Systemic association of myelin oligodendrocyte glycoprotein antibody disease: A systematic review of literature

IF 0.4 Q4 CLINICAL NEUROLOGY Neurology and Clinical Neuroscience Pub Date : 2024-01-09 DOI:10.1111/ncn3.12790
Camelia Porey, B. Jaiswal
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Abstract

Association of MOGAD with various autoimmune and paraneoplastic antibodies has been described in the literature. However, MOGAD with systemic manifestations is rarely encountered and requires a high index of suspicion for evaluation. Searching various databases, we identified 107 studies. After independently assessing the eligibility, finally, 29 studies were selected for review. A total of 1458 MOG patients were included in the study among whom systemic manifestations were present in 253 (17.3%) patients. SLE with ANA positivity was found in a total of 72 (28.4%) patients. Among them, anti‐dsDNA was positive in 10 (3.9%), anti‐smith in 3 (1.2%), anti‐SSA/SSB in 13 (5.1%), anti‐RNP in 3 (1.1%), anti‐Ro 52 in 1 (0.5%), and ENA in 1 (0.5%). APLA was positive in 10 (3.9%), ANCA in 10 (3.9%), RA in 31(12.9%) and thyroid antibody in 35 (13.8%) patients. Simultaneous CNS and PNS involvement was also seen in 21 (8.3%) patients. Systemic involvement is not an uncommon phenomenon in MOGAD and in future may add to the spectrum of the disease.
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文献中描述了 MOGAD 与各种自身免疫和副肿瘤抗体的关系。然而,伴有全身表现的 MOGAD 极少见,需要高度怀疑才能进行评估。通过搜索各种数据库,我们发现了 107 项研究。经过独立的资格评估,最终选择了 29 项研究进行审查。研究共纳入了 1458 例 MOG 患者,其中 253 例(17.3%)患者有系统性表现。共有 72 例(28.4%)患者的系统性红斑狼疮伴有 ANA 阳性。其中,抗dsDNA阳性10例(3.9%),抗smith阳性3例(1.2%),抗SSA/SSB阳性13例(5.1%),抗RNP阳性3例(1.1%),抗Ro 52阳性1例(0.5%),ENA阳性1例(0.5%)。10例(3.9%)患者的APLA呈阳性,10例(3.9%)患者的ANCA呈阳性,31例(12.9%)患者的RA呈阳性,35例(13.8%)患者的甲状腺抗体呈阳性。21例(8.3%)患者同时受累于中枢神经系统和下肢神经系统。全身受累在 MOGAD 中并不罕见,将来可能会增加疾病谱。
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76
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