Clinical impact of antibody formation to botulinum toxin A in children.

Herrmann, Jochen; Geth, Katrin; Mall, Volker; Bigalke, Hans; Schulte Mönting, Jürgen; Linder, Michaela; Kirschner, Jan; Berweck, Steffen et al. · Ann Neurol · 2004

case_series · Level IV

Where this comes from

Abstract

We studied the clinical impact of neutralizing antibodies to botulinum toxin A that occurred during long-term treatment of children between 1993 and 2001. Antibodies were found in high titers in 35 of 110 (31.8%) samples from individual patients. Antibody formation correlated with secondary nonresponse (p < 0.001). The most significant risk factors for antibody formation were the frequency of treatments (p = 0.0001) and the injection of a higher weight-adapted maximum dose per treatment (p = 0.001).

Medical subject headings