Severe disease activity in a patient with multiple sclerosis after daclizumab discontinuation

被引:1
|
作者
Martinelli, Vittorio [1 ]
Dalla Costa, Gloria [1 ]
Sangalli, Francesca [1 ]
Colombo, Bruno [1 ]
Robotti, Micaela [1 ]
Moiola, Lucia [1 ]
Comi, Giancarlo [1 ]
机构
[1] Osped San Raffaele, Dept Neurol, Via Olgettina 48, I-20132 Milan, Italy
关键词
Multiple sclerosis; Daclizumab; Recurrence; Treatment outcome;
D O I
10.1016/j.msard.2018.11.034
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Daclizumab, a MS treatment targeting IL2-receptor, has been recently withdrawn following reports of immune-mediated encephalitis. We report the case of a 39-years-old woman treated with daclizumab that presented a progressive decrease in the strength at her lower limbs which further worsened after the drug was stopped. Post-treatment MRI showed more than 20 new enhancing lesions. No symptoms nor signs associated with immune-mediated encephalitis were present. Our case highlights the problem of disease course after daclizumab discontinuation and urge neurologists to strictly monitor patients discontinuing the drug in order to exclude both the occurrence of immune-mediated encephalitis and disease reactivation.
引用
收藏
页码:57 / 59
页数:3
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