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Progressive multifocal leukoencephalopathy: MRI findings in HIV-infected patients are closer to rituximab- than natalizumab-associated PML.

Manel AllegMorgane SolisSeyyid BalogluFrançois CottonPhilippe KerschenBertrand BourreGuido AhleJean-Pierre PruvoXavier LeclercPatrick VermerschCaroline PapeixÉlisabeth MaillartCaroline HouillierCécile Moluçon ChabrotBéatrice ClaiseSandra MalakGuillaume Martin-BlondelFabrice BonnevilleAlexis CaulierJean-Pierre MarolleauJérôme Tamburini BonnefoyPhilippe AgapeCéline KennelXavier RousselAdrien ChauchetJérôme De SezeSamira Fafi-KremerStéphane Kremer
Published in: European radiology (2020)
• Nowadays, PML is emerging as a complication of new effective therapies based on monoclonal antibodies. • Natalizumab-associated PML shows more inflammatory signs, a perivascular distribution "the milky way," and more cortex involvement than rituximab- and HIV-associated PML. • MRI differences are probably related to higher levels of immunosuppression in HIV patients and those under rituximab therapy.
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