Successful treatment with dimethyl fumarate in a child with relapsing-remitting multiple sclerosis

Naoya Saijo, Yu Abe, Yoshitsugu Oikawa, Yukimune Okubo, Wakaba Endo, Yurika Numata-Uematsu, Toshiyuki Takahashi, Mitsugu Uematsu

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Introduction: Early disease control with disease-modifying drugs is important for improving the prognosis of multiple sclerosis (MS) in children. Dimethyl fumarate (DMF) is an oral disease-modifying drug for MS in adults with relatively stable disease; however, its use in young children has not been heavily documented in the current literature. We report the case of a pediatric patient with relapsing-remitting MS who was treated with DMF. Case report: A 3-year-old boy with a history of common cold symptoms developed unsteadiness and somnolence. Magnetic resonance imaging revealed multiple white matter lesions. Symptoms were recurrent, and DMF was prescribed at 6 years of age due to a relapse episode with oculomotor disability and facial paralysis. However, disease progression continued, and new lesions were noted at age 7; thus, the dose of DMF was increased to 240 mg/day. No relapse has been observed for over three years; sequelae or severe side effects were absent. Conclusions: DMF may be a useful oral disease-modifying drug for preventing recurrence in young children with MS.

Original languageEnglish
Pages (from-to)353-356
Number of pages4
JournalBrain and Development
Volume44
Issue number5
DOIs
Publication statusPublished - 2022 May

Keywords

  • Dimethyl fumarate
  • Multiple sclerosis
  • Pediatric
  • Relapsing-remitting

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