Dyshidrotic eczema associated with the use of IVIg

BMJ Case Rep. 2013 Feb 15:2013:bcr2012008001. doi: 10.1136/bcr-2012-008001.

Abstract

Intravenous immunoglobulin (IVIg) treatment is highly effective for autoimmune diseases including myasthenia gravis. Recovery is observed at approximately. 75% of myasthenia gravis patients through IVIg treatment. As a result of many clinical studies, the recommended dose is determined as 0.4 g/kg for 5 days (maximum total dose at 2 g/kg body weight). If an additional immunomodulatory treatment is not administered, IVIg maintenance treatment is needed mostly. However, some side effects may inhibit long-term treatment. For this reason, it is important to know the effect profile well and when the treatment should be discontinued. A female myasthenia gravis patient case is presented here, where dyshidrotic eczema has occurred after the second dose of intravenous Ig medication and whose treatment is despite further IVIg therapy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Eczema, Dyshidrotic / chemically induced*
  • Eczema, Dyshidrotic / diagnosis
  • Female
  • Humans
  • Immunization, Passive / adverse effects*
  • Immunoglobulins, Intravenous / administration & dosage
  • Immunoglobulins, Intravenous / adverse effects*
  • Immunologic Factors / administration & dosage
  • Immunologic Factors / adverse effects
  • Myasthenia Gravis / drug therapy

Substances

  • Immunoglobulins, Intravenous
  • Immunologic Factors