(1) Among the many treatments for CIDP are plasmapheresis, intravenous immunoglobulin (IV Ig), corticosteroids, and other immunomodulators such as azathioprine, cyclosporine, and cyclophosphamide.
The patient later experienced two relapses, and she was treated with IV Ig. Treatment had increased the speed with which her weakness resolved, but she continued to experience relapses.
The treatment options for CLDP are all centered on immunomodulation, and randomized, controlled trials have demonstrated the efficacy of plasmapheresis, IV Ig, corticosteroids, and other immunomodulators.
Treatment with
IV IG (2 g/kg) and high-dose aspirin was started.
However, a lower dose of steroids, up to 20 mg/day, along with
IV Ig or Anti D may help prevent steroid related side effects.
Therapy Outcome 1 -- Complete resolution 2 -- Resolution with residual weakness 3
IV Ig Resolution at HEV clearance 4 IS modification Resolution with residual motor deficit 5 IS cessation, Complete resolution foscavir,
IV Ig 6 IS modification, No improvement
IV Ig 7 Peg-IFN/ribavirin Complete resolution * HEV, hepatitis E virus; -, no specific therapy;
IV Ig, intravenous immunoglobulins; IS, immunosuppressant, Peg-IFN, pegylated interferon.
Nowhere in made and the the medical record were decision was these unfamiliar and taken to treat non-standardised with "
IV Ig" abbreviations explained.
It is recommended that the bone marrow be examined before steroid therapy is given [2,3] A brief course of high-dose prednisone is an inexpensive about more than three times cheaper than IV IG acute ITP (11) but the only drawback is the procedure of bone marrow biopsy for marrow examination which is painful and is more acceptable when performed under general anaesthesia [3] But Geddis AE [9] et al.
ICH which is luckily very rare) but in combination with iv methylprednisolone and or IV IG [2,3].
