Journal of Pediatric Neurosciences
CASE REPORT
Year
: 2019  |  Volume : 14  |  Issue : 1  |  Page : 38--41

Subcutaneous immunoglobulin in infantile chronic inflammatory demyelinating polyneuropathy: A case report


Paola Cianci1, Silvia Salvatore1, Alex Moretti1, Angela Berardinelli2, Alessandro Salvatoni1, Maddalena Marinoni1, Massimo Agosti1 
1 Woman and Child Department, Ospedale “F. Del Ponte,” University of Insubria, Varese, Italy
2 IRCCS Mondino National Neusrological Foundation, Pavia, Italy

Correspondence Address:
Dr. Paola Cianci
Woman and Child Department, Ospedale “F. Del Ponte,” University of Insubria, Via F. Del Ponte 19, 21100 Varese
Italy

Chronic inflammatory demyelinating polyneuropathy (CIDP) is a chronically progressive or relapsing sensorimotor disorder presumably due to antibody-mediated reactions. It is a rare condition in children, with estimated prevalence as 0.48 per 100,000 among patients younger than 20 years of age. Recommended treatments include immune modulators, intravenous immunoglobulins (IVIgs), steroids, and plasmapheresis. Management of pediatric CIDP is challenging because of the lack of evidence-based efficacy of the current therapies in children. Because of the rarity of this condition, there are no double-blind randomized studies to support the therapeutic choice as well as to identify the optimal first-line therapeutic regimen. IVIgs are widely used but the intravenous administration is usually uncomfortable, especially for children. Subcutaneous immunoglobulins (SCIgs) have proven to be effective in adults with CIDP and in children affected by antibody deficiencies and other different immune and inflammatory disorders. Herein, we described the case of a 7-year-old boy, affected by CIDP who clinically responded to IVIg but was dependent on this therapy. In order to improve his quality of life, we switched to SCIg with excellent result.


How to cite this article:
Cianci P, Salvatore S, Moretti A, Berardinelli A, Salvatoni A, Marinoni M, Agosti M. Subcutaneous immunoglobulin in infantile chronic inflammatory demyelinating polyneuropathy: A case report.J Pediatr Neurosci 2019;14:38-41


How to cite this URL:
Cianci P, Salvatore S, Moretti A, Berardinelli A, Salvatoni A, Marinoni M, Agosti M. Subcutaneous immunoglobulin in infantile chronic inflammatory demyelinating polyneuropathy: A case report. J Pediatr Neurosci [serial online] 2019 [cited 2020 Aug 8 ];14:38-41
Available from: http://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2019;volume=14;issue=1;spage=38;epage=41;aulast=Cianci;type=0