AI Article Synopsis

  • Rituximab is a chimeric monoclonal antibody used primarily for treating certain cancers and autoimmune diseases, but can cause rare skin reactions like leukocytoclastic vasculitis (LCV).
  • Physicians must be cautious of LCV as a potential side effect following rituximab treatment, which may happen even weeks after administration.
  • A case study highlights a patient with low-grade orbital B-cell lymphoma who developed LCV after weekly rituximab treatment, and resolution was achieved by stopping the drug and starting oral methylprednisolone.

Article Abstract

Rituximab is an anti-CD20 chimeric murine/human mAb mainly used to treat certain types of lymphoproliferative malignancies and autoimmune diseases. Although it has been used in the treatment of vasculitis in recent years, it rarely triggers severe vascular skin reactions such as leukocytoclastic vasculitis (LCV). Physicians should be aware of this rare adverse event that requires discontinuation of rituximab, which can occur days or even weeks after rituximab treatment. Here, we report a case of LCV observed in a patient with low-grade orbital B-cell lymphoma treated with weekly rituximab and local radiotherapy. In our case, discontinuation of rituximab and initiation of oral methylprednisolone therapy were sufficient to achieve complete resolution of the LCV.

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Source
http://dx.doi.org/10.1097/CAD.0000000000001638DOI Listing

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