Claim your CME credit at https://reachmd.com/programs/cme/multiple-sclerosis-pediatric-pregnant-patients-challenges-treatment/10334/
MS is a challenging chronic disease to manage for any healthcare professional, but the most difficult cases we often face involve children and pregnant women. Up to 5% of people diagnosed with MS are under the age of 16. The peak age of diagnosis for women falls between 20 and 50 years old; however, that also happens to be the highest fertility window for these patients. Each of these populations present their own unique challenges, so on today’s program we’re going to focus on the best treatment strategies to overcome these issues for pediatric and pregnant MS patients.
Case 1:
This pediatric case involves a 7-year-old boy who develops a URI and two weeks later becomes lethargic, followed by ataxia. He presents at the ER where he was afebrile, sleepy, and unable to walk unassisted.
Case 2:
This patient is a 27-year-old, married mother of a 4-year-old boy presenting with optic neuritis, and numbness and tingling in her legs. She’s given a diagnosis of MS and placed on a first-line classic agent, interferon beta-1a. After 2 months, the patient learns she is pregnant.