Summary:
Progressive multifocal leucoencephalopathy is caused by infection with JC virus. The disease
affects patients with immunodeficiencies, hematologic diseases, and patients treated with radio-
therapy. The disease is characterised by foci of demyelinisation with atypical astrocytes and
oligodendrocytes. Oligodendrocytes contain typical intranuclear inclusions. Progressive multifo-
cal leucoencephalopathy and its verification is presented in three cases. Two patients died of
progression of a malignant neoplasm and the leucoencephalopathy was a complication of the
malignancy. The third case was a biopsy specimen taken from the brain of a patient who received
a renal transplant. The material of all patients was analysed by light and electron microscopy,
and in situ hybridisation with a probe specific for JC virus. In situ hybridisation proved to be the
most specific and a simple method to demonstrate the infection in all cases. It is useful in instan-
ces in which the histologically detectable lesion is not characteristic, and in cells in which the
conventional histologic methods fail to reveal the intranuclear inclusions of JC virus.
Key words:
progressive multifocal leucoencephalopathy - in situ hybridisation
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