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Progressive Multifocal Leukoencephalopathy Associated With Idiopathic CD8+ Lymphocytopenia.
Marta Lopes1, Ana Monteiro1, Maria do Céu Dória1
1Internal Medicine, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.
Progressive multifocal leukoencephalopathy (PML) is a rare CNS disease caused by JC virus, often linked to immunosuppression. This case highlights PML in idiopathic CD8+ lymphocytopenia, emphasizing diagnostic challenges and treatment limitations with pembrolizumab.
Area of Science:
- Neuroscience
- Immunology
- Infectious Diseases
Background:
- Progressive multifocal leukoencephalopathy (PML) is a severe demyelinating disease of the central nervous system (CNS) caused by the John Cunningham (JC) virus.
- PML is typically associated with profound cellular immunosuppression and is rarely pathogenic in immunocompetent individuals.
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