|Title||Relapsing-remitting multiple sclerosis and chronic idiopathic neutropenia: a challenging combination.|
|Publication Type||Journal Article|
|Year of Publication||2013|
|Authors||Münzel EJolanda, Wimperis JZ, Williams AC|
|Journal||BMJ Case Rep|
|Keywords||Adult, Disease Progression, Female, Humans, Immunologic Factors, Interferon-beta, Leukocyte Count, Multiple Sclerosis, Relapsing-Remitting, Neutropenia, Neutrophils|
We report the challenges of treating relapsing-remitting multiple sclerosis (MS) in a 31-year-old woman with long-standing chronic idiopathic neutropenia. The treatment with the disease-modifying therapy interferon-β was significantly complicated by a further fall in her generally low neutrophil count, to values below 0.5×10(9)/l, although this recovered rapidly when the treatment was stopped. We discuss the difficulties of balancing the risk of neutropenia with a risk of MS relapse.
|Alternate Journal||BMJ Case Rep|