Severe Late-Onset Neutropenia in a Pregnant Patient with Multiple Sclerosis after Ocrelizumab.

IF 0.6 Q4 CLINICAL NEUROLOGY
Case Reports in Neurology Pub Date : 2025-03-26 eCollection Date: 2025-01-01 DOI:10.1159/000544749
Casey J Fealko, Morgan N Rolon-Newton, Marisa J L Aitken, Scott D Gitlin
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引用次数: 0

Abstract

Introduction: Ocrelizumab is a recombinant humanized anti-CD20 monoclonal antibody used to treat multiple sclerosis. Late-onset neutropenia, absolute neutrophil count <1.5 × 109/L that develops >4 weeks after last drug administration, is a known adverse event associated with anti-CD20 monoclonal antibodies, including rituximab and ocrelizumab.

Case presentation: We present the case of a 27-year-old woman who developed severe late-onset neutropenia during her third trimester of pregnancy after treatment with ocrelizumab 6 months prior.

Conclusion: Neurologists should be aware of this risk and consider additional hematologic monitoring for pregnant patients who received anti-CD20 therapy as therapies such as G-CSF are available to help prevent serious infections.

Ocrelizumab治疗多发性硬化症妊娠患者的严重晚发性中性粒细胞减少
Ocrelizumab是一种重组人源化抗cd20单克隆抗体,用于治疗多发性硬化症。迟发性中性粒细胞减少症,即绝对中性粒细胞计数9/L,在最后一次给药后4周发生,是一种已知的与抗cd20单克隆抗体相关的不良事件,包括利妥昔单抗和奥克雷单抗。病例介绍:我们报告了一名27岁的女性,她在妊娠晚期6个月前接受ocrelizumab治疗后出现了严重的晚发性中性粒细胞减少症。结论:神经科医生应该意识到这种风险,并考虑对接受抗cd20治疗的孕妇进行额外的血液学监测,因为G-CSF等疗法有助于预防严重感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Case Reports in Neurology
Case Reports in Neurology Medicine-Neurology (clinical)
CiteScore
1.50
自引率
0.00%
发文量
67
审稿时长
14 weeks
期刊介绍: This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.
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