作者
Romain Marignier,Yael Hacohen,Álvaro Cobo‐Calvo,Anne Katrin Pröbstel,Orhan Aktaş,Harry Alexopoulos,Maria Pia Amato,Nasrin Asgari,Brenda Banwell,Jeffrey L. Bennett,Fabienne Brilot,Marco Capobianco,Tanuja Chitnis,Olga Ciccarelli,Kumaran Deiva,Jérôme De Sèze,Kazuo Fujihara,Anu Jacob,Ho Jin Kim,Ingo Kleiter,Hans Lassmann,Maria Isabel Leite,Christopher Linington,Edgar Meinl,Jacqueline Palace,Friedemann Paul,Axel Petzold,Sean J. Pittock,Markus Reindl,Douglas Kazutoshi Sato,Krzysztof Selmaj,Aksel Sıva,Bruno Stankoff,Mar Tintoré,Anthony Traboulsee,Patrick Waters,Emmanuelle Waubant,Brian G. Weinshenker,Tobias Derfuss,Sandra Vukusic,Bernhard Hemmer
摘要
Myelin-oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is a recently identified autoimmune disorder that presents in both adults and children as CNS demyelination. Although there are clinical phenotypic overlaps between MOGAD, multiple sclerosis, and aquaporin-4 antibody-associated neuromyelitis optica spectrum disorder (NMOSD) cumulative biological, clinical, and pathological evidence discriminates between these conditions. Patients should not be diagnosed with multiple sclerosis or NMOSD if they have anti-MOG antibodies in their serum. However, many questions related to the clinical characterisation of MOGAD and pathogenetic role of MOG antibodies are still unanswered. Furthermore, therapy is mainly based on standard protocols for aquaporin-4 antibody-associated NMOSD and multiple sclerosis, and more evidence is needed regarding how and when to treat patients with MOGAD.