Factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónica

Background: The treatment of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is based on corticosteroids, immunoglobulin and plasmapheresis. In our Health System, corticosteroids are commonly used as first line therapy for economic reasons and accessibility. However, the factors as...

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Autores principales: Fuentealba S.,Mario, Molina D.,Ignacio, Vera-Calzaretta,Aldo, Pérez-Villalobos,Cristhian, Klaassen P.,Gonzalo, Juica A.,Sergio, González-Burboa,Alexis
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000500594
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spelling oai:scielo:S0034-988720200005005942020-09-29Factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónicaFuentealba S.,MarioMolina D.,IgnacioVera-Calzaretta,AldoPérez-Villalobos,CristhianKlaassen P.,GonzaloJuica A.,SergioGonzález-Burboa,Alexis Corticosteroids Polyradiculoneuropathy, Chronic Inflammatory Demyelinating Therapeutics Background: The treatment of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is based on corticosteroids, immunoglobulin and plasmapheresis. In our Health System, corticosteroids are commonly used as first line therapy for economic reasons and accessibility. However, the factors associated with a good response are not well known. Aim: To assess the association of demographic, clinical and laboratory variables with a favorable response to corticosteroid therapy in patients with CIDP. Material and Methods: Observational, descriptive, longitudinal and retrospective study of 33 patients with a diagnosis of typical, definitive or probable CIDP, treated with corticosteroids for at least six months. Results: Twenty-three patients had a good clinical response to corticosteroid treatment and 10 were non-responders. The variables significantly associated with a good response to steroids were a disease lasting less than 1 year prior to the start of treatment, the absence of axonal damage in electromyography a relapsing-recurrent course and a favorable response within two months of treatment. Conclusions: Most of these patients with CIDP had good response to corticosteroid therapy.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.5 20202020-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000500594es10.4067/S0034-98872020000500594
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Corticosteroids
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
Therapeutics
spellingShingle Corticosteroids
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
Therapeutics
Fuentealba S.,Mario
Molina D.,Ignacio
Vera-Calzaretta,Aldo
Pérez-Villalobos,Cristhian
Klaassen P.,Gonzalo
Juica A.,Sergio
González-Burboa,Alexis
Factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónica
description Background: The treatment of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is based on corticosteroids, immunoglobulin and plasmapheresis. In our Health System, corticosteroids are commonly used as first line therapy for economic reasons and accessibility. However, the factors associated with a good response are not well known. Aim: To assess the association of demographic, clinical and laboratory variables with a favorable response to corticosteroid therapy in patients with CIDP. Material and Methods: Observational, descriptive, longitudinal and retrospective study of 33 patients with a diagnosis of typical, definitive or probable CIDP, treated with corticosteroids for at least six months. Results: Twenty-three patients had a good clinical response to corticosteroid treatment and 10 were non-responders. The variables significantly associated with a good response to steroids were a disease lasting less than 1 year prior to the start of treatment, the absence of axonal damage in electromyography a relapsing-recurrent course and a favorable response within two months of treatment. Conclusions: Most of these patients with CIDP had good response to corticosteroid therapy.
author Fuentealba S.,Mario
Molina D.,Ignacio
Vera-Calzaretta,Aldo
Pérez-Villalobos,Cristhian
Klaassen P.,Gonzalo
Juica A.,Sergio
González-Burboa,Alexis
author_facet Fuentealba S.,Mario
Molina D.,Ignacio
Vera-Calzaretta,Aldo
Pérez-Villalobos,Cristhian
Klaassen P.,Gonzalo
Juica A.,Sergio
González-Burboa,Alexis
author_sort Fuentealba S.,Mario
title Factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónica
title_short Factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónica
title_full Factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónica
title_fullStr Factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónica
title_full_unstemmed Factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónica
title_sort factores asociados a respuesta favorable de tratamiento corticoidal en pacientes con polirradiculoneuropatía desmielinizante inflamatoria crónica
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000500594
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