[Rituximab (Mabthera) for treatment of rare autoimmune bullous skin disorders]

Harefuah. 2012 Oct;151(10):562-5, 606.
[Article in Hebrew]

Abstract

Autoimmune bullous skin disorders are characterized by a severe and potentially lethal course and may require aggressive long-term treatment with systemic corticosteroids and other immunosuppressive drugs, which can lead to serious adverse events. Recently, anti-CD20 antibody, Rituximab, was reported to be beneficial as an adjuvant therapy in these diseases. Herein, we present 2 case reports of patients suffering from resistant rare diseases from the aforementioned spectrum: linear IgA dermatosis and Pemphigoid gestationis. The patients were successfully treated with Rituximab (Mabthera). This is one of the first reports of this kind of treatment for these rare life-threatening diseases. These case reports emphasize the role of Rituximab as a crisis therapy in autoimmune blistering diseases.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Anemia, Hemolytic / chemically induced
  • Anti-Infective Agents / administration & dosage
  • Anti-Infective Agents / adverse effects
  • Antibodies, Monoclonal, Murine-Derived / administration & dosage*
  • Biopsy
  • Dapsone / administration & dosage
  • Dapsone / adverse effects
  • Drug Resistance
  • Female
  • Fluorescent Antibody Technique, Direct / methods
  • Glucocorticoids / administration & dosage
  • Humans
  • Immunologic Factors / administration & dosage
  • Linear IgA Bullous Dermatosis* / drug therapy
  • Linear IgA Bullous Dermatosis* / immunology
  • Linear IgA Bullous Dermatosis* / pathology
  • Linear IgA Bullous Dermatosis* / physiopathology
  • Pemphigoid Gestationis* / drug therapy
  • Pemphigoid Gestationis* / immunology
  • Pemphigoid Gestationis* / pathology
  • Pemphigoid Gestationis* / physiopathology
  • Prednisone / administration & dosage
  • Pregnancy
  • Pruritus / etiology
  • Rare Diseases / drug therapy
  • Rare Diseases / immunology
  • Rare Diseases / pathology
  • Rare Diseases / physiopathology
  • Rituximab
  • Severity of Illness Index
  • Skin / drug effects
  • Skin / pathology*
  • Treatment Outcome

Substances

  • Anti-Infective Agents
  • Antibodies, Monoclonal, Murine-Derived
  • Glucocorticoids
  • Immunologic Factors
  • Rituximab
  • Dapsone
  • Prednisone