Use of rituximab in systemic lupus erythematosus in children: a review

Juvenile-onset  systemic lupus erythematosus (SLE) is a significant and urgent problem in the practice of pediatricians and rheumatologists  in both verifying its diagnosis and choosing treatment policies, by taking into account the features of the onset, the types of the disease course, and the hig...

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Main Author: A. N. Arefyeva
Format: Article
Language:Russian
Published: IMA PRESS LLC 2019-11-01
Series:Научно-практическая ревматология
Subjects:
Online Access:https://rsp.mediar-press.net/rsp/article/view/2779
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author A. N. Arefyeva
author_facet A. N. Arefyeva
author_sort A. N. Arefyeva
collection DOAJ
description Juvenile-onset  systemic lupus erythematosus (SLE) is a significant and urgent problem in the practice of pediatricians and rheumatologists  in both verifying its diagnosis and choosing treatment policies, by taking into account the features of the onset, the types of the disease course, and the high probability of an unfavorable prognosis. Despite the tremendous progress made in rheumatology at the beginning of the 21st century, the results of SLE therapy in children and adolescents cannot be considered to be satisfactory: only 13% of patients who fell ill in childhood have drug-free remission in adulthood with a lower quality of life and a higher index of damage. The purpose of this review is to analyze the efficacy and safety of rituximab that, despite the absence of its officially recorded indications,  has relatively widely entered the actual clinical practice of pediatric rheumatologists  as the drug of choice in the highly active, prognostically unfavorable course of SLE.
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spelling doaj-art-061bc99c7d9a4c11a77f08fb79952ce52025-08-20T02:55:20ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922019-11-0157557858310.14412/1995-4484-2019-578-5832531Use of rituximab in systemic lupus erythematosus in children: a reviewA. N. Arefyeva0V.A. Nasonova Research Institute of RheumatologyJuvenile-onset  systemic lupus erythematosus (SLE) is a significant and urgent problem in the practice of pediatricians and rheumatologists  in both verifying its diagnosis and choosing treatment policies, by taking into account the features of the onset, the types of the disease course, and the high probability of an unfavorable prognosis. Despite the tremendous progress made in rheumatology at the beginning of the 21st century, the results of SLE therapy in children and adolescents cannot be considered to be satisfactory: only 13% of patients who fell ill in childhood have drug-free remission in adulthood with a lower quality of life and a higher index of damage. The purpose of this review is to analyze the efficacy and safety of rituximab that, despite the absence of its officially recorded indications,  has relatively widely entered the actual clinical practice of pediatric rheumatologists  as the drug of choice in the highly active, prognostically unfavorable course of SLE.https://rsp.mediar-press.net/rsp/article/view/2779systemic lupus erythematosus in childrenrituximabrituximab therapy in childhood
spellingShingle A. N. Arefyeva
Use of rituximab in systemic lupus erythematosus in children: a review
Научно-практическая ревматология
systemic lupus erythematosus in children
rituximab
rituximab therapy in childhood
title Use of rituximab in systemic lupus erythematosus in children: a review
title_full Use of rituximab in systemic lupus erythematosus in children: a review
title_fullStr Use of rituximab in systemic lupus erythematosus in children: a review
title_full_unstemmed Use of rituximab in systemic lupus erythematosus in children: a review
title_short Use of rituximab in systemic lupus erythematosus in children: a review
title_sort use of rituximab in systemic lupus erythematosus in children a review
topic systemic lupus erythematosus in children
rituximab
rituximab therapy in childhood
url https://rsp.mediar-press.net/rsp/article/view/2779
work_keys_str_mv AT anarefyeva useofrituximabinsystemiclupuserythematosusinchildrenareview