Volume 12, Issue 1 pp. 22-41
REVIEW ARTICLE

Treatment of myelin oligodendrocyte glycoprotein immunoglobulin G–associated disease

Sarah Healy

Corresponding Author

Sarah Healy

Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK

Correspondence

Sarah Healy, Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK.

Email: [email protected]

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Kariem Tarik Elhadd

Kariem Tarik Elhadd

Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK

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Emily Gibbons

Emily Gibbons

Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK

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Dan Whittam

Dan Whittam

Department of Neurology, Salford Royal NHS Foundation Trust, Manchester, UK

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Michael Griffiths

Michael Griffiths

Institute of Infection and Global Health, University of Liverpool, Liverpool, UK

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Anu Jacob

Anu Jacob

Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK

Department of Neurology, Cleveland Clinic, Abu Dhabi, United Arab Emirates

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Saif Huda

Saif Huda

Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK

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First published: 20 January 2021
Citations: 15

Abstract

Myelin oligodendrocyte glycoprotein (MOG) immunoglobulin G (IgG)–associated disease (MOGAD) is increasingly recognized as a distinct nosological entity from aquaporin-4 antibody IgG–positive neuromyelitis optica spectrum disorder (AQP4-IgG NMOSD). The advent of highly specific MOG-IgG cell-based diagnostic assays have helped to refine our understanding of the clinical spectrum of MOGAD. To date, treatment approaches have been largely extrapolated from AQP4-IgG NMOSD experience, but there is growing evidence of distinct differences in treatment response between these conditions. This review summarizes the current status and understanding of acute and chronic treatments for MOGAD. Timing and duration of treatment, pregnancy, and emerging therapies are also discussed.

CONFLICT OF INTEREST

The authors have no conflicts of interest to declare.

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