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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 (SLEB17) 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

Jarius S, Aktas O, Ayzenberg I, Bellmann-Strobl J, Berthele A, Giglhuber K, Häußler V, Havla J, Hellwig K, Hümmert MW, Kleiter I, Klotz L, Krumbholz M, Kümpfel T, Paul F, Ringelstein M, Ruprecht K, Senel M, Stellmann JP, Bergh FT, Tumani H, Wildemann B, Trebst C; Neuromyelitis Optica Study Group (NEMOS)
J Neurol 2023 Jul;270(7):3341-3368. Epub 2023 Apr 6 doi: 10.1007/s00415-023-11634-0. PMID: 37022481Free PMC Article
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

Recent clinical studies

Etiology

Montalvo M, Flanagan EP
Handb Clin Neurol 2024;200:193-201. doi: 10.1016/B978-0-12-823912-4.00017-7. PMID: 38494277
Co DO
Med Clin North Am 2024 Jan;108(1):93-105. Epub 2023 Jul 11 doi: 10.1016/j.mcna.2023.05.017. PMID: 37951658
Miyoshi IC, de Toledo AHN, Pereira FV, Villarinho LL, Dalaqua M, de Ávila Duarte J, Reis F
Semin Ultrasound CT MR 2023 Oct;44(5):424-435. Epub 2023 Apr 5 doi: 10.1053/j.sult.2023.03.015. PMID: 37555684
Douglas AG, Xu DJ, Shah MP
Neurol Clin 2022 Feb;40(1):133-156. doi: 10.1016/j.ncl.2021.08.009. PMID: 34798966
Thomas T, Branson HM
Neuroimaging Clin N Am 2013 May;23(2):267-78. Epub 2013 Jan 21 doi: 10.1016/j.nic.2012.12.006. PMID: 23608689

Diagnosis

Miyoshi IC, de Toledo AHN, Pereira FV, Villarinho LL, Dalaqua M, de Ávila Duarte J, Reis F
Semin Ultrasound CT MR 2023 Oct;44(5):424-435. Epub 2023 Apr 5 doi: 10.1053/j.sult.2023.03.015. PMID: 37555684
Cacciaguerra L, Flanagan EP
J Neurol Sci 2022 Nov 15;442:120424. Epub 2022 Oct 1 doi: 10.1016/j.jns.2022.120424. PMID: 36201962
Anand P
Semin Neurol 2021 Jun;41(3):280-290. Epub 2021 May 19 doi: 10.1055/s-0041-1725126. PMID: 34010967
Lebrun Frenay C
Rev Neurol (Paris) 2019 Sep-Oct;175(7-8):464-468. Epub 2019 Jul 30 doi: 10.1016/j.neurol.2019.07.001. PMID: 31375285
Montalvo M, Cho TA
Neurol Clin 2018 Nov;36(4):789-808. doi: 10.1016/j.ncl.2018.06.001. PMID: 30366555

Therapy

Paubel T, Schneider V, Lenfant M, Blanc Labarre C
Neurol Sci 2024 Nov;45(11):5517-5519. Epub 2024 Aug 26 doi: 10.1007/s10072-024-07743-x. PMID: 39183258
Carnero Contentti E, Correale J
J Neuroinflammation 2021 Sep 16;18(1):208. doi: 10.1186/s12974-021-02249-1. PMID: 34530847Free PMC Article
Malhotra HS, Gupta P, Prabhu V, Kumar Garg R, Dandu H, Agarwal V
QJM 2021 Nov 5;114(8):591-593. doi: 10.1093/qjmed/hcab069. PMID: 33787891Free PMC Article
Li XY, Xiao HB, Pai P
J Clin Neurosci 2017 Oct;44:18-22. Epub 2017 Jul 8 doi: 10.1016/j.jocn.2017.06.003. PMID: 28694045
Bhat A, Naguwa S, Cheema G, Gershwin ME
Autoimmun Rev 2010 Mar;9(5):A395-9. Epub 2009 Dec 24 doi: 10.1016/j.autrev.2009.12.007. PMID: 20035902

