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J Neurol Neurosurg Psychiatry 75:789-791 doi:10.1136/jnnp.2003.019232
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High dose cyclophosphamide for severe refractory myasthenia gravis

Table 1

Patient characteristics before high dose cyclophosphamide treatment

Age/sex Patient 1 41/female Patient 2 56/male Patient 3 41/female
MG, myasthenia gravis; iv, intravenous; Ig, immunoglobulin; qd, four times daily; bid, twice daily
Duration of MG (y) 11 9 29
MG severity class IVb IVb IVb
AChr antibody Undetectable Undetectable Detectable
Previous treatment
Pyridostigine X X X
Thymectomy(ies) 2 1 2
iv Ig (no of infusions) 1 1 62
Prednisone 10–100 mg qd, duration 3 years 40–100 mg qd, duration 7 years 10–60 mg qd, duration 4 years
Plasmapheresis (no. of procedures) 217 14 16
Azathioprine 50 mg/d, duration 7 months limited by nausea/vomiting 200 mg qd, duration 2 months limited by nausea/vomiting 50–150 mg qd, duration 15 months
Oral cyclophosphamide 100 mg qd, 28 months
Cyclosporine 50–125 mg bid, duration 39 months
Cellcept 250–500 mg qd, duration 7 months

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