CYCLOSPORINE A THERAPY IN PARAPROTEIN-ASSOCIATED NEUROPATHY

被引:14
作者
WATERSTON, JA [1 ]
BROWN, MM [1 ]
INGRAM, DA [1 ]
SWASH, M [1 ]
机构
[1] LONDON HOSP,DEPT NEUROL,LONDON E1 1BB,ENGLAND
关键词
CYCLOSPORINE-A; PARAPROTEIN; NEUROPATHY;
D O I
10.1002/mus.880150404
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A case of IgG paraprotein-associated demyelinating neuropathy complicated by respiratory failure, which was unresponsive to standard immunosuppressive drug therapy, is reported. Cyclosporin A therapy resulted in a marked clinical recovery with objective improvement in nerve conduction and vital capacity. The beneficial response suggests that cell-mediated immunity is an important pathogenetic mechanism, and that cyclosporin A may be useful in the treatment of other refractory cases of paraprotein-associated neuropathy.
引用
收藏
页码:445 / 448
页数:4
相关论文
共 24 条
[1]   CELL-MEDIATED-IMMUNITY TO NEURAL ANTIGENS IN IDIOPATHIC POLYNEURITIS AND MYELORADICULITIS - CLINICAL-IMMUNOLOGIC CLASSIFICATION OF SEVERAL AUTOIMMUNE DEMYELINATING DISORDERS [J].
ABRAMSKY, O ;
WEBB, C ;
TEITELBAUM, D ;
ARNON, R .
NEUROLOGY, 1975, 25 (12) :1154-1159
[2]   BENIGN MONOCLONAL IGAK GAMMOPATHY ASSOCIATED WITH POLYNEUROPATHY AND DYSAUTONOMIA [J].
BAILEY, RO ;
RITACCIO, AL ;
BISHOP, MB ;
WU, AY .
ACTA NEUROLOGICA SCANDINAVICA, 1986, 73 (06) :574-580
[3]   CYCLOSPORIN-A - USEFULNESS, RISKS AND MECHANISM OF ACTION [J].
BRITTON, S ;
PALACIOS, R .
IMMUNOLOGICAL REVIEWS, 1982, 65 :5-22
[4]   POLYNEUROPATHY WITH MONOCLONAL GAMMOPATHY - STUDIES OF 11 PATIENTS [J].
DALAKAS, MC ;
ENGEL, WK .
ANNALS OF NEUROLOGY, 1981, 10 (01) :45-52
[5]   CHRONIC RELAPSING (DYSIMMUNE) POLYNEUROPATHY - PATHOGENESIS AND TREATMENT [J].
DALAKAS, MC ;
ENGEL, WK .
ANNALS OF NEUROLOGY, 1981, 9 :134-145
[6]   AAEE CASE REPORT-17 - PERIPHERAL NEUROPATHY IN MONOCLONAL GAMMOPATHY OF UNDETERMINED SIGNIFICANCE [J].
DONOFRIO, PD ;
KELLY, JJ .
MUSCLE & NERVE, 1989, 12 (01) :1-8
[7]   PREDNISONE IMPROVES CHRONIC INFLAMMATORY DEMYELINATING POLYRADICULONEUROPATHY MORE THAN NO TREATMENT [J].
DYCK, PJ ;
OBRIEN, PC ;
OVIATT, KF ;
DINAPOLI, RP ;
DAUBE, JR ;
BARTLESON, JD ;
MOKRI, B ;
SWIFT, T ;
LOW, PA ;
WINDEBANK, AJ .
ANNALS OF NEUROLOGY, 1982, 11 (02) :136-141
[8]  
DYCK PJ, 1975, MAYO CLIN PROC, V50, P621
[9]   MONOCLONAL GAMMOPATHY AND NEUROPATHY - MYELIN-ASSOCIATED GLYCOPROTEIN REACTIVITY AND CLINICAL CHARACTERISTICS [J].
HAFLER, DA ;
JOHNSON, D ;
KELLY, JJ ;
PANITCH, H ;
KYLE, R ;
WEINER, HL .
NEUROLOGY, 1986, 36 (01) :75-78
[10]   CYCLOSPORINE-A IN THE TREATMENT OF CHRONIC DEMYELINATING POLYRADICULONEUROPATHY [J].
HODGKINSON, SJ ;
POLLARD, JD ;
MCLEOD, JG .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1990, 53 (04) :327-330