A 46 year old woman suffers from chronic progressive multiple sclerosi
s. She was diagnosed in 1993. Because of many complications seen in co
nservative treatment, plasma exchange was started. The expanded disabi
lity status scale by Kurtzke could be improved but the interval betwee
n the treatments became shorter and shorter. It was therefore decided
to commence protein A immunoadsorption treatment. With this treatment
the patient shows good and stable improvement in neurological and func
tional status with an acceptable treatment frequency of once every 3 w
eeks. (C) 1998 Elsevier Science Ltd. All rights reserved.