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慢性炎症性脱髓鞘性多发性神经病。

Chronic inflammatory demyelinating polyneuropathy.

机构信息

Neuromuscular Service, Tufts University School of Medicine, St. Elizabeth's Medical Center, 736 Cambridge Street, Boston, MA 02135, USA.

出版信息

Neurol Clin. 2013 May;31(2):511-32. doi: 10.1016/j.ncl.2013.01.006. Epub 2013 Feb 23.

Abstract

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an immune disorder of the peripheral nervous system. This article highlights our current understanding of the condition along with its phenotypic variants that are encountered in clinical practice. The diagnostic evaluation of CIDP includes laboratory studies to detect associated medical conditions and electrodiagnostic studies to assess for demyelination. Current treatment options include corticosteroids, plasma exchange, and intravenous immune globulin, along with alternative therapies that may be used as corticosteroid-sparing agents or for treatment-refractory cases. Approximately 85% to 90% of patients eventually improve or stabilize with treatment, and the long-term prognosis of CIDP is favorable.

摘要

慢性炎症性脱髓鞘性多发性神经病(CIDP)是一种周围神经系统的免疫性疾病。本文重点介绍了我们目前对该病的认识,以及在临床实践中遇到的表型变异。CIDP 的诊断评估包括实验室研究以检测相关的医疗状况和电诊断研究以评估脱髓鞘。目前的治疗选择包括皮质类固醇、血浆置换和静脉注射免疫球蛋白,以及可能作为皮质类固醇节省剂或治疗抵抗病例使用的替代疗法。大约 85%至 90%的患者最终通过治疗得到改善或稳定,CIDP 的长期预后良好。

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