治疗性血浆置换对神经免疫紊乱儿童的有效性和安全性:一项有限的单中心研究

IF 0.8 Q4 CLINICAL NEUROLOGY Iranian Journal of Child Neurology Pub Date : 2024-01-01 Epub Date: 2024-03-12 DOI:10.22037/ijcn.v18i1.40139
Ali Nikkhah, Mohammad Mahdi Nasehi, Nader Momtazmanesh, Kourosh Etemad, Somayeh Hajatnia
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引用次数: 0

摘要

目的:治疗性血浆置换(TPE)是一种血浆置换程序,但其用于小儿神经免疫疾病(PNID)的安全性数据有限。本研究记录了 TPE 在这些病症中的安全性和可行性数据:本研究涉及六组接受 TPE 治疗的 PNID 患者:神经脊髓炎视谱系障碍 (NMOSD)、自身免疫性脑炎 (AIE)、急性播散性脑脊髓炎 (ADEM)、多发性硬化症 (MS)、格林-巴利综合征 (GBS) 和视神经炎 (ON)。这项研究记录了与每个 TPE 过程相关的并发症。此外,还研究了 TPE 对这些患者的疗效:本研究记录了接受 121 个 TPE 周期的 18 名 PNID 患者的不良反应:MS 患者 5 个周期(4.13%),AIE 亚组 3 个周期(2.48%),ADEM 患者 1 个周期(0.82%),GBS 患者 2 个周期(1.65%)。患者中未发现严重并发症:结论:PNID 患者能够耐受治疗性血浆置换,这是一个安全的过程。
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Efficacy and Safety of Therapeutic Plasma Exchange in Children with Neuroimmunological Disorders: A Limited Unicentral Study.

Objectives: Therapeutic plasma exchange (TPE) is a plasmapheresis procedure whose Safety data for pediatric neuro-immunological disorders (PNID) is confined. The present research documents TPE's safety and feasibility data in these conditions.

Materials & methods: The current study involved six distinct groups of patients with PNID undergoing TPE: neuromyelitis optic spectrum disorder (NMOSD), autoimmune encephalitis (AIE), acute disseminated encephalomyelitis (ADEM), multiple sclerosis (MS), Guillain-Barre syndrome (GBS), and optic neuritis (ON). This study documented complications related to each TPE process. In addition, TPE's efficacy was studied in these patients.

Results: The present study recorded adverse effects in 18 patients with PNID that received 121 TPE cycles: five cycles (4.13%) in MS, three (2.48%) in AIE subgroup, one (0.82%) in ADEM, and two (1.65%) in GBS. No severe complications were observed among the patients.

Conclusion: Patients with PNID tolerated therapeutic plasma exchange, which was a safe process.

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