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Acute Flaccid Paralysis - Malaysian Paediatric Association

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GBS: Treatment options<br />

Efficacious<br />

Plasma exchange<br />

up to 5 exchanges in 2 weeks<br />

IV Immunoglobulins<br />

GBS scale Grade 4 within 2 weeks of onset<br />

Not Recommended:<br />

Plasma exchange + IVIG<br />

IV Methylprednisolone<br />

IVIG + IV Methylprednisolone<br />

²<br />

¹<br />

¹<br />

Raphael.<br />

Cochrane Library 02<br />

Hughes.<br />

Cochrane Library 02<br />

¹ not better ² no benefit<br />

PE/Sandoglobulin GBS<br />

Trial Group. Lancet 97<br />

Hughes.<br />

Cochrane Library 02<br />

Dutch GBS Study<br />

Group. Lancet 04

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