Marked efficacy of a therapeutic strategy associating prednisone and plasma exchange followed by rituximab in two patients with refractory myopathy associated with antibodies to the signal recognition particle (SRP)

被引:76
作者
Arlet, Jean-Benoit
Dimitri, Dalia
Pagnoux, Christian
Boyer, Olivier
Maisonobe, Thierry
Authier, Francois-Jerome
Bloch-Queyrat, Coralie
Goulvestre, Claire
Heshmati, Farhad
Atassi, Marielle
Guillevin, Loic
Herson, Serge
Benveniste, Olivier
Mouthon, Luc
机构
[1] Paris Descartes Univ, Hop Cochin, AP HP, Fac Med,Dept Internal Med,Serv Med Interne, F-75679 Paris 14, France
[2] Hop La Pitie Salpetriere, AP HP, Dept Internal Med, Reference Ctr Muscular Dis, Paris, France
[3] INSERM, U519, Rouen, France
[4] Hop La Pitie Salpetriere, Dept Pathol, Paris, France
[5] Univ Paris 12, Hop Henri Mondor, INSERM E0011, Reference Ctr Neuromuscular Dis, F-94010 Creteil, France
[6] Cochin Hosp, Immunol Lab, Paris, France
关键词
myopathy; rituximab; anti-SRP antibodies; signal recognition particle; T-cell repertoire;
D O I
10.1016/j.nmd.2006.03.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report two patients with myopathy associated with anti-signal recognition particle Ab, refractory to conventional therapy, who were treated with prednisone and plasma exchange, followed by rituximab. A marked response was observed in both patients, with partial to complete recovery of muscle strength, which was sustained. (C) 2006 Elsevier B.V. All rights reserved.
引用
收藏
页码:334 / 336
页数:3
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