Other Articles published in this series Paraneoplastic neurological syndromes. Clinical and Experimental Immunology 2014, 175: 336–48. Diagnosis, pathogenesis and treatment of myositis: recent advances. Clinical and Experimental Immunology 2014, 175: 349–58. Monoclonal antibodies in treatment of multiple sclerosis. Clinical and Experimental Immunology 2014, 175: 373–84. CLIPPERS: chronic lymphocytic inflammation with pontine
perivascular enhancement responsive to steroids. Review of an increasingly recognized entity within the spectrum of inflammatory central nervous system disorders. Clinical and Experimental Immunology 2014, 175: 385–96. Requirement for safety monitoring for approved multiple sclerosis therapies: an overview. Clinical and Experimental Immunology 2014, 175: 397–407. Myasthenia gravis: an update for the clinician. Clinical and Experimental see more Immunology 2014, 175: Sirolimus mouse 408–18. Cerebral vasculitis in adults: what are the steps in order to establish the diagnosis? Red flags and pitfalls. Clinical
and Experimental Immunology 2014, 175: 419–24. Multiple sclerosis treatment and infectious issues: update 2013. Clinical and Experimental Immunology 2014, 175: 425–38. Multiple sclerosis (MS) and chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) share some fundamental immunological principles, with each representing a classic chronic, autoimmune demyelinating disorder of the central and peripheral nervous system [1, 2]. MS is a chronic, autoimmune, inflammatory and degenerative disorder of the central nervous system (CNS). The majority of MS patients (80–90%) intially experience a relapsing−remitting disease course (RRMS), with alternating phases of clinical worsening, remission and stability. Over time, approximately
half of MS patients convert from a relapsing−remitting to a secondary progressive disease course (SPMS), with continuous clinical worsening independent from relapses. In 10–20% of patients, the disorder presents with a primary progressive course (PPMS) with continuous clinical worsening, with and without additional DOK2 relapses from the disease onset [2]. CIDP and its variants are chronic autoimmune inflammatory and degenerative disorders of the peripheral nervous system (PNS) that affect, to a varying extent, the spinal roots, plexus and nerve trunks in a multi-focal manner. CIDP evolves either in a chronic, progressive or relapsing manner, with partial or complete recovery between recurrences. Typically, a relapsing disease course presents in younger patients and a progressive disease course presents in older adults [1]. In both MS and CIDP, a dysfunction or failure of immune tolerance mechanisms is postulated to cause humoral and cellular autoimmunity to the complex of the myelin sheath and axon.