Progressive Multifocal Leukoencephalopathy and Immune Reconstitution Inflammatory Syndrome after Discontinuation of Fingolimod

Progressive multifocal leukoencephalopathy (PML) is a rare complication of immunosuppressive treatment in MS patients. Immune reconstitution inflammatory syndrome (IRIS) appears after the withdrawal of certain drugs such as natalizumab (NTZ) or fingolimod. The development of PML-IRIS after NTZ treatment has been described, and its diagnosis is made by clinical and radiological criteria and the determination of the John Cunningham virus in CSF. We present a clinical case of a patient with MS who, after the withdrawal of fingolimod, developed PML-IRIS despite sustained lymphopenia. This is important for pharmacovigilance purposes, not only for NTZ but also for alternative drugs used in MS treatment.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Progressive Multifocal Leukoencephalopathy and Immune Reconstitution Inflammatory Syndrome after Discontinuation of Fingolimod ; volume:14 ; number:1 ; year:2022 ; pages:38-43 ; extent:6
Case reports in neurology ; 14, Heft 1 (2022), 38-43 (gesamt 6)

Urheber
Piñar Morales, Raquel
Carrasco Garcia, María
Gutierrez-Rojas, Luis
Barrero Hernández, Francisco Javier

DOI
10.1159/000521944
URN
urn:nbn:de:101:1-2022051200562646789069
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:37 MESZ

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Beteiligte

  • Piñar Morales, Raquel
  • Carrasco Garcia, María
  • Gutierrez-Rojas, Luis
  • Barrero Hernández, Francisco Javier

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