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Outcomes and disease activity during and after pregnancy in Asian women with MOGAD

  • Jae Won Hyun
  • , De Cai Tian
  • , Yun Xu
  • , Naohiro Sakamoto
  • , Shuhei Nishiyama
  • , Tatsuro Misu
  • , Dai Ichikawa
  • , Ichiro Nakashima
  • , Kazuo Fujihara
  • , Lekha Pandit
  • , Monalisa Vegda
  • , Tianrong Yeo
  • , Janis Siew Noi Tye
  • , You Ri Kang
  • , Tai Seung Nam
  • , Woojun Kim
  • , Kuo Hsuan Chang
  • , Shanthi Viswanathan
  • , Jyh Yung Hor
  • , Hui Jieh Tan
  • Sasitorn Siritho, Dong Eun Lee, Na Young Park, Su Hyun Kim, Ho Jin Kim*
*Corresponding author for this work
  • National Cancer Center Korea
  • Capital Medical University
  • Tohoku University
  • Tohoku Medical and Pharmaceutical University
  • Southern Tohoku General Hospital
  • NITTE
  • Singapore Health Services
  • Chonnam National University
  • The Catholic University of Korea
  • Chang Gung Memorial Hospital
  • Kuala Lumpur Hospital
  • Hospital Pulau Pinang
  • Kementerian Kesihatan Malaysia
  • Bumrungrad International Hospital

Research output: Contribution to journalJournal Article peer-review

Abstract

This first international multicenter study evaluated pregnancy outcomes and their influence on disease activity in Asian women with myelin oligodendrocyte glycoprotein-antibody-associated disease (MOGAD) meeting the 2023 diagnostic criteria. Among 318 women with adult-onset MOGAD, 23 pregnancies after disease onset in 18 women were analyzed. Pregnancy outcomes were generally favorable, with most infants born healthy. Relapse rates decreased during pregnancy and returned postpartum. Three-quarters of women with previously monophasic disease transitioned to a relapsing course postpartum, although most attacks during and after pregnancy recovered well. These findings suggest that pregnancy can be considered with appropriate clinical monitoring in women with MOGAD.

Original languageEnglish
Pages (from-to)548-552
Number of pages5
JournalMultiple Sclerosis
Volume32
Issue number5
DOIs
StatePublished - 04 2026
Externally publishedYes

Bibliographical note

Publisher Copyright:
© The Author(s), 2026

Keywords

  • Asia
  • MOG
  • Pregnancy

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