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#Post#: 388--------------------------------------------------
(Abst.) PML
By: agate Date: July 13, 2014, 9:35 pm
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A concise description of PML is provided here. From PubMed, July
13, 2014:
[quote]Handb Clin Neurol. 2014;123C:357-376.
Progressive multifocal leukoencephalopathy
Berger JR.
Author information
Department of Neurology and Department of Medicine, University
of Kentucky College of Medicine, Lexington, KY, USA. Electronic
address: jrbneuro@email.uky.edu.
Progressive multifocal leukoencephalopathy (PML) is a
demyelinating disorder due to an ubiquitous polyomavirus,
referred to as JC virus. Prior to the human immunodeficiency
virus (HIV)/acquired immunodeficiency syndrome (AIDS) pandemic,
it was a disorder seen predominantly in individuals with
underlying lymphomas and leukemias, in particular, B-cell
malignancies. In the pre-antiretroviral therapy era of the
HIV/AIDS pandemic, it ultimately developed in approximately 5%
of all infected individuals.
In 2005, following the recognition that it may complicate the
use of natalizumab, an α4β1 integrin inhibitor, used
in the treatment of multiple sclerosis and inflammatory bowel
disorders, it achieved even greater notoriety. PML is
characterized by a triad of histopathologic findings,
demyelination, bizarre astrocytes, and enlarged oligodendroglial
nuclei. JC virus leads to demyelination by establishing a lytic
infection of the oligodendrocytes. The clinical features are
diverse and depend on the region of the brain affected. The
disease is often heralded by cognitive and behavioral changes,
language disturbances, weakness, or visual deficits. The
diagnosis can often be established by cranial magnetic resonance
imaging findings coupled with positive polymerase chain reaction
for JC virus in the cerebrospinal fluid. To date, no treatment
has been convincingly effective.[/quote]
The abstract can be seen here
HTML http://www.ncbi.nlm.nih.gov/pubmed/25015495.
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