Therapy of refractory pemphigus vulgaris with monoclonal anti-CD20 antibody (rituximab)

Lynne H Morrison1

  • 1Department of Dermatology, Oregon Health Sciences University, Portland, Oregon 97239, USA. morrisol@ohsu.edu

Three patients with refractory pemphigus vulgaris improved after rituximab, an anti-CD20 monoclonal antibody directed against B cells. Treatment was well tolerated immediately, but one patient developed fatal pneumocystis carinii pneumonia. Serious infections have occurred in several pemphigus patients treated with rituximab and immunosuppressive medications, warranting further evaluation of risk-benefit ratio.

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