Successful therapy with rituximab in three patients with probable neurosarcoidosis

  • \(\bf Background:\) Neurosarcoidosis occurs in about 5–15% of patients with sarcoidosis. Therapy with corticosteroids is generally accepted as the first-line medication, followed by various immunomodulating and cytotoxic agents or combined therapy. However, some patients show an unsatisfactory outcome or have adverse events and require novel treatment strategies. \(\bf Methods:\) We describe three patients with systemic sarcoidosis and central nervous system involvement who received CD20-targeted B-cell depletion with rituximab. \(\bf Results:\) Treatment with rituximab was well tolerated and followed by marked remission in patients nonresponsive to other immunosuppressive agents. \(\bf Conclusion:\) Rituximab may be used for patients with neurosarcoidosis who are nonresponsive to established treatment regimes.

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Metadaten
Author:Maria Angela Samis-ZellaORCiDGND, Janina KneiphofGND, Aiden HaghikiaGND, Ralf GoldORCiDGND, Dirk WoitallaORCiDGND, Jan ThöneGND
URN:urn:nbn:de:hbz:294-64388
DOI:https://doi.org/10.1177/1756286418805732
Parent Title (German):Therapeutic advances in neurological disorders
Document Type:Article
Language:English
Date of Publication (online):2019/05/17
Date of first Publication:2018/10/26
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:Open Access Fonds
B-cell depletion; CD-20; infliximab; neurosarcoidosis; sIL-2R
Volume:11
First Page:1
Last Page:5
Note:
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum.
Institutes/Facilities:St. Josef-Hospital Bochum, Neurologische Klinik
Dewey Decimal Classification:Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):open_access
faculties:Medizinische Fakultät
Licence (English):License LogoCreative Commons - CC BY-NC 4.0 - Attribution-NonCommercial 4.0 International