PMID- 28079914 OWN - NLM STAT- MEDLINE DCOM- 20170502 LR - 20170502 IS - 1938-2359 (Electronic) IS - 0090-4481 (Linking) VI - 46 IP - 1 DP - 2017 Jan 1 TI - Intravenous Immunoglobulin in Pediatric Rheumatology: When to Use It and What Is the Evidence. PG - e19-e24 LID - 10.3928/19382359-20161214-01 [doi] AB - Intravenous immunoglobulin (IVIG) is given to children with a variety of rheumatologic illnesses. The mechanism of action by which it exerts therapeutic effects is not well understood and likely differs in the medical conditions for which it is given. IVIG is approved by the US Food and Drug Administration and is the standard of care for Kawasaki disease, but most IVIG use in pediatric rheumatology is "off-label. " The literature supports the use of IVIG for juvenile dermatomyositis, although it is unclear whether its use should be limited to those children with more severe or refractory disease. It appears efficacious in the treatment of autoimmune thrombocytopenia secondary to lupus, but its use may be limited by transient responses. Treatment of other categories of pediatric rheumatologic diseases, such as juvenile idiopathic arthritis and non-Kawasaki vasculitides, is not well-established in the literature. This review focuses on current use of IVIG in the treatment of pediatric rheumatologic disorders. [Pediatr Ann. 2017;46(1):e19-e24.]. CI - Copyright 2017, SLACK Incorporated. FAU - Rodriguez, Martha M AU - Rodriguez MM FAU - Wagner-Weiner, Linda AU - Wagner-Weiner L LA - eng PT - Journal Article PT - Review PL - United States TA - Pediatr Ann JT - Pediatric annals JID - 0356657 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Child MH - Humans MH - Immunoglobulins, Intravenous/adverse effects/*therapeutic use MH - Pediatrics/methods MH - Rheumatic Diseases/*therapy MH - Rheumatology/*methods EDAT- 2017/01/13 06:00 MHDA- 2017/05/04 06:00 CRDT- 2017/01/13 06:00 PHST- 2017/01/13 06:00 [entrez] PHST- 2017/01/13 06:00 [pubmed] PHST- 2017/05/04 06:00 [medline] AID - 10.3928/19382359-20161214-01 [doi] PST - ppublish SO - Pediatr Ann. 2017 Jan 1;46(1):e19-e24. doi: 10.3928/19382359-20161214-01.