PMID- 21751547 OWN - NLM STAT- MEDLINE DCOM- 20111213 LR - 20110714 IS - 1426-9686 (Print) IS - 1426-9686 (Linking) VI - 30 IP - 180 DP - 2011 Jun TI - [Intravenously applied immunoglobulin in systemic, autoimmune and vasculitis diseases in children]. PG - 400-4 AB - Intravenous immunoglobulin (IVIG) have been widely used in clinical practice for more than 35 years. Their specificity and diversity and their relative safety make them potent therapy in antibody deficiencies, certain infections and several autoimmune and inflammatory disorders. IVIG is a biological drug that is used routinely for idiopathic thrombocytopenic purpura, Kawasaki disease, and Guillain-Barre syndrome. Therapeutic approaches for autoimmune diseases are primarily based on suppressive measures that down regulate an over productive immune system. IVIG efficacy has been established in many clinical trials for various autoimmune diseases, vasculitis and neuroimmunological, dermatological and hematological disorders. Despite the evidence of efficacy, there are no generally accepted therapeutic guidelines, the dosage and timing of IVIG therapy, and questions of costs/benefits ratio still remain insufficiently documented and multicentric controlled clinical trials are necessary. Most available evidence for a benefit for IVIG in children comes from uncontrolled open series or case reports. FAU - Zeman, Krzysztof AU - Zeman K AD - Uniwersytet Medyczny w Lodzi, Klinika Pediatrii Kardiologii Prewencyjnej i Immunologii Wieku Rozwojowego. krzysztof.zeman@umed.lodz.pl FAU - Cywinska-Bernas, Agnieszka AU - Cywinska-Bernas A LA - pol PT - English Abstract PT - Journal Article PT - Review TT - Preparaty immunoglobulin w leczeniu chorob ukladowych o podlozu autoimmunizacyjnym i zapaleniach naczyn u dzieci. PL - Poland TA - Pol Merkur Lekarski JT - Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego JID - 9705469 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Autoimmune Diseases/*drug therapy MH - Child MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - Vasculitis/*drug therapy EDAT- 2011/07/15 06:00 MHDA- 2011/12/14 06:00 CRDT- 2011/07/15 06:00 PHST- 2011/07/15 06:00 [entrez] PHST- 2011/07/15 06:00 [pubmed] PHST- 2011/12/14 06:00 [medline] PST - ppublish SO - Pol Merkur Lekarski. 2011 Jun;30(180):400-4.