• Krista Kuitwaard, Pieter A van Doorn, Marinus Vermeulen, Leonard H van den Berg, Esther Brusse, Anneke J van der Kooi, W-Ludo van der Pol, Ivo N van Schaik, Nicolette Notermans, Anne P Tio-Gillen, Wouter van Rijs, Teun van Gelder, and Bart C Jacobs.
• Department of Neurology, Erasmus MC, University Medical Center Rotterdam, Room Ee-2230, PO Box 2040, Rotterdam 3000 CA, The Netherlands. k.kuitwaard@erasmusmc.nl
• J. Neurol. Neurosurg. Psychiatr.. 2013 Aug 1;84(8):859-61.

ObjectiveTo determine the variability of serum IgG in patients with chronic inflammatory demyelinating polyneuropathy (CIDP).MethodsAll 25 CIDP patients had active but stable disease and were treated with individually optimised fixed dose IVIg regimens. IgG was measured by turbidimetry and variability was defined as coefficient of variation (CV).ResultsThe intra-patient variability of the pre-treatment IgG levels, post-treatment levels and increase in serum IgG shortly after IVIg (ΔIgG) was low (mean CV=3%, 4%, 10%). The inter-patient variability between patients treated with the same dose and interval was low in pre-treatment, post-treatment and ΔIgG level (mean CV=13%, 11%, 20%). The ΔIgG levels were associated with IVIg dosage (rs=0.78, p<0.001).ConclusionsClinically stable CIDP patients show a steady-state in serum IgG after serial IVIg infusions. The low intra- and inter-patient variability in IgG may indicate that constant levels are required to reach this stability.

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