严重急性呼吸综合征冠状病毒2相关的髓鞘少突胶质细胞糖蛋白抗体相关疾病:一例报告及文献综述
SARS-CoV-2-related Myelin Oligodendrocyte Glycoprotein Antibody-associated Disease: A Case Report and Literature Review.
作者信息
Ide Toshihiro, Kawanami Takeru, Eriguchi Makoto, Hara Hideo
机构信息
Division of Neurology, Department of Internal Medicine, Saga University Faculty of Medicine, Japan.
出版信息
Intern Med. 2022 Apr 15;61(8):1253-1258. doi: 10.2169/internalmedicine.8709-21. Epub 2022 Feb 8.
We herein report a case of myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. A 24-year-old woman developed unilateral optic neuritis 3 weeks after contracting coronavirus disease 2019 (COVID-19), followed by intracranial demyelinating lesions and myelitis. Since serum anti-MOG antibody was positive, we diagnosed MOG antibody-associated disease. Immunotherapy with steroids resulted in the rapid improvement of neurological symptoms. This is a suggestive case, as there are no reports of MOG antibody-associated disease with multiple neurological lesions occurring after COVID-19. The response to immunotherapy was favorable. This case suggests that it is important to measure anti-MOG antibodies in patients who develop inflammatory neurological disease after COVID-19.
我们在此报告一例严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染后发生的髓鞘少突胶质细胞糖蛋白(MOG)抗体相关疾病。一名24岁女性在感染2019冠状病毒病(COVID-19)3周后出现单侧视神经炎,随后出现颅内脱髓鞘病变和脊髓炎。由于血清抗MOG抗体呈阳性,我们诊断为MOG抗体相关疾病。使用类固醇进行免疫治疗使神经症状迅速改善。这是一个具有提示意义的病例,因为尚无COVID-19后发生伴有多种神经病变的MOG抗体相关疾病的报告。免疫治疗反应良好。该病例表明,对COVID-19后发生炎性神经疾病的患者检测抗MOG抗体很重要。