Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 May 1;43(4):e601-e604.
doi: 10.1097/MPH.0000000000001871.

Dysfunctional Immune System Reconstitution After Rituximab Exposure In Utero

Affiliations
Case Reports

Dysfunctional Immune System Reconstitution After Rituximab Exposure In Utero

Rebecca Clark et al. J Pediatr Hematol Oncol. .

Abstract

Rituximab is an antibody that binds to B-lymphocytes and is increasingly used during pregnancy. As an immunoglobulin G, it will transfer across the placenta. Previous case reports describe a diversity of clinical presentations in neonates born following rituximab exposure in utero. Our case is the first to offer the long-term experience in the care of an infant with severe neutropenia and prolonged profound hypogammaglobulinemia and class-switching B cell defect after in utero rituximab exposure.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Cooper N, Arnold DM. The effect of rituximab on humoral and cell mediated immunity and infection in the treatment of autoimmune diseases. British J Haematology. 2010;149:3–13.
    1. Amatuni GS, Sciortino S, Currier RJ, et al. Reference intervals for lymphocyte subsets in preterm and term neonates without immune defects. J Allergy Clin Immunol. 2019;144:1674–1683.
    1. Ozdemir SA, Ozer EA, Kose S, et al. Reference values of serum IgG and IgM levels in preterm and term newborns. J Matern Fetal Neonatal Med. 2016;29:972–976.
    1. Reynoso EE, Shepherd FA, Messner H, et al. Acute leukemia during pregnancy: the Toronto Leukemia Study Group experience with long term follow-up of children exposed in utero to chemotherapeutic agents. J Clin Oncol. 1987;5:1098–1106.
    1. Zemlickis D, Lishner M, Degendorfer P, et al. Fetal outcome after in utero exposure to cancer chemotherapy. Arch Intern Med. 1992;152:573–576.

Publication types

MeSH terms

Substances