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dc.rights.licenseopenen_US
dc.contributor.authorEID, L.
dc.contributor.authorCOSTE-VERDIER, V.
dc.contributor.authorLONGUEVILLE, E.
dc.contributor.authorRIBEIRO, E.
dc.contributor.authorNICOLESCU-CATARGI, B.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorKOROBELNIK, Jean-Francois
ORCID: 0000-0002-4438-9535
IDREF: 028739272
dc.date.accessioned2021-01-22T15:24:51Z
dc.date.available2021-01-22T15:24:51Z
dc.date.issued2020
dc.identifier.issn1724-6016 (Electronic) 1120-6721 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/25966
dc.description.abstractEnPurpose: Management of Graves’ ophthalmopathy remains challenging. Over the last decade, previous studies have shown promising results for Rituximab in the treatment of Graves’ ophthalmopathy. We present the response of 14 individuals with active moderate-to-severe Graves’ ophthalmopathy to Rituximab, representing one of the largest retrospective case series reported to date. Methods: Rituximab was administered intravenously, 1000 mg twice at a 2-week interval. The primary end point was a clinical activity score reduction (improvement by ⩾ 2 points or disease inactivation: clinical activity score < 3) at 24 weeks. Secondary end points included clinical activity score improved by ⩾ 2 points or inactivation of Graves’ ophthalmopathy at 12 weeks, improvement in each item of the clinical activity score, in proptosis, in severity disease by the total eye score and in diplopia according to the Gorman score. Results: A limited improvement in clinical activity score was observed (median improvement at 24 weeks by 1 point, p = 0.002, (5/14 patients, 35.7%). Disease inactivation occurred in 50% of patients (7/14 patients). At 12 weeks, clinical activity score improved by ⩾ 2 points in 2/14 patients (14.3%) and inactivation of Graves’ ophthalmopathy occurred in four patients (28.6%). Improvement in proptosis and total eye score was observed in 3/9 patients (33%) and in 4/14 patients (28.6%) at 24 weeks, respectively. Only one patient experienced moderate adverse event. Conclusion: Rituximab is a well-tolerated treatment with a good safety profile, but offered limited and partial improvement for active moderate-to-severe Graves’ ophthalmopathy with a long duration of disease.
dc.language.isoENen_US
dc.subjectLEHA
dc.title.enThe effects of Rituximab on Graves'orbitopathy: A retrospective study of 14 patients
dc.title.alternativeEur J Ophthalmolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1177/1120672119845224en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed31025590en_US
bordeaux.journalEuropean Journal of Ophthalmologyen_US
bordeaux.page1008-1013en_US
bordeaux.volume30en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue5en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamLEHA_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03118895
hal.version1
hal.date.transferred2021-01-22T15:24:55Z
hal.exporttrue
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