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Book Reviews
October 1999

Symptom Management in Multiple Sclerosis, 3rd edition

Author Affiliations



Not Available


edited by Randall T. Schapiro, MD, 204 pp, with illus, $19.95, ISBN 1888799226, New York, NY, Demos Medical Publishing Inc, 1998.


Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

Arch Neurol. 1999;56(10):1297-1298. doi:

The focus of this book is to provide patients with multiple sclerosis (MS) and their families, friends, and health care professionals with guidance for the care of patients with MS. The book is divided into 3 sections.

Part I, "What Is Multiple Sclerosis?" includes 3 chapters. Chapter 1, "Multiple Sclerosis Is . . . ," describes the disease in layman's terms. It is well written, clear, and concise. Topics include the anatomy of the disease, myelin, demyelination, MS characteristics and classification of disease, the immune system, and possible causes of MS. Chapter 2, "The Management of MS," describes how to choose a physician, the importance of working with an MS specialist, and the role of alternative medicine in the treatment of MS. Chapter 3, "Management of the Disease Process," briefly describes the role of the new immunomodulating therapies (Avonex [interferon beta-1a], Betaseron [interferon beta-1b], and Copaxone [glatiramer acetate]) that are used to treat MS. This chapter appropriately emphasizes that these medications are not necessary for everyone with MS and that the decision to treat should be individualized to the patient's particular type of disease. Important subtopics also include side-effect management of the immunomodulating therapies and a short section on steroid treatment for acute exacerbation.

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