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http://dx.doi.org/10.1007/s00415-024-12478-yDOI Listing

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In seropositive myasthenia gravis (MG), complement inhibition has been shown to be an effective and a fast-acting therapeutic option. Myasthenic crisis (MC), usually preceded by impending MC, is a life-threatening complication requiring highly effective treatments with rapid onset of action. Currently used treatment options of MC are limited, consisting mainly of symptomatic and immune therapies, that is, intravenous immunoglobulins and plasma exchange/immunoadsorption.

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Background: Myasthenia gravis (MG) is a rare autoimmune disorder with significant clinical implications, including life-threatening myasthenic crises and exacerbations. Understanding real-world treatment patterns, especially associated direct medical costs, is essential for the effective management of healthcare delivery.

Methods: We conducted a descriptive cohort study using health administrative claims data from the Czech Republic covering more than 1,500 prevalent MG patients.

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Article Synopsis
  • The study focuses on long-term outcomes and healthcare resource utilization in patients with generalized myasthenia gravis (gMG).
  • About 220 patients were analyzed over eight years, showing significant improvement in daily living scores and a reduction in healthcare costs, although some patients continued to experience symptoms and drug-related adverse events.
  • The findings suggest that while most patients experience positive outcomes, a minority still suffer from persistent symptoms and side effects, highlighting the ongoing burden of gMG on both patients and healthcare systems.
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Nearly 10%-15% patients with generalized myasthenia gravis (MG) have refractory disease and are candidates for newer nonconventional immunotherapies. Rituximab has emerged as an attractive option in them. We describe the efficacy and safety of rituximab in 12 patients with refractory MG treated over a period of 4 years in a tertiary care center.

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Article Synopsis
  • Myasthenia gravis (MG) is a disease that makes muscles weak and can lead to a serious problem called myasthenic crisis, which affects breathing.
  • Two treatments for this crisis are intravenous immunoglobulins (IVIg) and plasmapheresis (PLEX), but it's hard to determine which one works better.
  • The choice of treatment depends on the patient's situation, available resources, and doctor's opinion, and more research is needed to create clear guidelines for helping patients.
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