{"id":465,"date":"2014-10-08T11:13:18","date_gmt":"2014-10-08T11:13:18","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/jnnp\/?p=465"},"modified":"2014-10-08T11:13:18","modified_gmt":"2014-10-08T11:13:18","slug":"ivig-versus-methylprednisone-in-cidp-the-treatment-dilemmas","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/jnnp\/2014\/10\/08\/ivig-versus-methylprednisone-in-cidp-the-treatment-dilemmas\/","title":{"rendered":"IVIg versus methylprednisone in CIDP:  The treatment dilemmas!"},"content":{"rendered":"<p>The long-term treatment of CIDP is a vexing one often mired in lack of data from randomized controlled trials.\u00a0 The ICE study suggested that a maintenance IVIg dose of 1g\/kg every 3 weeks is associated with good therapeutic outcome.\u00a0 Subsequent studies have suggested that steroids may lead to remission in a greater proportion of patients, although the side-effects may be limiting.\u00a0 The question remains about the longevity of therapy and at what point therapies in CIDP can be stopped.\u00a0 In an upcoming issue of JNNP, Nobile-Orazio report on outcomes in CIDP patients in whom IVIg and steroid therapy were stopped.\u00a0 Interestingly, while a similar proportion of patients tended to relapse in both treatment groups (IVIg vs steroids) the time to relapse was longer in the steroid group, supporting previous studies.\u00a0 The question of harmful effects of steroids, however, remains!<\/p>\n<p>&nbsp;<\/p>\n<p>Read more http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract<\/p>\n<p>&nbsp;<\/p>\n<div id=\"slugline\"><cite> <span id=\"article-slug-jnl-abbr\"> <abbr class=\"slug-jnl-abbrev\" title=\"Journal of Neurology, Neurosurgery &amp; Psychiatry\"> J Neurol Neurosurg <a id=\"FALINK_6_0_5\" class=\"FAtxtL\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#\">Psychiatry<\/a><\/abbr> <\/span> <span class=\"slug-doi\" title=\"10.1136\/jnnp-2013-307515\"> doi:10.1136\/jnnp-2013-307515 <\/span> <\/cite><\/div>\n<ul class=\"subject-headings last-child\">\n<li>Neuromuscular<\/li>\n<\/ul>\n<ul class=\"series-titles\">\n<li>Research paper<\/li>\n<\/ul>\n<div class=\"article abstract-view \">\n<h1 id=\"article-title-1\">Frequency and time to relapse after discontinuing 6-month therapy with IVIg or pulsed methylprednisolone in CIDP<\/h1>\n<div class=\"contributors\">\n<ol id=\"contrib-group-1\" class=\"contributor-list\">\n<li id=\"contrib-1\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Eduardo+Nobile-Orazio&amp;sortspec=date&amp;submit=Submit\">Eduardo Nobile-Orazio<\/a><\/span><a id=\"xref-aff-1-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-1\">1<\/a>,<\/li>\n<li id=\"contrib-2\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Dario+Cocito&amp;sortspec=date&amp;submit=Submit\">Dario Cocito<\/a><\/span><a id=\"xref-aff-2-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-2\">2<\/a>,<\/li>\n<li id=\"contrib-3\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Stefano+Jann&amp;sortspec=date&amp;submit=Submit\">Stefano Jann<\/a><\/span><a id=\"xref-aff-3-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-3\">3<\/a>,<\/li>\n<li id=\"contrib-4\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Antonino+Uncini&amp;sortspec=date&amp;submit=Submit\">Antonino Uncini<\/a><\/span><a id=\"xref-aff-4-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-4\">4<\/a>,<\/li>\n<li id=\"contrib-5\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Paolo+Messina&amp;sortspec=date&amp;submit=Submit\">Paolo Messina<\/a><\/span><a id=\"xref-aff-5-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-5\">5<\/a>,<\/li>\n<li id=\"contrib-6\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Giovanni+Antonini&amp;sortspec=date&amp;submit=Submit\">Giovanni Antonini<\/a><\/span><a id=\"xref-aff-6-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-6\">6<\/a>,<\/li>\n<li id=\"contrib-7\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Raffaella+Fazio&amp;sortspec=date&amp;submit=Submit\">Raffaella Fazio<\/a><\/span><a id=\"xref-aff-7-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-7\">7<\/a>,<\/li>\n<li id=\"contrib-8\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Francesca+Gallia&amp;sortspec=date&amp;submit=Submit\">Francesca Gallia<\/a><\/span><a id=\"xref-aff-1-2\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-1\">1<\/a>,<\/li>\n<li id=\"contrib-9\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Angelo+Schenone&amp;sortspec=date&amp;submit=Submit\">Angelo Schenone<\/a><\/span><a id=\"xref-aff-8-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-8\">8<\/a>,<\/li>\n<li id=\"contrib-10\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Ada+Francia&amp;sortspec=date&amp;submit=Submit\">Ada Francia<\/a><\/span><a id=\"xref-aff-9-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-9\">9<\/a>,<\/li>\n<li id=\"contrib-11\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Davide+Pareyson&amp;sortspec=date&amp;submit=Submit\">Davide Pareyson<\/a><\/span><a id=\"xref-aff-10-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-10\">10<\/a>,<\/li>\n<li id=\"contrib-12\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Lucio+Santoro&amp;sortspec=date&amp;submit=Submit\">Lucio Santoro<\/a><\/span><a id=\"xref-aff-11-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-11\">11<\/a>,<\/li>\n<li id=\"contrib-13\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Stefano+Tamburin&amp;sortspec=date&amp;submit=Submit\">Stefano Tamburin<\/a><\/span><a id=\"xref-aff-12-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-12\">12<\/a>,<\/li>\n<li id=\"contrib-14\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Guido+Cavaletti&amp;sortspec=date&amp;submit=Submit\">Guido Cavaletti<\/a><\/span><a id=\"xref-aff-13-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-13\">13<\/a>,<\/li>\n<li id=\"contrib-15\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Fabio+Giannini&amp;sortspec=date&amp;submit=Submit\">Fabio Giannini<\/a><\/span><a id=\"xref-aff-14-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-14\">14<\/a>,<\/li>\n<li id=\"contrib-16\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Mario+Sabatelli&amp;sortspec=date&amp;submit=Submit\">Mario Sabatelli<\/a><\/span><a id=\"xref-aff-15-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-15\">15<\/a>,<\/li>\n<li id=\"contrib-17\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Ettore+Beghi&amp;sortspec=date&amp;submit=Submit\">Ettore Beghi<\/a><\/span><a id=\"xref-aff-5-2\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/early\/2014\/09\/22\/jnnp-2013-307515.abstract#aff-5\">5<\/a><\/li>\n<li class=\"on-behalf-of\">for the IMC Trial Group<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The long-term treatment of CIDP is a vexing one often mired in lack of data from randomized controlled trials.\u00a0 The ICE study suggested that a maintenance IVIg dose of 1g\/kg every 3 weeks is associated with good therapeutic outcome.\u00a0 Subsequent studies have suggested that steroids may lead to remission in a greater proportion of patients, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/jnnp\/2014\/10\/08\/ivig-versus-methylprednisone-in-cidp-the-treatment-dilemmas\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-465","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/465","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/comments?post=465"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/465\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/media?parent=465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/categories?post=465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/tags?post=465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}