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Absence of significant hematologic abnormalities in breastfed infants of mothers with multiple sclerosis treated with anti-CD20 therapies.

Source: PubMed, NCBI / U.S. National Library of Medicine

Multiple sclerosis journal - experimental, translational and clinicalShah Anna, Alvarez EnriquePublished 1/1/2026Last synced 6/3/2026Status: syncedPMID: 42226810DOI: 10.1177/20552173261454808

To assess hematologic abnormalities in breastfed infants of mothers with multiple sclerosis (MS) receiving anti-CD20 therapies. Breastfed infants with maternal anti-CD20 use were identified. Infant blood draws examined B-cell (CD19) and hematological counts. Nine of 10 identified infants had CD19 percentages in ranges expected for age. One infant had CD19 levels below the 5percentile but was interpreted by their treating pediatrician as normal for age, with no increase in infections reported. The absence of significant CD19 abnormalities in our cohort may indicate infant hematology safety. This may allow mothers MS to utilize anti-CD20 therapies while breastfeeding.

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