Experience with extracorporeal elimination therapy in myasthenia gravis

被引:3
作者
Blaha, Milan [1 ,2 ]
Pitha, Jiri [3 ,4 ]
Blaha, Vladimir [2 ,5 ]
Lanska, Miriam [1 ,2 ]
Maly, Jaroslav [1 ,2 ]
Filip, Stanislav [2 ,6 ]
Brndiar, Miroslav [1 ,2 ]
Langrova, Hana [2 ,7 ]
机构
[1] Charles Univ Prague, Fac Med, Dept Internal Med 2, Hradec Kralove 50005, Czech Republic
[2] Teaching Hosp, Hradec Kralove 50005, Czech Republic
[3] Charles Univ Prague, Fac Med 1, Dept Neurol, Prague 12000, Czech Republic
[4] Gen Teaching Hosp, Prague 12000, Czech Republic
[5] Charles Univ Prague, Fac Med, Dept Metab Care & Gerontol, Hradec Kralove 50005, Czech Republic
[6] Charles Univ Prague, Fac Med, Dept Radiotherapy & Oncol, Hradec Kralove 50005, Czech Republic
[7] Charles Univ Prague, Fac Med, Dept Ophthalmol, Hradec Kralove 50005, Czech Republic
关键词
Myasthenia gravis; Plasmapheresis; Immunotherapy; Myasthenic crisis; Extracorporeal elimination; PLASMA-EXCHANGE; INTRAVENOUS IMMUNOGLOBULIN; COMPLICATIONS; APHERESIS; PLASMAPHERESIS; DISEASE; CRISIS;
D O I
10.1016/j.transci.2011.10.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe our experience with plasma exchange (PE) and immunoadsorption in patients with myasthenia gravis. The group of 27 patients consists of 21 patients treated with PE and 6 patients who received immunoadsorption. PE therapy led to stabilization in 20 patients. In patients treated with immunoadsorption, therapy could be discontinued in 2 patients after 13 months of therapy, and the other 4 patients were stabilized without myasthenic crises after 6-9 years of therapy. Extracorporeal elimination therapy through PE or immunoadsorption is effective and sometimes life saving and is safe in the hands of an experienced team (6% complication rate). (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:251 / 256
页数:6
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