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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 (Related Letters:
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.
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