TY - JOUR
T1 - Pathological findings in central nervous system demyelination associated with infliximab
AU - Kalinowska-Lyszczarz, Alicja
AU - Fereidan-Esfahani, Mahboobeh
AU - Guo, Yong
AU - Lucchinetti, Claudia F.
AU - Tobin, W. Oliver
N1 - Publisher Copyright:
© The Author(s), 2019.
PY - 2020/8/1
Y1 - 2020/8/1
N2 - Background: Tumor necrosis factor alpha (TNF-alpha) inhibitors, such as infliximab, are commonly used to treat rheumatoid arthritis (RA) and other immune-mediated disorders. Objective: To determine whether infliximab-associated central nervous system (CNS) demyelination can be differentiated from multiple sclerosis (MS). Methods: We present a case of pathologically proven CNS demyelination in a patient treated with infliximab and describe clinical–radiographic–neuropathological findings. Putative mechanisms of TNF-alpha inhibitor-associated CNS demyelination are described. Results and conclusion: Infliximab treatment is associated with CNS inflammatory demyelinating activity, which is histopathologically indistinguishable from MS.
AB - Background: Tumor necrosis factor alpha (TNF-alpha) inhibitors, such as infliximab, are commonly used to treat rheumatoid arthritis (RA) and other immune-mediated disorders. Objective: To determine whether infliximab-associated central nervous system (CNS) demyelination can be differentiated from multiple sclerosis (MS). Methods: We present a case of pathologically proven CNS demyelination in a patient treated with infliximab and describe clinical–radiographic–neuropathological findings. Putative mechanisms of TNF-alpha inhibitor-associated CNS demyelination are described. Results and conclusion: Infliximab treatment is associated with CNS inflammatory demyelinating activity, which is histopathologically indistinguishable from MS.
KW - Demyelination
KW - central nervous system
KW - infliximab
KW - multiple sclerosis
KW - neuropathology
KW - rheumatoid arthritis
KW - tumor necrosis factor (TNF) alpha inhibitors
UR - http://www.scopus.com/inward/record.url?scp=85077379821&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85077379821&partnerID=8YFLogxK
U2 - 10.1177/1352458519894710
DO - 10.1177/1352458519894710
M3 - Article
C2 - 31845616
AN - SCOPUS:85077379821
SN - 1352-4585
VL - 26
SP - 1124
EP - 1129
JO - Multiple Sclerosis Journal
JF - Multiple Sclerosis Journal
IS - 9
ER -