Hypogammaglobulinaemia in patients with ANCA-associated vasculitis treated with rituximab - Takeaways - MDSpire

Hypogammaglobulinaemia in patients with ANCA-associated vasculitis treated with rituximab

  • By

  • Jens Rathmann

  • Hiba Kadhem

  • Mårten Segelmark

  • David Jayne

  • Aladdin J. Mohammad

  • June 16, 2026

  • 0 min

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  • 1

    Hypogammaglobulinaemia (HG) occurred in 45% of rituximab-treated patients with ANCA-associated vasculitis in a Swedish cohort study.

  • 2

    The incidence rate of HG was 16.1 per 100 person-years, with a higher rate of 17.6 per 100 person-years when excluding preexisting cases.

  • 3

    A lower baseline IgG level was identified as an independent predictor of subsequent HG development in rituximab-treated patients.

  • 4

    Severe infections were reported in 35% of patients with HG, but HG was not associated with an increased risk of severe infections.

  • 5

    The median time to HG development after rituximab treatment was 3.5 months, highlighting the need for close IgG monitoring.

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