Refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetil

The main treatment for pemphigus vulgaris are systemic corticosteroids and immunosuppressive agents, but due to adverse reactions and therapeutic failure, new drugs such as rituximab and mycophenolate mofetil have been used. In this case report are described two cases of severe pemphigus vulgaris refractory to various treatments, with resolution after use of rituximab and mycophenolate mofetil, associated with corticosteroids. A higher-than-usual dose of rituximab was employed, without the occurrence of serious adverse reactions. Mycophenolate mofetil was added as adjunctive therapy due to lack of response to azathioprine.

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Main Authors: Biot,Stephanie Del Rio Navarrete, Franco,Joanna Pimenta de Araujo, Lima,Ricardo Barbosa, Pereira,Henrique Novo Costa, Marques,Luiz Paulo José, Martins,Carlos José
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Dermatologia 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962014000600980
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spelling oai:scielo:S0365-059620140006009802015-03-25Refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetilBiot,Stephanie Del Rio NavarreteFranco,Joanna Pimenta de AraujoLima,Ricardo BarbosaPereira,Henrique Novo CostaMarques,Luiz Paulo JoséMartins,Carlos José Antibodies, monoclonal Immunosuppressive agents Pemphigus The main treatment for pemphigus vulgaris are systemic corticosteroids and immunosuppressive agents, but due to adverse reactions and therapeutic failure, new drugs such as rituximab and mycophenolate mofetil have been used. In this case report are described two cases of severe pemphigus vulgaris refractory to various treatments, with resolution after use of rituximab and mycophenolate mofetil, associated with corticosteroids. A higher-than-usual dose of rituximab was employed, without the occurrence of serious adverse reactions. Mycophenolate mofetil was added as adjunctive therapy due to lack of response to azathioprine.info:eu-repo/semantics/openAccessSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia v.89 n.6 20142014-12-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962014000600980en10.1590/abd1806-4841.20143128
institution SCIELO
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country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Biot,Stephanie Del Rio Navarrete
Franco,Joanna Pimenta de Araujo
Lima,Ricardo Barbosa
Pereira,Henrique Novo Costa
Marques,Luiz Paulo José
Martins,Carlos José
spellingShingle Biot,Stephanie Del Rio Navarrete
Franco,Joanna Pimenta de Araujo
Lima,Ricardo Barbosa
Pereira,Henrique Novo Costa
Marques,Luiz Paulo José
Martins,Carlos José
Refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetil
author_facet Biot,Stephanie Del Rio Navarrete
Franco,Joanna Pimenta de Araujo
Lima,Ricardo Barbosa
Pereira,Henrique Novo Costa
Marques,Luiz Paulo José
Martins,Carlos José
author_sort Biot,Stephanie Del Rio Navarrete
title Refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetil
title_short Refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetil
title_full Refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetil
title_fullStr Refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetil
title_full_unstemmed Refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetil
title_sort refractory pemphigus vulgaris treated with rituximab and mycophenolate mofetil
description The main treatment for pemphigus vulgaris are systemic corticosteroids and immunosuppressive agents, but due to adverse reactions and therapeutic failure, new drugs such as rituximab and mycophenolate mofetil have been used. In this case report are described two cases of severe pemphigus vulgaris refractory to various treatments, with resolution after use of rituximab and mycophenolate mofetil, associated with corticosteroids. A higher-than-usual dose of rituximab was employed, without the occurrence of serious adverse reactions. Mycophenolate mofetil was added as adjunctive therapy due to lack of response to azathioprine.
publisher Sociedade Brasileira de Dermatologia
publishDate 2014
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962014000600980
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