Pathological findings in central nervous system demyelination associated with infliximab

Alicja Kalinowska-Lyszczarz; Mahboobeh Fereidan-Esfahani; Yong Guo; Claudia F. Lucchinetti; W. Oliver Tobin

doi:10.1177/1352458519894710

Pathological findings in central nervous system demyelination associated with infliximab

Alicja Kalinowska-Lyszczarz, Mahboobeh Fereidan-Esfahani, Yong Guo, Claudia F. Lucchinetti, W. Oliver Tobin

Neurology

Research output: Contribution to journal › Article

1 Scopus citations

Abstract

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.

Original language	English (US)
Journal	Multiple Sclerosis Journal
DOIs	https://doi.org/10.1177/1352458519894710
State	Accepted/In press - Jan 1 2019

Keywords

central nervous system
Demyelination
infliximab
multiple sclerosis
neuropathology
rheumatoid arthritis
tumor necrosis factor (TNF) alpha inhibitors

ASJC Scopus subject areas

Neurology
Clinical Neurology

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10.1177/1352458519894710

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Kalinowska-Lyszczarz, A., Fereidan-Esfahani, M., Guo, Y., Lucchinetti, C. F., & Tobin, W. O. (Accepted/In press). Pathological findings in central nervous system demyelination associated with infliximab. Multiple Sclerosis Journal. https://doi.org/10.1177/1352458519894710

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abstract = "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.",

keywords = "central nervous system, Demyelination, infliximab, multiple sclerosis, neuropathology, rheumatoid arthritis, tumor necrosis factor (TNF) alpha inhibitors",

author = "Alicja Kalinowska-Lyszczarz and Mahboobeh Fereidan-Esfahani and Yong Guo and Lucchinetti, {Claudia F.} and Tobin, {W. Oliver}",

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AU - Fereidan-Esfahani, Mahboobeh

AU - Guo, Yong

AU - Lucchinetti, Claudia F.

AU - Tobin, W. Oliver

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