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Myelitis

MedGen UID:
10230
Concept ID:
C0026975
Disease or Syndrome
Synonyms: Inflammation, Spinal Cord; Inflammations, Spinal Cord; Inflammatory Myelopathies; Inflammatory Myelopathy; Myelitides; Myelopathies, Inflammatory; Myelopathy, Inflammatory; Spinal Cord Inflammation; Spinal Cord Inflammations
SNOMED CT: Myelitis (41370002)
 
HPO: HP:0012486
Monarch Initiative: MONDO:0002565

Definition

Inflammation of the spinal cord. [from HPO]

Conditions with this feature

Systemic lupus erythematosus 17
MedGen UID:
1804329
Concept ID:
C5676884
Disease or Syndrome
Systemic lupus erythematosus-17 (SLE17) is an X-linked dominant autoimmune disorder characterized by onset of systemic autoinflammatory symptoms in the first decades of life. Only affected females have been reported. Features may include classic features of SLE, such as malar rash and arthralgias, or can include less common entities such as hemiplegia and neuromyelitis optica (NMO). Laboratory studies show the presence of autoantibodies and enhanced NFKB (164011) signaling, the latter being consistent with a gain-of-function effect (Brown et al., 2022). For a phenotypic description and a discussion of genetic heterogeneity of systemic lupus erythematosus (SLE), see 152700.

Professional guidelines

PubMed

Banwell B, Bennett JL, Marignier R, Kim HJ, Brilot F, Flanagan EP, Ramanathan S, Waters P, Tenembaum S, Graves JS, Chitnis T, Brandt AU, Hemingway C, Neuteboom R, Pandit L, Reindl M, Saiz A, Sato DK, Rostasy K, Paul F, Pittock SJ, Fujihara K, Palace J
Lancet Neurol 2023 Mar;22(3):268-282. Epub 2023 Jan 24 doi: 10.1016/S1474-4422(22)00431-8. PMID: 36706773
McGinley MP, Goldschmidt CH, Rae-Grant AD
JAMA 2021 Feb 23;325(8):765-779. doi: 10.1001/jama.2020.26858. PMID: 33620411
Murphy OC, Messacar K, Benson L, Bove R, Carpenter JL, Crawford T, Dean J, DeBiasi R, Desai J, Elrick MJ, Farias-Moeller R, Gombolay GY, Greenberg B, Harmelink M, Hong S, Hopkins SE, Oleszek J, Otten C, Sadowsky CL, Schreiner TL, Thakur KT, Van Haren K, Carballo CM, Chong PF, Fall A, Gowda VK, Helfferich J, Kira R, Lim M, Lopez EL, Wells EM, Yeh EA, Pardo CA; AFM working group
Lancet 2021 Jan 23;397(10271):334-346. Epub 2020 Dec 23 doi: 10.1016/S0140-6736(20)32723-9. PMID: 33357469Free PMC Article

Recent clinical studies

Etiology

Douglas AG, Xu DJ, Shah MP
Neurol Clin 2022 Feb;40(1):133-156. doi: 10.1016/j.ncl.2021.08.009. PMID: 34798966
Lopez Chiriboga S, Flanagan EP
Continuum (Minneap Minn) 2021 Feb 1;27(1):62-92. doi: 10.1212/CON.0000000000000900. PMID: 33522737
Rodríguez Y, Rojas M, Pacheco Y, Acosta-Ampudia Y, Ramírez-Santana C, Monsalve DM, Gershwin ME, Anaya JM
Cell Mol Immunol 2018 Jun;15(6):547-562. Epub 2018 Jan 29 doi: 10.1038/cmi.2017.142. PMID: 29375121Free PMC Article
Absoud M, Greenberg BM, Lim M, Lotze T, Thomas T, Deiva K
Neurology 2016 Aug 30;87(9 Suppl 2):S46-52. doi: 10.1212/WNL.0000000000002820. PMID: 27572861
Kitley JL, Leite MI, George JS, Palace JA
Mult Scler 2012 Mar;18(3):271-85. Epub 2011 Jun 13 doi: 10.1177/1352458511406165. PMID: 21669935

Diagnosis

Douglas AG, Xu DJ, Shah MP
Neurol Clin 2022 Feb;40(1):133-156. doi: 10.1016/j.ncl.2021.08.009. PMID: 34798966
Marignier R
Rev Neurol (Paris) 2021 May;177(5):557-566. Epub 2020 Oct 21 doi: 10.1016/j.neurol.2020.08.003. PMID: 34024334
Lopez Chiriboga S, Flanagan EP
Continuum (Minneap Minn) 2021 Feb 1;27(1):62-92. doi: 10.1212/CON.0000000000000900. PMID: 33522737
West TW
Discov Med 2013 Oct;16(88):167-77. PMID: 24099672
West TW, Hess C, Cree BA
Semin Neurol 2012 Apr;32(2):97-113. Epub 2012 Sep 8 doi: 10.1055/s-0032-1322586. PMID: 22961185