Prognosis

Padilla-Flores T, Sampieri A, Vaca L
Pharmacol Res Perspect 2024 Jun;12(3):e1224. doi: 10.1002/prp2.1224. PMID: 38864106Free PMC Article
Grasso EA, Pozzilli V, Tomassini V
Handb Clin Neurol 2023;196:101-117. doi: 10.1016/B978-0-323-98817-9.00020-X. PMID: 37620065
Chinnappan J, Parajuli A, Marcus H, Bachuwa G
BMJ Case Rep 2023 Mar 6;16(3) doi: 10.1136/bcr-2022-254409. PMID: 36878618Free PMC Article
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
Pandit L, Rao S
J Neurol Neurosurg Psychiatry 1996 Mar;60(3):336-8. doi: 10.1136/jnnp.60.3.336. PMID: 8609515Free PMC Article

Clinical prediction guides

Petersen PT, Bodilsen J, Jepsen MPG, Larsen L, Storgaard M, Hansen BR, Lüttichau HR, Helweg-Larsen J, Wiese L, Andersen CØ, Nielsen H, Brandt CT; Danish Study Group of Infections of the Brain (DASGIB)
Infection 2024 Jun;52(3):839-846. Epub 2023 Nov 2 doi: 10.1007/s15010-023-02113-9. PMID: 37917395Free PMC Article
Lotan I, Chen JJ, Hacohen Y, Abdel-Mannan O, Mariotto S, Huda S, Gibbons E, Wilf-Yarkoni A, Hellmann MA, Stiebel-Kalish H, Pittock SJ, Flanagan EP, Molazadeh N, Anderson M, Salky R, Romanow G, Schindler P, Duchow AS, Paul F, Levy M
Mult Scler 2023 Aug;29(9):1080-1089. Epub 2023 Jul 10 doi: 10.1177/13524585231184738. PMID: 37431144
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
Levin SN, Lyons JL
Handb Clin Neurol 2018;152:213-227. doi: 10.1016/B978-0-444-63849-6.00017-7. PMID: 29604979
Flanagan EP, Pittock SJ
Handb Clin Neurol 2017;140:319-335. doi: 10.1016/B978-0-444-63600-3.00017-9. PMID: 28187806

Recent systematic reviews

Arnett S, Chew SH, Leitner U, Hor JY, Paul F, Yeaman MR, Levy M, Weinshenker BG, Banwell BL, Fujihara K, Abboud H, Dujmovic Basuroski I, Arrambide G, Neubrand VE, Quan C, Melamed E, Palace J, Sun J, Asgari N, Broadley SA; Guthy Jackson International Clinical Consortium*
J Neurol 2024 Aug;271(8):4794-4812. Epub 2024 Jul 3 doi: 10.1007/s00415-024-12452-8. PMID: 38958756Free PMC Article
Hagbohm C, Ouellette R, Flanagan EP, Jonsson DI, Piehl F, Banwell B, Wickström R, Iacobaeus E, Granberg T, Ineichen BV
Eur J Neurol 2024 Jul;31(7):e16284. Epub 2024 Mar 20 doi: 10.1111/ene.16284. PMID: 38506182Free PMC Article
Harahsheh E, Callister M, Hasan S, Gritsch D, Valencia-Sanchez C
J Neuroimmunol 2022 Dec 15;373:577994. Epub 2022 Oct 28 doi: 10.1016/j.jneuroim.2022.577994. PMID: 36332464
Mehta R, Gerardin P, de Brito CAA, Soares CN, Ferreira MLB, Solomon T
Rev Med Virol 2018 May;28(3):e1978. Epub 2018 Apr 19 doi: 10.1002/rmv.1978. PMID: 29671914Free PMC Article
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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