Long-term treatment of multiple sclerosis with IgG immunotherapy. 1996

E Schuller, and P Lambin, and G Deloche
Laboratory of Neuro-Immunology (INSERM U. 134), Paris.

Thirty-five patients with a clinically [1] definite multiple sclerosis (M.S.) were treated in an open trial (1975-1993) with a standard dose preparation of total IgG (5 grams per week) by intra-muscular or intravenous injection. This treatment was used in 35 patients: during 3 to 16 years. Using Kurtzke's disability scale the results were: 1) a significant deterioration (loss of 1 grade in the Kurtzke's disability scale) only 14 years after the entry in the trial. 2) regarding current therapeutic results: improvement for 8 patients, deterioration for 18, and stability for 9. Neither the age at the M.S. onset and at the entry, nor the duration of the disease, nor the disability score at the entry were factors modifying significantly the efficacy of the treatment. The comparison of these results with previous predictive studies (Confavreux, Weinshenker) suggests a significant reduction of M.S. progression, with an increase of the functional independence period. No side-effects were observed, and this immunotherapy, which may be convenient for home care, must be tested in properly controlled trials.

UI MeSH Term Description Entries
D007074 Immunoglobulin G The major immunoglobulin isotype class in normal human serum. There are several isotype subclasses of IgG, for example, IgG1, IgG2A, and IgG2B. Gamma Globulin, 7S,IgG,IgG Antibody,Allerglobuline,IgG(T),IgG1,IgG2,IgG2A,IgG2B,IgG3,IgG4,Immunoglobulin GT,Polyglobin,7S Gamma Globulin,Antibody, IgG,GT, Immunoglobulin
D007167 Immunotherapy Manipulation of the host's immune system in treatment of disease. It includes both active and passive immunization as well as immunosuppressive therapy to prevent graft rejection. Immunotherapies
D008134 Long-Term Care Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care. Care, Long-Term,Long Term Care
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009103 Multiple Sclerosis An autoimmune disorder mainly affecting young adults and characterized by destruction of myelin in the central nervous system. Pathologic findings include multiple sharply demarcated areas of demyelination throughout the white matter of the central nervous system. Clinical manifestations include visual loss, extra-ocular movement disorders, paresthesias, loss of sensation, weakness, dysarthria, spasticity, ataxia, and bladder dysfunction. The usual pattern is one of recurrent attacks followed by partial recovery (see MULTIPLE SCLEROSIS, RELAPSING-REMITTING), but acute fulminating and chronic progressive forms (see MULTIPLE SCLEROSIS, CHRONIC PROGRESSIVE) also occur. (Adams et al., Principles of Neurology, 6th ed, p903) MS (Multiple Sclerosis),Multiple Sclerosis, Acute Fulminating,Sclerosis, Disseminated,Disseminated Sclerosis,Sclerosis, Multiple
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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