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The role of the immune system in progressive multifocal leukoencephalopathy: a comparative analysis of two cases following autologous and allogeneic hematopoietic stem cell transplantation
by
Barbera, Elettra Ortu La
, Corbingi, Andrea
, Cenfra, Natalia
, Mecarocci, Sergio
, Mazzarella, Roberta
, Pacitto, Giada
, Perrone, Salvatore
, Mandelli, Biancamaria
, Pulsoni, Alessandro
, Fanciullo, David
, Lorenzon, Martina
, Asioli, Sofia
in
Adult
/ Antibodies
/ Biopsy
/ Brain research
/ Case Report
/ Chemotherapy
/ Consent
/ Contrast agents
/ Dysarthria
/ Female
/ Graft versus host disease
/ Hematology
/ Hematopoietic Stem Cell Transplantation - adverse effects
/ Humans
/ Immune response
/ Immune System
/ Immunocompromised Host
/ Immunohistochemistry
/ Immunology
/ Infections
/ JC Virus - immunology
/ Leukoencephalopathy, Progressive Multifocal - diagnosis
/ Leukoencephalopathy, Progressive Multifocal - etiology
/ Leukoencephalopathy, Progressive Multifocal - immunology
/ Lymphocytes
/ Lymphoma
/ Magnetic resonance imaging
/ Male
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Oncology
/ Stem cell transplantation
/ Steroids
/ Transplantation, Autologous - adverse effects
/ Transplantation, Homologous - adverse effects
/ Viral infections
2025
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The role of the immune system in progressive multifocal leukoencephalopathy: a comparative analysis of two cases following autologous and allogeneic hematopoietic stem cell transplantation
by
Barbera, Elettra Ortu La
, Corbingi, Andrea
, Cenfra, Natalia
, Mecarocci, Sergio
, Mazzarella, Roberta
, Pacitto, Giada
, Perrone, Salvatore
, Mandelli, Biancamaria
, Pulsoni, Alessandro
, Fanciullo, David
, Lorenzon, Martina
, Asioli, Sofia
in
Adult
/ Antibodies
/ Biopsy
/ Brain research
/ Case Report
/ Chemotherapy
/ Consent
/ Contrast agents
/ Dysarthria
/ Female
/ Graft versus host disease
/ Hematology
/ Hematopoietic Stem Cell Transplantation - adverse effects
/ Humans
/ Immune response
/ Immune System
/ Immunocompromised Host
/ Immunohistochemistry
/ Immunology
/ Infections
/ JC Virus - immunology
/ Leukoencephalopathy, Progressive Multifocal - diagnosis
/ Leukoencephalopathy, Progressive Multifocal - etiology
/ Leukoencephalopathy, Progressive Multifocal - immunology
/ Lymphocytes
/ Lymphoma
/ Magnetic resonance imaging
/ Male
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Oncology
/ Stem cell transplantation
/ Steroids
/ Transplantation, Autologous - adverse effects
/ Transplantation, Homologous - adverse effects
/ Viral infections
2025
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The role of the immune system in progressive multifocal leukoencephalopathy: a comparative analysis of two cases following autologous and allogeneic hematopoietic stem cell transplantation
by
Barbera, Elettra Ortu La
, Corbingi, Andrea
, Cenfra, Natalia
, Mecarocci, Sergio
, Mazzarella, Roberta
, Pacitto, Giada
, Perrone, Salvatore
, Mandelli, Biancamaria
, Pulsoni, Alessandro
, Fanciullo, David
, Lorenzon, Martina
, Asioli, Sofia
in
Adult
/ Antibodies
/ Biopsy
/ Brain research
/ Case Report
/ Chemotherapy
/ Consent
/ Contrast agents
/ Dysarthria
/ Female
/ Graft versus host disease
/ Hematology
/ Hematopoietic Stem Cell Transplantation - adverse effects
/ Humans
/ Immune response
/ Immune System
/ Immunocompromised Host
/ Immunohistochemistry
/ Immunology
/ Infections
/ JC Virus - immunology
/ Leukoencephalopathy, Progressive Multifocal - diagnosis
/ Leukoencephalopathy, Progressive Multifocal - etiology
/ Leukoencephalopathy, Progressive Multifocal - immunology
/ Lymphocytes
/ Lymphoma
/ Magnetic resonance imaging
/ Male
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Oncology
/ Stem cell transplantation
/ Steroids
/ Transplantation, Autologous - adverse effects
/ Transplantation, Homologous - adverse effects
/ Viral infections
2025
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The role of the immune system in progressive multifocal leukoencephalopathy: a comparative analysis of two cases following autologous and allogeneic hematopoietic stem cell transplantation
Journal Article
The role of the immune system in progressive multifocal leukoencephalopathy: a comparative analysis of two cases following autologous and allogeneic hematopoietic stem cell transplantation
2025
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Overview
Progressive multifocal leukoencephalopathy (PML) is a rare, subacute demyelinating disorder of the central nervous system (CNS) caused by the JCV. In immunosuppressed hosts, PML is caused by reactivation of a latent infection rather than primary exposure. Hematological patients, particularly post-transplant, presenting with worsening neurological symptoms should promptly consider PML in the differential diagnosis. The rarity of PML after autologous or allogeneic hematopoietic stem cell transplantation (HSCT) and the absence of a universally effective therapy represents a clinical challenge. Here, we present two cases of PML developed after autologous and allogeneic HSCT, with completely different outcomes dependent on the patients’ clinical backgrounds and the level of immune system competence which is the key factor in determining either the onset or viral clearance of the infection.
Publisher
Springer Berlin Heidelberg,Springer Nature B.V
Subject
/ Biopsy
/ Consent
/ Female
/ Hematopoietic Stem Cell Transplantation - adverse effects
/ Humans
/ Leukoencephalopathy, Progressive Multifocal - diagnosis
/ Leukoencephalopathy, Progressive Multifocal - etiology
/ Leukoencephalopathy, Progressive Multifocal - immunology
/ Lymphoma
/ Male
/ Medicine
/ Oncology
/ Steroids
/ Transplantation, Autologous - adverse effects
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