Response of Sjogren-related Small Fiber Neuropathy to rituximab

نویسندگان

چکیده

Objective Small fiber neuropathy typically presents as loss of temperature and pain sensation may be associated with other autonomic symptoms. Sjogren's-related ganglionopathy can selectively affect small fibers. Current treatment options for secondary to Sjogren's syndrome include glucocorticoids, IVIG, or immunomodulatory agents such rituximab. However, these treatments are uncertain effectiveness have variable responses. We present a case that had complete symptom resolution Background A 54 year old female presented the clinic neuropathic starting in her legs, which ascended trunk arms after one week. She also reported five years dry eyes. On initial presentation, physical exam showed normal but diagnosis was made by skin biopsy. The attributed seronegative diagnosed salivary gland previously failed prednisone 40 mg daily IVIG. After presentation clinic, she started on rituximab every 4 months. log symptoms kept patient clearly demonstrated reduction following each Rituxan dose. achieved 19 months 10 mg/mL Design/Methods NA. Results Conclusions In summary, our responded dramatically failing glucocorticoids Treatment has consisted empiric trials although response been variable. Rituximab useful neuropathy, it remains unclear whether is effective neuropathy. Our illustrates patients even if seronegative, respond concluded considered this condition, especially who don't first line immunotherapies.

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ژورنال

عنوان ژورنال: Neurology

سال: 2022

ISSN: ['0028-3878', '1526-632X']

DOI: https://doi.org/10.1212/01.wnl.0000903332.92612.04