Alira Fraga-Olvera, Miguel Ángel Saavedra-Salinas, Jesus Quetzalcoatl Beltrán-Mendoza, Elizabeth Mendieta-Flores
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引用次数: 0
摘要
目的:描述接受利妥昔单抗治疗自身免疫性风湿病的患者持续低丙种球蛋白血症的患病率。方法:一项横向、回顾性和单中心研究,对2013年1月至2018年1月期间在墨西哥城国立m dico Nacional La Raza医院的Antonio Fraga Mouret博士风湿病科接受利妥昔单抗治疗的自身免疫性风湿病患者进行研究。对血清免疫球蛋白水平、临床人口学特征、诊断和接受的治疗进行描述性和推断性统计。结果:262例自身免疫性风湿病患者接受利妥昔单抗治疗;我们确定了8例持续性低丙种球蛋白血症患者(6名女性和2名男性),患病率为3.1%。未发现与低丙种球蛋白血症发展相关的因素。结论:到目前为止,尚未发现与持续性低丙种球蛋白血症相关的预后或预测因素。需要更多的前瞻性研究来更准确地了解自身免疫性疾病患者持续低γ -球蛋白血症的影响。
[Prevalence of persistent hypogammaglobulinemia in patients with autoimmune rheumatic disease who received treatment with Rituximab in a national medical center in Mexico].
Objective: To describe the prevalence of persistent hypogammaglobulinemia in patients receiving Rituximab as a treatment for autoimmune rheumatological diseases.
Methods: A transversal, retrospective and unicentric study, carried out in patients with autoimmune rheumatic diseases who were admitted to the Rheumatology service of the Hospital de Especialidades Dr. Antonio Fraga Mouret, Centro Médico Nacional La Raza, Mexico City, to receive treatment with rituximab between January 2013 and January 2018. Descriptive and inferential statistics of serum levels of immunoglobulins, clinical-demographic characteristics, diagnosis, and treatment received were performed.
Results: from 262 patients with autoimmune rheumatological disease who received treatment with Rituximab; We identified 8 patients with persistent hypogammaglobulinemia (6 women and 2 men), this is a prevalence of 3.1%. No associated factors with the development of hypogammaglobulinemia were identified.
Conclusions: Until now, no associated prognostic or predictive factors have been identified with persistent hypogammaglobulinemia. Additional prospective studies are required to understand more precisely the implications of persistent hypogammaglobulinemia in patients with autoimmune diseases.