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Juvenile myasthenia gravis (JMG) is a rare, antibody-mediated disorder of the neuromuscular junction. Treatment strategies in JMG are largely informed by adult MG treatments as the pathophysiology is similar. Rituximab is increasingly considered as a treatment option in refractory JMG but has not yet been systematically investigated in this patient group We conducted a retrospective study from five international centres with expertise in paediatric myasthenia. 10 JMG patients treated with rituximab were identified. Following rituximab treatment all patients had a reduction in JMG-related hospital admissions. At 24 month follow up, 6 patients (60%) had achieved complete stable remission or pharmacological remission and 7 patients were able to reduce immunomodulatory treatment(s). The main side-effect was infusion-related reactions (30%) which resolved in all patients with symptomatic treatment. We compared our cohort to previously reported JMG cases treated with rituximab and noted similar response rates but a slightly higher side-effect profile. Rituximab is a safe and effective treatment option in moderate to severe JMG and most patients have an improvement in MG symptoms post treatment.

Original publication

DOI

10.1016/j.ejpn.2022.06.009

Type

Journal article

Journal

Eur J Paediatr Neurol

Publication Date

09/2022

Volume

40

Pages

5 - 10

Keywords

Juvenile myasthenia gravis, Myasthenia gravis, Paediatric, Rituximab, Adult, Child, Cohort Studies, Humans, Myasthenia Gravis, Retrospective Studies, Rituximab, Treatment Outcome