Progressive multifocal leukoencephalopathy: rheumatological aspects

Progressive multifocal leukoencephalopathy (PML) is a severe progressive viral disease that affects the central nervous system in patients with immunodeficiency. It may develop as a complication in patients with systemic inflammatory rheumatic diseases (primarily in those with systemic lupus erythem...

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Main Author: Boris Sergeevich Belov
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2015-09-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/631
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author Boris Sergeevich Belov
author_facet Boris Sergeevich Belov
author_sort Boris Sergeevich Belov
collection DOAJ
description Progressive multifocal leukoencephalopathy (PML) is a severe progressive viral disease that affects the central nervous system in patients with immunodeficiency. It may develop as a complication in patients with systemic inflammatory rheumatic diseases (primarily in those with systemic lupus erythematosus), including that during active antirheumatic therapy. The paper presents data on the etiology, epidemiology, and pathogenesis of the disease, characterizes its clinical presentation, highlights main approaches to its diagnosis, and gives current diagnostic criteria. A questionnaire used to monitor neurological status is shown. The paper emphasizes the importance of this monitoring, for early diagnosis and timely cessation of PML treatment with a drug, a potential trigger, are factors that influence prognosis to the utmost degree.
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spelling doaj-art-cfaa13942dab47e08d83a72b94e07b5a2025-08-04T14:00:33ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2015-09-01934910.14412/1996-7012-2015-3-4-91925Progressive multifocal leukoencephalopathy: rheumatological aspectsBoris Sergeevich Belov0V.A. Nasonova Research Institute of RheumatologyProgressive multifocal leukoencephalopathy (PML) is a severe progressive viral disease that affects the central nervous system in patients with immunodeficiency. It may develop as a complication in patients with systemic inflammatory rheumatic diseases (primarily in those with systemic lupus erythematosus), including that during active antirheumatic therapy. The paper presents data on the etiology, epidemiology, and pathogenesis of the disease, characterizes its clinical presentation, highlights main approaches to its diagnosis, and gives current diagnostic criteria. A questionnaire used to monitor neurological status is shown. The paper emphasizes the importance of this monitoring, for early diagnosis and timely cessation of PML treatment with a drug, a potential trigger, are factors that influence prognosis to the utmost degree.https://mrj.ima-press.net/mrj/article/view/631progressive multifocal leukoencephalopathyclinical presentationdiagnosisrheumatic diseasesantirheumatic therapy
spellingShingle Boris Sergeevich Belov
Progressive multifocal leukoencephalopathy: rheumatological aspects
Современная ревматология
progressive multifocal leukoencephalopathy
clinical presentation
diagnosis
rheumatic diseases
antirheumatic therapy
title Progressive multifocal leukoencephalopathy: rheumatological aspects
title_full Progressive multifocal leukoencephalopathy: rheumatological aspects
title_fullStr Progressive multifocal leukoencephalopathy: rheumatological aspects
title_full_unstemmed Progressive multifocal leukoencephalopathy: rheumatological aspects
title_short Progressive multifocal leukoencephalopathy: rheumatological aspects
title_sort progressive multifocal leukoencephalopathy rheumatological aspects
topic progressive multifocal leukoencephalopathy
clinical presentation
diagnosis
rheumatic diseases
antirheumatic therapy
url https://mrj.ima-press.net/mrj/article/view/631
work_keys_str_mv AT borissergeevichbelov progressivemultifocalleukoencephalopathyrheumatologicalaspects