Overview of the pathogenesis and treatment of chronic inflammatory demyelinating polyneuropathy with intravenous immunoglobulins
- PMID: 20376173
- PMCID: PMC2846143
- DOI: 10.2147/btt.s4881
Overview of the pathogenesis and treatment of chronic inflammatory demyelinating polyneuropathy with intravenous immunoglobulins
Abstract
Chronic inflammatory demyelinating polyneuropathy (CIDP) is an acquired heterogeneous disorder of immune origin affecting the peripheral nerves, causing motor weakness and sensory symptoms and signs. The precise pathophysiology of CIDP remains uncertain although B and T cell mechanisms are believed to be implicated. Intravenous immunoglobulins (IVIg) have been shown in a number of trials to be an effective treatment for CIDP. IVIg is thought to exert its immunomodulatory effects by affecting several components of the immune system including B-cells, T-cells, macrophages and complement. This article provides an overview of the pathogenesis of CIDP and of its treatment with IVIg.
Keywords: chronic inflammatory demyelinating polyneuropathy; intravenous immunoglobulin; pathogenesis; treatment.
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References
-
- Rajabally YA, Simpson BS, Beri S, Bankart J, Gosalakal J. Epidemiologic variability of chronic inflammatory demyelinating polyneuropathy with different diagnostic criteria: study of a UK population. Muscle Nerve. 2009;39:432–438. - PubMed
-
- Rajabally YA, Chavada G. Lewis-Sumner syndrome of pure upper limb onset: diagnostic, prognostic and therapeutic features. Muscle Nerve. 2009;39:206–220. - PubMed
-
- Said G. Chronic inflammatory demyelinating polyneuropathy. Neuromuscul Disord. 2006;16:293–303. - PubMed
-
- Waksman BH, Adams RD. A comparative study of experimental allergic neuritis in the rabbit, guinea pig, and mouse. J Neuropathol Exp Neurol. 1956;15:293–334. - PubMed
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