Tumefactive Demyelinating Lesions in a Patient with Multiple Sclerosis Developed two Days after the Injection of Rituximab.

Q3 Medicine Acta neurologica Taiwanica Pub Date : 2020-12-01
Abdorreza Naser Moghadasi
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Abstract

Background: Rituximab has been increasingly prescribed in the treatment of multiple sclerosis (MS) over recent years. Tumefactive demyelinating lesions can occur at the onset or over the course of MS. Another major cause of these lesions is the side effects of drugs such as natalizumab or fingolimod. This study is a case report of a young MS patient who suffered from tumefactive lesions following the injection of rituximab.

Case presentation: The patient was an 18-year-old man with MS who developed double vision, imbalance, and quadriparesis symptoms followed by a decrease in his consciousness two days after administration of rituximab. Tumefactive lesions were observed in the patient's brain magnetic resonance imaging (MRI).

Conclusion: Rituximab should be considered as a potential cause of tumefactive demyelinating lesions in patients with MS.

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多发性硬化症患者的肿瘤性脱髓鞘病变在注射利妥昔单抗两天后发生。
背景:近年来,利妥昔单抗越来越多地用于多发性硬化症(MS)的治疗。瘤源性脱髓鞘病变可发生在ms发病时或病程中,这些病变的另一个主要原因是药物的副作用,如natalizumab或fingolimod。本研究报告一例年轻MS患者注射利妥昔单抗后出现肿瘤性病变。病例介绍:患者是一名18岁的男性多发性硬化症患者,他出现复视、不平衡和四肢瘫症状,服用利妥昔单抗两天后意识下降。在患者的脑磁共振成像(MRI)中观察到膨胀性病变。结论:利妥昔单抗应被认为是多发性硬化症患者肿瘤性脱髓鞘病变的潜在原因。
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来源期刊
Acta neurologica Taiwanica
Acta neurologica Taiwanica Medicine-Neurology (clinical)
CiteScore
1.30
自引率
0.00%
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0
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