Progression pattern of neurological disability with respect to clinical attacks in anti-MOG antibody-associated disorders.


Journal

Journal of neuroimmunology
ISSN: 1872-8421
Titre abrégé: J Neuroimmunol
Pays: Netherlands
ID NLM: 8109498

Informations de publication

Date de publication:
15 02 2021
Historique:
received: 12 11 2020
revised: 17 12 2020
accepted: 20 12 2020
pubmed: 4 1 2021
medline: 26 5 2021
entrez: 3 1 2021
Statut: ppublish

Résumé

The progression pattern of neurological disability among patients with anti-myelin oligodendrocyte glycoprotein antibody-associated disorders (MOGAD) was evaluated. Neurological disability was evaluated annually for 408 person-years in 50 patients. More than 30% of the patients had clinical relapses in the first 5 years. Disability progression independent of relapse activity (PIRA) was not seen, whereas a stepwise disability progression was observed after clinical attacks in some instances. Disability worsening was more frequent after relapses than after the onset episode (p < 0.01). Similar to patients with anti-aquaporin-4 antibodies, attack-related stepwise disability progression without PIRA is typical in MOGAD, suggesting the importance of relapse prevention.

Identifiants

pubmed: 33388541
pii: S0165-5728(20)30728-1
doi: 10.1016/j.jneuroim.2020.577467
pii:
doi:

Substances chimiques

Autoantibodies 0
Autoantigens 0
MOG protein, human 0
Myelin-Oligodendrocyte Glycoprotein 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

577467

Informations de copyright

Copyright © 2020 Elsevier B.V. All rights reserved.

Auteurs

Tetsuya Akaishi (T)

Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan. Electronic address: t-akaishi@med.tohoku.ac.jp.

Tatsuro Misu (T)

Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Toshiyuki Takahashi (T)

Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan; Department of Neurology, National Hospital Organization Yonezawa National Hospital, Yonezawa, Japan.

Yoshiki Takai (Y)

Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Shuhei Nishiyama (S)

Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Juichi Fujimori (J)

Department of Neurology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.

Tadashi Ishii (T)

Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.

Masashi Aoki (M)

Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Kazuo Fujihara (K)

Department of Multiple Sclerosis Therapeutics, Fukushima Medical University School of Medicine, Fukushima, Japan.

Ichiro Nakashima (I)

Department of Neurology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.

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