The late adverse events of rituximab therapy--rare but there!

Abstract:

:Rituximab, an anti CD20 monoclonal antibody, has now become a cornerstone in the treatment of many CD20 positive hematological malignancies and a variety of autoimmune disorders. In contrast to the acute allergic and cytokine associated reactions, late adverse events of rituximab are indeed uncommon but at the same time probably under-reported. In this review, we detail late adverse events reported since its use in hemato-oncological neoplasias and other disorders. These adverse events include the development of late-onset neutropenia, defects of immune reconstitution with associated immune compromise, infections, progressive multifocal leukoencephalopathy, reactivation of hepatitis, intestinal perforation and interstitial pneumonitis. Possible mechanisms involved in rituximab-associated complications and the pathogenesis of these adverse effects are reviewed and discussed. Evidence based graded recommendations for the management of these adverse effects are proposed.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Ram R,Ben-Bassat I,Shpilberg O,Polliack A,Raanani P

doi

10.1080/10428190902934944

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

1083-95

issue

7

eissn

1042-8194

issn

1029-2403

pii

910753763

journal_volume

50

pub_type

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