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Clinical and Neurophysiological Follow-Up of Chronic Inflammatory Demyelinating Polyneuropathy Patients Treated with Subcutaneous Immunoglobulins: A Real-Life Single Center Study

Background: chronic idiopathic demyelinating polyneuropathy (CIDP) is an acquired, immune-mediated neuropathy characterized by weakness, sensory symptoms and significant reduction or loss of deep tendon reflexes evolving over 2 months at least, associated with electrophysiological evidence of periph...

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Autores principales: Alonge, Paolo, Di Stefano, Vincenzo, Lupica, Antonino, Gangitano, Massimo, Torrente, Angelo, Pignolo, Antonia, Maggio, Bruna, Iacono, Salvatore, Gentile, Francesca, Brighina, Filippo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9856456/
https://www.ncbi.nlm.nih.gov/pubmed/36671992
http://dx.doi.org/10.3390/brainsci13010010
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author Alonge, Paolo
Di Stefano, Vincenzo
Lupica, Antonino
Gangitano, Massimo
Torrente, Angelo
Pignolo, Antonia
Maggio, Bruna
Iacono, Salvatore
Gentile, Francesca
Brighina, Filippo
author_facet Alonge, Paolo
Di Stefano, Vincenzo
Lupica, Antonino
Gangitano, Massimo
Torrente, Angelo
Pignolo, Antonia
Maggio, Bruna
Iacono, Salvatore
Gentile, Francesca
Brighina, Filippo
author_sort Alonge, Paolo
collection PubMed
description Background: chronic idiopathic demyelinating polyneuropathy (CIDP) is an acquired, immune-mediated neuropathy characterized by weakness, sensory symptoms and significant reduction or loss of deep tendon reflexes evolving over 2 months at least, associated with electrophysiological evidence of peripheral nerve demyelination. Recently, subcutaneous immunoglobulins (SCIg) have been introduced in clinical practice as a maintenance therapy for CIDP; nevertheless, electrophysiological and efficacy data are limited. Methods: to evaluate SCIg treatment efficacy, we retrospectively reviewed data from 15 CIDP patients referring to our clinic, receiving SCIg treatment and who performed electrophysiological studies (NCS) and clinical scores (MRC sumscore, INCAT disability score and ISS) before starting the treatment and at least one year after. Results: NCS showed no significant changes before and during treatment for all the nerves explored. Clinical scores did not significantly change between evaluations. Correlation analysis evidenced a positive correlation of cMAPs distal amplitude with MRC sumscore and a trend of negative correlation with the INCAT disability score. Conclusions: SCIg maintenance therapy preserves nerve function in CIDP with a good efficacy and safety. Treatment effectiveness can be assessed with ENG, which represents a useful instrument in the follow-up and prognostic assessment of CIDP.
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spelling pubmed-98564562023-01-21 Clinical and Neurophysiological Follow-Up of Chronic Inflammatory Demyelinating Polyneuropathy Patients Treated with Subcutaneous Immunoglobulins: A Real-Life Single Center Study Alonge, Paolo Di Stefano, Vincenzo Lupica, Antonino Gangitano, Massimo Torrente, Angelo Pignolo, Antonia Maggio, Bruna Iacono, Salvatore Gentile, Francesca Brighina, Filippo Brain Sci Article Background: chronic idiopathic demyelinating polyneuropathy (CIDP) is an acquired, immune-mediated neuropathy characterized by weakness, sensory symptoms and significant reduction or loss of deep tendon reflexes evolving over 2 months at least, associated with electrophysiological evidence of peripheral nerve demyelination. Recently, subcutaneous immunoglobulins (SCIg) have been introduced in clinical practice as a maintenance therapy for CIDP; nevertheless, electrophysiological and efficacy data are limited. Methods: to evaluate SCIg treatment efficacy, we retrospectively reviewed data from 15 CIDP patients referring to our clinic, receiving SCIg treatment and who performed electrophysiological studies (NCS) and clinical scores (MRC sumscore, INCAT disability score and ISS) before starting the treatment and at least one year after. Results: NCS showed no significant changes before and during treatment for all the nerves explored. Clinical scores did not significantly change between evaluations. Correlation analysis evidenced a positive correlation of cMAPs distal amplitude with MRC sumscore and a trend of negative correlation with the INCAT disability score. Conclusions: SCIg maintenance therapy preserves nerve function in CIDP with a good efficacy and safety. Treatment effectiveness can be assessed with ENG, which represents a useful instrument in the follow-up and prognostic assessment of CIDP. MDPI 2022-12-21 /pmc/articles/PMC9856456/ /pubmed/36671992 http://dx.doi.org/10.3390/brainsci13010010 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alonge, Paolo
Di Stefano, Vincenzo
Lupica, Antonino
Gangitano, Massimo
Torrente, Angelo
Pignolo, Antonia
Maggio, Bruna
Iacono, Salvatore
Gentile, Francesca
Brighina, Filippo
Clinical and Neurophysiological Follow-Up of Chronic Inflammatory Demyelinating Polyneuropathy Patients Treated with Subcutaneous Immunoglobulins: A Real-Life Single Center Study
title Clinical and Neurophysiological Follow-Up of Chronic Inflammatory Demyelinating Polyneuropathy Patients Treated with Subcutaneous Immunoglobulins: A Real-Life Single Center Study
title_full Clinical and Neurophysiological Follow-Up of Chronic Inflammatory Demyelinating Polyneuropathy Patients Treated with Subcutaneous Immunoglobulins: A Real-Life Single Center Study
title_fullStr Clinical and Neurophysiological Follow-Up of Chronic Inflammatory Demyelinating Polyneuropathy Patients Treated with Subcutaneous Immunoglobulins: A Real-Life Single Center Study
title_full_unstemmed Clinical and Neurophysiological Follow-Up of Chronic Inflammatory Demyelinating Polyneuropathy Patients Treated with Subcutaneous Immunoglobulins: A Real-Life Single Center Study
title_short Clinical and Neurophysiological Follow-Up of Chronic Inflammatory Demyelinating Polyneuropathy Patients Treated with Subcutaneous Immunoglobulins: A Real-Life Single Center Study
title_sort clinical and neurophysiological follow-up of chronic inflammatory demyelinating polyneuropathy patients treated with subcutaneous immunoglobulins: a real-life single center study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9856456/
https://www.ncbi.nlm.nih.gov/pubmed/36671992
http://dx.doi.org/10.3390/brainsci13010010
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