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Does Intake Of Lemtrada Lead To Bone Lesions?

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Posted on Mon, 22 Feb 2016
Question: Hello,
I wanted to know if when you looked at my newest MRI that shows the "lesions" on the skull do you think that cold be my MS or something else.
I saw another neurologist this week which I have seen before because he diagnosed me with MS 4 years ago when I was in the hospital.

He looked at the MRI and initially said maybe the lesions or abnormalities on my skull was always there, I explained that the report and the other MRI in 2014 shows that it wasn't. He then said maybe I have a bone issue and that this same ting might be in other parts of my body and I should contact my primary doctor.

My primary doctor will do a bone scan on my body after she gets the report from the CT and the x-ray that I did already.

You have seen the new lesions on the skull, what do you think? I wonder if the Lemtrada is causing something else to happen in by body causing bone issues.

As far as my eye, I have not been able to get any of the doctors to order the MRI. The neurologists said the eye doctor that I just went to see should order it for the orbits which you also suggested and he agreed. Now I have to call that office on Monday.

doctor
Answered by Dr. Dr. Erion Spaho (5 hours later)
Brief Answer:
Bone lesion not related to MS.

Detailed Answer:
Hello again XXXXXXX

About the skull lesion you are concerned, it is located at the outer part of the skull in frontal bone.

It is not related to MS, it probably was there from the birth. In some cases, head bones don't fuse completely.

I guess if you press at that point it should be felt like a dent.

However full evaluation about this issue needed to evaluate whether this skull lesion is the only one or there are other lesions and CT bone scan is the appropriate imaging tool.

Lemtrada use is not reported as a possible cause of osteolytic lesions, but it can predispose to autoimmune disorders.

Hope this helps.

Please let me know the results of bone CT together with the results of the new MRI.

Greetings.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Does Intake Of Lemtrada Lead To Bone Lesions?

Brief Answer: Bone lesion not related to MS. Detailed Answer: Hello again XXXXXXX About the skull lesion you are concerned, it is located at the outer part of the skull in frontal bone. It is not related to MS, it probably was there from the birth. In some cases, head bones don't fuse completely. I guess if you press at that point it should be felt like a dent. However full evaluation about this issue needed to evaluate whether this skull lesion is the only one or there are other lesions and CT bone scan is the appropriate imaging tool. Lemtrada use is not reported as a possible cause of osteolytic lesions, but it can predispose to autoimmune disorders. Hope this helps. Please let me know the results of bone CT together with the results of the new MRI. Greetings.