Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2012  |  Volume : 23  |  Issue : 2  |  Page : 334--337

Rituximab in the treatment of refractory lupus nephritis with vasculitis


Huseyin Kadikoy1, Waqar Haque1, Salman Ahmed1, Abdul Abdellatif2 
1 Department of Medicine, Baylor College of Medicine, Houston, TX, 77030, USA
2 Department of Medicine and Division of Nephrology, Baylor College of Medicine, Houston, TX, 77030, USA

Correspondence Address:
Abdul Abdellatif
Assistant Professor of Medicine, Division of Nephrology, Department of Medicine, Baylor College of Medicine, One Baylor Plaza, BCM 620, Houston, TX 77030
USA

Dysfunction of the B lymphocyte, an important component of adaptive immunity, is thought to be important in the pathogenesis of lupus nephritis (LN). There are several novel strategies emerging including B-cell depletion by the monoclonal antibodies to B-cell markers, rituximab. We describe an unusual clinical response of a 22-year-old Hispanic woman with class IV LN with vasculitis while on dialysis to cyclophosphamide (CY) and adjunct rituximab. The patient had a history of class III/V LN and was treated with nine months of CY and maintenance therapy with mycophenolate mofetil (MMF) for three years. While on MMF, the patient deve­loped class IV LN with vasculitis leading to end-stage renal disease (ESRD). While the patient was on peritoneal dialysis, the patient was treated with two doses of rituximab and six doses of intravenous CY. The patient responded to this regimen and recovered kidney function within four months. The kidney function remained stable nine months after discontinuing peritoneal dialysis.


How to cite this article:
Kadikoy H, Haque W, Ahmed S, Abdellatif A. Rituximab in the treatment of refractory lupus nephritis with vasculitis.Saudi J Kidney Dis Transpl 2012;23:334-337


How to cite this URL:
Kadikoy H, Haque W, Ahmed S, Abdellatif A. Rituximab in the treatment of refractory lupus nephritis with vasculitis. Saudi J Kidney Dis Transpl [serial online] 2012 [cited 2019 Dec 11 ];23:334-337
Available from: http://www.sjkdt.org/article.asp?issn=1319-2442;year=2012;volume=23;issue=2;spage=334;epage=337;aulast=Kadikoy;type=0