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Plasmapheresis and Immunosuppressive Drug Therapy in Myasthenia Gravis

Dau, Peter C., Lindstrom, Jon M., Cassel, Christine K., Denys, Eric H., Shev, Edward E., Spitler, Lynn E.·1977·New England Journal of Medicine

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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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
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
The paper
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.