Therapeutic Plasma Exchange ( TPE) is the treatment for many autoimmune diseases.

This is the case report of Ms. Wanwisa Kolaho, 34 years old female , suffered from Grave’s disease for one and half years. Following is the information about the case before and after Therapeutic Plasma Exchange ( TPE).

General health conditions before Therapeutic Plasma Exchange ( TPE),

  1. Unstable thyroid function ( Thyroid function test results are as below)
  2. Unclear vision, eyelid edema ( left eye) , double vision and see the red color as orange.
  3. Ocular Myasthenia Gravis ( +) ( is a form of myasthenia gravis(MG) in which the muscles that move the eyes and control the eyelids are easily fatigued and weakened.)
  4. Having tonsillitis and bronchitis for 3 consecutive months continuously before the TPE.

She had received Therapeutic Plasma Exchange ( TPE) on 21 September 2018. General health conditions after two months of Therapeutic Plasma Exchange ( TPE),

  1. Thyroid function is rapidly improved (within 2 months) . Patient is still taking medicine regularly and visiting her attending physician regularly.
  2. Symptoms of Ocular Myasthenia Gravis are totally disappeared.
  3. Vision improvement (+). Seeing the red color as orange has solved.
  4. Symptoms of tonsillitis and bronchitis have been cured.

Thyroid function test results

Thyroid function test results before Therapeutic Plasma Exchange ( TPE)

Thyroid function test results after one month of Therapeutic Plasma Exchange ( TPE)

Thyroid function test results after two months of Therapeutic Plasma Exchange ( TPE)