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与髓鞘少突胶质细胞糖蛋白抗体相关的复发性双侧视神经炎:来自尼泊尔的病例报告

Recurrent Bilateral Optic Neuritis Associated with Myelin Oligodendrocyte Glycoprotein Antibody: A Case Report from Nepal.

作者信息

Shah Sangam, Ojha Rajeev, Sitaula Sanjeeta, Regmi Dosti, Karn Ragesh, Gajurel Bikram Prasad, Rajbhandari Reema, Gautam Niraj, Paudel Sunanda, Shrestha Aashish

机构信息

Maharajgunj Medical Campus, Tribhuvan University Institute of Medicine, Maharajgunj, Kathmanadu 44600, Nepal.

Department of Neurology, Tribhuvan University Institute of Medicine, Maharajgunj, Kathmanadu 44600, Nepal.

出版信息

Case Rep Neurol Med. 2021 Aug 26;2021:8100423. doi: 10.1155/2021/8100423. eCollection 2021.

DOI:10.1155/2021/8100423
PMID:34484845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8416391/
Abstract

Neuromyelitis optica spectrum disorder (NMOSD) is an immune-mediated inflammatory condition involving spinal cord and optic nerves. Diagnosis of NMOSD is done by aquaporin-4 antibody (AQP4) in patients with optic neuritis. Myelin oligodendrocyte glycoprotein (MOG) expressed on the oligodendrocyte cell surface and on the outermost cell surface of the myelin sheath may also be present in patients with NMOSD bilateral optic neuritis. Here, we describe a case of a thirty-nine-year-old-female with recurrent bilateral optic neuritis with positive anti-MOG antibody, and anti-MOG syndrome has not previously been reported from Nepal.

摘要

视神经脊髓炎谱系障碍(NMOSD)是一种涉及脊髓和视神经的免疫介导的炎症性疾病。视神经炎患者通过水通道蛋白4抗体(AQP4)进行NMOSD的诊断。少突胶质细胞表面和髓鞘最外层细胞表面表达的髓鞘少突胶质细胞糖蛋白(MOG)在NMOSD双侧视神经炎患者中也可能存在。在此,我们描述了一例39岁女性复发性双侧视神经炎且抗MOG抗体阳性的病例,尼泊尔此前尚未报道过抗MOG综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a9a/8416391/2962280a7bae/CRINM2021-8100423.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a9a/8416391/2962280a7bae/CRINM2021-8100423.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a9a/8416391/2962280a7bae/CRINM2021-8100423.001.jpg

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本文引用的文献

1
Neuromyelitis Optica Spectrum Disorder and Anti-MOG Syndromes.视神经脊髓炎谱系障碍和抗髓鞘少突胶质细胞糖蛋白综合征
Biomedicines. 2019 Jun 12;7(2):42. doi: 10.3390/biomedicines7020042.
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MOG-IgG in NMO and related disorders: a multicenter study of 50 patients. Part 4: Afferent visual system damage after optic neuritis in MOG-IgG-seropositive versus AQP4-IgG-seropositive patients.视神经脊髓炎及相关疾病中的髓鞘少突胶质细胞糖蛋白免疫球蛋白G:50例患者的多中心研究。第4部分:髓鞘少突胶质细胞糖蛋白免疫球蛋白G血清阳性与水通道蛋白4免疫球蛋白G血清阳性患者视神经炎后传入视觉系统损伤
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Lesion length of optic neuritis impacts visual prognosis in neuromyelitis optica.视神经炎的病灶长度对视神经脊髓炎的视觉预后有影响。
J Neuroimmunol. 2016 Apr 15;293:28-33. doi: 10.1016/j.jneuroim.2016.02.004. Epub 2016 Feb 10.
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Demographic and clinical features of neuromyelitis optica: A review.视神经脊髓炎的人口统计学和临床特征:综述
Mult Scler. 2015 Jun;21(7):845-53. doi: 10.1177/1352458515572406. Epub 2015 Apr 28.
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MOG antibody-associated diseases.髓鞘少突胶质细胞糖蛋白抗体相关疾病
Neurol Neuroimmunol Neuroinflamm. 2015 Jan 22;2(1):e60. doi: 10.1212/NXI.0000000000000060. eCollection 2015 Feb.
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Distinction between MOG antibody-positive and AQP4 antibody-positive NMO spectrum disorders.髓鞘少突胶质细胞糖蛋白(MOG)抗体阳性与水通道蛋白4(AQP4)抗体阳性的视神经脊髓炎谱系障碍之间的区别。
Neurology. 2014 Jul 29;83(5):475. doi: 10.1212/WNL.0000000000000636.
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Persistent presence of the anti-myelin oligodendrocyte glycoprotein autoantibody in a pediatric case of acute disseminated encephalomyelitis followed by optic neuritis.在一例急性播散性脑脊髓炎继发视神经炎的儿科病例中,抗髓鞘少突胶质细胞糖蛋白自身抗体持续存在。
Neuropediatrics. 2014 Jun;45(3):196-9. doi: 10.1055/s-0034-1371179. Epub 2014 Mar 7.