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Case report| Volume 2, ISSUE 1, P60-63, January 2013

Case report of anti-glomerular basement membrane disease following alemtuzumab treatment of relapsing–remitting multiple sclerosis

      Abstract

      Objective

      To report a case of anti-glomerular basement membrane disease (anti-GBM disease) during alemtuzumab treatment of a relapsing–remitting multiple sclerosis (RRMS) patient.

      Design

      Case report.

      Setting

      Outpatient neurology research protocol.

      Patient

      A 35-year-old white female receiving alemtuzumab for RRMS in a clinical research protocol developed symptoms leading to diagnosis of anti-GBM disease.

      Main outcome measure

      Patient response to the treatment of anti-GBM disease and RRMS.

      Results

      Early identification and treatment of anti-GBM disease resolved clinical symptoms and preserved renal function. Alemtuzumab treatment of RRMS resolved initial MS symptoms and appears to have controlled active disease to date.

      Conclusion

      Close monitoring for potential side effects of alemtuzumab treatment in RRMS resulted in a positive outcome when anti-GBM disease was recognized and treated early.

      Keywords

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