Schafranski Marcelo Derbli
Department of Internal Medicine and Rheumatology, Bom Jesus Hospital, Ponta Grossa, PR, Brazil.
Clin Rheumatol. 2009 Feb;28(2):225-6. doi: 10.1007/s10067-008-1040-8. Epub 2008 Nov 15.
We report a case of a 66-year-old Caucasian female with a diagnosis of idiopathic orbital inflammatory disease (OID) refractory to azathioprine therapy. The coexistence of diabetes mellitus represented a relative contraindication to chronic prednisone use. After two infusions of rituximab, a chimeric anti-CD20+ antibody, ophthalmic signs and symptoms remarkably improved. To our knowledge, this is the first case of idiopathic OID successfully treated with rituximab.
我们报告了一例66岁的白种女性患者,诊断为特发性眼眶炎性疾病(OID),对硫唑嘌呤治疗无效。糖尿病的并存是长期使用泼尼松的相对禁忌证。在输注两次利妥昔单抗(一种嵌合抗CD20 +抗体)后,眼部体征和症状明显改善。据我们所知,这是首例用利妥昔单抗成功治疗的特发性OID病例。