An Adult Case of Anti-Myelin Oligodendrocyte Glycoprotein (MOG) Antibody-associated Multiphasic Acute Disseminated Encephalomyelitis at 33-year Intervals

Autor: Masanori Nakagawa, Ayaka Kimura, Takayuki Kondo, Soichiro Numa, Takashi Kasai, Tomoyuki Ohara, Yukie Kushimura, Toshiki Mizuno, Akihiro Tanaka, Kanako Morita, Hisashi Takahashi, Yu-ichi Noto
Rok vydání: 2016
Předmět:
Zdroj: Internal Medicine. 55:699-702
ISSN: 1349-7235
0918-2918
DOI: 10.2169/internalmedicine.55.5727
Popis: Acute disseminated encephalomyelitis (ADEM) followed by optic neuritis (ON) has been reported as a distinct phenotype associated with anti-myelin oligodendrocyte protein (MOG) antibody. We herein report the case of a 37-year-old woman who was diagnosed with ADEM at 4 years old of age and who subsequently developed ON followed by recurrent ADEM 33 years after the initial onset. A serum analysis showed anti-MOG antibody positivity. This phenotype has only previously been reported in pediatric cases. Neurologists thus need to be aware that the phenotype may occur in adult patients, in whom it may be assumed to be atypical multiple sclerosis.
Databáze: OpenAIRE