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Journal of Neurology Neurosurgery and Psychiatry 2002;73:358-359
© 2002 Journal of Neurology Neurosurgery and Psychiatry


EDITORIAL COMMENTARY

Multiple sclerosis

Infection and multiple sclerosis—a new hypothesis?

G J Stewart

Institute for Immunology & Allergy Research, Westmead Millennium Institute, Westmead Campus, University of Sydney, Westmead NSW 2145, Australia; stewartg@westgate.wh.usyd.edu.au


Hypothesis of a sexually transmitted environmental component should be treated with care

Keywords: multiple sclerosis; sexually transmitted infection

The first 150 words of the full text of this article appear below.

There is general agreement that multiple sclerosis is the result of both environmental and genetic factors. In the paper by Hawkes1 (this issue, pp 439–43) a hypothesis is proposed that the environmental component is an infectious agent, transmitted sexually. His thesis is based on a new look at old data; it has not been stimulated by recent discovery.

Evidence for an environmental factor in multiple sclerosis has come from studies of migrating populations, small epidemics and variation of prevalence with latitude. Many of these studies are cited by Hawkes. The possibility that the environmental factor is a transmissible infection was reviewed in detail by Kurtzke2 in 1993, who proposed that the MS agent is an as yet unidentified retrovirus that results in widespread asymptomatic infection in early adolescence. Hawkes’ extension of the Kurtzke2 hypothesis to a sexually transmitted infection (STI) with a neurotropic agent appears to rely on . . . [Full text of this article]




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