Multiple sclerosis (MS) refers to a family of diseases characterized b
y idiopathic inflammatory demyelination of the CNS. In most areas, MS
appears to be increasing in prevalence and incidence, although improve
d ascertainment renders this observation difficult to interpret. Both
environmental and genetic factors contribute to cause MS. Ecologic and
correlational studies have been used to identify causal factors opera
tive on a population level, whereas case-control studies have been app
lied to identify factors affecting individual risk. To date, no single
causal agent has been associated convincingly with MS, with the possi
ble exception of the class II major histocompatibility haplotype DR2-D
Q6.