We report a 70-year-old woman with Isaacs' syndrome (acquired neuromyotonia
) who showed a marked improvement after immunoadsorption plasmapheresis (IA
P). She developed hyperhidrosis in her teens, We report a 70-year-old woman
with Isaacs' syndrome (acquired and slowly progressive symptoms of neuromy
otonia for over 50 years. An in vitro investigation of her serum with patch
-damp technique suggested the presence of antibodies against potassium chan
nels. She was treated with IAP, which brought disappearance of her symptoms
. Though the symptoms started to recur in 3 weeks, moderate improvement has
been maintained by immunosuppressive drug treatment.