Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American Male

Multiple sclerosis (MS) has classically been described as a disease of the young Caucasian female. While the prevalence may seem to be higher in Caucasians (CAs), recent studies suggest that the real incidence of MS may actually be higher in African Americans (AAs). Here, we discuss a nonclassical c...

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Main Authors: Deanna Dong, Joshua Carlson, Joseph Ruberwa, Thomas Snihur, Nawar Al-Obaidi, José Bustillo
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2019/5787206
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author Deanna Dong
Joshua Carlson
Joseph Ruberwa
Thomas Snihur
Nawar Al-Obaidi
José Bustillo
author_facet Deanna Dong
Joshua Carlson
Joseph Ruberwa
Thomas Snihur
Nawar Al-Obaidi
José Bustillo
author_sort Deanna Dong
collection DOAJ
description Multiple sclerosis (MS) has classically been described as a disease of the young Caucasian female. While the prevalence may seem to be higher in Caucasians (CAs), recent studies suggest that the real incidence of MS may actually be higher in African Americans (AAs). Here, we discuss a nonclassical case of MS in an older African American male, prognostic factors, disease patterns in African Americans, and how a delay in diagnosis and socioeconomic factors can lead to worse outcomes. In patients that present with possible symptoms of MS, a high suspicion for MS should be entertained even in epidemiologically atypical patients to prevent delay in diagnosis and irreversible disability.
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institution Kabale University
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publisher Wiley
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spelling doaj-art-05822387f7d64160ab1afb2777bb12902025-02-03T07:23:49ZengWileyCase Reports in Medicine1687-96271687-96352019-01-01201910.1155/2019/57872065787206Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American MaleDeanna Dong0Joshua Carlson1Joseph Ruberwa2Thomas Snihur3Nawar Al-Obaidi4José Bustillo5St. George’s University School of Medicine, St. George’s, West Indies, GrenadaNewark Beth Israel Medical Center, Department of Internal Medicine, Newark, NJ, USANewark Beth Israel Medical Center, Department of Internal Medicine, Newark, NJ, USASt. George’s University School of Medicine, St. George’s, West Indies, GrenadaNewark Beth Israel Medical Center, Department of Internal Medicine, Newark, NJ, USANewark Beth Israel Medical Center, Department of Internal Medicine, Newark, NJ, USAMultiple sclerosis (MS) has classically been described as a disease of the young Caucasian female. While the prevalence may seem to be higher in Caucasians (CAs), recent studies suggest that the real incidence of MS may actually be higher in African Americans (AAs). Here, we discuss a nonclassical case of MS in an older African American male, prognostic factors, disease patterns in African Americans, and how a delay in diagnosis and socioeconomic factors can lead to worse outcomes. In patients that present with possible symptoms of MS, a high suspicion for MS should be entertained even in epidemiologically atypical patients to prevent delay in diagnosis and irreversible disability.http://dx.doi.org/10.1155/2019/5787206
spellingShingle Deanna Dong
Joshua Carlson
Joseph Ruberwa
Thomas Snihur
Nawar Al-Obaidi
José Bustillo
Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American Male
Case Reports in Medicine
title Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American Male
title_full Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American Male
title_fullStr Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American Male
title_full_unstemmed Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American Male
title_short Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American Male
title_sort unmasking the masquerader a delayed diagnosis of ms and its 4 5 years of implications in an older african american male
url http://dx.doi.org/10.1155/2019/5787206
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