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. Author manuscript; available in PMC: 2011 Feb 1.
Published in final edited form as: J Pediatr. 2009 Oct 28;156(2):302–307. doi: 10.1016/j.jpeds.2009.09.008

Table 3.

Treatment Course

Patient IVIG dose Other Treatment Medication Duration Complications
1 2 g/kg every 4 weeks None IVIG every 10 weeks at 4 years None
2 2 g/kg every 8 weeks for 3 doses; 2 doses at relapse after 2.5 years None Total 5 doses of IVIG Superficial nodular calcinosis
3 2 g/kg every 4 weeks for 2 doses; 1 dose at relapse at 1 year None Total 3 doses of IVIG None
4 2 g/kg every 6 weeks Hydroxychloroquine Total 5 doses of IVIG Discontinued hydroxychloroquine by 1 year Headaches post IVIG
Methylphenidate hydrochloride and clonidine (for ADHD)
5 None Sulfasalazine at presentation for 4 months (for arthritis) MTX and etanercept for arthritis at 2.1 years Tumoral calcinosis
NSAID
MTX started 4 months after presentation
Etanercept added at 6 months
6 None NSAID Discontinued all by 8 months None
MTX
7 2 g/kg every 4 weeks MTX Discontinued IVIG by 1 year, MTX by 2 years Headaches post IVIG
8 2 g/kg every 2 weeks for 3 doses, then every 4 weeks MTX Discontinued IVIG by 18 months, MTX by 2.5 years Headaches post IVIG
Thyroxine (for hypothyroidism)

IVIG = intravenous immunoglobulin; ADHD = attention deficit hyperactivity disorder; MTX = methotrexate; NSAID = non-steroidal anti-inflammatory drug