High-dose cyclophosphamide without stem-cell rescue for refractory CIDP.

Autor: Brannagan TH 3rd; Department of Neurology, MCP-Hahnemann University, Philadelphia, PA, USA. THB2006@med.cornell.edu, Pradhan A, Heiman-Patterson T, Winkelman AC, Styler MJ, Topolsky DL, Crilley PA, Schwartzman RJ, Brodsky I, Gladstone DE
Jazyk: angličtina
Zdroj: Neurology [Neurology] 2002 Jun 25; Vol. 58 (12), pp. 1856-8.
DOI: 10.1212/wnl.58.12.1856
Abstrakt: Four patients with chronic inflammatory demyelinating polyneuropathy (CIDP) who were refractory to conventional treatment were treated with high-dose cyclophosphamide (200 mg/kg over 4 days). All improved in functional status and muscle strength. Nerve conduction studies improved in three of four. Other immunomodulatory medications have been discontinued. High-dose cyclophosphamide can be given safely to patients with CIDP and patients with disease persistence after standard therapy may have a response that lasts for over 3 years and results in long-term disease remission.
Databáze: MEDLINE