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Progressive multifocal leukoencephalopathy (PML) has occurred in patients with MS treated with TECFIDERA. PML is an opportunistic viral infection of the brain caused by the JC virus (JCV) that typically only occurs in patients who are immunocompromised, and that usually leads to death or severe disability. A fatal case of PML occurred in a. Download full-text PDF Download full-text PDF Download full-text PDF Read full-text. (PML) from multiple sclerosis (MS) lesions in a rare case of simultaneous presentation of natalizumab. PML and Anti‐JC Virus Antibody Biogen Tysabri Safety Update, / natalizumab‐PML MS patients (99%) Anti‐JCV Ab+ 6 months prior to PML diagnosis. Two negative at ‐8m and ‐9m.. Bloomgren G et al. N Engl J Med. ;


Progressive multifocal leukoencephalopathy (PML) has occurred in patients with MS treated with TECFIDERA. PML is an opportunistic viral infection of the brain caused by the JC virus (JCV) that typically only occurs in patients who are immunocompromised, and that usually leads to death or severe disability. A fatal case of PML occurred in a. Progressive Multifocal Leukoencephalopathy (PML) PML has occurred in patients with MS treated with TECFIDERA. PML is an opportunistic viral infection of the brain caused by the JC virus (JCV) that typically only occurs in patients who are immunocompromised, and that usually leads to death or severe disability. brain infection called progressive multifocal leukoencephalopathy, or PML. PML is an infection caused by the reactivation of a virus, called the JC virus, which lives in the kidney. In someone who is immunosuppressed, this virus can escape the kidney, cross the blood-brain barrier, and enter the brain, causing profound inlammation.


A carry-over case of progressive multifocal leukoencephalopathy (PML) in a multiple sclerosis patient on a compassionate use program was reported. The patient was anti-JCV antibody-positive with a high JCV index () and was previously treated with natalizumab for years (36 infusions; last infusion in February ). Objective Progressive multifocal leukoencephalopathy (PML) is a serious viral infection associated with disease-modifying therapies (DMT) for multiple sclerosis (MS) including sphingosine 1-phosphate receptor (S1PR) modulators. The objective of this review was to investigate the characteristics of PML in MS patients associated with drugs of the S1PR modulator. Methods We conducted a literature. to differentiate active PML lesions from MS plaques. In con-trast with non-NTZ-PML lesions, NTZ-associated PML lesions frequently show gadolinium enhancement (43% of cases) (2, 8). Since “asymptomatic NTZ-PML cases,” defined as subjects with a possible PML lesion identified on MRI without any clinical PML.

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