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Questions posted in the
Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.
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Subject: Re: cidp my husband has cidp he has had all the so call mirical treatments with no sucess atall. we would like to know what to expectin the future. and is thij related to ald?
Thanks for your question. Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP) is a slowly evolving inflammatory process (achieving its maximum severity after several months or even a year or longer) which destroy the myelin (fatty layers) of axons. Initial symptoms usually include weakness of limbs, particularly of the proximal leg muscles, numbness, and other altered sensations of hands and feet. The different treatment modalities include high doses of intra-venous gamma globulin, which can be repeated after an initial course of 4-5 days; plasma exchange or plasmapheresis; corticosteroids. A portion of the patients will present enough recovery so that treatment can be discontinued, or significantly scaled down to avoid side-effects. Unfortunately, the long term prognosis for a portion of the patients is poor, with progressive disability and treatment dependence. Please discuss the above mentioned treatment options with your husband's physicians. I hope this information is helpful. Best of luck. This information is provided for general medical education purposes only. |
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