Exposure to TNF Inhibitors is Rare at MOGAD Diagnosis

نویسندگان

چکیده

Objective To assess the potential association between TNF-inhibitors and MOGAD Background The of tumor necrosis factor-a (TNF)-inhibitors with MS has previously been suggested, whereas little is known about MOG-IgG-associated disease (MOGAD) in context these drugs. We recently encountered two patients who developed while receiving TNF-inhibitors, prompting a search for similar cases literature clinical practice. Design/Methods were seen at Mayo Clinic, Rochester (bilateral optic neuritis) University-Hospital Sassari (brainstem syndrome). Three additional presenting during treatment identified through Pubmed. searched medical records 336 to if they had treated TNF-inhibitors. Results A total 5 identified. median age presentation was 40 years (range, 36-49); 4/5 male (80%). time from TNF-inhibitor initiation 6.5 2-18). Of 4 discontinued due onset, subsequently relapse. While another patient, neurological symptoms subsided corticosteroids despite being maintained. frequency Clinic 0.3% (1/336 cases). Conclusions found that unlikely present outcomes seemed not be influenced by duration or discontinuation. These findings suggest benefit withdrawal obvious, choice discontinuing vs maintaining should weighted based on severity activity status underlying systemic disorder. When considered, immunosuppression agents potentially effective both immune-mediated originally managed TNF-inhibitor, could serve as dual purpose treatment.

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ژورنال

عنوان ژورنال: Neurology

سال: 2022

ISSN: ['0028-3878', '1526-632X']

DOI: https://doi.org/10.1212/01.wnl.0000903196.96505.e8