Document Detail


The outcome in myasthenia gravis patients--an eight-year follow-up after finishing immunoabsorption therapy.
MedLine Citation:
PMID:  11515619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eight years ago four patients suffering from myasthenia gravis (MG) type C and E according to Compston with failed drug therapy were treated three times (one patient 11 times) by protein A immunoabsorption (Immunosorba, Excorim, Fresenius Hemocare GmbH, StWendel, Germany). No further immunoabsorption treatments have been carried out. In addition, three patients were given a thymectomy. The present status of the patients was checked six and eight years thereafter. We could see a beneficial effect in all MG patients. The patients are fit for work; all have an improved Besinger index. The patients were used as their own controls. A higher anti-AChR-ab level six years after protein A immunoabsorption than at the beginning was seen in all patients combined with a less serious MG. In addition, their immunomodulation could be induced as seen in lymphocyte and inflammatory protein changes during the first 36 days after beginning immunoabsorption treatment. A larger population has to be investigated to verify these results.
Authors:
J M Schneidewind; U K Zettl; R E Winkler; W Ramlow; M Tiess; A Michelsen; G Hebestreit; H Prophet; W Pätow; R Benecke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis     Volume:  24     ISSN:  1473-0502     ISO Abbreviation:  Transfus. Apher. Sci.     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-08-22     Completed Date:  2001-12-20     Revised Date:  2006-06-07    
Medline Journal Info:
Nlm Unique ID:  101095653     Medline TA:  Transfus Apher Sci     Country:  England    
Other Details:
Languages:  eng     Pagination:  95-8     Citation Subset:  T    
Affiliation:
Dialyse-Germeinschaft Nord eV, Rostock, Germany. tiess@dialysis-north.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Antibodies / blood
Blood Component Removal / methods
Female
Follow-Up Studies
Humans
Immunosorbent Techniques
Male
Middle Aged
Muscle, Skeletal / immunology
Myasthenia Gravis / therapy*
Receptors, Cholinergic / immunology
Salvage Therapy
Staphylococcal Protein A / therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antibodies; 0/Receptors, Cholinergic; 0/Staphylococcal Protein A

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


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