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  1. Ching BH, Mohamed AR, Khoo TB, Ismail HI
    Mult Scler, 2015 Aug;21(9):1209-11.
    PMID: 26199345 DOI: 10.1177/1352458515593404
    Multiphasic disseminated encephalomyelitis (MDEM) followed by optic neuritis (ON) has been described as a new entity in recent years. Gluten encephalopathy has also been recognized as a neurological manifestation of celiac disease. Accurate diagnosis of both is important due to the therapeutic implications. We report a girl presenting with recurrent encephalopathic polyfocal demyelinating episodes followed by optic neuritis, and a clinical history suggestive of gluten sensitivity. She had persistently high ESR, neutrophilia, and tested positive for anti-MOG (myelin oligodendrocyte glycoprotein) antibody. She responded well to methylprednisolone in each relapse, and achieved remission for a year after azathioprine was added.
    Matched MeSH terms: Encephalomyelitis, Acute Disseminated/pathology
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