Therapy

Khan E, Shrestha AK, Colantonio MA, Liberio RN, Sriwastava S
J Neurol 2022 Mar;269(3):1121-1132. Epub 2021 Sep 5 doi: 10.1007/s00415-021-10785-2. PMID: 34482455Free PMC Article
Pittock SJ, Zekeridou A, Weinshenker BG
Nat Rev Neurol 2021 Dec;17(12):759-773. Epub 2021 Oct 28 doi: 10.1038/s41582-021-00568-8. PMID: 34711906
Hsiao YT, Tsai MJ, Chen YH, Hsu CF
Medicina (Kaunas) 2021 Sep 25;57(10) doi: 10.3390/medicina57101010. PMID: 34684047Free PMC Article
Carnero Contentti E, Correale J
J Neuroinflammation 2021 Sep 16;18(1):208. doi: 10.1186/s12974-021-02249-1. PMID: 34530847Free PMC Article
Asundi A, Cervantes-Arslanian AM, Lin NH, Barbosa F
Semin Neurol 2019 Aug;39(4):472-481. Epub 2019 Sep 18 doi: 10.1055/s-0039-1688923. PMID: 31533188

Prognosis

Jarius S, Paul F, Weinshenker BG, Levy M, Kim HJ, Wildemann B
Nat Rev Dis Primers 2020 Oct 22;6(1):85. doi: 10.1038/s41572-020-0214-9. PMID: 33093467
Gonzalez G, Carr MJ, Kobayashi M, Hanaoka N, Fujimoto T
Int J Mol Sci 2019 Oct 20;20(20) doi: 10.3390/ijms20205201. PMID: 31635198Free PMC Article
Absoud M, Greenberg BM, Lim M, Lotze T, Thomas T, Deiva K
Neurology 2016 Aug 30;87(9 Suppl 2):S46-52. doi: 10.1212/WNL.0000000000002820. PMID: 27572861
West TW
Discov Med 2013 Oct;16(88):167-77. PMID: 24099672
Kitley JL, Leite MI, George JS, Palace JA
Mult Scler 2012 Mar;18(3):271-85. Epub 2011 Jun 13 doi: 10.1177/1352458511406165. PMID: 21669935

Clinical prediction guides

Ismail II, Salama S
J Neuroimmunol 2022 Jan 15;362:577765. Epub 2021 Nov 9 doi: 10.1016/j.jneuroim.2021.577765. PMID: 34839149Free PMC Article
Sooksawasdi Na Ayudhya S, Laksono BM, van Riel D
Virulence 2021 Dec;12(1):2060-2072. doi: 10.1080/21505594.2021.1960106. PMID: 34410208Free PMC Article
Dubey D, Pittock SJ, Krecke KN, Morris PP, Sechi E, Zalewski NL, Weinshenker BG, Shosha E, Lucchinetti CF, Fryer JP, Lopez-Chiriboga AS, Chen JC, Jitprapaikulsan J, McKeon A, Gadoth A, Keegan BM, Tillema JM, Naddaf E, Patterson MC, Messacar K, Tyler KL, Flanagan EP
JAMA Neurol 2019 Mar 1;76(3):301-309. doi: 10.1001/jamaneurol.2018.4053. PMID: 30575890Free PMC Article
Absoud M, Greenberg BM, Lim M, Lotze T, Thomas T, Deiva K
Neurology 2016 Aug 30;87(9 Suppl 2):S46-52. doi: 10.1212/WNL.0000000000002820. PMID: 27572861
Karussis D
J Autoimmun 2014 Feb-Mar;48-49:134-42. Epub 2014 Feb 10 doi: 10.1016/j.jaut.2014.01.022. PMID: 24524923

Recent systematic reviews

Allahyari F, Molaee H, Hosseini Nejad J
Z Naturforsch C J Biosci 2023 Jan 27;78(1-2):1-8. Epub 2022 Sep 12 doi: 10.1515/znc-2022-0092. PMID: 36087300
Ismail II, Salama S
J Neuroimmunol 2022 Jan 15;362:577765. Epub 2021 Nov 9 doi: 10.1016/j.jneuroim.2021.577765. PMID: 34839149Free PMC Article
Ismail II, Salama S
J Neurol 2022 Feb;269(2):541-576. Epub 2021 Aug 12 doi: 10.1007/s00415-021-10752-x. PMID: 34386902Free PMC Article
Marini A, Bernardini A, Gigli GL, Valente M, Muñiz-Castrillo S, Honnorat J, Vogrig A
Neurology 2021 Apr 20;96(16):754-766. Epub 2021 Mar 2 doi: 10.1212/WNL.0000000000011795. PMID: 33653902
Rafailidis PI, Mourtzoukou EG, Varbobitis IC, Falagas ME
Virol J 2008 Mar 27;5:47. doi: 10.1186/1743-422X-5-47. PMID: 18371229Free PMC Article

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