Autoimmune storm following alemtuzumab

BMJ Case Rep. 2022 Jun 27;15(6):e248037. doi: 10.1136/bcr-2021-248037.

Abstract

Alemtuzumab has been associated with the emergence of secondary autoimmune diseases. We report a case of a patient with relapsing-remitting multiple sclerosis who developed a refractory immune thrombocytopaenia associated with vasculitis, myelofibrosis and later Guillain-Barré syndrome following alemtuzumab. The medical community should be aware of unusual and unexpected adverse events that may be associated with alemtuzumab, especially when occurring simultaneously in the same patient.

Keywords: Biological agents; Multiple sclerosis; Neurology (drugs and medicines); Vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Alemtuzumab / adverse effects*
  • Antineoplastic Agents, Immunological / adverse effects*
  • Autoimmune Diseases* / chemically induced
  • Autoimmune Diseases* / drug therapy
  • Humans
  • Multiple Sclerosis, Relapsing-Remitting* / drug therapy

Substances

  • Antineoplastic Agents, Immunological
  • Alemtuzumab