Evidence map›Paper›PMID 40406135›Full record

ArticleFrontiers in immunology2025

Clinical characteristics and factors associated with recurrence and long-term prognosis in patients with MOGAD.

Wenlin Sun, Yinyin Xie, Aoya Han, Xinru Zhou, Shijie Zhang, Yi Xie, Nanchang Xie

Abstract read
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Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Wenlin SunDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yinyin XieDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Aoya HanDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xinru ZhouDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Shijie ZhangDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yi XieDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Nanchang XieDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To describe the clinical features, treatment, and prognostic factors affecting recurrence and long-term adverse outcomes of myelin oligodendrocyte antibody-associated disease (MOGAD). Methods: In this retrospective cohort study, the records of patients diagnosed with MOGAD at Zhengzhou University First Affiliated Hospital between January 2018 and March 2023 were analyzed, and factors associated with recurrence and poor long-term prognosis were identified using logistic regression. Results: Of the 91 patients, 69 (76%) were new cases, 39 (43%) were female, and 47 (52%) were children (<18 years). Clinical manifestations included optic neuritis (ON) in 13 (14%), transverse myelitis (TM) in 14 (15%), brain disease in 37 (41%), and mixed encephalomyelitis in 27 (30%). The prevalence of acute disseminated encephalomyelitis (ADEM) was significantly higher in children than in adults (43% versus 18%, p = 0.012), whereas the prevalence of TM was significantly higher in adults (30% versus 2%, p < 0.001). Combined steroid and intravenous immunoglobulin (IVIG) treatment during hospitalization was more frequent in children than in adults (36% versus 11%, p = 0.006), and children had a better short-term prognosis than that in adults at discharge (median [interquartile range (IQR)]) Expanded Disability Status Scale [EDSS]: 1 [0-1] versus 2 [0-4.75], p = 0.007; Modified Rankin Score [mRS]: 1 [0-1] versus 1 [0-2], p = 0.006). Visual impairment was a risk factor for recurrence (odds ratio [OR]: 4.22, 95% confidence interval [CI]: 1.24-14.38, p = 0.022). A higher EDSS score at discharge (OR: 5.05, 95% CI: 1.27-20.07, p = 0.021)and more previous episodes (OR: 9.24, 95% CI: 1.35-63.10, p = 0.023), were associated with a poor long-term prognosis; whereas steroid therapy for >5 weeks at first diagnosis (OR: 0.001, 95% CI: 0.00-0.33, p = 0.019) and type I isoelectric focusing pattern (OR: 0.004, 95% CI: 0.00-0.402, p = 0.043) were associated with favorable long-term prognosis. Conclusion: After the first episode, steroid maintenance for an appropriate period following discharge is important for achieving a favorable long-term prognosis, particularly in patients with a high EDSS score at discharge and those at a heightened risk of recurrence.

Indexed as

AutoantibodiesDemyelinating Autoimmune Diseases, CNSMyelin Oligodendrocyte Glycoprotein Antibody-Associated DiseaseAdolescentAdultChildChild, PreschoolFemaleHumansImmunoglobulins, IntravenousMaleMiddle AgedOptic NeuritisPrognosisRecurrenceRetrospective StudiesAutoantibodiesImmunoglobulins, Intravenousclinical phenotypesMOGADMyelin oligodendrocyte antibodyprognosisretrospective cohort study

Identifiers

PMID40406135
PMCPMC12095161

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