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Disclosing a Misdiagnosis of Multiple Sclerosis: Do No Harm?

Solomon, Andrew J. MD; Klein, Eran MD, PhD

CONTINUUM: Lifelong Learning in Neurology:
doi: 10.1212/01.CON.0000433281.18146.5b
Ethical Perspectives

The difficulty of diagnosing multiple sclerosis (MS) has been well documented. However, recent data also suggests that neurologists frequently encounter the clinical challenge of having to undo a misdiagnosis of MS. Undiagnosing MS has important clinical, psychosocial, and economic consequences for the patient, the treating neurologist, and the healthcare system at large. This article presents a case of misdiagnosed MS and discusses ethical challenges and obligations for the neurologist.

Author Information

Address correspondence to Dr Andrew J. Solomon, Department of Neurology, University of Vermont College of Medicine, University Health Center-Arnold 2, 1 South Prospect St, Burlington, VT 05401,

Relationship Disclosure: Drs Solomon and Klein report no disclosures.

Unlabeled Use of Products/Investigational Use Disclosure: Drs Solomon and Klein report no disclosures.

© 2013 American Academy of Neurology