Discover and read the best of Twitter Threads about #natalizumab

Most recents (2)

#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
Read 11 tweets
A #practical topic for today. #Pregnancy changes things - but more so for our #neurology patients - or not? #pearls from the #EAN2020 #MedEd #MedTwitter #MedStudentTwitter #neurologyresident @EANeurology @WNGtweets
Let’s first address #multiplesclerosis. Patients get better in third trimester and 30% relapse #postpartum. Immune responses shifts to anti-inflammatory in 3rd trimester to accommodate fetus - #etcomehome - but rebounds after birth. #MedEd #doubledoc #AcademicTwitter
Continue #firstlineinjectables #glatiramer and #interferon - these don’t cause #teratogenicity. In flares, consider IVIG and PLEX. How about #steroids? Usually fine except in 1st trimester when they can cause birth defects #MedEd #MedStudentTwitter #MedTwitter
Read 6 tweets

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