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Neuromyelitis optica: phenotypic characteristics in a Brazilian case series

Neuromielite óptica: características fenotípicas em uma série de casos brasileiros

ABSTRACT

The definition of neuromyelitis optica (NMO) is still evolving. In 2015, the International Panel for NMO Diagnosis was convened to develop revised diagnostic criteria. There have been few studies on NMO in the Brazilian population.

Objective

To describe the characteristics of 34 Brazilian NMO patients. To evaluate the contribution of the 2015 criteria to the diagnosis of NMO spectrum disorders (NMOSD) in 40 patients with longitudinal extensive transverse myelitis (LEMT).

Methods

This is a retrospective, descriptive and analytic study.

Results

Among NMO patients, there was a predominance of women, with onset in the fourth decade of life, and AQP4-IgG seropositivity in 73.5%. The diagnosis of NMOSD was established in 37.5% of LETM patients according to AQP4-IgG positivity and in 5% of LETM patients if the AQP4-IgG result was unknown.

Conclusions

The characteristics of this series are similar to those of other Western populations. The AQP4-IgG testing assists in the diagnosis of NMOSD.

neuromyelitis optica; epidemiology; cross-sectional studies; enzyme-linked immunosorbent assay

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