[利妥昔单抗治疗儿童自身免疫性肌无力症的益处]。

IF 0.6 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL M S-medecine Sciences Pub Date : 2024-11-01 Epub Date: 2024-11-18 DOI:10.1051/medsci/2024132
Agathe Molimard, Cyril Gitiaux, Christine Barnerias, Frédérique Audic, Arnaud Isapof, Ulrike Walther-Louvier, Claude Cances, Caroline Espil-Taris, Davion Jean-Baptiste, Susana Quijano-Roy, Coraline Grisel, Brigitte Chabrol, Isabelle Desguerre
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引用次数: 0

摘要

儿童自身免疫性肌无力的治疗管理有几个特点,这促使治疗管理不断优化。一方面,尽管皮质类固醇对生长、行为、骨骼发育等有显著的不良影响,但仍被推荐作为一线免疫抑制疗法。另一方面,由于缺乏针对儿童的临床试验,前景看好的新型免疫抑制疗法的定位仍不明确。利妥昔单抗是法国最广泛用于治疗儿童自身免疫性肌无力症的非甾体类免疫抑制剂。由于没有统一的操作规范,也没有对疗效和安全性进行监测,因此这种药物的使用仍未得到共识。本研究旨在提出利妥昔单抗在儿童自身免疫性肌无力治疗中的新作用。
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[Benefit of treatment with rituximab in autoimmune myasthenia gravis in children].

The therapeutic management of autoimmune myasthenia gravis in children presents several particularities, which motivate the optimization of therapeutic management. On the one hand, corticosteroids are recommended as first-line immunosuppressive therapy, despite their significant adverse effects on growth, behavior, bone development, etc. On the other hand, in the absence of clinical trials in children, the place of promising new immunosuppressive therapies remains ill-defined. Rituximab is the non-steroidal immunosuppressant most widely used in France for autoimmune myasthenia gravis in children. Its use, without standardization of practices or monitoring of efficacy and safety, remains non-consensual. The aim of this study is to propose a new role for rituximab in the management of autoimmune myasthenia in children.

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来源期刊
M S-medecine Sciences
M S-medecine Sciences 医学-医学:研究与实验
CiteScore
0.80
自引率
14.30%
发文量
182
审稿时长
4-8 weeks
期刊介绍: m/s offers high-quality review articles in French, covering all areas of biomedical and health research, in a monthly magazine format (10 issues / year). m/s is read by the whole French-speaking community, in France but also in Belgium, Switzerland, Canada, Morocco, Algeria, Tunisia etc. m/s is not a primary publication, and thus will not consider unpublished data. Most articles are invited by the Editors, but spontaneous proposals are welcomed. Each issue combines news and views on the most recent scientific publications, as well as broadly accessible and updated review articles on a specific topic, and essays on science and society, history of science, public health, or reactions to published articles. Each year, m/s also publishes one or two thematic issues focused on a research topic of high interest. All review articles and essays are peer-reviewed.
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