Azathioprine therapy in a case of pediatric multiple sclerosis that was seropositive for MOG-IgG

Azathioprine therapy in a case of pediatric multiple sclerosis that was seropositive for MOG-IgG
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硫唑嘌呤治疗一例 MOG-IgG 血清阳性的儿童多发性硬化症病例

DOI:
10.1016/j.jocn.2016.12.022
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发表时间:
2017-04
影响因子:
2
通讯作者:
Qiu W
Qiu W
中科院分区:
医学4区
文献类型:
--
作者:
Zhou Yifan;Huang Qiao;Lu Tingting;Sun Xiaobo;Fang Ling;Lu Zhengqi;Hu Xueqiang;Qiu Wei;Huang Qiao;Kermode Allan;Kermode Allan;Qiu W

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儿童多发性硬化症(PedMS)的治疗缺乏证据。使用硫唑嘌呤治疗PedMS尚未见报道。对1例髓鞘少突胶质细胞糖蛋白(MOG)-Ig G抗体阳性的10岁多发性硬化症患儿进行硫唑嘌呤联合口服甲基强的松龙治疗。患者表现出临床和磁共振成像的稳定性,有MOG-IgG血清转换。在5年的时间里,没有出现重大的副作用。硫唑嘌呤可能是一种治疗选择,特别是在医疗资源贫乏的地区,对于MOG-IgG血清阳性的多发性硬化症儿童患者。
There is a lack of evidence for treatment of pediatric multiple sclerosis (PedMS). Treatment using azathioprine for PedMS has not been reported. A 10-year-old boy with multiple sclerosis who was seropositive for antibodies against myelin oligodendrocyte glycoprotein (MOG)-IgG was treated with azathioprine plus oral methylprednisolone. The patient showed clinical and magnetic resonance imaging stability, with MOG-IgG seroconversion. There were no major side effects over a 5-year period. Azathioprine may be a treatment option, particularly in poor medical resource areas, for pediatric patients with multiple sclerosis who are seropositive for MOG-IgG.
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发表时间: 2011-12
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