Necrobiotic xanthogranulomatosis with paraproteinemia: Holistic therapeutic approaches and the role of toxopheresis
20. May 2025

Necrobiotic xanthogranulomatosis with paraproteinemia: Holistic therapeutic approaches and the role of toxopheresis
Necrobiotic xanthogranulomatosis (NXG) is a rare, chronic inflammatory disease that is usually associated with conspicuous skin changes – often periorbital. In many cases, it is associated with a monoclonal gammopathy (usually IgG paraprotein), which indicates a deeper immunological dysregulation.
Paraproteinemia as a systemic factor
Paraproteins are produced by overactive plasma cells and can burden both the immune system and the vascular system. Their presence in NXG is associated with disease activity, organ changes and resistance to therapy.
Holistic medicine: focusing on the individual
An integrative treatment approach also takes into account factors such as the immune system and chronic inflammation in addition to conventional therapy:
• Immune stress and chronic inflammation
• Toxins, heavy metals and environmental factors
• Nutrition, microbiome and gut health
• Stress regulation and hormonal balance
The aim is not just to alleviate symptoms, but to stabilize the body as a whole.
Toxopheresis: Innovative procedure with potential
Toxopheresis is a modern, extracorporeal blood purification procedure. In contrast to classic plasmapheresis, it specifically removes disease-relevant substances such as:
• Paraproteins
• Inflammatory mediators
• Autoantibodies and toxins
Toxopheresis can help to modulate systemic inflammatory processes and reduce the burden of disease, particularly in immunological diseases such as NXG.
Conclusion
The combination of conventional medical diagnostics and holistic therapy opens up new possibilities for NXG with paraproteinemia. Toxopheresis can be a useful component of an individual, integrative treatment concept – especially when conventional approaches reach their limits.
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