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Rituximab Treatment for Polyneuropathy Induced by an Immune Checkpoint Inhibitor

Immune Checkpoint Inhibitor에 의한 다발신경병의 Rituximab 치료

  • Shin, Hye-Rim (Department of Neurology, Seoul National University Hospital) ;
  • Kang, Dong-Wan (Department of Neurology, Seoul National University Hospital) ;
  • Kim, Eun Young (Department of Neurology, Seoul National University Hospital) ;
  • Kim, Tae Min (Department of Internal Medicine, Seoul National University Hospital) ;
  • Lee, Soon-Tae (Department of Neurology, Seoul National University Hospital)
  • 신혜림 (서울대학교병원 신경과) ;
  • 강동완 (서울대학교병원 신경과) ;
  • 김은영 (서울대학교병원 신경과) ;
  • 김태민 (서울대학교병원 내과) ;
  • 이순태 (서울대학교병원 신경과)
  • Received : 2018.06.21
  • Accepted : 2018.07.23
  • Published : 2018.11.30

Abstract

Immune checkpoint inhibitor is associated with variety of immune-related adverse events. We present a case of polyneuropathy induced by immune checkpoint inhibitor, which was refractory to steroid and immunoglobulin. While high-dose steroid and immunoglobulin were not effective, we tried rituximab which is effective in other immune-mediated polyneuropathy. After rituximab treatment, patient's clinical symptom and nerve conduction study finding was markedly improved. We suggest rituximab might be effective in polyneuropathy induced by immune checkpoint inhibitor.

Keywords

References

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