Alemtuzumab: autoimmune complications

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Alemtuzumab: autoimmune complications. Hypothyroidism, Hyperthyroidism, Grave’s orbitopathy. Fully referenced neurology checklist.

Thyroid

  • Hypothyroidism
  • Hyperthyroidism
  • Grave’s orbitopathy

Renal

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Haematological

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Dermatological

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Other autoimmune side effects

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Acronym: ITP

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References

  1. Dargahi N, Katsara M, Tselios T, et al. Multiple sclerosis: immunopathology and treatment update. Brain Sci 2017; 7(7) pii: E78.
  2. Havrdova E, Arnold DL, Cohen JA, et al; CARE-MS I and CAMMS03409 Investigators. Alemtuzumab CARE-MS I 5-year follow-up: durable efficacy in the absence of continuous MS therapy. Neurology 2017; 89:1107-1116.
  3. Roos JCP, Moran C, Chatterjee VK, Jones J, Coles A, Murthy R. Immune reconstitution after alemtuzumab therapy for multiple sclerosis triggering Graves' orbitopathy: a case series. Eye (Lond) 2019; 33:223-229.
  4. Phelps R, Winston JA, Wynn D, et al. Incidence, management, and outcomes of autoimmune nephropathies following alemtuzumab treatment in patients with multiple sclerosis. Mult Scler 2019; doi: 10.1177/1352458519841829 (Epub ahead of print).
  5. Cuker A, Bass AD, Nadj C, et al. Immune thrombocytopenia in alemtuzumab-treated MS patients: Incidence, detection, and management. Mult Scler 2019; 20:1352458518816612 (Epub ahead of print).
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