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Subcutaneous IgG for chronic inflammatory demyelinating polyneuropathy
The Lancet Neurology ( IF 48.0 ) Pub Date : 2017-11-06 , DOI: 10.1016/s1474-4422(17)30379-4
Marinos C Dalakas

Chronic inflammatory demyelinating polyneuropathy (CIDP) is the most common chronic autoimmune neuropathy and often responds to corticosteroids, plasmapheresis, and intravenous immunoglobulin (IVIg).1 The only US Food and Drug Administration-approved, and the most commonly applied therapy, is IVIg, which, at 2 g/kg followed by 1 g/kg every 3–4 weeks, has been shown to prevent relapses and maintain stability in 75% of patients.2 Subcutaneous immunoglobulin (SCIg), an alternative route of IgG administration, is approved for IgG replacement therapy in primary immunodeficiency,3 but whether or not it has an effect in balancing immune dysregulation in autoimmune diseases, as IVIg does,4 has not been formally tested.

中文翻译:

皮下IgG治疗慢性炎性脱髓鞘性多神经病

慢性炎性脱髓鞘性多发性神经病(CIDP)是最常见的慢性自身免疫性神经病,通常对皮质类固醇,血浆置换和静脉内免疫球蛋白(IVIg)产生反应。1唯一获得美国食品和药物管理局批准且最常用的治疗方法是IVIg,已证明IVIg可以预防复发并维持其稳定性,IVIg剂量为2 g / kg,随后每3–4周1 g / kg。 75%的患者。2皮下免疫球蛋白(SCIg)是IgG的另一种给药途径,已被批准用于原发性免疫缺陷的IgG替代疗法3,但它是否像IVIg一样具有平衡自身免疫疾病免疫失调的作用4尚未正式经过测试。
更新日期:2017-12-16
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