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Correspondence
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Volume 344:229-230 January 18, 2001 Number 3
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Interferon Beta-1a during a First Demyelinating Event

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 by Jacobs, L. D.
To the Editor: Jacobs et al. (Sept. 28 issue)1 suggest that interferon beta-1a therapy for some patients with a first clinically isolated syndrome of multiple sclerosis may delay the onset of clinically definite multiple sclerosis. The diagnosis of multiple sclerosis has long been based on dissemination in both space and time. If this approach still holds, can a valid assessment of a potential disorder be made before the appearance of the symptoms that define it? I find this study troubling for several reasons.

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