Document Detail


Cascade filtration: clinical application in 26 patients with immune complex and IgM mediated diseases.
MedLine Citation:
PMID:  6230324     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A new technique which allows lymphocytapheresis to be combined with cascade filtration (CF) is described in this paper. This therapeutical approach was applied for the treatment of patients affected by necrotizing vasculitis (1), inflammatory myopathies (5), Cryoglobulinemia (5), immune complex polyneuropathies (7), rheumatoid arthritis (3) and psoriasis (3 patients). Two cases of Waldenstrom's macroglobulinemia were also treated after the onset of the hyperviscosity syndrome. 78 procedures have been performed without any untoward effect. From a clinical point of view all patients had some improvement following treatment, thereby confirming not only the clinical safety of this therapeutical approach but also its effectiveness at least in the management of diseases which usually respond to plasma exchange treatment. Laboratory investigations showed that with CF it is possible to selectively remove IgM, immune complexes, fibrinogen, lipoproteins and high molecular weight plasma components, sparing most albumin and IgG globulins (85 and 71%, respectively).
Authors:
M Valbonesi; L Mosconi; F Montani; G Florio; U Rossi
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The International journal of artificial organs     Volume:  6     ISSN:  0391-3988     ISO Abbreviation:  Int J Artif Organs     Publication Date:  1983 Nov 
Date Detail:
Created Date:  1984-04-11     Completed Date:  1984-04-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802649     Medline TA:  Int J Artif Organs     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  303-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Antigen-Antibody Complex / isolation & purification
Blood*
Child
Female
Humans
Immune Complex Diseases / immunology,  therapy*
Immune System Diseases / immunology,  therapy*
Immunoglobulin M* / isolation & purification
Lymphocytes
Male
Middle Aged
Plasmapheresis / methods
Ultrafiltration / methods*
Chemical
Reg. No./Substance:
0/Antigen-Antibody Complex; 0/Immunoglobulin M

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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