Intravenous immunoglobulins (IVIg): complications

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Intravenous immunoglobulins (IVIg): complications. Onset, Manifestations, Management. Fully referenced neurology checklist.

Thromboembolic stroke

  • Onset
  • Manifestations
  • Management

Headache

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Aseptic meningitis

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Flu-like symptoms

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Gastrointestinal complications

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Cardiovascular complications

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Dermatological complications

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Vasomotor complications

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Other systemic complications

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Laboratory complications

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References

  1. Jiang M, Kimber JS, Gupta A, et al. Adverse reactions associated with intravenous immunoglobulin administration in the treatment of neurological disorders: a systematic review. Int Arch Allergy Immunol 2023; 184:513-528. 
  2. Patwa HS, Chaudhry V, Katzberg H, et al. Evidence-based guideline: intravenous immunoglobulin in the treatment of neuromuscular disorders. Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2012; 78:1009-1015.
  3. Association of British Neurologists. Guidelines for the use of intravenous immunoglobulin in neurological diseases. Revised 2005.
  4. Kapoor M, Spillane J, Englezou C, et al. Thromboembolic risk with IVIg: incidence and risk factors in patients with inflammatory neuropathy. Neurology 2020; 94:e635-e638.
  5. Rogers T, White LM, Cooper S, Smith H, Gosal D, Keh RYS. Thromboembolic risk of intravenous and subcutaneous immunoglobulin treatment for neuroinflammatory diseases. JNNP 2026; 97:204-208.
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