Diagnostic delay in progressive multifocal leukoencephalopathy

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Diagnostic delay in progressive multifocal leukoencephalopathy

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Title: Diagnostic delay in progressive multifocal leukoencephalopathy
Author: Miskin, Dhanashri P.; Ngo, Long H.; Koralnik, Igor J.

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Citation: Miskin, Dhanashri P., Long H. Ngo, and Igor J. Koralnik. 2016. “Diagnostic delay in progressive multifocal leukoencephalopathy.” Annals of Clinical and Translational Neurology 3 (5): 386-391. doi:10.1002/acn3.301. http://dx.doi.org/10.1002/acn3.301.
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Abstract: Abstract We investigated delay in diagnosing progressive multifocal leukoencephalopathy (PML). The median time from initial symptom to diagnosis was 74 days (range 1–1643) in 111 PML patients seen at our institution from 1993 to 2015. Another diagnosis was considered before PML in nearly two–thirds, and more than three–quarters of patients suffered from diagnostic delay greater than 1 month, irrespective of their underlying immunosuppressive condition. Extended diagnostic delay occurred more frequently in patients with possible PML, and among HIV + patients with higher CD4+ T‐cell counts at symptom onset. Prompt diagnosis may improve survival of PML in so far as immune reconstitution can be effected, and prevent unnecessary interventions.
Published Version: doi:10.1002/acn3.301
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4863751/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:27320341
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