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Belova A.N.
Yaroslavl Regional Clinical Oncological Hospital, Yaroslavl, Russia
Rasteryaeva M.V.
Privolzskyi Federal Medical Research Center, Nizhny Novgorod, Russia
Zhulina N.I.
Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Belova E.M.
Nizhny Novgorod State Medical Academy, Nizhniy Novgorod
Boĭko A.N.
KGBUZ "Krasnoiarskiĭ kraevoĭ Tsentr po profilaktike i bor'be so SPID i infektsionnymi zabolevaniiami"
Immune reconstitution inflammatory syndrome and rebound syndrome in multiple sclerosis patients who stopped disease modification therapy: current understanding and a case report
Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(2‑2): 74‑84
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To cite this article:
Belova AN, Rasteryaeva MV, Zhulina NI, Belova EM, Boĭko AN. Immune reconstitution inflammatory syndrome and rebound syndrome in multiple sclerosis patients who stopped disease modification therapy: current understanding and a case report. S.S. Korsakov Journal of Neurology and Psychiatry.
2017;117(2‑2):74‑84. (In Russ.)
https://doi.org/10.17116/jnevro20171172274-84
More and more multiple sclerosis patients have been receiving treatment with new immunomodulatory drugs. Its discontinuation because of side-effects, lack of efficacy or pregnancy has been increasing as well. This paper reviews such severe complications of natalizumab and fingolimod cessation as immune reconstitution inflammatory syndrome (IRIS) and rebound. The short history, immunopathogenesis and diagnostic criteria of IRIS in individuals with human immunodeficiency virus infection are covered. Clinical and radiological presentations as well as possible pathogenic mechanisms of IRIS in patients treated with natalizumab and fingolimod are discussed. The authors also report the case of a woman with multiple sclerosis treated with fingolimod, who experienced a severe relapse when she stopped treatment. Diagnostic criteria and prognostic factors for IRIS and rebound are needed in patients with multiple sclerosis who discontinue the new disease modification therapy.
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Belova A.N.
Yaroslavl Regional Clinical Oncological Hospital, Yaroslavl, Russia
Rasteryaeva M.V.
Privolzskyi Federal Medical Research Center, Nizhny Novgorod, Russia
Zhulina N.I.
Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Belova E.M.
Nizhny Novgorod State Medical Academy, Nizhniy Novgorod
Boĭko A.N.
KGBUZ "Krasnoiarskiĭ kraevoĭ Tsentr po profilaktike i bor'be so SPID i infektsionnymi zabolevaniiami"
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