Cusick Elizabeth, Silverstein David
Department of Dermatology, Stony Brook University School of Medicine, New York, New York.
Dermatol Online J. 2017 Sep 15;23(9):13030/qt3bc1z047.
Although significant progress has been made for the treatment of pemphigus vulgaris (PV) with rituximab (RTX), a consensus remains to be determined for standard treatment protocol, regarding optimal dosing, infusion regimen, and use of concomitant immunotherapy to achieve safe, effective, and rapid clinical response. We describe a patient with pemphigus vulgaris treated with high dose rituximab with the rheumatoid arthritis protocol along with intravenous immunoglobulin therapy. This case provides evidence towards the growing body of research needed to modify and improve treatment for pemphigus using rituximab.
尽管利妥昔单抗(RTX)治疗寻常型天疱疮(PV)已取得显著进展,但在标准治疗方案的最佳剂量、输注方案以及联合免疫疗法的使用方面,仍有待确定共识,以实现安全、有效和快速的临床反应。我们描述了一名寻常型天疱疮患者,采用类风湿关节炎方案的高剂量利妥昔单抗联合静脉注射免疫球蛋白治疗。该病例为使用利妥昔单抗改善天疱疮治疗所需的越来越多的研究提供了证据。