Consensus recommendation on the use of therapeutic plasma exchange for adult neurological diseases in Southeast Asia from the Southeast Asia therapeutic plasma exchange consortium.
Therapeutic plasma exchange (TPE) is an effective and affordable treatment option in most parts of Southeast Asia (SEA). In 2018, the SEA TPE Consortium (SEATPEC) was established, consisting of regional neurologists working to improve outcome of various autoimmune neurological diseases. We proposed...
| Published in: | Journal of Central Nervous System Disease pp. 1 - 13 |
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| Main Authors: | , , , , , , , , , , , , , , , , , |
| Format: | standards Journal Article |
| Published: |
Sage Publications Inc.
11/25/2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153933742&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153933742 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795735 B3L8 jtl: Journal of Central Nervous System Disease issn: 11795735 maglogo: Y pubinfo: dt: 11/25/2021 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 153933742 153933742 153933742 10.1177/11795735211057314 153933742 ppf: 1 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Consensus recommendation on the use of therapeutic plasma exchange for adult neurological diseases in Southeast Asia from the Southeast Asia therapeutic plasma exchange consortium. aug: au: Hiew, Fu Liong Thit, Win Min Alexander, Mathew Thirugnanam, Umapathi Siritho, Sasitorn Tan, Kevin Mya Aye, Seinn Mya Ohnmar, Ohnmar Estiasari, Riwanti Yassin, Norazieda Pasco, Paul Matthew Keosodsay, Say Saysavath Trong Nghia, Hoang Tien Islam, MD Badrul Wong, Sing Keat Lee, Shirley Chhabra, Anupam Viswanathan, Shanthi affil: Department of Neurology, 58983 Kuala Lumpur Hospital, Kuala Lumpur, Malaysia sug: subj: Nervous System Diseases Therapy Plasma Exchange Asia, Southeastern Adult Plasmapheresis Collaboration Guideline Adherence Immunotherapy Asia, Southeastern Adult: 19-44 years ab: Therapeutic plasma exchange (TPE) is an effective and affordable treatment option in most parts of Southeast Asia (SEA). In 2018, the SEA TPE Consortium (SEATPEC) was established, consisting of regional neurologists working to improve outcome of various autoimmune neurological diseases. We proposed an immunotherapeutic guideline prioritizing TPE for this region. We reviewed disease burden, evidence-based treatment options, and major guidelines for common autoimmune neurological disorders seen in SEA. A modified treatment algorithm based on consensus agreement by key-opinion leaders was proposed. Autoimmune antibody diagnostic testing through collaboration with accredited laboratories was established. Choice of first-line immunotherapies (IVIg/corticosteroid/TPE) is based on available evidence, clinicians' experience, contraindications, local availability, and affordability. TPE could be chosen as first-line therapy for GBS, CIDP, MG (acute/short term), IgG, A paraproteinemic neuropathy, and NMDAR encephalitis. Treatment is stopped for acute monophasic conditions such as GBS and ADEM following satisfactory outcome. For chronic immune disorders, a therapy taper or long-term maintenance therapy is recommended depending on the defined clinical state. TPE as second-line treatment is indicated for IVIg or corticosteroids refractory cases of ADEM, NMOSD (acute), MG, and NMDAR/LGI1/CASPR2/Hashimoto's encephalitis. With better diagnosis, treatment initiation with TPE is a sustainable and effective immunotherapy for autoimmune neurological diseases in SEA. pubtype: Academic Journal doctype: standards Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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