Therapeutic apheresis in myasthenia gravis

Amelia Evoli, Anna Paola Batocchi, Chiara Di Schino, Pietro Attilio Tonali

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

38 Citazioni (Scopus)

Abstract

Plasma exchange (PE) is an easily applicable technique for rapid and massive removal of antibodies, and its beneficial role is well established in the management of myasthenia gravis (MG), an antibody-mediated disorder of the neuromuscular junction. PE is useful in myasthenic crisis, in most severe forms of MG before thymectomy, in the early postoperative period, and in cases of symptom worsening during tapering or initiation of immunosuppressive therapy. Clinical efficacy varies from 55% to 100%, and improvement rarely persists for more than 4-10 weeks; thus immunosuppressive therapy has to be associated. New apheretic techniques (double filtration plasmapheresis, immunoadsorption systems with staphylococcal protein A columns or thryptophan-polyvinyl alcohol gel columns) that allow the selective removal of IgG and anti-AChR antibody were recently used in the management of MG with positive effects. Whether their therapeutic effect and cost effect prove more favorable than those obtained by PE still must be demonstrated
Lingua originaleEnglish
pagine (da-a)275-279
Numero di pagine5
RivistaTHERAPEUTIC APHERESIS AND DIALYSIS
Volume4
Stato di pubblicazionePubblicato - 2000

Keywords

  • Therapeutic apheresis
  • myasthenia gravis

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