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August 22, 2026Therapeutic Apheresis and Dialysis

Clinical Outcomes of Double Filtration Plasmapheresis in Guillain–Barré Syndrome: A Single‐Center Retrospective Study

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Authors

JLJingwen LiRenji HospitalYCYing ChenRenji HospitalJWJun WuRenji Hospital

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Implication

Retrospective study demonstrates functional recovery with double filtration plasmapheresis in Guillain–Barré syndrome, suggesting short-term efficacy comparable to standard therapies.

Key Points

  • To evaluate the real-world short-term functional outcomes and immunological biomarker changes in patients with Guillain–Barré syndrome treated with double filtration plasmapheresis regimens.
  • Retrospective single-center study of N=43 patients with Guillain–Barré syndrome treated between June 2018 and October 2024.
  • Compared 36 patients receiving double filtration plasmapheresis (DFPP) regimens (alone or combined with intravenous methylprednisolone) against 7 patients receiving intravenous immunoglobulin (IVIG) alone.
  • Measured pre- and post-treatment functional scores using the modified Rankin Scale (mRS) and Hughes functional grading scale (HFGS), alongside changes in serum immunoglobulins (IgG, IgA, IgM) and complement levels.
  • mRS and HFGS scores improved significantly from baseline to discharge across all treatment arms (DFPP alone, DFPP plus methylprednisolone, and IVIG alone).
  • No statistically significant differences in functional score changes were observed between DFPP alone versus IVIG alone, or between DFPP alone versus DFPP combined with methylprednisolone.
  • DFPP significantly lowered serum immunoglobulin and complement concentrations, but the percentage reductions in IgG, IgA, and IgM did not correlate significantly with short-term functional score improvements.

Cite This Study

Li et al. (2026) studied this question.

synapsesocial.com/papers/6a895effca7ade938187d3d8https://doi.org/10.1002/1744-9987.70211
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