Case Report: Efficacy of Rituximab in a Patient With Familial Mediterranean Fever and Multiple Sclerosis

Mattia Pozzato, Emanuele Micaglio, Chiara Starvaggi Cucuzza, Alessandro Cagol, Daniela Galimberti, Daniela Calandrella, Claudia Cinnante, Carlo Pappone, Monica Zanussi, Giovanni Meola, Elio Scarpini, Nereo Bresolin, Filippo Martinelli Boneschi

Research output: Contribution to journalArticlepeer-review

Abstract

Familial Mediterranean Fever (FMF) is a genetic autoinflammatory disease characterized by recurrent episodes of fever and serositis caused by mutations in the MEFV gene, while Multiple Sclerosis (MS) is an inflammatory demyelinating disease of the CNS with genetic and environmental etiology. The two diseases rarely occur in association with relevant implications for clinical management and drug choice. In this paper, we present the case of a 53-year-old male with an autosomal dominant FMF since childhood who presented acute paresthesia at the right part of the body. He performed a brain and spinal cord MRI, which showed multiple brain lesions and a gd-enhancing lesion in the cervical spinal cord, and then received a diagnosis of MS. He then started Interferonβ-1a which was effective but not tolerated and caused hepatotoxicity, and then shifted to Rituximab with 3-month clinical and neuroradiological efficacy.

Original languageEnglish
Article number591395
JournalFrontiers in Neurology
Volume11
DOIs
Publication statusPublished - Jan 6 2021

Keywords

  • case report
  • familal mediterranean fever
  • hepatotoxicity
  • multiple sclerosis
  • rituximab

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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