Progressive multifocal leukoencephalopathy (PML): risk factors

Evidence-based neurology checklist on progressive multifocal leukoencephalopathy (pml): risk factors: JC virus infection The JC virus is responsible for PML It belongs to the BK viruses It infects oligodendrocytes JC virus DNA is also found in urine and lymphocytes 80-90% of adults are JC virus…

JC virus infection

  • The JC virus is responsible for PML
  • It belongs to the BK viruses
  • It infects oligodendrocytes
  • JC virus DNA is also found in urine and lymphocytes
  • 80-90% of adults are JC virus antibody positive
  • It may jointly co-infect with herpes viruses
  • JC virus also causes encephalitis and meningitis

Immunosuppressive disorders

Natalizumab: risk features

Other drugs

Acronym

References

  1. Warnke C, Menge T, Hartung H-P, et al. Natalizumab and progressive multifocal leukoencephalopathy. Arch Neurol 2010; 67:923-930.
  2. Tan CS, Koralnik IJ. Progressive multifocal leukoencephalopathy and other disorders caused by JC virus: clinical features and pathogenesis. Lancet Neurol 2010; 9:425-437.
  3. Nakamichi K, Inoue N, Shimokawa T, Kurane I, Lim CK, Saijo M. Detection of human herpesviruses in the cerebrospinal fluid from patients diagnosed with or suspected of having progressive multifocal leukoencephalopathy. BMC Neurol 2013; 13:200.
  4. Grossman RI, Yousem DM. The Requisites Neuroradiology. 2nd Edition Mosby Philadelphia 2003 p350.
  5. Berger JR. The clinical features of PML. Cleve Clin J Med 2011; 78 (Suppl2):S8-S12. 
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