[Rheumatoid arthritis and autoimmune hemolysis: B-cell depletion for remission induction in a patient with rheumatoid arthritis and cold agglutinin disease].

Abstract:

:Autoimmune hemolysis is a rare complication of systemic rheumatic diseases. We report on a 68-year-old female patient with established, long-standing rheumatoid arthritis, who complained of progressive weakness and worsening of her arthralgia under therapy with leflunomide. Physical and laboratory examination revealed autoimmune hemolysis due to cold agglutinin disease. As hemolysis and arthritis were refractory to steroid treatment, B-cell depletion with rituximab was performed leading to a marked reduction of hemolytic parameters as well as remission of her rheumatoid arthritis.

journal_name

Z Rheumatol

authors

Lehmann P,Hartung W,Ehrenstein B,Schölmerich J,Fleck M

doi

10.1007/s00393-010-0607-3

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

557-60

issue

6

eissn

0340-1855

issn

1435-1250

journal_volume

69

pub_type

杂志文章
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    doi:

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    authors: Mohr W,Wessinghage D,Lenschow E

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  • [Biomarkers and imaging for diagnosis and stratification of rheumatoid arthritis and spondylarthritis in the BMBF consortium ArthroMark].

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