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A SUPPLEMENT TO NEUROLOGY REVIEWS
Clinical Reviews of JCV and PML
PA R T 2 DECEMBER 2011
Identifying Patients at
Risk for PML
PML in
Immunocompromised
Patient Populations:
Historical Context
PML Risk Factors,
Risk Reduction, and
Improved Outcomes
Emerging Data in
Treatment-Associated
PML
Supported by Biogen Idec
Identifying Patients
at Risk for PML
SUPPLEMENT EDITOR
Mark Gudesblatt, MD
FACULTY
Mark Gudesblatt, MD
Moti L. Chapagain, PhD
John F. Foley, MD
CONTENTS
PML in Immunocompromised
Patient Populations: Historical
Context . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S3
Mark Gudesblatt, MD
PML Risk Factors,
Risk Reduction,
a
A SUPPLEMENT TO NEUROLOGY REVIEWS Clinical Rev
Identifying Patients at Risk for PML
PML in Immunocompromised Patient Populations: His
PML was linked to lymphoproliferative ma- li
patients increased with disease progression as we
significantly lower risk of significant disabilit
lopathy in a patient with idiopathic
PML Risk Factors, Risk Reduction, and Improved Ou
PML.6 Although PML and the underlying role of JCV
periphery relative to active infection in the CNS
ficity and failed to bind to peripheral cell type
TABLE 1 Characteristics of AIDS-Associated PML P
vival in AIDS-associated PML, CD4+ cell count was
gressive multifocal leukoencephalopathy
Emerging Data in Treatment- Associated PML John
In the clinical trials, natalizumab wa
0.04 per 1,000 patients in the first year of trea
The potential for IRIS to serve as a signal
portant to recognize that patients not initiated
20. Foley JF. Progressive escalation of natali-