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Plasmapheresis and Immunosuppressive Drug Therapy in Myasthenia Gravis
Abstract
Plasmapheresis combined with prednisone and azathioprine therapy produced striking clinical improvement in five patients with myasthenia gravis who still had moderate to severe disability despite thymectomy, high-dose prednisone therapy and optimal doses of cholinesterase inhibitors. Serial determinations of titers of serum antibody toward the acetylcholine receptor demonstrated a fall to 21 +/- 5 per cent (mean +/- S.D.) of the original levels concurrently with the patients' increasing strength. Clinically improved patients maintained lowered titers, whereas clinical relapses were associated with a rebound in titer. Our results suggest that plasmapheresis will find a place in the management of patients with myasthenia gravis, and they implicate antibodies to acetylcholine receptor as a pathogenic factor in this disease.
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Citations
Cited by
Paraneoplastic Syndromes: An Approach to Diagnosis and Treatment
Pelosof, L. C., & Gerber, D. E. (2010) · Mayo Clinic Proceedings · doi:10.4065/mcp.2010.0099 · Cited by 773
Lifetime course of myasthenia gravis
Grob, D., Brunner, N., Namba, T., & Pagala, M. (2008) · Muscle & Nerve · doi:10.1002/mus.20950 · Cited by 733
Pendergraft, W. F., Preston, G. A., Shah, R. R., Tropsha, A., Carter, C. W., Jennette, J. C., & Falk, R. J. (2004) · Nature Medicine · doi:10.1038/nm968 · Cited by 379
PLASMAPHERESIS IN TREATMENT OF HUMAN T-LYMPHOTROPIC VIRUS TYPE-I ASSOCIATED MYELOPATHY
Matsuo, H., Tsujihata, M., Satoh, A., Shirabe, S., Nakamura, T., Kinoshita, I., Tomita, I., Shibayama, K., & Nagataki, S. (1988) · The Lancet · doi:10.1016/s0140-6736(88)90525-9 · Cited by 55
Metadata
- Authors
- Dau, P. C., Lindstrom, J. M., Cassel, C. K., Denys, E. H., Shev, E. E., & Spitler, L. E.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1977-11-24
- Volume
- 297
- Issue
- 21
- Pages
- 1134-1140
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2054196862
- Cited by
- 402
- References
- 0
- FWCI
- 35.34
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Plasmapheresis and Immunosuppressive Drug Therapy in Myasthenia Gravis. https://app.cochat.ai/papers/10.1056/nejm197711242972102
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- Dau, P. C., Lindstrom, J. M., Cassel, C. K., Denys, E. H., Shev, E. E., & Spitler, L. E. (1977). Plasmapheresis and Immunosuppressive Drug Therapy in Myasthenia Gravis. New England Journal of Medicine. https://doi.org/10.1056/nejm197711242972102
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.