{"id":300,"date":"2025-03-26T13:14:59","date_gmt":"2025-03-26T12:14:59","guid":{"rendered":"https:\/\/www.neuromuscularbcn.org\/?page_id=300"},"modified":"2025-04-29T10:47:16","modified_gmt":"2025-04-29T08:47:16","slug":"tractaments-innovadors","status":"publish","type":"page","link":"https:\/\/www.neuromuscularbcn.org\/ca\/assistencia\/tractaments-innovadors\/","title":{"rendered":"Tractaments innovadors"},"content":{"rendered":"

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    • Vam ser pioners i referents en el\u00a0tractament amb IGEV de malalties neuromusculars disimmunes<\/strong><\/em>\u00a0des de l\u2019any 1992, en un article publicat en N Engl J Med. 1993 Dec 30;329(27): 1993-2000) la Dra. Illa va participar i establir els criteris metodol\u00f2gics per determinar l\u2019efectivitat de les IGEV en el tractament de pacients amb dermatomiositis resistents a altres ter\u00e0pies. Posteriorment, la Dra. Illa i el Dr. Rojas van formar part del grup europeu INCAT que va publicar una escala de seguiment cl\u00ednic dels pacients amb neuropaties autoimmunes i l\u2019efic\u00e0cia de les IGEV i de la prednisolona en el tractament de CIDP Ann Neurol. 2001 Aug;50(2):195-201 i les neuropaties motores multifocals (NMM) J Peripher Nerv Syst. 2010 Dec;15(4):295-301. Els tractaments amb Igev en aquests pacients ingressats a la sala de neurologia i actualment es realitzen a l\u2019Hospital de dia polivalent. La unitat participa en el comit\u00e8 per les af\u00e8resis i recanvis plasm\u00e0tics del HSCSP.

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    • Realitzem en coordinaci\u00f3 amb el servei d\u2019hematologia del nostre hospital i amb l\u2019investigador R. Mart\u00ed de l\u2019Hospital Vall d\u2019Hebron per primera vegada al mon,\u00a0(transfusi\u00f3 de plaquetes) o transplantament de moll d\u2019os<\/strong><\/em>\u00a0en pacients amb\u00a0MNGIE<\/strong><\/em>, una patologia molt greu que posta a la mort dels pacients a la Els resultats d\u2019aquests estudis van ser publicats a la revista Neurology 2006 Oct 24;67(8):1461-3 y Bone Marrow Transplant. 2011 Mar;46(3):330-7. I el seguiment dels pacients aix\u00ed com els transplantaments realitzats per nosaltres i altres grups a centres d\u2019arreu del mon que han demostrat la seva efic\u00e0cia en un percentatge de malalts s\u2019han realitzat com un article en revisi\u00f3 a la revista Lancet Neurology. Em realitzat tamb\u00e9 amb \u00e8xit un transplantament a un pacient amb\u00a0escleromixedema<\/strong><\/em>, malaltia molt greu, actualment el pacient est\u00e0 asimptom\u00e0tic des del transplantament. Blood. 2006 Jul 15;108(2):773-4. Steady remission of scleromyxedema 3 years after autologous stem cell transplantation: an in vivo and in vitro study.

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    • Som referent en el protocol a seguir en pacients amb MG resistent a altres ter\u00e0pies. Concretament, hem descrit\u00a0l\u2019efic\u00e0cia de Rituximab en pacients amb Miastenia Musk<\/strong><\/em>, sent aquest tractament en l\u2019actualitat (despr\u00e9s de la nostre aportaci\u00f3) el segon f\u00e0rmac a utilitzar en aquests pacients despr\u00e9s de la Prednisona. J Neuroimmunol. 2008 Sep 15;201-202: 90-4 y Long-lasting\u00a0treatment effect of rituximab in MuSK myasthenia. Neurology. 2012 Jan 17;78(3):189-93.

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    • Hem realitzat\u00a0transplantaments card\u00edacs<\/strong><\/em>. El primer a un pacient jove amb cardiopatia dilatada i distr\u00f2fia muscular per d\u00e8ficit de distrofina (malaltia de Duchenn-Becker) i el segon a un pacient amb distr\u00f2fia muscular per d\u00e8ficit de Fukutina.

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    • Els pacients amb distr\u00f2fia facio-esc\u00e0pulo-humeral amb esc\u00e0pula alada s\u00f3n visitats per la Dra. Soria, del servei de COT, per realitzar\u00a0la fixaci\u00f3 de les esc\u00e0pules<\/strong><\/em> si es reuneixen els criteris d\u2019indicaci\u00f3. Aquest \u00e9s un tractament complexa que requereix d\u2019una excel\u00b7lent indicaci\u00f3 quir\u00fargica i un exhaustiu control post- quir\u00fargic per que el resultat sigui positiu, millorant de forma molt significativa la qualitat de vida dels pacients amb distr\u00f2fia FSH. De fet, l\u2019assist\u00e8ncia neuromuscular especialitzada fa que sovint el diagn\u00f2stic, pron\u00f2stic, tractament adequat i l\u2019aplicaci\u00f3 de tractaments pioners, canvi\u00ef la qualitat de vida i sigui que la correspon al nivell de coneixements actuals.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":275,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-300","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nTractaments innovadors - Neuromuscular BCN<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.neuromuscularbcn.org\/ca\/assistencia\/tractaments-innovadors\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tractaments innovadors - 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