PMID- 28617365 OWN - NLM STAT- MEDLINE DCOM- 20190408 LR - 20190408 IS - 1997-7298 (Print) IS - 1997-7298 (Linking) VI - 117 IP - 2. Vyp. 2 DP - 2017 TI - [Immune reconstitution inflammatory syndrome and rebound syndrome in multiple sclerosis patients who stopped disease modification therapy: current understanding and a case report]. PG - 74-84 LID - 10.17116/jnevro20171172274-84 [doi] AB - More and more multiple sclerosis patients have been receiving treatment with new immunomodulatory drugs. Its discontinuation because of side-effects, lack of efficacy or pregnancy has been increasing as well. This paper reviews such severe complications of natalizumab and fingolimod cessation as immune reconstitution inflammatory syndrome (IRIS) and rebound. The short history, immunopathogenesis and diagnostic criteria of IRIS in individuals with human immunodeficiency virus infection are covered. Clinical and radiological presentations as well as possible pathogenic mechanisms of IRIS in patients treated with natalizumab and fingolimod are discussed. The authors also report the case of a woman with multiple sclerosis treated with fingolimod, who experienced a severe relapse when she stopped treatment. Diagnostic criteria and prognostic factors for IRIS and rebound are needed in patients with multiple sclerosis who discontinue the new disease modification therapy. FAU - Belova, A N AU - Belova AN AD - Privolzskyi Federal Medical Research Center, Nizhny Novgorod, Russia. FAU - Rasteryaeva, M V AU - Rasteryaeva MV AD - Privolzskyi Federal Medical Research Center, Nizhny Novgorod, Russia. FAU - Zhulina, N I AU - Zhulina NI AD - Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia. FAU - Belova, E M AU - Belova EM AD - Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia. FAU - Boyko, A N AU - Boyko AN AD - Pirogov National Russian Scientific Medical University, Moscow, Russia ,Center for demyelination diseases 'Neuroclinic', Moscow, Russia. LA - rus PT - Case Reports PT - Journal Article PT - Review TT - Vospalitel'nyi sindrom vosstanovleniia immuniteta i rebaund-sindrom pri otmene nekotorykh preparatov immunomoduliruiushchei terapii rasseiannogo skleroza: obshchie predstavleniia i sobstvennoe nabliudenie. PL - Russia (Federation) TA - Zh Nevrol Psikhiatr Im S S Korsakova JT - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova JID - 9712194 RN - 0 (Immunologic Factors) RN - 0 (Natalizumab) RN - G926EC510T (Fingolimod Hydrochloride) SB - IM MH - Female MH - Fingolimod Hydrochloride/therapeutic use MH - Humans MH - *Immune Reconstitution Inflammatory Syndrome/etiology MH - *Immunologic Factors/therapeutic use MH - *Multiple Sclerosis/drug therapy MH - Natalizumab/therapeutic use MH - Pregnancy MH - Recurrence OTO - NOTNLM OT - fingolimod OT - immune reconstitution inflammatory responses (IRIS) OT - multiple sclerosis OT - natalizumab OT - rebound EDAT- 2017/06/16 06:00 MHDA- 2019/04/09 06:00 CRDT- 2017/06/16 06:00 PHST- 2017/06/16 06:00 [entrez] PHST- 2017/06/16 06:00 [pubmed] PHST- 2019/04/09 06:00 [medline] AID - 10.17116/jnevro20171172274-84 [doi] PST - ppublish SO - Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(2. Vyp. 2):74-84. doi: 10.17116/jnevro20171172274-84.