PMID- 32971476 OWN - NLM STAT- MEDLINE DCOM- 20201216 LR - 20201216 IS - 1872-8421 (Electronic) IS - 0165-5728 (Linking) VI - 349 DP - 2020 Dec 15 TI - Cerebrospinal fluid CD20 positive B-cell expansion in a case of anti-NMDAR encephalitis. PG - 577365 LID - S0165-5728(20)30433-1 [pii] LID - 10.1016/j.jneuroim.2020.577365 [doi] AB - Anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis is a potentially fatal autoimmune encephalitis with a strong B-cell response. We measured the proportion of CD20 positive and CD19 positive B-cells in the CSF from a case of severe anti-NMDAR encephalitis. The proportion of CD20 positive B-cells in the CSF was 15.0%, higher than CD19 positive B cells (10.1%), and higher than that seen in non-inflammatory neurological disorders (<1%). After the treatments of steroids, intravenous immunoglobulin and rituximab to eliminate B-cells, she recovered. These findings further support the use of rituximab that targets CD20 positive B-cells in anti-NMDAR encephalitis. CI - Copyright (c) 2020. Published by Elsevier B.V. FAU - Zheng, Yiming AU - Zheng Y AD - Neurology Department, Peking University First Hospital, China. FAU - Luo, Jingjing AU - Luo J AD - Neurology Department, Peking University First Hospital, China. FAU - Jin, Haiqiang AU - Jin H AD - Neurology Department, Peking University First Hospital, China. FAU - Gao, Feng AU - Gao F AD - Neurology Department, Peking University First Hospital, China. Electronic address: gaofh2011@126.com. FAU - Hao, Hongjun AU - Hao H AD - Neurology Department, Peking University First Hospital, China. Electronic address: haohj1963@126.com. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200821 PL - Netherlands TA - J Neuroimmunol JT - Journal of neuroimmunology JID - 8109498 RN - 0 (Antigens, CD20) RN - 0 (Autoantibodies) RN - 0 (Biomarkers) SB - IM MH - Anti-N-Methyl-D-Aspartate Receptor Encephalitis/*cerebrospinal fluid/*diagnosis MH - Antigens, CD20/*cerebrospinal fluid MH - Autoantibodies/*cerebrospinal fluid MH - B-Lymphocytes/*metabolism MH - Biomarkers/cerebrospinal fluid MH - Female MH - Humans MH - Young Adult OTO - NOTNLM OT - Anti-NMDAR encephalitis OT - CD19 OT - CD20 OT - Rituximab EDAT- 2020/09/25 06:00 MHDA- 2020/12/17 06:00 CRDT- 2020/09/24 20:17 PHST- 2020/07/01 00:00 [received] PHST- 2020/07/30 00:00 [revised] PHST- 2020/08/18 00:00 [accepted] PHST- 2020/09/25 06:00 [pubmed] PHST- 2020/12/17 06:00 [medline] PHST- 2020/09/24 20:17 [entrez] AID - S0165-5728(20)30433-1 [pii] AID - 10.1016/j.jneuroim.2020.577365 [doi] PST - ppublish SO - J Neuroimmunol. 2020 Dec 15;349:577365. doi: 10.1016/j.jneuroim.2020.577365. Epub 2020 Aug 21.