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Experience of polymyositis and antisynthetase syndrome treatment with rituximab

https://doi.org/10.17650/2222-8721-2012-0-3-45-54

Abstract

The patient with polymyositis and antisynthetase syndrome treated with rituximab (Mabtera) is described. Rituximab was added to the
high‑dose cyclophosphamide therapy due to an acute onset of the disease with a highly progressive interstitial lung disease and inability of the high‑dose corticosteroids therapy because of comorbidity. There was almost complete normalization of pulmonary and muscular pathological changes with more than 4‑fold decrease of anti‑Jo‑1 antibodies on the treatment. No complications and no side effects during rituximab therapy were noted. This case report demonstrates the positive effect of rituximab in combination with high‑dose cyclophosphamide in the treatment of acute AS syndrome. The results published in literature are discussed.

About the Authors

S. G. Palshina
Research Institute of Rheumatology of Russian Academy of Medical Sciences
Russian Federation


S. S. Nikitin
The Institute of General Pathology and Pathophysiology of Russian Academy of Medical Sciences, Moscow
Russian Federation


V. I. Vasilyev
Research Institute of Rheumatology of Russian Academy of Medical Sciences
Russian Federation


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Review

For citations:


Palshina S.G., Nikitin S.S., Vasilyev V.I. Experience of polymyositis and antisynthetase syndrome treatment with rituximab. Neuromuscular Diseases. 2012;(3):45-54. (In Russ.) https://doi.org/10.17650/2222-8721-2012-0-3-45-54

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ISSN 2222-8721 (Print)
ISSN 2413-0443 (Online)