Schuller E
INSERM U134, Hôpital de la Salpêtrière, Paris.
Transfus Clin Biol. 1995;2(1):57-66. doi: 10.1016/s1246-7820(05)80023-0.
Short term and long term beneficial effects of IgG administration have been studied in 4 groups of neuro-immunological diseases: Polymyositis, dermatomyositis and myasthenia. Peripheral neuropathies (myelinopathies), primarily in Guillain-Barré syndrome and in chronic inflammatory polyneuropathy. Children intractable Epilepsy. Multiple Sclerosis. Actual results are in favor of an objective and marked improvement (after 1 or 2 months) in the first 2 groups using intravenous IgG. In M.S. patients, the short term treatment of bouts (especially: optic neuritis) seems promising. Results of the only one long term (later than 10 years) trial are in favor of a significant slowing of the progression of M.S. comparatively to the predictive curve of disease.
已在4组神经免疫疾病中研究了静脉注射免疫球蛋白(IgG)的短期和长期有益效果:多发性肌炎、皮肌炎和重症肌无力。周围神经病(髓鞘病),主要是格林-巴利综合征和慢性炎性多神经病。儿童难治性癫痫。多发性硬化症。实际结果表明,在前两组中使用静脉注射IgG可在1或2个月后实现客观且显著的改善。在多发性硬化症患者中,对发作(尤其是视神经炎)的短期治疗似乎很有前景。唯一一项长期(超过10年)试验的结果表明,与疾病预测曲线相比,多发性硬化症的进展明显减缓。