PMID- 34373376 OWN - NLM STAT- MEDLINE DCOM- 20220204 LR - 20220315 IS - 1349-7235 (Electronic) IS - 0918-2918 (Print) IS - 0918-2918 (Linking) VI - 61 IP - 3 DP - 2022 Feb 1 TI - Intravenous Immunoglobulin in the Treatment of Adalimumab-associated Optic Neuritis. PG - 429-432 LID - 10.2169/internalmedicine.7599-21 [doi] AB - Optic neuritis (ON) is a rare complication of tumor necrosis factor (TNF)-alpha inhibitors. The autoantibody serostatus, treatment, and outcome of TNF-alpha inhibitor-associated ON remain unclear. We herein report a 50-year-old woman with ON following adalimumab therapy. The patient presented with decreasing visual acuity of the right eye, quickly diminishing to light perception. Anti-aquaporin-4 (anti-AQP4) and anti-myelin oligodendrocyte glycoprotein antibodies were negative. Adalimumab was discontinued, and intravenous methylprednisolone and intravenous immunoglobulin (IVIg) were administered. However, her visual acuity improved only up to counting fingers. IVIg may be ineffective depending on the pretreatment severity. FAU - Uchio, Naohiro AU - Uchio N AD - Department of Neurology, Mitsui Memorial Hospital, Japan. FAU - Yashita, Daiki AU - Yashita D AD - Department of Neurology, Mitsui Memorial Hospital, Japan. FAU - Hao, Akihito AU - Hao A AD - Department of Neurology, Mitsui Memorial Hospital, Japan. FAU - Takahashi, Toshiyuki AU - Takahashi T AD - Department of Neurology, Tohoku University Graduate School of Medicine, Japan. AD - Department of Neurology, National Hospital Organization Yonezawa National Hospital, Japan. FAU - Matsumoto, Hideyuki AU - Matsumoto H AD - Department of Neurology, Mitsui Memorial Hospital, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20210806 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Aquaporin 4) RN - 0 (Autoantibodies) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Myelin-Oligodendrocyte Glycoprotein) RN - FYS6T7F842 (Adalimumab) SB - IM MH - Adalimumab/adverse effects MH - Aquaporin 4 MH - Autoantibodies MH - Female MH - Humans MH - *Immunoglobulins, Intravenous/therapeutic use MH - Middle Aged MH - Myelin-Oligodendrocyte Glycoprotein MH - *Optic Neuritis/chemically induced/diagnosis/drug therapy PMC - PMC8866781 OTO - NOTNLM OT - adalimumab OT - aquaporin-4 OT - intravenous immunoglobulin OT - myelin oligodendrocyte glycoprotein OT - optic neuritis OT - tumor necrosis factor-alpha COIS- The authors state that they have no Conflict of Interest (COI). EDAT- 2021/08/11 06:00 MHDA- 2022/02/05 06:00 PMCR- 2022/02/01 CRDT- 2021/08/10 05:52 PHST- 2021/08/11 06:00 [pubmed] PHST- 2022/02/05 06:00 [medline] PHST- 2021/08/10 05:52 [entrez] PHST- 2022/02/01 00:00 [pmc-release] AID - 10.2169/internalmedicine.7599-21 [doi] PST - ppublish SO - Intern Med. 2022 Feb 1;61(3):429-432. doi: 10.2169/internalmedicine.7599-21. Epub 2021 Aug 6.