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Natalizumab is effective in controlling the inflammatory rebound after its discontinuation and failure of an alternative treatment. | LitMetric

AI Article Synopsis

  • Progressive multifocal leukoencephalopathy (PML) is a serious risk associated with the use of natalizumab (NAT) for treating relapsing multiple sclerosis (MS).
  • JC virus serology is a key risk factor for developing PML, and monitoring this status is critical for patients on NAT.
  • If a patient shows seroconversion, careful consideration is required before discontinuing NAT to prevent a rebound of MS symptoms, and JC virus index values can aid in making informed treatment decisions.

Article Abstract

Progressive multifocal leukoencephalopathy (PML) is the most feared complication when natalizumab (NAT) is used in the treatment of relapsing multiple sclerosis (MS). JC virus serologic status is a currently established risk factor for PML. When seroconversion occurs, NAT discontinuation should be based on a solid rationale to avoid an MS inflammatory resurgence. The JC virus index value may also provide further useful information to help practitioners and patients in their decision process.

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Source
http://dx.doi.org/10.1016/j.msard.2015.04.005DOI Listing

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