M. Ichikawa et al., IMMUNOADSORPTION PLASMAPHERESIS FOR SEVERE GENERALIZED MYASTHENIA-GRAVIS, Archives of Disease in Childhood, 69(2), 1993, pp. 236-238
Two patients with severe generalised myasthenia gravis of childhood we
re successfully treated with immunoadsorption plasmapheresis. One pati
ent was a 5 year old girl and the other was a 12 year old girl. A dram
atic improvement in bulbar symptoms and generalised muscle weakness wa
s achieved without any side effects. Plasma exchange may also yield cl
inical improvement for myasthenia gravis, but the treatment is accompa
nied by the risk of viral infections and hypersensitivity reactions. I
mmunoadsorption plasmapheresis is an effective treatment for severe ge
neralised myasthenia gravis of childhood and is superior to plasma exc
hange with respect to safety.