Pediatric vs Adult Multiple Sclerosis: Diagnosis, Treatment, and Transition
Release Date: 08/12/2025
Innovation, Access, and the Future of Cardiac Care
MD Newsline
In this episode of MD Newsline, Dr. Quentin Youmans, a heart failure cardiologist at Northwestern Medicine, explores the rapidly evolving landscape of advanced heart failure care. He shares insights into guideline-directed medical therapy, emerging device-based interventions, and the growing role of personalized medicine in improving outcomes for patients with complex cardiovascular disease. Dr. Youmans also addresses health disparities, access challenges, and the importance of multidisciplinary collaboration in modern cardiology. Episode Highlights Advances in Guideline-Directed Medical...
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From Awareness to Action: Cancer Prevention & Patient Empowerment
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In this episode of MD Newsline, Dr. Aruna Anupindi, a consultant clinical oncologist based in Oxford, UK, joins the podcast to discuss evolving trends in breast and prostate cancer care. Specializing in breast and urological cancers, Dr. Anupindi shares insights from her clinical practice, highlights key takeaways from recent oncology conferences, and reflects on the growing importance of early detection, personalized therapies, and quality of life in cancer treatment. She also addresses disparities in screening uptake, emerging treatment strategies aimed at reducing chemotherapy exposure,...
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AI in Oncology: Building Smarter Clinical Trials and Closing Data Gaps
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In this episode of MD Newsline, Dr. Arsela Prelaj, a thoracic oncologist and AI researcher at the Istituto Nazionale dei Tumori in Milan, Italy, explores the rapidly evolving role of artificial intelligence in oncology. Drawing from her background in medical oncology and bioengineering, Dr. Prelaj discusses how AI is revolutionizing clinical trial design, improving trial success rates, and expanding patient access to innovative therapies. She shares real-world examples of how machine learning, large language models, and synthetic data are being integrated into cancer research, while also...
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How Parity and Breastfeeding May Guard Against Triple-Negative Breast Cancer
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In this episode of MD Newsline, Dr. Sherene Loi, a medical oncologist and laboratory head at the Peter MacCallum Cancer Centre in Melbourne, Australia, discusses groundbreaking research published in Nature exploring how pregnancy and breastfeeding influence immune protection against triple-negative breast cancer. Dr. Loi shares insights into how reproductive history reshapes the immune system, particularly T cell activity, and how these findings may inform future prevention strategies, screening approaches, and immunotherapy development. Episode Highlights: The Immune System’s Role in...
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Axial Spondyloarthritis: From Inflammatory Back Pain to Targeted Therapy
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In this episode of MD Newsline, Dr. Joel Wright, a rheumatology fellow at UCLA, provides an in-depth, practical discussion on axial spondyloarthritis and related spondyloarthritides. Dr. Wright breaks down evolving disease definitions, diagnostic challenges, imaging interpretation, and modern treatment strategies, while emphasizing a holistic, patient-centered approach to care. The conversation highlights how early recognition and individualized therapy can significantly improve long-term outcomes. Episode Highlights Defining Axial vs. Peripheral Spondyloarthritis Dr. Wright explains the...
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Vitamin D, Epstein-Barr Virus, and MS Risk
MD Newsline
In this episode of MD Newsline, Dr. Marianna Cortese, a medical doctor and epidemiologist at the Harvard T.H. Chan School of Public Health, shares groundbreaking research on the link between vitamin D, Epstein-Barr virus (EBV), and the risk of multiple sclerosis (MS). Her work, conducted within the U.S. military cohort, sheds new light on racial, genetic, and environmental factors influencing MS development and potential prevention strategies. Dr. Cortese discusses how vitamin D levels and immune response modulation play a role in MS prevention, and how EBV infection—now recognized as the...
