Intravenous immunoglobulin in the treatment of autoimmune bullous dermatoses: An update

Annette Czernik, Siavash Toosi, Jean Claude Bystryn, Sergei A. Grando

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

High-dose intravenous immunoglobulin (IVIg) is being increasingly utilized as an off-label therapy for a variety of autoimmune and inflammatory conditions across various specialties. Numerous reports have shown that it is an effective treatment for autoimmune skin blistering disorders. Unlike most therapies for blistering disorders, IVIg is not immunosuppressive and has a favorable side effect profile. This has allowed its use to expand dramatically over the last decade. However, due to the rarity and severity of autoimmune skin blistering diseases, well-designed prospective trials are generally lacking. This work highlights major research developments and the best evidence to date regarding the treatment of autoimmune pemphigus, bullous pemphigoid, mucous membrane pemphigoid, epidermolysis bullosa acquisita, pemphigoid gestationis, and linear IgA dermatosis with IVIg, providing an update on its efficacy, proposed mechanisms of action, side effect profile, and indications for use.

Original languageEnglish
Pages (from-to)111-118
Number of pages8
JournalAutoimmunity
Volume45
Issue number1
DOIs
StatePublished - Feb 2012
Externally publishedYes

Keywords

  • Apoptolysis
  • Epidermolysis bullosa acquisita
  • IVIg
  • Pemphigoid
  • Pemphigus
  • Treatment

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