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Oral corticosteroid dosage and taper duration at onset in myelin oligodendrocyte glycoprotein antibody-associated disease influences time to first relapse
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  • Published on:
    Optimizing Oral Corticosteroid Regimens for Myelin Oligodendrocyte Glycoprotein Antibody-Associated Disease (MOGAD) Onset
    • Mohsen Salimi, MD Student Research Committee, Shiraz University of Medical Science, Shiraz, Iran

    Dear Editor,
    I am writing to offer a comprehensive analysis and reflection on the manuscript titled "Oral corticosteroid dosage and taper duration at onset in myelin oligodendrocyte glycoprotein antibody-associated disease influences time to first relapse" (1). This study, which delves into the intricate nuances of managing MOGAD, presents crucial findings that could significantly impact clinical practice and patient outcomes.
    The complexity of MOGAD lies not only in its diverse clinical presentations but also in its variable response to treatment modalities. As highlighted in the manuscript's introduction, MOGAD encompasses a spectrum of neurological manifestations, ranging from optic neuritis and transverse myelitis to acute disseminated encephalomyelitis. The recent establishment of consensus diagnostic criteria marks a pivotal advancement in early recognition and intervention, underscoring the urgency for evidence-based therapeutic strategies.
    One of the most compelling aspects of the study is its exploration of the optimal corticosteroid regimen at MOGAD onset, aiming to delay the time to first relapse (TTFR) while minimizing cumulative corticosteroid exposure. By retrospectively analyzing data from a multicenter cohort comprising 109 patients, the authors meticulously assessed the relationship between corticosteroid dosage and taper duration and the subsequent risk of relapse. The utilization of Cox proportional hazards models, along...

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    Conflict of Interest:
    None declared.