The rationale for B lymphocyte depletion in Graves' disease. Monoclonal anti-CD20 antibody therapy as a novel treatment option

Daniel El Fassi, Claus H Nielsen, Hans K Hasselbalch, Laszlo Hegedüs

    65 Citations (Scopus)

    Abstract

    We have reviewed the immunology of thyroid autoimmunity with special reference to the importance of B lymphocytes (B cells) in thyroidal and extrathyroidal Graves' disease (GD), thus providing a framework for the hypothesis that B cell depletion may be beneficial in GD. Additionally, after reviewing the efficacy and safety in other autoimmune diseases, we propose that treatment with the B cell-depleting agent Rituximab may become a clinically relevant treatment option in selected cases of GD, particularly when complicated with thyroid-associated ophthalmopathy.
    Original languageEnglish
    JournalEuropean Journal of Endocrinology
    Volume154
    Issue number5
    Pages (from-to)623-32
    Number of pages10
    ISSN0804-4643
    DOIs
    Publication statusPublished - 1 May 2006

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