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024 7 _ |a 0012-1037
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024 7 _ |a 0340-5354
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024 7 _ |a 1432-1459
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024 7 _ |a 10.34734/FZJ-2024-03585
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100 1 _ |a Kohle, Felix
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245 _ _ |a Rituximab in non-systemic vasculitic neuropathy: a single-center experience
260 _ _ |a Heidelberg
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500 _ _ |a Funding Open Access funding enabled and organized by Projekt DEAL. FK was supported by the Cologne Clinician Scientist Program (CCSP)/Faculty of Medicine/University of Cologne. Funded by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) (Project No. 413543196).
520 _ _ |a Objectives This case series reports clinical features and outcome of four patients with non-systemic vasculitic neuropathy(NSVN) treated with the anti-CD20 agent rituximab.Methods Clinical, electrophysiological and biopsy data were retrospectively obtained and evaluated. Only patients withpathological definite or probable NSVN were included. Extensive clinical and laboratory work-up excluded systemic vasculitis.Follow-up data for at least 12 months and up to five years is provided. Outcome of the patients was assessed usingthe MRC-Sum Score, Prineas Score and Neurological Symptom Score.Results Two of four patients treated with rituximab achieved disease remission and one patient remained stable under anti-CD20 therapy after a required treatment switch due to toxic side effects of cyclophosphamide. One patient deteriorated underrituximab induction. Rituximab was well tolerated in all patients.Discussion Anti-CD20 therapy might be an alternative in NSVN patients requiring further treatment escalation or treatmentswitch due to side effects of corticosteroids or cyclophosphamide.
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700 1 _ |a Wunderlich, Gilbert
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700 1 _ |a Fink, Gereon R.
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700 1 _ |a Schroeter, Michael
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700 1 _ |a Lehmann, Helmar C.
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700 1 _ |a Schneider, Christian
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773 _ _ |a 10.1007/s00415-024-12378-1
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