| Autor: |
Gajdos, Philippe, Tranchant, Christine, Clair, Bernard, Bolgert, Francis, Eymard, Bruno, Stojkovic, Tanya, Attarian, Shahram, Chevret, Sylvie |
| Předmět: |
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| Zdroj: |
Archives of Neurology; Nov2005, Vol. 62 Issue 11, p1689-1693, 5p, 1 Diagram, 3 Charts, 2 Graphs |
| Abstrakt: |
Background The optimal dose of intravenous immunoglobulin (IVIG) in acute exacerbation of myasthenia gravis remains unknown. Increasing the treatment duration might provide added efficacy. Objective To determine the optimal dose of IVIG for treating myasthenia gravis exacerbation. Design Randomized double-blind placebo-controlled multicenter trial designed to demonstrate superiority of the 2 g/kg dose over the 1 g/kg dose of IVIG, conducted between November 13, 1996, and October 26, 2002. Participants One hundred seventy-three patients aged 15 to 85 years with acute exacerbation of myasthenia gravis. Intervention Participants were randomly assigned to receive 1 g/kg of IVIG on day 1 and placebo on day 2 (group 1) vs 1 g/kg of IVIG on 2 consecutive days (group 2). Main Outcome Measure Improvement in the myasthenic muscular score after 2 weeks. Results The mean improvements in the myasthenic muscular scores after 2 weeks were 15.49 points (95% confidence interval, 12.09-18.90 points) in group 1 and 19.33 points (95% confidence interval, 15.82-22.85 points) in group 2. However, the difference between the 2 groups was not significant (effect size, 3.84 [95% confidence interval, -1.03 to 8.71]; P = .12). Conclusion This trial found no significant superiority of 2 g/kg over 1 g/kg of IVIG in the treatment of myasthenia gravis exacerbation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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