Article Text

PDF
Commentary
  1. A Coles
  1. Neurology Unit, University of Cambridge School of Clinical Medicine, Addenbrookes Hospital Box 111, Hills Road, Cambridge CB2 0SP, UK; ajc1020{at}medschl.cam.ac.uk

Statistics from Altmetric.com

Michael Hutchinson, although a self-confessed “oldie”, is no reactionary. The experience of treating patients with multiple sclerosis (MS) for 35 years and observing the “consequences of the inadequacy of the present first-line therapies” has turned him into an aggressive therapist. He proposes that we focus on patients with early disease and monitor them frequently (at least 6-monthly), using clinical and MRI markers of disease activity, in order to introduce disease-modifying therapy quickly. And we should escalate therapy rapidly to second-line drugs if there is any clinical or radiological evidence of new lesion formation while on the interferons or glatiramer. All …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Editor’s choice
    Charles Warlow