Relapse Rx: Plasmapheresis is usually reserved for patients with relapsing remitting ms who are not responding to either steroids or acth, and is typically third line. Important to successfully reverse all relapses as 50% of untreated relapses will not reverse and provide added disability. Since there is risk with plasma exchange, need to work with a very experienced treatment team.
Answered 3/14/2019
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