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NEUROLOGY 1992;42:1244
© 1992 American Academy of Neurology

Oligoclonal immunoglobulin D in the cerebrospinal fluid of neurologic patients

Milica Mavra, MD, PhD, Richard Luxton, MSc, Geoffrey Keir, MSc, PhD and Edward J. Thompson, MD, PhD

Department of Special Chemical Pathology, The National Hospital for Neurology and Neurosurgery, London, United Kingdom.

Oligoclonal immunoglobulin D (IgD) bands were observed in 20 of 110 CSF samples investigated by our method for isoelectric focusing (IEF) of IgD in unconcentrated CSF. These were mostly from demyelinating disorders, viral CNS infections, and CNS tumors. The patterns of expression of IgD were similar to that of IgG, except in cases with tumors where oligoclonal IgD may occur independently of IgG. The study shows for the first time the presence of oligoclonal IgD in CSF from neurologic patients.

Address correspondence and reprint requests to Dr. Edward J. Thompson, Department of Special Chemical Pathology, The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1 3BG, United Kingdom.

Received August 2, 1991. Accepted for publication in final form November 15, 1991.




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