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利妥昔单抗治疗费尔蒂综合征

[Rituximab for treatment of Felty’s syndrome].

作者信息

Becker H, Appel H, Fassbinder T, Heitzmann D, Willeke P, Jacobi A M

出版信息

Z Rheumatol. 2014 Jun;73(5):465-6, 468. doi: 10.1007/s00393-014-1380-5.

Abstract

Felty’s syndrome is a rare variant of severe seropositive rheumatoid arthritis with neutropenia and splenomegaly. It is difficult to treat and associated with a poor prognosis due to the substantial risk of infections. This article presents the case of a patient with refractory disease who responded to rituximab with permanent normalization of neutrophil counts. Repeated infusions were necessary to induce and maintain remission.

摘要

费尔蒂综合征是严重血清阳性类风湿关节炎的一种罕见变体,伴有中性粒细胞减少和脾肿大。由于存在严重的感染风险,该病难以治疗且预后不良。本文介绍了一例难治性疾病患者,其对利妥昔单抗治疗有反应,中性粒细胞计数永久恢复正常。需要反复输注以诱导和维持缓解。

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