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7.
Skin Pharmacol Physiol ; 31(4): 184-187, 2018.
Article in English | MEDLINE | ID: mdl-29649806

ABSTRACT

BACKGROUND: Chronic spontaneous urticaria (CSU) is a frequent mast cell-driven disease that affects approximately 0.5-1% of the population. Antihistamines are currently the drugs of choice in patients with CSU. Omalizumab has been shown to be very effective in CSU and has been recently approved as second-line therapy. However, although its introduction has markedly improved the therapeutic possibilities for CSU, there is still a hard core of patients who do not respond and require effective treatment. METHODS: We report the case of a patient who achieved an 8-month remission of refractory CSU following the use of rituximab, and perform a review of the literature regarding the use of rituximab in CSU. RESULTS: There was a remarkable improvement in her CSU after the administration of rituximab maintained over time. CONCLUSION: Rituximab is a chimeric murine/human monoclonal antibody directed against CD20, which depletes memory B-lymphocytes that are necessary for autoantibody production. The abrogation of the autoantibody production is the proposed mechanism by which it may alleviate the symptoms of CSU.


Subject(s)
Immunologic Factors/therapeutic use , Rituximab/therapeutic use , Urticaria/drug therapy , Adult , Autoantibodies/immunology , Chronic Disease , Female , Humans , Immunologic Factors/pharmacology , Rituximab/pharmacology , Treatment Outcome , Urticaria/immunology
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