Multiple sclerosis in Iraq: does it have the same features encountered in Western countries?
OBJECTIVE
To characterize the clinical, demographic and epidemiological features of MS patients from the only specialised MS centre in Iraq.


METHODS
Data for consecutive Iraqi MS patients attending the Baghdad Multidiscipline MS Clinic between 2000 and 2002 who fulfilled Poser et al. criteria for clinically definite (CD) and clinically probable (CP) MS were reviewed.


RESULTS
We identified a total of 300 MS patients (164 females, 54.7%; 136 males, 45.3%) with a mean age of onset being 29.2+/-7.8 years and the duration being 8.6+/-5.9 years. According to the year of clinical onset of MS, a progressive increase in cases in the last two decades and a trend towards more females was noted. Initial symptom was reported as motor in 31.7%, sensory in 28.3%, optic nerve in 24% and brainstem or cerebellar in 22.3% of patients. The course was relapsing-remitting in 199 (66.3%) patients, secondary progressive in 56 (18.7%) and primary progressive (PP) in 45 (15%) patients.


CONCLUSIONS
MS is not rare in Iraq; its demographic and clinical data were, in general, similar to those reported in Caucasian populations. There was some evidence for North-South gradient and a possible increasing incidence characterized by an increase in female preponderance during the last 2 decades.
Al-Araji
Adnan
A
Baghdad MS Clinic, Medical City Teaching Hospital, University of Baghdad, Baghdad, Iraq. adnanalaraji@yahoo.com
Mohammed
Ayad I
AI
D000328:Adult; D017677:Age Distribution; D017668:Age of Onset; D003710:Demography; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007493:Iraq / Q000453:epidemiology; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000145:classification / Q000453:epidemiology* / Q000473:pathology / Q000503:physiopathology*; D015995:Prevalence; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012737:Sex Factors