Successful treatment of refractory autoimmune hepatitis with rituximab

Pediatrics. 2013 Aug;132(2):e526-30. doi: 10.1542/peds.2011-1900. Epub 2013 Jul 1.

Abstract

Autoimmune hepatitis is a severe liver disease in which ~10% of patients do not respond to standard treatment. We describe a new rescue therapy using anti-CD20 monoclonal antibodies (rituximab). Complete remission was obtained and maintained by using low doses of immunosuppressive drugs with repeated anti-CD20 infusions.

Keywords: autoimmune hepatitis; children; rituximab; treatment.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Monoclonal, Murine-Derived / adverse effects
  • Antibodies, Monoclonal, Murine-Derived / therapeutic use*
  • Child
  • Dose-Response Relationship, Drug
  • Drug Resistance
  • Female
  • Hepatitis, Autoimmune / diagnosis
  • Hepatitis, Autoimmune / drug therapy*
  • Hepatitis, Autoimmune / pathology
  • Humans
  • Immunologic Factors / adverse effects
  • Immunologic Factors / therapeutic use*
  • Immunosuppressive Agents / adverse effects
  • Immunosuppressive Agents / therapeutic use
  • Infusions, Intravenous
  • Liver / pathology
  • Liver Function Tests
  • Rituximab

Substances

  • Antibodies, Monoclonal, Murine-Derived
  • Immunologic Factors
  • Immunosuppressive Agents
  • Rituximab