Shifting focus in the therapeutics of immunobullous disease

Therapeutics of autoimmune bullous disease has seen a major shift of focus from more global immunosuppression to targeted immunotherapy. Anti CD 20 monoclonal antibody Rituximab revolutionized the therapeutics of autoimmune bullous disease particularly pemphigus. Though it is still being practiced o...

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Main Authors: Abhishek De (Author), Asad Ansari (Author), Nidhi Sharma (Author), Aarti Sarda (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2017-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Abhishek De  |e author 
700 1 0 |a Asad Ansari  |e author 
700 1 0 |a Nidhi Sharma  |e author 
700 1 0 |a Aarti Sarda  |e author 
245 0 0 |a Shifting focus in the therapeutics of immunobullous disease 
260 |b Wolters Kluwer Medknow Publications,   |c 2017-01-01T00:00:00Z. 
500 |a 0019-5154 
500 |a 1998-3611 
500 |a 10.4103/ijd.IJD_199_17 
520 |a Therapeutics of autoimmune bullous disease has seen a major shift of focus from more global immunosuppression to targeted immunotherapy. Anti CD 20 monoclonal antibody Rituximab revolutionized the therapeutics of autoimmune bullous disease particularly pemphigus. Though it is still being practiced off-label, evidences in the form of RCT and meta analysis are now available. Other novel anti CD 20 monoclonal antibodies like ofatumumab, veltuzumab, and ocrelizumab, tositumomab or obinutuzumab/GA101 may add to the therapeutic options in coming days. Beyond anti CD 20 monoclonal antibodies other options that show promise at least in select scenario are omalizumab, TNF inhibitors plasmapheresis and intravenous immunoglobulin. The present article will discuss the role of rituximab and other newer therapeutics in the treatment of autoimmune blistering disease, especially pemphigus and suggests their positions in the therapeutic ladder. 
546 |a EN 
690 |a Biological treatment 
690 |a immunobullous disease 
690 |a rituximab 
690 |a TNF inhibitors 
690 |a Dermatology 
690 |a RL1-803 
655 7 |a article  |2 local 
786 0 |n Indian Journal of Dermatology, Vol 62, Iss 3, Pp 282-290 (2017) 
787 0 |n http://www.e-ijd.org/article.asp?issn=0019-5154;year=2017;volume=62;issue=3;spage=282;epage=290;aulast=De 
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856 4 1 |u https://doaj.org/article/ff47af1ff8d7479c85a6f1d15d4598b6  |z Connect to this object online.