The presence of multiple coexisting chronic diseases in individuals and the expected rise in chronic diseases over the coming years are increasingly being recognized as major public health and health care challenges of modern societies [ 1- 6].
The patient had multiple coexisting conditions including ischemic heart disease with atrial fibrillation, previous stroke with scar epilepsy, diabetes mellitus with nephropathy (creatinine 242 μmol/L), and peripheral vascular disease.
Consequently, NMO patients often harbor multiple autoantibodies specific for the relevant coexisting diseases.
The prevalence of use remained high in those with multiple coexisting conditions, suggesting that clinicians continue to follow disease guidelines in the presence of multiple conditions.
Correspondingly, subjecting field populations to a multiplicity of treatments might induce the emergence of multiple coexisting resistance alleles.
The importance of coexisting diseases has been underscored by several studies showing that COPD patients with multiple comorbidities have worse prognosis [ 4, 9– 11].
The management options for such cases are variable and depend upon multiple factors and should be guided by existing literature reviews, clinical status of patients, presence of coexisting diseases, clinical judgment and expertise of the attending physician, and availability of resources.
Most patients in this investigation had multiple coexisting medical conditions, including diabetes mellitus (62.8%), hypertension (30.1%), chronic azotemia (28.2%) and chronic hepatic disease (14.6%).
The high incidence of coexisting diseases such as diabetes, cardiovascular, and neurological diseases in the elderly raises concerns of drug interactions with multiple medications.
He personifies the ideal of multiple, coexisting, overlapping social identities that London itself exemplifies.
