A 57-year-old man who developed arthritis during R-CHOP chemotherapy for non-Hodgkin lymphoma
- PMID: 17660934
- PMCID: PMC2262146
- DOI: 10.1007/s10067-007-0704-0
A 57-year-old man who developed arthritis during R-CHOP chemotherapy for non-Hodgkin lymphoma
Abstract
Rituximab is a chimeric human-mouse anti-CD20 monoclonal antibody, which is used in the treatment of both B-cell lymphomas and rheumatic diseases. We describe a case of a previously healthy 57-year-old man developing arthritis while being treated with rituximab-CHOP chemotherapy (R-CHOP) for a non-Hodgkin lymphoma. The remittant arthritis developed at successively shorter time-intervals after R-CHOP administration and only improved after rituximab was removed from the chemotherapy schedule, suggesting a rituximab-related phenomenon, as extensive diagnostic testing ruled out any other diagnosis.
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References
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1007/s00277-003-0747-5', 'is_inner': False, 'url': 'https://doi.org/10.1007/s00277-003-0747-5'}, {'type': 'PubMed', 'value': '14513285', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/14513285/'}]}
- Buda-Okreglak EM, Drabick JJ, Delaney NR (2004) Proinflammatory syndrome mimicking acute rheumatoid arthritis in a patient with Waldenstrom’s macroglobulinemia treated with rituximab. Ann Hematol 83:117–119 - PubMed
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1002/art.21260', 'is_inner': False, 'url': 'https://doi.org/10.1002/art.21260'}, {'type': 'PubMed', 'value': '16142737', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16142737/'}]}
- Pijpe J, van Imhoff GW, Spijkervet FKL, Roodenburg JLN, Wolbink GJ, Mansour K et al (2005) Rituximab treatment in patients with primary Sjögren’s syndrome: an open-label phase ii study. Arthritis Rheum 52(9):2740–2750 - PubMed
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '15996570', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15996570/'}]}
- Jardin F, Levesque H, Tilly H (2005) Auto-immune manifestations in Non-Hodgkin’s lymphoma. Rev Med Interne 26(7):557–571 - PubMed
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '8235678', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/8235678/'}]}
- Kruger R, Oden J, de Leon F, Durr W (1993) Malignant non-Hodgkin’s lymphoma of the joint. Report of two cases, review of the literature and problems of classification. Unfallchirurg 96(10):556–562 - PubMed
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1056/NEJMoa032534', 'is_inner': False, 'url': 'https://doi.org/10.1056/nejmoa032534'}, {'type': 'PubMed', 'value': '15201414', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15201414/'}]}
- Edwards JC, Szczepanski L, Szechinski J, Filipowicz-Sosnowska A, Emery P, Close DR et al (2004) Efficacy of B-cell-targeted therapy with rituximab in patients with rheumatoid arthritis. N Engl J Med 350(25):2572–2581 - PubMed
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