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Intravenous immunoglobulin and guillain-barré syndrome

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Abstract

Guillain-Barré syndrome (GBS) is a relatively common, potentially lethal disease of a presumed autoimmune origin, known to cause a progressive flaccid paralysis. The treatment of GBS consists of both supportive and immunomodulatory treatments, among which intravenous immunoglobulin (IVIg) and plasma exchange (PE) are considered most effective. A number of randomized, controlled studies have shown IVIg to be at least as effective as PE in the treatment of GBS, and in some cases superior. Moreover, IVIg has been found to be safer than PE, having a lower frequency of multiple complications. IVIg has also been found to be both effective and safe in the treatment of pediatric patients with GBS. Thus, its efficacy, safety, and availability make IVIg the treatment of choice in many patients with GBS.

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References

  1. Kuwabara, S. (2004), Drugs 64, 597–610.

    Article  PubMed  Google Scholar 

  2. Dalakas, M. C. (2004), JAMA 291, 2367–2375.

    Article  PubMed  CAS  Google Scholar 

  3. Czaplinski, A. and Steck, A. J. (2004), J Neurol 251, 127–137.

    Article  PubMed  Google Scholar 

  4. Ibanez, C. and Montoro-Ronsano J. B. (2003), Curr Pharm Biotechnol 4, 239–247.

    Article  PubMed  CAS  Google Scholar 

  5. Zhang, G., Lopez, P. H. H., Li, C. I., et al. (2004), Brain 127, 1085–1100.

    Article  PubMed  CAS  Google Scholar 

  6. Stabgel, M., Toyka, K. V., and Gold, R. (1999), Arch Neurol 56, 661–663.

    Article  Google Scholar 

  7. Nishimoto, Y., Koga, M., Kamijo, M., Hirata, K., and Yuki, N. (2004), Neurology 62, 1939–1944.

    PubMed  CAS  Google Scholar 

  8. van der Meche, F. G. and Schmitz, P. I. (1992), N Engl J Med 326, 1123–1129.

    Article  PubMed  Google Scholar 

  9. Bril, V., Ilse, W. K., Pearce, R., Dhanani, A., Sutton, D., and Kong, K. (1996), Neurology 46, 100–103.

    PubMed  CAS  Google Scholar 

  10. Plasma Exchange/Sandoglobulin Guillain-Barré Syndrome Trial Group. (1997), Lancet 349, 225–230.

    Article  Google Scholar 

  11. van Koningsveld, R., Schmitz, P. I., Meche, F. G., Visser, L. H., Meulstee, J., van Doorn, P. A.; Dutch GBS Study Group (2004), Lancet 363, 192–196.

    Article  PubMed  CAS  Google Scholar 

  12. Jacobs, B. C., van Doorn, P. A., Schmitz, P. I., et al. (1996), Ann Neurol 40, 181–187.

    Article  PubMed  CAS  Google Scholar 

  13. Kuwabara, S., Mori, M., Ogawara, K., et al. (2001), Muscle Nerve 24, 54–58.

    Article  PubMed  CAS  Google Scholar 

  14. Dada, M. A. and Kaplan, A. A. (2004) Ther Apher Dial 8, 409–412.

    Article  PubMed  CAS  Google Scholar 

  15. Gurses, N., Uysal, S., Cetinkaya, F., Islek, I. and Kalayci, A.G. (1995), Scand J Infect Dis 27, 241–243.

    Article  PubMed  CAS  Google Scholar 

  16. Yata, J., Nihei, K., Ohya, T., et al.; Study Group for Pediatric Guillain-Barré Syndrome. (2003), Pediatr Int 45, 543–549.

    Article  PubMed  CAS  Google Scholar 

  17. Shahar, E. and Leiderman, M. (2003), Clin Neuropharmacol 26, 84–87.

    Article  PubMed  CAS  Google Scholar 

  18. Raphael, J. C., Chevret, S., Harboun, M., and Jars-Guincestre, M. C.; French Guillain-Barré Syndrome Cooperative Group. (2001), J Neurol Neurosurg Psychiatry 71, 235–238.

    Article  PubMed  CAS  Google Scholar 

  19. Katz, U. and Orbach, H. (2005), Clin Rev Allergy Immunol This issue.

  20. Dalakas, M. C. (2004), Pharmacol Ther 102, 177–193.

    Article  PubMed  CAS  Google Scholar 

  21. Hughes, R. A., Wijdicks, E. F., Barohn, R., et al.; Quality Standards Subcommittee of the American Academy of Neurology. (2003), Neurology 61, 736–740.

    PubMed  CAS  Google Scholar 

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Correspondence to Yehuda Shoenfeld.

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Harel, M., Shoenfeld, Y. Intravenous immunoglobulin and guillain-barré syndrome. Clinic Rev Allerg Immunol 29, 281–287 (2005). https://doi.org/10.1385/CRIAI:29:3:281

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