PMID- 35634570 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2040-6223 (Print) IS - 2040-6231 (Electronic) IS - 2040-6223 (Linking) VI - 13 DP - 2022 TI - Efficacy and safety of intravenous immunoglobulin for treating refractory livedoid vasculopathy: a systematic review. PG - 20406223221097331 LID - 10.1177/20406223221097331 [doi] LID - 20406223221097331 AB - INTRODUCTION: Intravenous immunoglobulin (IVIG) was reported to be the third most used monotherapy in livedoid vasculopathy (LV). There is currently a lack of randomized controlled clinical trials and no standardized therapeutic regimen for IVIG therapy in LV. METHODS: We performed a systematic review of the efficacy and safety of IVIG in treating patients with LV using PubMed, Cochrane, and Embase databases. RESULTS: Eighty LV patients from 17 articles were included, receiving IVIG therapy at a dose of 1-2.1 g/kg body weight every 4 weeks. The effective rate of IVIG therapy in LV patients was 95% (76/80) in published studies, showing a good clinical response for resolution of pain, skin ulcerations, and neurological symptoms, and reducing the dependence on glucocorticoids and immunosuppressive agents. IVIG therapy was well tolerated, and no severe adverse events were observed. CONCLUSION: Overall, to a certain degree, IVIG is probably a safe and effective treatment alternative for refractory LV patients, which still need to be confirmed by large-scale randomized controlled clinical trials. CI - (c) The Author(s), 2022. FAU - Gao, Yimeng AU - Gao Y AUID- ORCID: 0000-0002-3717-224X AD - Department of Dermatology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China. FAU - Jin, Hongzhong AU - Jin H AD - Department of Dermatology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases, No.1 Shuaifuyuan, Dongcheng district, Beijing, 100730 China. LA - eng PT - Journal Article PT - Review DEP - 20220522 PL - United States TA - Ther Adv Chronic Dis JT - Therapeutic advances in chronic disease JID - 101532140 PMC - PMC9134453 OTO - NOTNLM OT - intravenous immunoglobulin OT - livedoid vasculopathy OT - treatment OT - vascular disease COIS- Conflict of interest statement: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2022/06/01 06:00 MHDA- 2022/06/01 06:01 PMCR- 2022/05/22 CRDT- 2022/05/31 09:57 PHST- 2021/11/08 00:00 [received] PHST- 2022/04/12 00:00 [accepted] PHST- 2022/05/31 09:57 [entrez] PHST- 2022/06/01 06:00 [pubmed] PHST- 2022/06/01 06:01 [medline] PHST- 2022/05/22 00:00 [pmc-release] AID - 10.1177_20406223221097331 [pii] AID - 10.1177/20406223221097331 [doi] PST - epublish SO - Ther Adv Chronic Dis. 2022 May 22;13:20406223221097331. doi: 10.1177/20406223221097331. eCollection 2022.