By J. Pruitt
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Extra resources for A Look Into Myasthenia Gravis
The heterogeneity of treatment protocols in terms of number of sessions is so wide that a definite conclusion on the optimal number of sessions to be performed cannot be achieved. In some studies the number was fixed while in others patients were submitted to a number of exchange sessions apparently dependent on the achievement of a detectable clinical improvement. , 1991). We routinely evaluate the patient within seven days and repeat the same protocol in case of failure. We favour a conservative approach that can be effective in a short period of time instead of performing several exchanges as default.
Mechanism of action of cyclosporine. 2-3, pp. ; Squifflet, J-P et al. (1997) Multicenter randomized trial comparing tacrolimus (FK506) and cyclosporine in the prevention of renal allograft 40 A Look into Myasthenia Gravis rejection: a report of the European Tacrolimus Multicenter Renal Study Group. Tranplantation, Vol. 3, pp. ; Leurgans, S. (2003). Mycophenolate mofetil for myasthenia gravis: a double-blind, placebo-controlled pilot study. 1, pp. -S. (2010) Preparation and in vitro screening of symmetrical bispyridinium cholinesterase inhibitors bearing different connecting linkage – initial study for Myasthenia gravis implications.
The procedure is generally well tolerated; however, particular attention must be given to the patient’s general clinical conditions, coagulation status and presence of cardiovascular contraindications. Two vascular accesses are needed, the first for blood inflow, and the second one for reinfusion of blood cells mixed with the replacement fluid. A critical point is the evaluation of vascular accesses that means the availability of peripheral veins able to provide an adequate blood flow; if not, central catheters should be positioned, with higher costs and potential side effects, particularly infections when they must be left in place for several days.
A Look Into Myasthenia Gravis by J. Pruitt