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Living With HS: Tameka Carter’s Journey to Diagnosis and Treatment
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In this episode of MD Newsline, patient advocate Tameka Carter shares her personal journey living with hidradenitis suppurativa (HS), a chronic, painful inflammatory skin condition often misdiagnosed for years. Tameka discusses the early signs of HS, the emotional and physical toll of delayed diagnosis, and the importance of finding a specialist who truly listens. She offers valuable insight into treatment decision-making, lifestyle changes, and the critical role of self-advocacy in managing a lifelong condition. Episode Highlights Early Symptoms and Delayed Diagnosis Tameka reflects on...
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How Ultra-Processed Food Impacts MS Progression
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Biomarkers in Multiple Sclerosis: Tracking Disease Progression
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In this episode of MD Newsline, Dr. Ahmed Abdelhak, Assistant Professor of Neurology at the University of California, San Francisco, explores the cutting-edge world of fluid biomarkers in multiple sclerosis (MS). With over a decade of experience as an MS clinical scientist, Dr. Abdelhak shares his expertise on the evolving role of biomarkers in understanding, predicting, and managing MS progression. He breaks down how markers like neurofilament light chain (NFL), glial fibrillary acidic protein (GFAP), and chitinase (CHIT1/CHIT3) offer insights into the underlying neuroinflammatory and...
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Optic Neuritis, MS Differentials, and Modern Treatment Pathways
MD Newsline
In this episode of MD Newsline, Dr. Nilüfer Kale, Head of the Department of Neurology at Başakşehir Çam and Sakura City Hospital in Istanbul, Turkey, provides an in-depth look into optic neuritis, multiple sclerosis (MS), and related demyelinating disorders. She discusses the pathophysiology, diagnostic challenges, and treatment evolution of these conditions—offering valuable insights for clinicians managing autoimmune neuroinflammatory diseases. Dr. Kale also highlights the importance of accurate differential diagnosis, the role of neuroimaging and biomarkers, and how advancements in...
info_outlineIn this episode of MD Newsline, Dr. Alice Edward, a pediatric and adult neurologist and neuroimmunology specialist, explores the complex landscape of diagnosing and managing multiple sclerosis (MS) in children. She highlights the critical differences between pediatric and adult MS, including symptom presentation, diagnostic criteria, and treatment strategies. Dr. Edward also delves into the impact of hormonal changes, pregnancy planning, and the challenges of transitioning care from pediatric to adult neurology services.
Episode HighlightsPediatric vs. Adult MS Presentation Dr. Edward discusses how children often present with more inflammatory forms of MS and experience more frequent relapses. She emphasizes the brain's plasticity in younger patients, which can sometimes lead to better recovery.
Diagnostic Criteria and Challenges She explains the pediatric-specific McDonald criteria and the importance of excluding alternative diagnoses like encephalitis, meningitis, or genetic disorders due to the rarity of pediatric MS.
Red Flags and Misdiagnoses Dr. Edward points out clinical signs that may suggest non-MS demyelinating conditions and stresses the importance of early MRI access and parental advocacy.
High-Efficacy First-Line Therapy Unlike the step-up approach in adults, pediatric MS often requires starting with high-efficacy disease-modifying therapies (DMTs) to control aggressive inflammation. She explains why escalation therapy is not favored in children.
Hormonal and Life Stage Considerations Puberty, pregnancy, and aging play critical roles in MS management. Dr. Edward reviews the latest data on DMT use during pregnancy and postpartum periods, emphasizing preventive planning.
The Transition to Adult Care Dr. Edward outlines the need for smoother transitional care and continuity between pediatric and adult MS services. She shares her vision for building a lifelong care model.
Cognitive Outcomes and Disease Progression Children diagnosed with MS may face more significant cognitive challenges over time due to longer disease duration. Early and aggressive therapy can mitigate long-term deficits.
Key TakeawayPediatric MS is rare but more inflammatory and demands early, aggressive treatment. Tailoring care throughout a patient's lifespan—including puberty, pregnancy, and transition to adult neurology—is vital to optimizing outcomes and preventing disability.
ResourcesWebsite: https://mdnewsline.com/ Newsletter: https://mdnewsline.com/subscribe/ Connect with Dr. Alice Edward: Here
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