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#idboardreview 40 F multiple sclerosis on natalizumab presents w/ coordination difficulties and cognitive impairment. MRI non-enhancing subcortical white matter frontal lesions hyperintense on T2 & hypointense on T1. Diagnosis? #medEd #idmedEd #IDtwitter 
#progressive multifocal leukoencephalopathy (PML) increase risk with #natalizumab
#PML Ref P&P ID Mandell
