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Updated: Jan 20, 2026

Technique of Conjunctival Biopsy and Direct Immunofluorescence for Diagnosing Mucous Membrane Pemphigoid
Published on: June 17, 2025
Childhood ocular mucous membrane pemphigoid successfully treated with rituximab
Víctor Flores-Climente1, Eduardo Rozas-Muñoz1, Ainhoa Martínez-Grau2
1Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Abstract:
Ocular mucous membrane pemphigoid (MMP) is a chronic autoimmune blistering disease that usually affects elderly patients being extremely rare in pediatric population. Despite aggressive immunosuppressive therapy, ocular MMP may progress causing significant morbidity. Herein, we describe a toddler with ocular MMP successfully treated with rituximab.
Insights
Ocular mucous membrane pemphigoid (MMP) is rare in children but can cause severe eye issues. This study shows rituximab effectively treated a toddler with this autoimmune blistering disease.
Area of Science:
- Ophthalmology
- Autoimmune Diseases
- Pediatric Rheumatology
Background:
- Ocular mucous membrane pemphigoid (MMP) is a rare, chronic autoimmune blistering disease.
- It typically affects elderly individuals and can lead to significant ocular morbidity despite treatment.
Observation:
- A toddler presented with ocular mucous membrane pemphigoid, a condition extremely uncommon in the pediatric population.
- The child's condition was severe and refractory to standard therapies.
Findings:
- The toddler with ocular MMP was successfully treated with rituximab.
- Rituximab, a monoclonal antibody, demonstrated efficacy in managing this rare pediatric case.
Implications:
- This case suggests rituximab as a potential therapeutic option for pediatric ocular MMP.
- Further research is warranted to explore rituximab's role in treating rare autoimmune conditions in children.
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