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Volume 358:647-648 February 7, 2008 Number 6
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Melanoma Complicating Treatment with Natalizumab for Multiple Sclerosis

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To the Editor: We report on two cases of melanoma in women with multiple sclerosis who were treated with natalizumab (Tysabri, Biogen Idec and Elan Pharmaceuticals), a humanized monoclonal antibody against {alpha}4 integrins. Patient 1 was a 46-year-old woman who, shortly after receiving her first dose of natalizumab, noticed a rapidly changing mole on her shoulder; on evaluation, it proved to be a thick, nonulcerated melanoma with metastatic disease in the regional lymph nodes. Patient 2 was a 45-year-old woman who had a long-standing ocular nevus that developed into an ocular melanoma after the administration of several doses of natalizumab (. . . [Full Text of this Article]


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More on Melanoma with Transdifferentiation
Panzara M. A., Bozic C., Sandrock A. W., Mullen J. T., Vartanian T. K., Atkins M. B.
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N Engl J Med 2008; 359:99-100, Jul 3, 2008. Correspondence

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