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Volume 346:1747-1748 May 30, 2002 Number 22
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High-Dose Intravenous Immune Globulin for Stiff-Person Syndrome

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 by Dalakas, M. C.
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To the Editor: Dalakas et al. (Dec. 27 issue)1 report the efficacy of high-dose intravenous immune globulin for the treatment of stiff-person syndrome. Stiff-person syndrome is a devastating disorder, and evidence of the associated immunologic impairment began to emerge in the 1980s.2 Over the next decade, it was confirmed that stiff-person syndrome was caused, in particular, by damage by an autoimmune mechanism.

Intravenous immune globulin is extraordinarily costly; thus, the current focus of interest among clinicians is not on the efficacy of this approach but, rather, on the timing of the treatment and its long-term outcome, including the duration of . . . [Full Text of this Article]

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