Multiple sclerosis in Vest-Agder County, Norway

Acta Neurol Scand. 2011 Jun;123(6):396-9. doi: 10.1111/j.1600-0404.2010.01411.x.

Abstract

Objective: To examine multiple sclerosis (MS) prevalence, rate of immunomodulatory treatment and frequency of Borrelia burgordorferi (Bb) antibodies in Vest-Agder, Norway.

Materials and methods: Patients in the period 1996-2006 who met the Poser criteria for definitive or probable MS were included. Clinical and demographical data, and presence of Bb antibodies were registered.

Results: A total of 295 patients were identified. The crude prevalence was 180 per 100,000 population (95% CI=160.9-218.0), age-adjusted prevalence was 186 per 100,000 population (95% CI=166.3-225.3). The age-adjusted incidence rates were 7.5 and 8.0 for 1996-2000 and 2001-2006, respectively. Thirty-eight per cent were treated with immunomodulatory agents when compared to 28% in the rest of the country. Bb serum antibodies were detected in 7% of patients with MS.

Conclusions: Vest-Agder county has the highest prevalence of MS reported in Norway, and a high treatment rate. Bb antibodies were not more prevalent than in healthy individuals.

MeSH terms

  • Adult
  • Antibodies / analysis
  • Antibodies / blood
  • Borrelia burgdorferi / immunology
  • Comorbidity / trends
  • Female
  • Humans
  • Immunologic Factors / therapeutic use
  • Lyme Neuroborreliosis / epidemiology*
  • Lyme Neuroborreliosis / immunology
  • Male
  • Middle Aged
  • Multiple Sclerosis / drug therapy*
  • Multiple Sclerosis / epidemiology*
  • Multiple Sclerosis / immunology
  • Norway / epidemiology
  • Prevalence

Substances

  • Antibodies
  • Immunologic Factors