Rituximab for refractory granulomatous eye disease

Elyse E Lower1,2 Robert P Baughman,1 Adam H Kaufman31Department of Medicine, University of Cincinnati Medical Center, Cincinnati, OH, USA; 2Oncology Hematology Care, Cincinnati, OH, USA; 3Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USAObjective: To determine the effectiven...

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Autores principales: Lower EE, Baughman RP, Kaufman AH
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Lenguaje:EN
Publicado: Dove Medical Press 2012
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Acceso en línea:https://doaj.org/article/4403196810ac4e698ac7c5da40ffb2cf
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spelling oai:doaj.org-article:4403196810ac4e698ac7c5da40ffb2cf2021-12-02T09:09:23ZRituximab for refractory granulomatous eye disease1177-54671177-5483https://doaj.org/article/4403196810ac4e698ac7c5da40ffb2cf2012-10-01T00:00:00Zhttp://www.dovepress.com/rituximab-for-refractory-granulomatous-eye-disease-a11184https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Elyse E Lower1,2 Robert P Baughman,1 Adam H Kaufman31Department of Medicine, University of Cincinnati Medical Center, Cincinnati, OH, USA; 2Oncology Hematology Care, Cincinnati, OH, USA; 3Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USAObjective: To determine the effectiveness of rituximab therapy for patients with granulomatous disease of the eye.Methods: Retrospective review was undertaken of cases seen at a single institution for ocular antineutrophil cytoplasmic antibody-associated vasculitis or sarcoidosis with persistent ocular disease despite systemic therapy. All patients were treated with rituximab and followed for at least 6 months.Results: Nine patients were identified (five with antineutrophil cytoplasmic antibody-associated vasculitis, four with sarcoidosis), and all were treated for at least 6 months. Eight experienced improvement of eye disease and were able to reduce prednisone and other drug therapies. One patient remained stable, but still required high dosages of prednisone. All five patients with lung disease improved with rituximab therapy. Rituximab treatment was well tolerated. Two patients discontinued the drug due to leukopenia; however, both patients reinstituted rituximab at modified doses.Conclusion: Rituximab therapy was effective in controlling granulomatous ocular disease in most cases. The drug was corticosteroid-sparing and effective in refractory cases, with no severe adverse events encountered.Keywords: sarcoidosis, wegener’s, ANCA, cyclophosphamideLower EEBaughman RPKaufman AHDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1613-1618 (2012)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Lower EE
Baughman RP
Kaufman AH
Rituximab for refractory granulomatous eye disease
description Elyse E Lower1,2 Robert P Baughman,1 Adam H Kaufman31Department of Medicine, University of Cincinnati Medical Center, Cincinnati, OH, USA; 2Oncology Hematology Care, Cincinnati, OH, USA; 3Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USAObjective: To determine the effectiveness of rituximab therapy for patients with granulomatous disease of the eye.Methods: Retrospective review was undertaken of cases seen at a single institution for ocular antineutrophil cytoplasmic antibody-associated vasculitis or sarcoidosis with persistent ocular disease despite systemic therapy. All patients were treated with rituximab and followed for at least 6 months.Results: Nine patients were identified (five with antineutrophil cytoplasmic antibody-associated vasculitis, four with sarcoidosis), and all were treated for at least 6 months. Eight experienced improvement of eye disease and were able to reduce prednisone and other drug therapies. One patient remained stable, but still required high dosages of prednisone. All five patients with lung disease improved with rituximab therapy. Rituximab treatment was well tolerated. Two patients discontinued the drug due to leukopenia; however, both patients reinstituted rituximab at modified doses.Conclusion: Rituximab therapy was effective in controlling granulomatous ocular disease in most cases. The drug was corticosteroid-sparing and effective in refractory cases, with no severe adverse events encountered.Keywords: sarcoidosis, wegener’s, ANCA, cyclophosphamide
format article
author Lower EE
Baughman RP
Kaufman AH
author_facet Lower EE
Baughman RP
Kaufman AH
author_sort Lower EE
title Rituximab for refractory granulomatous eye disease
title_short Rituximab for refractory granulomatous eye disease
title_full Rituximab for refractory granulomatous eye disease
title_fullStr Rituximab for refractory granulomatous eye disease
title_full_unstemmed Rituximab for refractory granulomatous eye disease
title_sort rituximab for refractory granulomatous eye disease
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/4403196810ac4e698ac7c5da40ffb2cf
work_keys_str_mv AT loweree rituximabforrefractorygranulomatouseyedisease
AT baughmanrp rituximabforrefractorygranulomatouseyedisease
AT kaufmanah rituximabforrefractorygranulomatouseyedisease
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