Monoclonal gammopathy of neurological significance: a case report and a novel approach

Main Article Content

Mario Biglietto https://orcid.org/0000-0003-1487-5812
Martina Gherardini
Raffaele Maglione
Azzurra Anna Romeo
Luciano Fiori
Piera Giovangrossi
Alessandro Pulsoni
Ugo Coppetelli

Keywords

MGCS, MGNS, anti-MAG, Plasma-Exchange, Rituximab

Abstract

There is increasing evidence regarding gammopathy of clinical significance (MGCS), conditions in which there is paraprotein-mediated tissue and organ damage via mechanisms independent of tumor growth. There is no standard treatment for these novel entities. We describe a case of a 61 years old male presenting with a monoclonal gammopathy of neurological significance (MGNS) treated with four weekly doses of Rituximab (RTX), without benefit, and then with a novel protocol. 

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