<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0016-3813</journal-id>
<journal-title><![CDATA[Gaceta médica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Gac. Méd. Méx]]></abbrev-journal-title>
<issn>0016-3813</issn>
<publisher>
<publisher-name><![CDATA[Academia Nacional de Medicina de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0016-38132025000600669</article-id>
<article-id pub-id-type="doi">10.24875/gmm.25000194</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Guía de práctica clínica MEXCTRIMS para el diagnóstico y el tratamiento de la esclerosis múltiple en México. Parte II]]></article-title>
<article-title xml:lang="en"><![CDATA[MEXCTRIMS clinical practice guideline for the diagnosis and treatment of multiple sclerosis in Mexico. Part II]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llamosa-García-Velázquez]]></surname>
<given-names><![CDATA[Gloria de L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Rosales]]></surname>
<given-names><![CDATA[Nayeli A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Leal]]></surname>
<given-names><![CDATA[Francisco A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivas-Alonso]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Rivera]]></surname>
<given-names><![CDATA[José de J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mayer-Rivera]]></surname>
<given-names><![CDATA[Francisco J. M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-Jiménez]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Skromne-Eisenberg]]></surname>
<given-names><![CDATA[Eli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Figueroa]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Alfaro]]></surname>
<given-names><![CDATA[Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Enríquez]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Playas-Pérez]]></surname>
<given-names><![CDATA[Gil]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A13"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Leyva]]></surname>
<given-names><![CDATA[Ildefonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Frenk]]></surname>
<given-names><![CDATA[Irene Treviño]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A16"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Maldonado]]></surname>
<given-names><![CDATA[Jair F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ordoñez-Boschetti]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Munive-Báez]]></surname>
<given-names><![CDATA[Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A19"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez-Orozco]]></surname>
<given-names><![CDATA[Lilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A0"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villalpando-Gueich]]></surname>
<given-names><![CDATA[Ma. de la Luz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez-Quintana]]></surname>
<given-names><![CDATA[Ma. de la Merced]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A23"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Macías-Islas]]></surname>
<given-names><![CDATA[Miguel A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A25"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo-Lara]]></surname>
<given-names><![CDATA[Raúl A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Rivas]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiñones-Aguilar]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A28"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saldívar-Dávila]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Servicio de Neurología ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional de Occidente Departamento de Neurología]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Tecnológico y de Estudios Superiores de Monterrey Escuela de Medicina y Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez Clínica de Enfermedades Desmielinizantes ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Médica Sur Servicio de Neurología ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional "Dr. Valentín Gómez Farías" Departamento de Neurología]]></institution>
<addr-line><![CDATA[Zapopan ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospital Ángeles Lomas, Huixquilucan Departamento de Neurología ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Hospital Civil de Guadalajara Fray Antonio Alcalde Departamento de Neurología ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Hospital San Javier Hospital San Javier ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Hospital Universitario "Dr. José Eleuterio González" Servicio de Neurología ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>México</country>
</aff>
<aff id="A11">
<institution><![CDATA[,Hospital General Regional 45, Instituto Mexicano del Seguro Social Departamento de Neurología ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<aff id="A12">
<institution><![CDATA[,Hospital General de México "Dr. Eduardo Liceaga" Servicio de Neurología ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A13">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Servicio de Neurología ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A14">
<institution><![CDATA[,Universidad Autónoma de San Luis Potosí Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A15">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán" Departamento de Neurología y Psiquiatría ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A16">
<institution><![CDATA[,Centro Médico ABC Centro Neurológico ]]></institution>
<addr-line><![CDATA[Ciudad de Méxic ]]></addr-line>
<country>México</country>
</aff>
<aff id="A17">
<institution><![CDATA[,Hospital Star Médica Servicio de Neurología ]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>México</country>
</aff>
<aff id="A18">
<institution><![CDATA[,Hospital Español de México Servicio de Neurología ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A19">
<institution><![CDATA[,Instituto Nacional de Pediatría Servicio de Neurología ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A20">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Centro Médico Nacional "20 de Noviembre" Servicio de Neurología]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A21">
<institution><![CDATA[,Hospital Ángeles, León Consultorio de Neurología ]]></institution>
<addr-line><![CDATA[León ]]></addr-line>
<country>México</country>
</aff>
<aff id="A22">
<institution><![CDATA[,Unidad de Investigación en Salud de Chihuahua  ]]></institution>
<addr-line><![CDATA[León ]]></addr-line>
<country>México</country>
</aff>
<aff id="A23">
<institution><![CDATA[,Hospital Central del Estado Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>México</country>
</aff>
<aff id="A24">
<institution><![CDATA[,Universidad de Guadalajara Departamento de Neurociencias CUCS ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<aff id="A25">
<institution><![CDATA[,Fundación Mexicana para la Esclerosis Múltiple  ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A26">
<institution><![CDATA[,Hospital de Especialidades Médicas de la Salud Servicio de Neurología Clínica ]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>México</country>
</aff>
<aff id="A27">
<institution><![CDATA[,Neuroinmunología, Hospital Christus Muguerza Faro del Mayab Servicio de Neurología ]]></institution>
<addr-line><![CDATA[Mérida ]]></addr-line>
<country>México</country>
</aff>
<aff id="A28">
<institution><![CDATA[,Clinstile SA de CV  ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>161</volume>
<numero>6</numero>
<fpage>669</fpage>
<lpage>684</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0016-38132025000600669&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0016-38132025000600669&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0016-38132025000600669&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Las guías clínicas internacionales destinadas a mejorar el manejo de la esclerosis múltiple son difícilmente aplicables al sistema de salud mexicano. La presente guía, desarrollada por un grupo de neurólogos expertos, miembros del Comité Mexicano para el Tratamiento e Investigación en Esclerosis Múltiple (MEXCTRIMS), tiene como objetivo homologar los criterios de diagnóstico y tratamiento de la esclerosis múltiple en México, adaptándolos a las características particulares del sistema de salud mexicano, para ofrecer al neurólogo una herramienta de consulta ágil y útil, aplicable a cada entorno. Este artículo corresponde a la parte de la guía dedicada al tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract International clinical guidelines aimed at improving the management of multiple sclerosis are difficult to apply to the Mexican health system. This guideline, developed by a group of expert neurologists, members of the Mexican Committee for the Treatment and Research in Multiple Sclerosis (MEXCTRIMS), aims to standardize the criteria for diagnosis and treatment of multiple sclerosis in Mexico, adapting them to the particular characteristics of the Mexican health system, to offer the neurologist an agile and useful consultation tool, applicable to each setting. This paper corresponds to the part of the guide focused on treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Esclerosis múltiple]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Multiple sclerosis]]></kwd>
<kwd lng="en"><![CDATA[Treatment]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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