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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8387908 | PMC |
http://dx.doi.org/10.1016/j.jtauto.2021.100112 | DOI Listing |
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