Value of Area Postrema Syndrome in Differentiating Adults With AQP4 vs. MOG Antibodies

Objectives: To compare the frequency of area postrema syndrome (APS) in adults with anti-aquaporin-4 (AQP4) and anti-myelin oligodendrocyte glycoprotein (MOG) antibodies.Methods: APS is defined as acute or subacute, single or combined, episodic or constant nausea, vomiting, or hiccups, persisting fo...

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Main Authors: Jae-Won Hyun, Young Nam Kwon, Sung-Min Kim, Hye Lim Lee, Woo Kyo Jeong, Hye Jung Lee, Byoung Joon Kim, Seung Woo Kim, Ha Young Shin, Hyun-June Shin, Sun-Young Oh, So-Young Huh, Woojun Kim, Min Su Park, Jeeyoung Oh, Hyunmin Jang, Na Young Park, Min Young Lee, Su-Hyun Kim, Ho Jin Kim
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-06-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2020.00396/full
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author Jae-Won Hyun
Young Nam Kwon
Young Nam Kwon
Sung-Min Kim
Hye Lim Lee
Woo Kyo Jeong
Woo Kyo Jeong
Hye Jung Lee
Hye Jung Lee
Byoung Joon Kim
Byoung Joon Kim
Seung Woo Kim
Ha Young Shin
Hyun-June Shin
Sun-Young Oh
So-Young Huh
Woojun Kim
Min Su Park
Jeeyoung Oh
Hyunmin Jang
Na Young Park
Min Young Lee
Su-Hyun Kim
Ho Jin Kim
author_facet Jae-Won Hyun
Young Nam Kwon
Young Nam Kwon
Sung-Min Kim
Hye Lim Lee
Woo Kyo Jeong
Woo Kyo Jeong
Hye Jung Lee
Hye Jung Lee
Byoung Joon Kim
Byoung Joon Kim
Seung Woo Kim
Ha Young Shin
Hyun-June Shin
Sun-Young Oh
So-Young Huh
Woojun Kim
Min Su Park
Jeeyoung Oh
Hyunmin Jang
Na Young Park
Min Young Lee
Su-Hyun Kim
Ho Jin Kim
author_sort Jae-Won Hyun
collection DOAJ
description Objectives: To compare the frequency of area postrema syndrome (APS) in adults with anti-aquaporin-4 (AQP4) and anti-myelin oligodendrocyte glycoprotein (MOG) antibodies.Methods: APS is defined as acute or subacute, single or combined, episodic or constant nausea, vomiting, or hiccups, persisting for at least 48 h, which cannot be attributed to any other etiology. The presence of APS was investigated in 274 adults with AQP4 antibodies and 107 adults with MOG antibodies from 10 hospitals.Results: The study population comprised Korean adults (≥18 years). At the time of disease onset, 14.9% (41/274) adults with AQP4 antibodies had APS, while none of the participants with MOG antibodies developed APS (p < 0.001). During the course of the disease, 17.2% (47/274) adults with AQP4 antibodies had APS in contrast to 1.9% (2/107) adults with MOG antibodies with APS (p < 0.001).Conclusions: APS, one of the core clinical characteristics of individuals with AQP4 antibodies, is an extremely rare manifestation in Korean adults with MOG antibodies.
