comorbidity; incidence; prevalence

PMID:
25533299
PMCID:
PMC4429166
DOI:
10.1177/1352458514564490
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center