AI Article Synopsis

  • A 35-year-old woman with autoimmune-mediated neuropathic postural tachycardia syndrome (PoTS) showed improvement after receiving immunoglobulin therapy.
  • Initial treatment with intravenous immunoglobulin (IVIg) caused some side-effects, but she tolerated subcutaneous immunoglobulin (SCIg) better, leading to significant clinical improvement.
  • The reduction in serum antibody levels over 22 months after the first IVIg infusion suggests that autoimmune-mediated PoTS can be effectively managed with IVIg, while SCIg minimizes side effects.

Article Abstract

Aims: We describe the disease course of a 35-year-old female with an autoimmune mediated neuropathic postural tachycardia syndrome (PoTS), who responded to immunoglobulin therapy and stabilized on maintenance therapy with subcutaneous immunoglobulin (SCIg).

Methods: We provide longitudinal data of clinical scores, tilt-table results and antibody titers.

Results: Initial treatment with intravenous immunoglobulin caused infusion-related side-effects whereas SCIg was well tolerated and improved clinical symptoms and quality of life. Clinical improvement correlated with the reduction of serum antibody titers 22 months after first infusion.

Conclusions: These findings suggest that autoimmune-mediated neuropathic PoTS can be treated sufficiently with IVIg whereas SCIg minimizes side-effects.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8387908PMC
http://dx.doi.org/10.1016/j.jtauto.2021.100112DOI Listing

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