首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Rituximab treatment of stiff-person syndrome in a patient with thymoma, diabetes mellitus and autoimmune thyroiditis.
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Rituximab treatment of stiff-person syndrome in a patient with thymoma, diabetes mellitus and autoimmune thyroiditis.

机译:利妥昔单抗治疗胸腺瘤,糖尿病和自身免疫性甲状腺炎患者的僵人综合征。

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摘要

Stiff-person syndrome (SPS) is an autoimmune neurological disorder characterized by stiffness of the skeletal muscle with superimposed spasms and production of autoantibodies to glutamic acid decarboxylase (GAD) and amphiphysin. The disorder results from B cell-mediated clonal production of autoantibodies, requiring treatment with immunosuppressors; however, treatment results have been somewhat inconsistent. We report the results of rituximab treatment in a patient with SPS associated with a thymoma, diabetes mellitus, autoimmune thyroiditis and the presence of anti-GAD and anti-amphiphysin autoantibodies. The patient experienced a partial improvement following a thymectomy and the administration of prednisone, intravenous immunoglobulins and mycophenolate mofetil. Treatment with rituximab was followed by a complete sustained remission and the disappearance of serum anti-amphiphysin antibodies.
机译:僵人综合症(SPS)是一种自身免疫性神经系统疾病,其特征在于骨骼肌僵硬并伴有痉挛,并产生针对谷氨酸脱羧酶(GAD)和两亲性抗体的自身抗体。这种疾病是由B细胞介导的自身抗体的克隆产生引起的,需要用免疫抑制剂治疗。但是,治疗结果有些不一致。我们报告了利妥昔单抗治疗与胸腺瘤,糖尿病,自身免疫性甲状腺炎以及抗GAD和抗amphiphysin自身抗体相关的SPS患者的治疗结果。在胸腺切除术和泼尼松,静脉注射免疫球蛋白和霉酚酸酯的使用后,患者经历了部分改善。用利妥昔单抗治疗后,完全持续缓解,血清抗两栖动物抗体消失。

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