Alopecia Universalis in a Multiple Sclerosis Patient After Switching From Rituximab to Ocrelizumab: A Case Report

被引:0
|
作者
Mahyad, Mahshid [1 ]
Baghaei, Mahdieh [2 ]
Baghaei, Ava [1 ]
Nahayati, Mohammadali [1 ]
机构
[1] Mashhad Univ Med Sci, Fac Med, Dept Neurol, Mashhad, Iran
[2] Mashhad Univ Med Sci, Fac Med, Dept Radiol, Mashhad, Iran
关键词
alopecia areata; alopecia universalis; multiple sclerosis; ocrelizumab; rituximab; MONOCLONAL-ANTIBODY; PLACEBO; DEPLETION;
D O I
10.1111/1756-185X.70028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ocrelizumab is a humanized monoclonal antibody, which acts as an anti-CD20 antibody. It is used as a treatment of both relapsing-remitting multiple sclerosis (RRMS) and Progressive types. The aim of this study is to report the first patient with alopecia universalis after switching from rituximab to ocrelizumab. A 37-year-old woman with a history of SPMS, diagnosed 8 years ago, used to be treated with rituximab. Her drug was switched to ocrelizumab from 6 months ago. She presented with patchy scalp hair loss a day after receiving the second dose of ocrelizumab. Her hair loss rapidly progressed in 3-4 days to total body hair loss in a patchy pattern. Ocrelizumab may be responsible for autoimmune reactions such as alopecia universalis in immunocompromised patients.
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页数:4
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