Infections and hypogammaglobulinemia in myasthenia gravis patients receiving low-dose rituximab: a real-world cohort study - Takeaways - MDSpire
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Infections and Hypogammaglobulinemia Among Myasthenia Gravis Patients on Long-Term Low-Dose Rituximab: Findings from a Retrospective Cohort Analysis

  • By

  • Rongjing Guo

  • Yifan Zhang

  • Ting Gao

  • Zhe Ruan

  • Chao Sun

  • Sijia Hao

  • Yonglan Tang

  • Qingqing Wang

  • Xiaoxi Huang

  • Xiangqi Cao

  • Zhuyi Li

  • Danni Liu

  • Yu Liu

  • Ting Chang

  • August 28, 2026

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  • 1

    The study analyzed infection and hypogammaglobulinemia incidence in 186 myasthenia gravis patients on long-term low-dose rituximab.

  • 2

    Infections occurred in 15.59% of patients, with lower respiratory tract infections being the most common.

  • 3

    Hypogammaglobulinemia affected 27.42% of patients and was an independent predictor of infection risk.

  • 4

    Higher baseline prednisone doses were significantly associated with an increased risk of severe lower respiratory tract infections.

  • 5

    The median follow-up for patients was 2.41 years, with infection rates of 13.41 and 9.20 per 100 person-years at 1 and 2 years, respectively.

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