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Rituximab as First‐Line Compared to Escalation Immunotherapy Is Associated With Lower Disability Accumulation in Aquaporin‐4‐IgG‐Positive Neuromyelitis Optica Spectrum Disorder: A Multicenter Cohort Study From Germany and the United Kingdom

Aquaporin‐4‐IgG‐positive neuromyelitis optica spectrum disorder (AQP4‐IgG+ NMOSD) can cause significant disability after a single attack. Long‐term immunotherapy reduces disability accumulation, but the choice of first‐line therapy varies. In the United… Click to show full abstract

Aquaporin‐4‐IgG‐positive neuromyelitis optica spectrum disorder (AQP4‐IgG+ NMOSD) can cause significant disability after a single attack. Long‐term immunotherapy reduces disability accumulation, but the choice of first‐line therapy varies. In the United Kingdom, rituximab is typically used as escalation therapy after conventional immunosuppressants fail, while in Germany, it is widely used as first‐line treatment.

Keywords: first line; positive neuromyelitis; igg positive; aquaporin igg; disability

Journal Title: European Journal of Neurology
Year Published: 2025

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