Cossburn, Mark, Tackley, George, Baker, K., Ingram, Gillian, Burtonwood, Mark, Malik, Gauhar, Pickersgill, Trevor, te Water Naude, Johann and Robertson, Neil ORCID: https://orcid.org/0000-0002-5409-4909 2012. The prevalence of neuromyelitis optica in South East Wales. European Journal of Neurology 19 (4) , pp. 655-659. 10.1111/j.1468-1331.2011.03529.x |
Abstract
Background and purpose: Neuromyeltis optica (NMO) is a neuroinflammatory disorder considered rare in Caucasian populations. However, accurate population-based epidemiological data for NMO and NMO spectrum disorder (NMO-SD) from Western populations employing validated diagnostic criteria remain limited. We sought therefore to estimate the prevalence and clinical features of NMO in a north European Caucasian population in South East Wales. Methods: Patients were identified by a comprehensive, multistage ascertainment strategy employing a regional neuroinflammatory disease register, hospital diagnostic databases personal physician referrals and regional requests for anti-aquaporin-4 antibodies (anti-AQP4). Results: Fourteen Caucasian patients (11 patients with NMO and three with NMO-SD) were identified in a population of 712 572 (19.6/million; 95% CIs: 12.2–29.7). There was an excess of females (female:male 12:2), 11/14 were anti-AQP4 positive and 5/14 had disease onset under the age of 20 years. Conclusion: This study suggests that NMO and related spectrum disorders are at least as frequent in Northern European populations as in non-Caucasian populations and that the demographic profile of prevalent patients differs from clinic-based cohorts.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG) Medicine |
Subjects: | R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
Uncontrolled Keywords: | adult, myelitis, neuromyelitis optica, optic neuritis, paediatric, epidemiology |
Publisher: | Wiley |
ISSN: | 1351-5101 |
Last Modified: | 06 Nov 2022 13:28 |
URI: | https://orca.cardiff.ac.uk/id/eprint/27118 |
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