Autoimmune glomerulonephritis in a multiple sclerosis patient after cladribine treatment

Author:

Schönfelder Kristina1,Schuh Helene2,Pfister Frederick3,Krämer Julia4,Eisenberger Ute1,Skuljec Jelena2,Hackert Jana2,Ruck Tobias4,Pfeuffer Steffen4ORCID,Fleischer Michael2,Gäckler Anja1,Hagenacker Tim2,Kribben Andreas1,Meuth Sven G4,Kleinschnitz Christoph2,Pul Refik2

Affiliation:

1. Department of Nephrology, University Medicine Essen, Essen, Germany Center for Translational Neuro- and Behavioral Sciences, University Hospital Essen, Essen, Germany

2. Department of Neurology, University Medicine Essen, Essen, Germany/Center for Translational Neuro- and Behavioral Sciences, University Hospital Essen, Essen, Germany

3. Department of Nephropathology, University Medicine Erlangen, Erlangen, Germany

4. Department of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany

Abstract

Background: Oral cladribine is an approved disease-modifying drug for the treatment of relapsing multiple sclerosis. In controlled clinical trials as well as in post marketing safety assessments, autoimmune conditions have not yet been reported as a specific side effect of cladribine. Objective and Results: Here, we report a case of anti-glomerular basement membrane antibody-mediated glomerulonephritis that occurred shortly after the fourth cladribine treatment cycle. Conclusion: Neurologists should be attentive to the development of secondary autoimmunity in cladribine-treated patients.

Publisher

SAGE Publications

Subject

Neurology (clinical),Neurology

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