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Editorial
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Volume 353:417 July 28, 2005 Number 4
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Patients at Risk
Jeffrey M. Drazen, M.D.

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-PubMed Citation
In clinical trials, the term "patients at risk" refers to the altruistic people who volunteer to participate in studies of novel treatments. In this issue of the Journal, three reports1,2,3 provide details about patients who were participating in trials involving experimental treatment with natalizumab for either multiple sclerosis or Crohn's disease and who were affected by progressive multifocal leukoencephalopathy (PML). PML is a rapidly progressive, often fatal demyelinating brain disorder caused by infection of the central nervous system with JC virus4; it usually occurs in patients with diminished T-cell function. These events remind us once again of the true . . . [Full Text of this Article]


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This editorial was published on June 9, 2005, at www.nejm.org.


Related Letters:

Progressive Multifocal Leukoencephalopathy, Natalizumab, and Multiple Sclerosis
Berger T., Deisenhammer F., Álvarez-Cermeño J. C., Masjuan J., Villar L. M., Kleinschmidt-DeMasters B.K., Tyler K. L., Langer-Gould A., Atlas S. W., Pelletier D.
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N Engl J Med 2005; 353:1744-1746, Oct 20, 2005. Correspondence

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