Evidence map›Paper›PMID 41878428›Full record

ArticleFrontiers in immunology2026

Dermatological and gastrointestinal adverse reactions in ocrelizumab treated patients with multiple sclerosis: a case series.

Lena K Höpner, Ella Marschall, Patrick Schindler, Vilmar Frauendorf, Michael Böhmig, Florian Rakers, Diana Karimi, Claudius Faber, Klemens Ruprecht, Carolin Otto

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lena K HöpnerDepartment of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Ella MarschallDepartment of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Patrick SchindlerDepartment of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Vilmar FrauendorfDepartment of Gastroenterology, MEOCLINIC GmbH, Berlin, Germany.
Michael BöhmigDr. Spitz & Kollegen, Practice For Gastroenterology, Berlin, Germany.
Florian RakersDepartment of Neurology, Universitätsklinikum Jena, Jena, Germany.
Diana KarimiPathologie München-Nord, practice for pathology, Munich, Germany.
Claudius FaberPathologie München-Nord, practice for pathology, Munich, Germany.
Klemens Ruprecht *Division of Neuroimmunology, Department of Neurology, University of Heidelberg, Heidelberg, Germany.
Carolin Otto *Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anti-CD20 therapies are widely used in patients with multiple sclerosis (pwMS). Recognition of rare adverse reactions to these therapies is therefore important. Objectives: To report dermatological and gastrointestinal adverse reactions in a single-center cohort of ocrelizumab treated pwMS. Methods: Retrospective analysis conducted at a multiple sclerosis outpatient clinic of Charité - Universitätsmedizin Berlin, Berlin, Germany, between March 2020 and February 2025. Results: Among 447 ocrelizumab treated pwMS, 8 (1.8%) developed dermatological adverse reactions after a median (range) of 20.5 (6-72) months following start of therapy, including lichen planus (n=2), rosacea (n=1), psoriatic arthritis (n=1), guttate psoriasis (n=1), psoriasis vulgaris (n=1), nail psoriasis (n=1) and palmoplantar psoriasis (n=1). Another 5 (1.1%) patients developed gastrointestinal adverse reactions 24 (0.25-77) months after starting therapy, including Crohn's disease (n=1), toxic colitis (n=1), lymphocytic colitis (n=1), perforated appendicitis (n=1) and acute cholecystitis (n=1). Due to these adverse reactions, ocrelizumab was stopped in 7/13 patients. At last follow-up, adverse reactions had completely improved in 4/13, incompletely improved in 6/13, and persisted in 3/13 patients. Conclusions: Clinicians should be aware of dermatological and gastrointestinal adverse reactions associated with ocrelizumab, which can develop from a few weeks up to six years after start of therapy.

Indexed as

Antibodies, Monoclonal, HumanizedGastrointestinal DiseasesMultiple SclerosisSkin DiseasesAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultAntibodies, Monoclonal, Humanizedocrelizumabanti-CD20 therapycolitisdermatological adverse reactionsgastrointestinal adverse reactionslichen planusmultiple sclerosisocrelizumabpsoriasis

Identifiers

PMID41878428
PMCPMC13008033

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.