Document 0681 DOCN M9490681 TI [Progressive multifocal leukoencephalopathy and AIDS. Response to cytarabine] DT 9411 AU Hervas Laguna MJ; Nieto Rodriguez JA; Geijo Martinez MP; Ruiz Ribo MD; Borregon S; Servicio de Medicina Interna, Hospital Virgen de la Luz., Cuenca. SO An Med Interna. 1994 May;11(5):241-3. Unique Identifier : AIDSLINE MED/94339280 AB PML affects 4% of patients with AIDS and there is no effective treatment. Five cases of PML-AIDS have been described, showing clinical and radiological improvement after treatment with C-ara. We describe the case of a 33-year-old woman, addict to heroin, her clinical record including VIH infection, pneumonia by P. carinii, milliary tuberculosis, infection by virus B and C and treatment with AZT and tuberculostatics since January, 1992. In May, she began to develop a cerebellar syndrome. Images obtained with nuclear magnetic resonance were typical of PML. Subsequently, treatment with C-ara (2 mg/kg/day IV during 5 days each 4-6 weeks) was begun. From the third month of treatment on, the patient showed a clinical improvement and as of the sixth month, the affected areas of white substance were reduced in size. In addition, CD4 improved. Although in this patient a positive effect was observed after treatment with C-area, it should be verified in a controlled clinical trial. DE Adult AIDS-Related Opportunistic Infections/*DRUG THERAPY Case Report Cytarabine/*THERAPEUTIC USE English Abstract Female Human Leukoencephalopathy, Progressive Multifocal/*DRUG THERAPY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).