Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey , Newark, NJ , USA .
Immunopharmacol Immunotoxicol. 2013 Oct;35(5):622-4. doi: 10.3109/08923973.2013.822507. Epub 2013 Aug 15.
Anti-myelin-associated glycoprotein (MAG) neuropathy is a primary demyelinating sensorimotor polyneuropathy that can be very debilitating and is known to be resistant to treatment. There are only a few conflicting reports on the effect of Rituximab in anti-MAG neuropathy. We present three patients who improved remarkably with Rituximab infusions. Until the safety and efficacy of this drug are determined in larger controlled studies, use of Rituximab should be limited to patients with significant neurologic deficits.
抗髓鞘相关糖蛋白(MAG)神经病是一种主要的脱髓鞘感觉运动多发性神经病,可导致严重的残疾,且已知对治疗具有抗性。仅有少数关于利妥昔单抗在抗 MAG 神经病中的作用的相互矛盾的报告。我们报告了三例接受利妥昔单抗输注后显著改善的患者。在更大规模的对照研究确定该药物的安全性和疗效之前,应将利妥昔单抗的使用限制在有明显神经功能缺损的患者中。