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

被引:79
作者
Brannagan, TH
Pradhan, A
Heiman-Patterson, T
Winkelman, AC
Styler, MJ
Topolsky, DL
Crilley, PA
Schwartzman, RJ
Brodsky, I
Gladstone, DE
机构
[1] MCPHU, Dept Neurol, Philadelphia, PA USA
[2] MCPHU, Dept Internal Med, Div Hematol Oncol, Philadelphia, PA USA
关键词
D O I
10.1212/WNL.58.12.1856
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:1856 / 1858
页数:3
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