From a systematic literature review yielding 37 randomized controlled trials of intravenous immunoglobulin (IVIG) used to treat 14 neurologic disorders, Canadian investigators conclude that:
IVIG therapy is effective for treatment of the following:
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- Relapsing-remitting multiple sclerosis
- Idiopathic chronic inflammatory demyelinating polyneuropathy (CIDP)
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IVIG also has potential clinical benefit for treatment of:
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- Multifocal motor neuropathy
- Dermatomyositis
- Lambert-Eaton myasthenic syndrome
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- Myasthenia gravis
- Stiff-person syndrome
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Investigators found insufficient evidence to reach a conclusion about the efficacy of IVIG for paraprotein-associated polyneuropathy, and no evidence of benefit for its use in secondary progressive multiple sclerosis or inclusion body myositis.
This exhaustive analysis of the available literature was completed by medical and epidemiology faculty at the University of Ottawa and University of Toronto.
The full citation is: Fergusson E, Hutton B, Sharma M et al. Use of intravenous immunoglobulin for treatment of neurologic conditions: a systematic review.
Transfusion 2005 Oct; 45:1640-57.
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