Low dose intravenous immunoglobulin in systemic lupus erythematosus: Analysis of 62 cases

Yaniv Sherer, Sabine Kuechler, Juan Jose Scali, Josef Rovensky, Yair Levy, Gisele Zandman-Goddard, Yehuda Shoenfeld

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

Background: Systemic lupus erythematosus is an autoimmune disease with diverse clinical manifestations that cannot always be regulated by steroids and immunosuppressive therapy. Intravenous immunoglobulin is an optional immunomodulatory agent for the treatment of SLE, but the appropriate indications for its use, duration of therapy and recommended dosage are yet to be established. In SLE patients, most publications report the utilization of a high dose (2 g/kg body weight) protocol. Objectives: To investigate whether lower doses of IVIg are beneficial for SLE patients. Methods: We retrospectively analyzed the medical records of 62 patients who received low dose IVIg (approximately 0.5 g/kg body weight). Results: The treatment was associated with clinical improvement in many specific disease manifestations, along with a continuous decrease in SLEDAI scores (SLE Disease Activity Index). However, thrombocytopenia, alopecia and vasculitis did not improve following IVIg therapy. Conclusions: Low dose IVIg is a possible therapeutic option in SLE and is associated with lower cost than the high dose regimen and possibly fewer adverse effects.

Original languageEnglish
Pages (from-to)55-57
Number of pages3
JournalIsrael Medical Association Journal
Volume10
Issue number1
StatePublished - 1 Jan 2008
Externally publishedYes

Keywords

  • Intravenous immunoglobulin
  • Low dose
  • SLEDAI
  • Systemic lupus erythematosus
  • Thrombocytopenia

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