Gause A M, Rubbert-Roth A
Rheumapraxis Bad Bramstedt, Sommerland 55, 24576, Bad Bramstedt, Deutschland.
Klinik I für Innere Medizin, Uniklinik Köln, Köln, Deutschland.
Z Rheumatol. 2014 Apr;73(3):287-9. doi: 10.1007/s00393-013-1318-3.
Rituximab (Rtx) has been approved in Germany since April 2013 for treatment of granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA). This therapy can be used in severe manifestations of these diseases and in relapses. It is administered as infusions of 375 mg rituximab per m(2) every 4 weeks after high dose intravenous prednisolone for 3 days and continued parallel to concomitant oral prednisolone therapy. Recommendations for the indications and use for antineutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV) are described in addition to previous publications on recommendations for rheumatoid arthritis.
自2013年4月起,利妥昔单抗(Rtx)在德国已被批准用于治疗肉芽肿性多血管炎(GPA)和显微镜下多血管炎(MPA)。这种疗法可用于这些疾病的严重表现及复发情况。在静脉注射大剂量泼尼松龙3天后,每4周输注一次,每次每平方米体表面积给予375毫克利妥昔单抗,并与口服泼尼松龙联合治疗同时持续进行。除了先前关于类风湿关节炎的推荐出版物外,还描述了抗中性粒细胞胞浆抗体(ANCA)相关性血管炎(AAV)的适应症和使用建议。