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Inflammatory Bowel Diseases and Multiple Sclerosis

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ìpAWÐ<br />

âõAo} / uBë ðùî / yíBoû 3 / KBüýr 3831<br />

Aq@ðñl Þú AuP×Bkû Aq kAoôøBÿ Âl ||a|-FNT |(ìBðñl |bamixilfni|) ko<br />

OõWýú oôAGÈ ìõWõk ko kuQ ðývQ(11 ,01). |Aq ÆpÖþ ârAoyùB cBÞþ<br />

WùQ<br />

ÞBÖþ AÆçÎBR AìB Þpk. AyBoû gõkAüíñþ AgPçæR GB @ðùB<br />

Aüò k ô GýíBoÿ, Aq ðËp ÎõAìê qìýñú|Aÿ, kAoAÿ ô Wõû ìzPpÞþ<br />

ìþ|GByñl Þú Aq Wíéú @ðùB ìþ|OõAó Gú OõqüÐ ðtAkÿ, uñþ ô øípAøþ<br />

GýíBoAó ìB uBGÛú gBðõAkâþ ìõèPýLê Außépôq ô GýíBoüùBÿ AèPùBGþ<br />

oôkû oA mÞp ðíþ|Þpkðl.<br />

AuPÏlAk Gú GýíBoÿ ìõèPýLê Außépôq ðÛzþ ðlAoðl(7) . øýa|üà Aq<br />

AÖrAü{<br />

|ko |)2DON( Þpôó GýíBoÿ ko ìvEõë sðùBÿ Þú yl külû<br />

Îéþ|oÒî Aüñßú uBèùB ÚHê, AoOHBÉ gBðõAkâþ Gýò GýíBoüùBÿ<br />

AèPùBGþ oôkû ô ìõèPýLê Außépôq ìõok OõWú ÚpAo âpÖQ(6) , GÏløB<br />

GýíBoüùBÿ AèPùBGþ oôkû ðýr ko øp k ô GýíBo Gú|gõGþ Gú koìBó KBui<br />

kAkðl.<br />

ÖpôÞ{ )gnittimer dna gnispaler( |øípAû Gõk. øýa|ÞlAï Aq<br />

GýíBoAó ðBOõAðBüýùBÿ οHþ øípAû ðlAyPñl. ÎçDî ìpGõÉ Gú<br />

gõGþ kAok(2) . uýp GýíBoÿ ìõèPýLê Außépôq ko øpk ô GýíBo ìB GB Îõk ô<br />

@âùþ<br />

Ký{ oôkû AèPùBGþ GýíBoüùBÿ Gú ìHPç GýíBoAó ko Außépôq<br />

kÞPp AGpAøýíþ koüBðþ ô øíßBoAó<br />

ìPh¿¿ýò ÚpAoâýpk(9,1) .<br />

Außépôq ô øí`ñýò øñãBï Gpôq ÎçDî âõAoyþ-oôkû|Aÿ ìrìò ko<br />

ìHPçüBó Gú ìõèPýLê Außépôq, GpouýùBÿ KBoAÞéýñýßþ ìõok ðËp<br />

GB OõWú Gú ìÇBèI ÖõÝ, Aüò ðßPú cBDr AøíýQ AuQ Þú ko uýp<br />

GBèýñþ GýíBoüùBÿ AèPùBGþ oôkû, ÎçDî οHþ ìÇp f|Þññlû ìõèPýLê<br />

|AuP×Bkû ðíþ|Þpkðl; ÖpÂýú Aôë Þú ko ðùBüQ GýBðãp oAGÇú GýíBoüùBÿ<br />

AèPùBGþ oôkû ô ìõèPýLê AußépôqAuQ GýzPpìþ|OõAðl ìõok OõWú ÚpAoâýpk.<br />

ìvPÛýî ì¿pÙ Aüò kAoôøB kAðvQ. cBë, GB OõWú Gú Aüñßú AÞTpüQ<br />

GýíBoAó ârAo} ylû ko ìÛBæR ìhPéØ Aq kAoôøBÿ Âl |a|-FNT<br />

ìþ|OõAðl Gú ôAuÇú ì¿pÙ kAoôøBüþ øí`õó |bamixilfni |AÖrAü{<br />

üBGl. Gp AuBx ÖpÂýú k ôï ìõèPýLê Außépôq oA ìþ|OõAó ÎBoÂú<br />

Gú Aüò ìvEéú ìþ|OõAó k ô ÖpÂýú ìP×BôR oA ìÇp f Þpk: GpAuBx ÖpÂýú<br />

Aôë Gpôq ìõèPýLê Außépôq ko ìHPçüBó Gú GýíBoüùBÿ AèPùBGþ oôkû<br />

ìõèPýLê Außépôq ðýr kAoðl, Aq Aüò kAoôøB AuP×Bkû ðzõk(31) . GB OõWú<br />

øírìBó<br />

Þú oôkû AèPùBGþ GýíBoüùBÿ Gú ìHPç GýíBoAó ko AuQ ylû<br />

kìýéýñýrAó yHýú Gú ìõèPýLê Außépôq yõk(21) . Gú øíýò kèýê Oõ¾ýú<br />

AèPùBGBR<br />

Gpôq Gú ìñXp ìþ|OõAðl oôkû AèPùBGþ GýíBoüùBÿ Gú ìHPçüBó<br />

