Pulmonary function study of myasthenia-gravis patients treated with double-filtration plasmapheresis

2003 ◽  
Vol 18 (3) ◽  
pp. 125-128 ◽  
Author(s):  
Hou-Chang Chiu ◽  
Jiann-Horng Yeh ◽  
Wei-Hung Chen



2014 ◽  
Vol 21 (9) ◽  
pp. 1570-1574 ◽  
Author(s):  
Lei Zhang ◽  
Junfeng Liu ◽  
Hongna Wang ◽  
Chongbo Zhao ◽  
Jiahong Lu ◽  
...  


2021 ◽  
Author(s):  
Isabella Delfim de Carvalho ◽  
Felipe Iankelevich Baracat ◽  
Lucas Farina Lima

Introduction: Myasthenia Gravis (MG) is an autoimmune and neuromuscular disease. The treatment of immunomodulation consists of intravenous immunoglobulin (IVIg), immunoadsorption (IA), plasmapheresis (PLEX) or double filtration plasmapheresis (DFPP). This systematic review aims to compare therapy modalities in MG crisis. Methods: The studies were identified through research in electronic databases and analyzed individually to clarify their methodological quality (through the Jadad and Newcastle Ottawa scale). Clinical trials randomized or not, and retrospective studies were included. The review included 1,983 patients in nine studies, the result analysis groups were divided into: IVIg x PLEX in the crises; IVIg x PLEX in the pre-thymectomy treatment phase and IVIg x DFPP in the myasthenic crisis. The evaluated outcomes were clinical improvement, adverse effects and length of hospital stay. Results: Immunomodulatory therapy when applied prior to thymectomy was shown to be effective in reducing symptoms and post-thymectomy hospitalization, with IVIg slightly higher, while PLEX showed more side effects. Therapy during crises in both interventions proved to be effective after the 14th start of treatment, in addition to IVIg being slightly superior. Treatment with IVIg was also economically favorable, due to the lower need for hospitalizations. IVIg proved to be inferior to therapy with DFPP and IA, mainly in reducing the need for hospitalization. Conclusion: It is concluded that IVIg therapy is a good therapeutic option in cases of crisis and when available, therapies with DFPP and IA should be the choices, aiming at less complications.



2007 ◽  
Vol 40 (6) ◽  
pp. 531-535
Author(s):  
Jun Nakagawa ◽  
Takashi Muramatsu ◽  
Keiko Ohta ◽  
Minoru Ando


2020 ◽  
Vol 12 (1) ◽  
pp. 114-120
Author(s):  
Ken-ichi Inoue ◽  
Jun Tsugawa ◽  
Jiro Fukae ◽  
Kosuke Fukuhara ◽  
Hiroyasu Kawano ◽  
...  

A 31-year-old woman presented with a nasal voice, dysarthria, and upper limb weakness during her first pregnancy. Soon after delivery of her first baby, her symptoms disappeared. At the age of 34 years, during her second pregnancy, her nasal voice re-appeared. After delivery of the second baby, her nasal voice worsened, and bilateral eyelid ptosis and easy fatigability were also evident. She was referred to our hospital. Because of her myasthenic symptoms and anti-muscle-specific tyrosine kinase (MuSK) antibody (Ab)-positive status, she was diagnosed as having myasthenia gravis (MG). Her symptoms were worse than those in her first pregnancy. She was treated with oral steroid and double filtration plasmapheresis. After initiation of treatment, her myasthenic symptoms improved completely. In addition, her baby developed transient neonatal MG (TNMG) on the fourth day after birth and then gradually recovered over 30 days. It should be noted that symptoms of patients with anti-MuSK Ab-positive MG (MuSK-MG) can deteriorate during pregnancy, and the babies delivered of patients with MuSK-MG have a high probability of developing TNMG.



1997 ◽  
Vol 1 (4) ◽  
pp. 343-347 ◽  
Author(s):  
Hirokazu Okada ◽  
Kenshi Moriwaki ◽  
Souichi Sugahara ◽  
Hidetomo Nakamoto ◽  
Takeshi Hosokawa ◽  
...  


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