PMID- 36440887 OWN - NLM STAT- MEDLINE DCOM- 20230707 LR - 20230718 IS - 1462-0332 (Electronic) IS - 1462-0324 (Linking) VI - 62 IP - 7 DP - 2023 Jul 5 TI - Therapeutic consequences in patients with both inflammatory rheumatic diseases and multiple sclerosis. PG - 2352-2359 LID - 10.1093/rheumatology/keac665 [doi] AB - Dealing with patients with both multiple sclerosis (MS) and inflammatory rheumatic disorders (IRDs) is not uncommon for a rheumatologist, as there is a statistical association between SpA and MS. As several CNS demyelinating events have been reported in patients treated with TNF inhibitor (TNFi), the pre-existing demyelinating disease was considered a contraindication for TNFi. However, this contraindication is mainly based on a randomized controlled trial in MS and not on large epidemiological studies. According to the last epidemiological studies, TNFi might not be an inducer of MS. Moreover, there are no clear recommendations on the use of the other DMARDs in patients suffering from an IRD and MS. In this review, we summarize the link between MS and IRDs and the impact of DMARDs on MS, especially TNFi. We also look at the impact of disease-modifying drugs for adults with MS and IRDs. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Letarouilly, Jean-Guillaume AU - Letarouilly JG AUID- ORCID: 0000-0003-2793-6303 AD - Universite de Lille, CHU Lille, FHU PRECISE, Service de Rhumatologie, Lille, France. FAU - Vermersch, Patrick AU - Vermersch P AUID- ORCID: 0000-0003-0997-8817 AD - Universite de Lille, CHU Lille, INSERM UMR1172 LilNCog, FHU PRECISE, Service de Neurologie, Lille, France. FAU - Flipo, Rene-Marc AU - Flipo RM AUID- ORCID: 0000-0001-5528-8070 AD - Universite de Lille, CHU Lille, FHU PRECISE, Service de Rhumatologie, Lille, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Rheumatology (Oxford) JT - Rheumatology (Oxford, England) JID - 100883501 RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Antirheumatic Agents) RN - 0 (Tumor Necrosis Factor Inhibitors) SB - IM MH - Adult MH - Humans MH - *Arthritis, Rheumatoid/drug therapy MH - *Multiple Sclerosis/drug therapy MH - Tumor Necrosis Factor-alpha MH - *Antirheumatic Agents/therapeutic use MH - *Rheumatic Fever/drug therapy MH - Tumor Necrosis Factor Inhibitors/therapeutic use MH - Randomized Controlled Trials as Topic OTO - NOTNLM OT - PsA OT - RA OT - TNF inhibitor OT - bDMARD OT - multiple sclerosis OT - spondyloarthritis EDAT- 2022/11/29 06:00 MHDA- 2023/07/07 06:42 CRDT- 2022/11/28 08:25 PHST- 2022/08/10 00:00 [received] PHST- 2022/11/19 00:00 [accepted] PHST- 2023/07/07 06:42 [medline] PHST- 2022/11/29 06:00 [pubmed] PHST- 2022/11/28 08:25 [entrez] AID - 6849504 [pii] AID - 10.1093/rheumatology/keac665 [doi] PST - ppublish SO - Rheumatology (Oxford). 2023 Jul 5;62(7):2352-2359. doi: 10.1093/rheumatology/keac665.