How long can you treat dermatomyositis with IVIG?
When do you typically attempt to taper IVIG in patients with dermatomyositis?
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Typically, in best-case scenarios, you can treat dermatomyositis with IVIG for 1 year, but some patients require it for 18-24 months, and the minority of patients continue to require it over several years. Some patients may only need it until you achieve improvement, especially in some countries whe...
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I have several patients who have been refractory to all other immunosuppressants or have had deadly infectious complications that prevent them from tapering off IVIG. This is a small minority, but there are patients who may require for many years.
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In my experience, I have needed IVig for MDA 5 DM for more than 2 years and for Statin induced autoimmune necrotizing myositis for more than 2 years.
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