Low-dose corticosteroids reduce relapses in neuromyelitis optica: A retrospective analysis

S. Watanabe, Tatsuro Misu, I. Miyazawa, Ichiro Nakashima, Y. Shiga, Kazuo Fujihara, Y. Itoyama

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Abstract

Neuromyelitis optica (NMO) is a relapsing neurologic disease characterized by severe optic neuritis and transverse myelitis. A disease-modifying therapy for NMO has not been established. We retrospectively analysed the effect of low-dose corticosteroid (CS) monotherapy on the annual relapse rate in nine patients with NMO. We divided the clinical course in each patient into two periods; the CS Period in which CS was administered, and the No CS Period in which CS was not administered. Periods related to other immunological therapies, such as high-dose methylprednisolone, immunosuppressants, interferon-beta, and plasma exchange, were excluded. As a result, the annual relapse rate during the CS Periods [median, 0.49 (range, 0-1.31)] was found to be significantly lower than that during the No CS Periods [1.48 (0.65-5.54)]. As for the dose of CS, relapses occurred significantly more frequently with '10 mg/day or less' than with 'over 10 mg/day' (odds ratio: 8.75). The results of the present study suggest a beneficial effect of low-dose CS monotherapy in reducing relapses in NMO.

Original languageEnglish
Pages (from-to)968-974
Number of pages7
JournalMultiple Sclerosis
Volume13
Issue number8
DOIs
Publication statusPublished - 2007 Sep 1

Keywords

  • Autoantibody
  • Corticosteroids
  • Devic's disease
  • Neuromyelitis optica
  • Relapse
  • Therapy

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Watanabe, S., Misu, T., Miyazawa, I., Nakashima, I., Shiga, Y., Fujihara, K., & Itoyama, Y. (2007). Low-dose corticosteroids reduce relapses in neuromyelitis optica: A retrospective analysis. Multiple Sclerosis, 13(8), 968-974. https://doi.org/10.1177/1352458507077189