We report a pediatric MuSK-MG patient who exhibited a favourable response to rituximab following the ineffectiveness of steroid therapy and acetylcholinesterase inhibitor (AChEI) therapy.
📌 3 Key Takeaways
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Objective & Hypothesis:Muscle-specific tyrosine kinase antibody-associated myasthenia gravis (MuSK-MG) is a rare subtype of MG distinguished by recurring relapses and a clinical history unresponsive to conventional therapies.
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Key Findings & Data:Rituximab, a monoclonal antibody that targets CD20+ B cells, has effectively induced long-term remission in adults.
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Conclusion & Impact:We report a pediatric MuSK-MG patient who exhibited a favourable response to rituximab following the ineffectiveness of steroid therapy and acetylcholinesterase inhibitor (AChEI) therapy.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Child · myasthenia gravis · MUSK
Abstract
Muscle-specific tyrosine kinase antibody-associated myasthenia gravis (MuSK-MG) is a rare subtype of MG distinguished by recurring relapses and a clinical history unresponsive to conventional therapies. Rituximab, a monoclonal antibody that targets CD20+ B cells, has effectively induced long-term remission in adults. We report a pediatric MuSK-MG patient who exhibited a favourable response to rituximab following the ineffectiveness of steroid therapy and acetylcholinesterase inhibitor (AChEI) therapy.
Şen, A. D. Y., Baysal, A., Uğur, Ö., Çarman, K. B., Yarar, C. (2025). Successful Treatment of MuSK Antibody–Positive Myasthenia Gravis with Rituximab. Çocuk Dergisi, Cilt: 25 Sayı: 3, 172–175. https://doi.org/10.26650/jchild.2025.1704940
Gilhus NE, Verschuuren JJ. MYasthenia gravis: subgroup classification and therapeutic strategies. Lancet Neurol. 2015;14:1023-36. google scholar
Deymeer F. MYasthenia gravis: MuSK MG, late-onset MG and ocular MG. Acta MYol. 2020;39:345-52. google scholar
Tannemaat MR, Huijbers MG, Verschuuren JJGM. MYasthenia gravis-Pathophysiology, diagnosis, and treatment. Handb Clin Neurol. 2024;200:283-305. google scholar
Vesperinas-Castro A, Cortes-Vicente E. Rituximab treatment in mYasthenia gravis. Front Neurol. 2023;14:1275533. google scholar
Rodolico C, Bonanno C, Toscano A, Vita G. MuSK-Associated MYasthenia Gravis: Clinical Features and Management. Front Neurol. 2020;11:660. google scholar
Evoli A, Alboini PE, Damato V, et al. MYasthenia gravis with antibodies to MuSK: an update. Ann N Y Acad Sci. 2018;1412:82-9. google scholar
Sanders DB, El-Salem K, MasseY JM, McConville J, Vincent A. Clinical aspects of MuSK antibody positive seronegative MG. NeurologY. 2003;60:1978-80. google scholar
Huda S, Waters P, Woodhall M, et al. IgG-specific cell-based assaY detects potentiallY pathogenic MuSK-Abs in seronegative MG. Neurol Neuroimmunol Neuroinflamm. 2017;4:357. google scholar
Anlar B, Yilmaz V, Saruhan-Direskeneli G. Long remission in muscle-specific kinase antibody-positive juvenile mYasthenia. Pediatr Neurol. 2009;40:455-6. google scholar
Hehir MK, Hobson-Webb LD, Benatar M, et al. Rituximab as treatment for anti-MuSK mYasthenia gravis: Multicenter blinded prospective review. NeurologY. 2017;89:1069-77. google scholar
Topakian R, Zimprich F, Iglseder S, et al. High efficacY of rituximab for mYasthenia gravis: a comprehensive nationwide studY in Austria. J Neurol. 2019;266:699-06. google scholar
O'Connell K, Ramdas S, Palace J. Management of Juvenile MYasthenia Gravis. Front Neurol. 2020;11:743. google scholar