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Is plasmapheresis an effective treatment in rheumatologic emergencies?
Bhaskar Dasgupta, MD:
It is a very efficacious way of treatment, but it is expensive. So you do not want to treat everyone with plasma exchange, and there are many patients who do not need plasma exchange. They can be treated with other conventional immunosuppression, cyclophosphamide, rituximab, and they do not need plasma exchange.
See also
Suspected secondary amyloidosis
Secondary amyloidosis is a potentially fatal complication of chronic inflammatory diseases. When should it be suspected?
Giant cell arteritis and other large vessel vasculitis
A lecture by Dr Bhaskar Dasgupta, from Southend University Hospital, UK, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2017.
Colchicine in acute gout
If colchicine in doses 1 g + 0.5 g is partly ineffective in a patient with acute gout, should it be continued at the same daily dose or is it better to switch to or add a nonsteroidal anti-inflammatory drug or a corticosteroid?
When to treat osteoporosis
When should we consider treatment of osteoporosis? What is the best method to guide decision-making (Fracture Risk Assessment Tool, densitometry)?
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