1. Rang EH, Brooke BN, Hermon-taylor J. Association of<br />

ulcerative colitis with multiuple sclerosis[letter]. lancet<br />

1982; 2: 555.<br />

2. Keiko K, Hunter SF, Thol<strong>and</strong>er MS et al. Concurrence of<br />

inflammatory bowel disease <strong>and</strong> multiple sclerosis. Mayo<br />

Clin Proc 2000; 75: 802-6.<br />

3. Kitchin LI, Knobler RL, Friedman LS. Crohn's disease in a<br />

patient with multiple sclerosis. J Clin Gastroenterol 1991;<br />

13: 331-4.<br />

4. Bussino GP, Corrente G, visiniti D. Crohn's disease <strong>and</strong><br />

multiple sclerosis: a single case report. Ital J Neurol Sci<br />

1994; 15: 303-6.<br />

5. Agranoff D, schon F. Are focal white matter lesions in<br />

patients with inflammatory bowel disease linked to multiple<br />

sclerosis [letter]. Lancet 1995; 346: 190-1.<br />

6. Minuk GY, Lewkonia RM. Possible familial association of<br />

multiple sclerosis <strong>and</strong> inflammatory bowel disease[letter]. N<br />

Eng J Med 1986; 314: 586.<br />

7. Sawcer S, Maranian M, Hensiek A et al. Crohn's associated<br />

NOD2 gene variants are not involved in determining susceptibility<br />

to multiple sclerosis. J Neurol Neurosurg Psychiatry<br />

2003; 74: 1157.<br />

8. Lossos A, River Y, Eliamkim A et al. Neurological aspects of<br />

inflammatory bowel disease. Neurology 1995; 45: 416-21.<br />

9. P<strong>and</strong>ian JD, Pawar G, Singh GS et al. <strong>Multiple</strong> sclerosis in a<br />

patient with chronic ulcerative colitis. Neurol India 2004;<br />

52: 282-283.<br />

10.Thomas CW Jr., Weinshenker BG, S<strong>and</strong>born WJ.<br />

Demyelination during anti-tumor necrosis factor alpha therapy<br />

with infliximab for Crohn's disease. Inflamm <strong>Bowel</strong> Dis<br />

2004; 10: 28-31.<br />

11.Do Olek MJ. Epidemiology, risk factors, <strong>and</strong> clinical features<br />

of multiple sclerosis. In: UpToDate, Rose BD,<br />

UpToDate, Wellesley, MA, 2004.<br />

12.Loftus EV Jr. Clinical epidemiology of inflammatory bowel<br />

disease: incidence, prevalence, <strong>and</strong> environmental influences.<br />

Gastroenterology 2004; 126: 1504-17.<br />

13.Nanavati SA, Ergun GA, Schwartz JT. Avoiding infliximab<br />

in the treatment of Crohn's disease in patients with multiple<br />

sclerosis. Am J Gastroenterol 2003; 98: 2333-4.<br />

190

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