Before diagnose a patient with ALS, a doctor must verify the following infections: tetanus and bacteria which determine Lyme Borreliosis and viral infections
For patients who have been diagnosed with ALS:
In the Harrison’s Manual of Medicine, 15th Edition, on the acute
conditions of the neuron motor it can be found: poliomyelitis, herpes
zoster and Coxackie viruses.
Before diagnose a patient with
ALS, a doctor must verify the following infections: tetanus and
bacteria which determine Lyme Borreliosis and viral infections (as
those mentioned above).
It is
also necessary to investigate: poisoning with heavy metals and other
sources: electric shocks and radiations X and other medications.
Diagnosis is complex and differential one includes: urinary and blood
screening for heavy metals, thyroid functions, immunoelectrophoresis,
correlations between lysosomal enzymes, anti-GM1 antibody, B12 levels,
VDRL, Hemogram, VSH, serum biochemistry analysis.
Coxackie virus – it belongs to Enterovirus genus and it is split in two groups- Coxackie A and Coxackie B.
Group A Coxackie can determinate Herpangina
Coxackie A10 produces Pharyngitis
Coxackie A16 produces HFMD-( Hand-foot-moth- disease)
Coxackie A24 causes Acute hemorrhagic conjunctivitis
Coxackie Group B cause epidemic pleurodynia, myocarditis and pericarditis.
Both -- Coxackie A and Coxackie B Gropus can cause aseptic meningitis and rashes.
