PMID- 32307218 OWN - NLM STAT- MEDLINE DCOM- 20201119 LR - 20201119 IS - 1532-2130 (Electronic) IS - 1090-3798 (Linking) VI - 27 DP - 2020 Jul TI - Feasibility & safety of plasma exchange in paediatric neuro-immunology: A single center experience. PG - 94-97 LID - S1090-3798(20)30072-6 [pii] LID - 10.1016/j.ejpn.2020.04.001 [doi] AB - BACKGROUND: There is limited data available on the safety of therapeutic plasma exchange (TPE) for paediatric neuro-immunological disorders (PNID). In this study, we report our data on safety and feasibility of TPE for these disorders. METHODS: Retrospective chart review was performed to include all patient who received TPE for four major PNID conditions: autoimmune encephalitis (AIE), acute disseminated encephalomyelitis (ADEM), Neuromyelitis optic spectrum disorder (NMOSD) and transverse myelitis (TM). We recorded minor and major adverse effects (AEs) associated with each TPE procedure. Secondary analysis also looked at the efficacy data of TPE on these patients. RESULTS: Thirty-two patients with PNID received a total of 186 TPE cycles. Out of these, only 1 cycle (0.89%) in AIE subgroup, 1 (4.3%) in NMOSD and 1 (4.5%) in TM had adverse effects. No patients had major side effects. CONCLUSION: TPE was safe and well tolerated in our PNID patients. CI - Copyright (c) 2020 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved. FAU - Shah, Yash D AU - Shah YD AD - Division of Child Neurology, Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, NY, USA. FAU - Eksambe, Padmavati AU - Eksambe P AD - Division of Child Neurology, Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, NY, USA. FAU - Fomani, Katayoun AU - Fomani K AD - Division of Transfusion Medicine Service Northwell Health, Cohen Children's Medical Center, New Hyde Park, NY, USA. FAU - Louie, James AU - Louie J AD - Division of Transfusion Medicine Service Northwell Health, Cohen Children's Medical Center, New Hyde Park, NY, USA. FAU - Shefali, Karkare AU - Shefali K AD - Division of Child Neurology, Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, NY, USA. FAU - Kothare, Sanjeev AU - Kothare S AD - Division of Child Neurology, Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, NY, USA. Electronic address: skothare@northwell.edu. LA - eng PT - Journal Article DEP - 20200410 PL - England TA - Eur J Paediatr Neurol JT - European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society JID - 9715169 RN - Hashimoto's encephalitis SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Encephalitis/*therapy MH - Encephalomyelitis, Acute Disseminated/*therapy MH - Feasibility Studies MH - Female MH - Hashimoto Disease/*therapy MH - Humans MH - Infant MH - Male MH - Myelitis, Transverse/*therapy MH - Neuromyelitis Optica/*therapy MH - Plasma Exchange/adverse effects/*methods MH - Retrospective Studies MH - Young Adult OTO - NOTNLM OT - Paediatric neuro-immunological disorders (PNID) OT - Therapeutic plasma exchange (TPE) COIS- Declaration of competing interest The authors have no conflicts of interest to declare. EDAT- 2020/04/21 06:00 MHDA- 2020/11/20 06:00 CRDT- 2020/04/21 06:00 PHST- 2019/11/11 00:00 [received] PHST- 2020/02/10 00:00 [revised] PHST- 2020/04/04 00:00 [accepted] PHST- 2020/04/21 06:00 [pubmed] PHST- 2020/11/20 06:00 [medline] PHST- 2020/04/21 06:00 [entrez] AID - S1090-3798(20)30072-6 [pii] AID - 10.1016/j.ejpn.2020.04.001 [doi] PST - ppublish SO - Eur J Paediatr Neurol. 2020 Jul;27:94-97. doi: 10.1016/j.ejpn.2020.04.001. Epub 2020 Apr 10.