Affiliation:
1. Municipal Clinical Hospital No. 31
2. IP Pavlov First Saint Petersburg State Medical University
3. AM Nikiforov Russian Center of Emergency and Radiation Medicine
Abstract
Monoclonal gammopathy of undetermined significance is diagnosed on the basis of an extensive search for a diagnostic reason as paraprotein secretion occurs in different diseases. One of such is demyelinating polyneuropathy associated with monodonal IgM and antibodies to myelin-assosiacted glycoprotein (AMDP). The first-line treatment of this disease is based on prednisolone, and intravenous immunoglobulin. The second-line therapy of treatment-resistant patients is not determined. The case report of patient with AMPD who received therapy with prednisone, azathio-prine, plasmapheresis is presented. Stable response was reached by rituximab.
Publisher
Practical Medicine Publishing House