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Paraneoplastic Syndromes (Paraneoplastic Syndrome)

In patients with neoplastic diseases a wide variety of clinical pictures which are indirect and usually remote effects produced by tumor cell metabolites or other products.
Also Known As:
Paraneoplastic Syndrome; Syndrome, Paraneoplastic; Syndromes, Paraneoplastic
Networked: 608 relevant articles (17 outcomes, 18 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1. Neoplasms (Cancer)
2. Small Cell Lung Carcinoma (Small Cell Lung Cancer)
3. Hypercalcemia (Milk Alkali Syndrome)
4. Lambert-Eaton Myasthenic Syndrome (Lambert-Eaton Syndrome)
5. Neoplasm Metastasis (Metastasis)

Experts

1. Dalmau, J: 5 articles (09/2008 - 03/2000)
2. Dalmau, Josep: 4 articles (09/2013 - 02/2004)
3. Nakazawa, Mitsuru: 3 articles (01/2010 - 01/2003)
4. Ohguro, Hiroshi: 3 articles (01/2010 - 01/2003)
5. Murai, Masaru: 3 articles (07/2004 - 03/2003)
6. Sarnatskaya, V V: 2 articles (12/2015 - 06/2013)
7. Nikolaev, V G: 2 articles (12/2015 - 06/2013)
8. Yushko, L A: 2 articles (12/2015 - 06/2013)
9. Thirkill, Charles E: 2 articles (11/2015 - 06/2006)
10. Freeman, Roy: 2 articles (08/2015 - 04/2005)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Paraneoplastic Syndromes:
1. AntibodiesIBA
2. rituximab (Mabthera)FDA Link
3. Oncogenic osteomalaciaIBA
4. Intravenous Immunoglobulins (IVIG)FDA Link
09/01/2006 - "The mode of action of IVIG may range from direct anti-idiotype effect to indirect effects on the cellular part of the pathogenesis of paraneoplastic syndromes. "
04/01/1996 - "To evaluate the effect of intravenous high dose human immunoglobulin (IVIg) therapy on the clinical course and autoantibody titres of patients with neurological paraneoplastic syndromes. "
01/01/2013 - "Successful Treatment with Methylnaltrexone and IVIG for Paraneoplastic Syndrome-Associated Intestinal Pseudo-Obstruction."
01/01/2009 - "As this paraneoplastic syndrome is not resolved by tumor removal, careful management with intensive infection-control using antibiotics and intravenous immunoglobulins is required for the long term. "
01/01/2015 - "The efficacy of IVIG in children has been shown as first line treatment in Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, multifocal motor neuropathy, dermatomyositis as a second-line drug in the combination with prednisolone or immunosuppressors in patients refractory to treatment with corticosteroids and cytostatics, myasthenic crisis in myasthenia gravis, exacerbations and short-term treatment of severe forms, non-responsiveness to acetylcholinesterase inhibitors, multiple sclerosis as second or third line of treatment in patients with relapsing-remitting course with intolerance to standard immunomodulatory therapy, acute multiple encephalomyelitis with no response to the treatment with high doses of corticosteroids, paraneoplastic syndromes, pharmacoresistant epilepsy and autoimmune encephalitis. "
5. Hashimoto's encephalitisIBA
09/01/2013 - "This review focuses on the novel group of autoimmune encephalitis and also discusses some classical paraneoplastic syndromes that constitute another group of autoimmune disorders that may result in seizures. "
02/01/2008 - "Herpes encephalitis, paraneoplastic syndrome, Hashimoto's encephalopathy, reversible posterior leukoencephalopathy syndrome, mitochondrial encephalomyopathy, lactic acidosis, and strokelike episode syndrome were judged not to be involved on the basis of laboratory results. "
08/01/2012 - "Anti-N-methyl-D-aspartate receptor encephalitis (NMDARE) is a recently recognized form of autoimmune encephalitis that typically affects young women, often as a paraneoplastic syndrome related to ovarian teratoma. "
04/01/2012 - "This article provides an update on classic paraneoplastic syndromes of the CNS and autoimmune encephalitis syndromes associated with antibodies against synaptic proteins, including the NMDA receptor, LGI1, and Caspr2, among others. "
01/01/2015 - "The efficacy of IVIG in children has been shown as first line treatment in Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, multifocal motor neuropathy, dermatomyositis as a second-line drug in the combination with prednisolone or immunosuppressors in patients refractory to treatment with corticosteroids and cytostatics, myasthenic crisis in myasthenia gravis, exacerbations and short-term treatment of severe forms, non-responsiveness to acetylcholinesterase inhibitors, multiple sclerosis as second or third line of treatment in patients with relapsing-remitting course with intolerance to standard immunomodulatory therapy, acute multiple encephalomyelitis with no response to the treatment with high doses of corticosteroids, paraneoplastic syndromes, pharmacoresistant epilepsy and autoimmune encephalitis. "
6. Adrenal Cortex Hormones (Corticosteroids)IBA
05/01/2010 - "This may involve corticosteroids, plasma exchange (PE), or intravenous immunoglobulin G (IgG), depending on the specific paraneoplastic syndrome. "
05/01/2003 - "Direct immunofluorescence was used to verify the diagnosis of HG. Symptomatic therapy with corticosteroids and antihistamines alleviated the pruritic symptoms associated with HG, but only the recurrent course of chemotherapy for the choriocarcinoma resulted in complete disappearance of all signs and symptoms of the HG. The time course of this case highlights once again the possible association of HG as a paraneoplastic syndrome of choriocarcinoma."
05/01/2010 - "Patients with paraneoplastic syndromes and anti-Ri antibodies may respond to corticosteroids and/or cyclophosphamide. "
02/01/2001 - "There are two types of treatment: the first is to treat the cancer, the second is to suppress the immune reaction with the use of corticosteroids, cyclophosphamide, azathioprine, plasma exchange, intravenous immunoglobulin and immunoadsorption; however, treatment of paraneoplastic syndromes is generally unsatisfactory."
01/01/2015 - "The efficacy of IVIG in children has been shown as first line treatment in Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, multifocal motor neuropathy, dermatomyositis as a second-line drug in the combination with prednisolone or immunosuppressors in patients refractory to treatment with corticosteroids and cytostatics, myasthenic crisis in myasthenia gravis, exacerbations and short-term treatment of severe forms, non-responsiveness to acetylcholinesterase inhibitors, multiple sclerosis as second or third line of treatment in patients with relapsing-remitting course with intolerance to standard immunomodulatory therapy, acute multiple encephalomyelitis with no response to the treatment with high doses of corticosteroids, paraneoplastic syndromes, pharmacoresistant epilepsy and autoimmune encephalitis. "
7. Somatostatin (Somatotropin Release-Inhibiting Factor)IBA
8. Cytostatic AgentsIBA
9. SteroidsIBA
10. Prednisolone (Predate)FDA LinkGeneric

Therapies and Procedures

1. Drug Therapy (Chemotherapy)
2. Immunotherapy
3. Plasmapheresis
4. Immunomodulation
5. Adjuvant Chemotherapy