Complications of Immunoglobulin Therapy and Implications for Treatment of Inflammatory Neuropathy : A Review

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BACKGROUND: Intravenous Immunoglobulin (IVIg) forms a cornerstone of effective treatment for acute and chronic inflammatory neuropathies, with a class I evidence base in Guillain-Barré Syndrome (GBS), Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) and multifocal motor neuropathy (MMN). It is generally considered to be a safe therapy however there are several recognised complications which are reviewed in this article.

DISCUSSION AND CONCLUSION: Most adverse events are immediate and mild such as headache, fever and nausea although more serious immediate reactions such as anaphylaxis may rarely occur. Delayed complications are rare but may be serious, including thromboembolic events and acute kidney injury, and these and associated risk factors are also discussed. We emphasise the importance of safe IVIg administration and highlight practical measures to minimise complications of this therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Current drug safety - 14(2019), 1 vom: 19., Seite 3-13

Sprache:

Englisch

Beteiligte Personen:

Abbas, Ahmed [VerfasserIn]
Rajabally, Yusuf A [VerfasserIn]

Links:

Volltext

Themen:

Adverse event
CIDP
GBS
IVIg
Immunoglobulin
Immunoglobulins, Intravenous
Inflammatory neuropathy
Journal Article
MMN
Review
Safety.

Anmerkungen:

Date Completed 10.05.2019

Date Revised 10.05.2019

published: Print

Citation Status MEDLINE

doi:

10.2174/1574886313666181017121139

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM289676231