“…An indication of PAP is hyperbilirubinemia and excess bile acids in severe liver failure [ 30 , 31 ]. IA is indicated for the treatment of various autoimmune diseases, mainly neurological and rheumatological, including myasthenia gravis, Guillain-Barrè syndrome, MS, Fischer's syndrome, chronic inflammatory demyelinating polyneuropathy, pemphigus, systemic lupus erythematosus, and rheumatoid arthritis [ 43 , 44 , 45 , 46 ].…”