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spelling doaj.art-f5afb01148cd463da4544526a8cce1b52022-12-21T19:32:33ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-06-011110.3389/fneur.2020.00396539282Value of Area Postrema Syndrome in Differentiating Adults With AQP4 vs. MOG AntibodiesJae-Won Hyun0Young Nam Kwon1Young Nam Kwon2Sung-Min Kim3Hye Lim Lee4Woo Kyo Jeong5Woo Kyo Jeong6Hye Jung Lee7Hye Jung Lee8Byoung Joon Kim9Byoung Joon Kim10Seung Woo Kim11Ha Young Shin12Hyun-June Shin13Sun-Young Oh14So-Young Huh15Woojun Kim16Min Su Park17Jeeyoung Oh18Hyunmin Jang19Na Young Park20Min Young Lee21Su-Hyun Kim22Ho Jin Kim23Department of Neurology, National Cancer Center, Goyang, South KoreaDepartment of Neurology, Seoul National University Hospital, Seoul, South KoreaThe Catholic University of Korea, Eunpyeong St. Mary's Hospital, Seoul, South KoreaDepartment of Neurology, Seoul National University Hospital, Seoul, South KoreaDepartment of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South KoreaDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South KoreaDepartment of Neurology, Neuroscience Center, Samsung Medical Center, Seoul, South KoreaDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South KoreaDepartment of Neurology, Neuroscience Center, Samsung Medical Center, Seoul, South KoreaDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South KoreaDepartment of Neurology, Neuroscience Center, Samsung Medical Center, Seoul, South KoreaDepartment of Neurology, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Neurology, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Neurology, School of Medicine, Chonbuk National University, Jeonju, South KoreaDepartment of Neurology, School of Medicine, Chonbuk National University, Jeonju, South KoreaDepartment of Neurology, Kosin University College of Medicine, Busan, South Korea0Department of Neurology, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, South Korea1Department of Neurology, Yeungnam University College of Medicine, Daegu, South Korea2Department of Neurology, Konkuk University School of Medicine, Seoul, South KoreaDepartment of Neurology, National Cancer Center, Goyang, South KoreaDepartment of Neurology, National Cancer Center, Goyang, South KoreaDepartment of Neurology, National Cancer Center, Goyang, South KoreaDepartment of Neurology, National Cancer Center, Goyang, South KoreaDepartment of Neurology, National Cancer Center, Goyang, South KoreaObjectives: To compare the frequency of area postrema syndrome (APS) in adults with anti-aquaporin-4 (AQP4) and anti-myelin oligodendrocyte glycoprotein (MOG) antibodies.Methods: APS is defined as acute or subacute, single or combined, episodic or constant nausea, vomiting, or hiccups, persisting for at least 48 h, which cannot be attributed to any other etiology. The presence of APS was investigated in 274 adults with AQP4 antibodies and 107 adults with MOG antibodies from 10 hospitals.Results: The study population comprised Korean adults (≥18 years). At the time of disease onset, 14.9% (41/274) adults with AQP4 antibodies had APS, while none of the participants with MOG antibodies developed APS (p < 0.001). During the course of the disease, 17.2% (47/274) adults with AQP4 antibodies had APS in contrast to 1.9% (2/107) adults with MOG antibodies with APS (p < 0.001).Conclusions: APS, one of the core clinical characteristics of individuals with AQP4 antibodies, is an extremely rare manifestation in Korean adults with MOG antibodies.https://www.frontiersin.org/article/10.3389/fneur.2020.00396/fullarea postrema syndromeaquaporin-4 antibodyMOG antibodyneuromyelitis optica spectrum disorderdiagnosis
spellingShingle Jae-Won Hyun
Young Nam Kwon
Young Nam Kwon
Sung-Min Kim
Hye Lim Lee
Woo Kyo Jeong
Woo Kyo Jeong
Hye Jung Lee
Hye Jung Lee
Byoung Joon Kim
Byoung Joon Kim
Seung Woo Kim
Ha Young Shin
Hyun-June Shin
Sun-Young Oh
So-Young Huh
Woojun Kim
Min Su Park
Jeeyoung Oh
Hyunmin Jang
Na Young Park
Min Young Lee
Su-Hyun Kim
Ho Jin Kim
Value of Area Postrema Syndrome in Differentiating Adults With AQP4 vs. MOG Antibodies
Frontiers in Neurology
area postrema syndrome
aquaporin-4 antibody
MOG antibody
neuromyelitis optica spectrum disorder
diagnosis
title Value of Area Postrema Syndrome in Differentiating Adults With AQP4 vs. MOG Antibodies
title_full Value of Area Postrema Syndrome in Differentiating Adults With AQP4 vs. MOG Antibodies
title_fullStr Value of Area Postrema Syndrome in Differentiating Adults With AQP4 vs. MOG Antibodies
title_full_unstemmed Value of Area Postrema Syndrome in Differentiating Adults With AQP4 vs. MOG Antibodies
title_short Value of Area Postrema Syndrome in Differentiating Adults With AQP4 vs. MOG Antibodies
title_sort value of area postrema syndrome in differentiating adults with aqp4 vs mog antibodies
topic area postrema syndrome
aquaporin-4 antibody
MOG antibody
neuromyelitis optica spectrum disorder
diagnosis
url https://www.frontiersin.org/article/10.3389/fneur.2020.00396/full
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