| Abstract | Paraneoplastic pemphigus is an IgG-mediated disease characterized clinically by a polymorphous blistering eruption with severe mucosal involvement associated with an underlying or occult malignancy. It is associated with high mortality, and response to treatment is generally poor. Potent immunosuppression is often necessary to control progression of the disease. Three case reports have documented successful treatment of paraneoplastic pemphigus with rituximab, an anti-CD20 monoclonal antibody. However, two previous reports have noted that rituximab was unsuccessful in halting progression of PNP. We report a third case of paraneoplastic pemphigus associated with follicular non-Hodgkin's lymphoma in which rituximab was not effective. Whether rituximab is an effective and novel treatment for paraneoplastic pemphigus remains undecided. |
| Authors | S R Hoque, M M Black, S Cliff
(Affiliation: Department of Dermatology, St Helier Hospital, Surrey, UK. hoqueshamali at hotmail.com)
|
| Journal | Clinical and experimental dermatology
(Clin Exp Dermatol)
Vol. 32
Issue 2
Pg. 172-5
(Mar 2007)
ISSN: 0307-6938 England |
| PMID | 17342796
(Publication Type: Case Reports, Journal Article)
|
| Chemical References |
- Antibodies, Monoclonal
- Antineoplastic Agents
- rituximab
|
| Topics |
- Antibodies, Monoclonal
(therapeutic use)
- Antineoplastic Agents
(therapeutic use)
- Drug Resistance
- Fatal Outcome
- Female
- Humans
- Lymphoma, Follicular
(complications)
- Middle Aged
- Paraneoplastic Syndromes
(drug therapy, pathology)
- Pemphigus
(drug therapy, pathology)
- Treatment Failure
|
