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一只患获得性重症肌无力的犬经血浆置换和皮质类固醇治疗后的临床缓解。

Clinical remission following plasmapheresis and corticosteroid treatment in a dog with acquired myasthenia gravis.

作者信息

Bartges J W, Klausner J S, Bostwick E F, Hakala J E, Lennon V A

机构信息

Department of Small Animal Clinical Sciences College of Veterinary Medicine, University of Minnesota, St. Paul, MN 55108.

出版信息

J Am Vet Med Assoc. 1990 Apr 15;196(8):1276-8.

PMID:2332375
Abstract

A 7-year-old sexually intact male Labrador Retriever with regurgitation and generalized muscular weakness resulting from acquired myasthenia gravis received 2 plasmapheresis treatments in combination with corticosteroid treatment. Plasmapheresis was performed in an attempt to rapidly lower serum acetylcholine receptor binding antibody (AChR Ab) concentration. Seven days after the second plasmapheresis treatment, the dog's muscular strength was normal, which coincided with a 70% decrease in serum AChR Ab concentration. Because the dog also received corticosteroids, it is impossible to determine how much of the clinical improvement resulted from plasmapheresis.

摘要

一只7岁未绝育的雄性拉布拉多寻回犬因获得性重症肌无力出现反流和全身肌肉无力,接受了2次血浆置换治疗并联合皮质类固醇治疗。进行血浆置换旨在迅速降低血清乙酰胆碱受体结合抗体(AChR Ab)浓度。第二次血浆置换治疗7天后,犬的肌肉力量恢复正常,此时血清AChR Ab浓度下降了70%。由于该犬同时接受了皮质类固醇治疗,因此无法确定临床改善中有多少是由血浆置换所致。

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