Response of Vasculitic Peripheral Neuropathy to Intravenous Immunoglobulin
Identifieur interne : 001E43 ( Main/Exploration ); précédent : 001E42; suivant : 001E44Response of Vasculitic Peripheral Neuropathy to Intravenous Immunoglobulin
Auteurs : Yair Levy [Israël] ; Yosef Uziel [Israël] ; Giesele Zandman [Israël] ; Pnina Rotman [Israël] ; Hawared Amital [Israël] ; Yaniv Sherer [Israël] ; Pnina Langevitz [Israël] ; Boleck Goldman [Israël] ; Yehuda Shoenfeld [Israël]Source :
- Annals of the New York Academy of Sciences [ 0077-8923 ] ; 2005-06.
Abstract
Abstract: Peripheral neuropathy is a prominent feature of the systemic and secondary vasculitides. Usually, it responds to corticosteroids therapy, but in certain cases it may resist corticosteroid or immunosuppressive treatment, or both. The objective of this study is to present case reports of patients who exhibited various inflammatory diseases, accompanied with vasculitic peripheral neuropathies, for which intravenous immunoglobulin (IVIg) was used for treatment. The study included 10 patients with the following: Sjögren's syndrome (1), systemic lupus erythematosus (2), vaccination‐induced vasculitis (1), Churg‐Strauss vasculitis (1), mixed cryoglobulinemia (2), polyarteritis nodosa (1), sarcoidosis (1), and scleroderma (1). All developed vasculitic peripheral neuropathy and were treated with 1‐13 cycles of high‐dose IVIg (2 g/kg body weight). The patients were followed up for 1‐5 years after this treatment. Results showed that in all but two patients (mixed cryoglobulinemia associated with hepatitis C and sarcoidosis), neuropathy improved or completely resolved after IVIg treatment. In conclusion, IVIg may be beneficial in cases of resistant vasculitic peripheral neuropathy. IVIg should probably be considered as a sole or adjuvant treatment in patients for whom conventional treatment is contraindicated, or for patients in whom conventional treatment has failed.
Url:
DOI: 10.1196/annals.1361.121
Affiliations:
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Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Rotman, Pnina" sort="Rotman, Pnina" uniqKey="Rotman P" first="Pnina" last="Rotman">Pnina Rotman</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Medicine E, Meir Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Amital, Hawared" sort="Amital, Hawared" uniqKey="Amital H" first="Hawared" last="Amital">Hawared Amital</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Medicine B and Centre for Autoimmune Diseases, Sheba Medical Centre Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Sherer, Yaniv" sort="Sherer, Yaniv" uniqKey="Sherer Y" first="Yaniv" last="Sherer">Yaniv Sherer</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Medicine B and Centre for Autoimmune Diseases, Sheba Medical Centre Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Langevitz, Pnina" sort="Langevitz, Pnina" uniqKey="Langevitz P" first="Pnina" last="Langevitz">Pnina Langevitz</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Rheumatic Diseases Unit, Sheba Medical Centre Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Goldman, Boleck" sort="Goldman, Boleck" uniqKey="Goldman B" first="Boleck" last="Goldman">Boleck Goldman</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Institute of Genetics, Sheba Medical Centre Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Shoenfeld, Yehuda" sort="Shoenfeld, Yehuda" uniqKey="Shoenfeld Y" first="Yehuda" last="Shoenfeld">Yehuda Shoenfeld</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Medicine B and Centre for Autoimmune Diseases, Sheba Medical Centre Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Incumbent of the Laura Schwartz‐Kipp Chair for Research of Autoimmunity Diseases, Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Israël</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Annals of the New York Academy of Sciences</title><title level="j" type="alt">ANNALS OF NEW YORK ACADEMY SCIENCES</title><idno type="ISSN">0077-8923</idno><idno type="eISSN">1749-6632</idno><imprint><biblScope unit="vol">1051</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="779">779</biblScope><biblScope unit="page" to="786">786</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2005-06">2005-06</date></imprint><idno type="ISSN">0077-8923</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0077-8923</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Peripheral neuropathy is a prominent feature of the systemic and secondary vasculitides. Usually, it responds to corticosteroids therapy, but in certain cases it may resist corticosteroid or immunosuppressive treatment, or both. The objective of this study is to present case reports of patients who exhibited various inflammatory diseases, accompanied with vasculitic peripheral neuropathies, for which intravenous immunoglobulin (IVIg) was used for treatment. The study included 10 patients with the following: Sjögren's syndrome (1), systemic lupus erythematosus (2), vaccination‐induced vasculitis (1), Churg‐Strauss vasculitis (1), mixed cryoglobulinemia (2), polyarteritis nodosa (1), sarcoidosis (1), and scleroderma (1). All developed vasculitic peripheral neuropathy and were treated with 1‐13 cycles of high‐dose IVIg (2 g/kg body weight). The patients were followed up for 1‐5 years after this treatment. Results showed that in all but two patients (mixed cryoglobulinemia associated with hepatitis C and sarcoidosis), neuropathy improved or completely resolved after IVIg treatment. In conclusion, IVIg may be beneficial in cases of resistant vasculitic peripheral neuropathy. IVIg should probably be considered as a sole or adjuvant treatment in patients for whom conventional treatment is contraindicated, or for patients in whom conventional treatment has failed.</div></front></TEI><affiliations><list><country><li>Israël</li></country></list><tree><country name="Israël"><noRegion><name sortKey="Levy, Yair" sort="Levy, Yair" uniqKey="Levy Y" first="Yair" last="Levy">Yair Levy</name></noRegion><name sortKey="Amital, Hawared" sort="Amital, Hawared" uniqKey="Amital H" first="Hawared" last="Amital">Hawared Amital</name><name sortKey="Goldman, Boleck" sort="Goldman, Boleck" uniqKey="Goldman B" first="Boleck" last="Goldman">Boleck Goldman</name><name sortKey="Langevitz, Pnina" sort="Langevitz, Pnina" uniqKey="Langevitz P" first="Pnina" last="Langevitz">Pnina Langevitz</name><name sortKey="Rotman, Pnina" sort="Rotman, Pnina" uniqKey="Rotman P" first="Pnina" last="Rotman">Pnina Rotman</name><name sortKey="Sherer, Yaniv" sort="Sherer, Yaniv" uniqKey="Sherer Y" first="Yaniv" last="Sherer">Yaniv Sherer</name><name sortKey="Shoenfeld, Yehuda" sort="Shoenfeld, Yehuda" uniqKey="Shoenfeld Y" first="Yehuda" last="Shoenfeld">Yehuda Shoenfeld</name><name sortKey="Shoenfeld, Yehuda" sort="Shoenfeld, Yehuda" uniqKey="Shoenfeld Y" first="Yehuda" last="Shoenfeld">Yehuda Shoenfeld</name><name sortKey="Shoenfeld, Yehuda" sort="Shoenfeld, Yehuda" uniqKey="Shoenfeld Y" first="Yehuda" last="Shoenfeld">Yehuda Shoenfeld</name><name sortKey="Uziel, Yosef" sort="Uziel, Yosef" uniqKey="Uziel Y" first="Yosef" last="Uziel">Yosef Uziel</name><name sortKey="Zandman, Giesele" sort="Zandman, Giesele" uniqKey="Zandman G" first="Giesele" last="Zandman">Giesele Zandman</name><name sortKey="Zandman, Giesele" sort="Zandman, Giesele" uniqKey="Zandman G" first="Giesele" last="Zandman">Giesele Zandman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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