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Clinical Crossroads Update
June 23/30, 1999

A 29-Year-Old Man With Multiple Sclerosis, 1 Year Later

Author Affiliations

From the Division of General Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 1999;281(24):2329. doi:10.1001/jama.281.24.2329

In June 1998, at Neurology Grand Rounds, Richard A. Rudick, MD, discussed treatment for a young man with a 14-month history of multiple sclerosis.1 The patient's symptoms had manifested primarily with weakness in both legs. Dr Rudick discussed the treatment options for the patient, focusing on whether, when, and how to initiate therapy for patients with recent onset of disease. We asked the patient and his physician to comment on the year that has passed.