PLEX will likely remain the treatment of choice in true myasthenic crisis. Treatment decisions may depend on several variables, including presence of respiratory distress, medical comorbidities, access to medication, and cost. The NutrisalonPlex Protection System protects the integrity of the hair strands during chemical processes as. IVIG and PLEX are equally effective in worsening myasthenia gravis. There is no available proven treatment for COVID-19 the care is supportive, including respiratory, circulatory and renal support. Treatment pack NutriSalon Plex 3 products. Change in Quantitative Myasthenia Gravis Score at day 14 for all subjects was 4.0, without statistically significant differences between IVIG and PLEX groups. PLEX THERAPY technology recreates and enhances structural micro-links, connecting fibers within each hair, improving hair quality after the first application. Primary outcome measure was functional status at 14 days after treatment, as assessed by the Quantitative Myasthenia Gravis Score.
PLEX TREATMENT TRIAL
Participants included consultant and resident neurologists, a medical librarian, clinical epidemiologists, and content experts in the field of neuromuscular neurology.Ī single-blinded, randomized-controlled trial that compared IVIG and PLEX in 84 patients with worsening myasthenia gravis was selected for review. Evidence was summarized and commentary provided. This included a creation of a structured question based on a clinical scenario, comprehensive literature search, selection of evidence for review, and critical appraisal of selected evidence. To review and critically assess current evidence on the effects of IVIG and PLEX on functional outcomes in patients with worsening myasthenia gravis.Ī structured critical appraisal was conducted on the objective topic. Although PLEX is favored in myasthenic crisis, IVIG is increasingly used in exacerbations due to cost and ease of administration.
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Immune therapies such as intravenous immunoglobulin (IVIG) and plasma exchange (PLEX) are first line in the treatment of worsening myasthenia gravis.