Department of Neurosurgery, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.
Department of Internal Medicine, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.
Prague Med Rep. 2022;123(1):27-34. doi: 10.14712/23362936.2022.3.
POEMS syndrome is a rare condition of paraneoplasic origin characterized by the presence of a sensorimotor polyneuropathy associated with the presence of a proliferative disorder of plasmatic monoclonal cells and overproduction of vascular endothelial growth factor. The acronym "POEMS" represents multisystem findings including polyneuropathy, organomegaly, endocrinopathy, monoclonal plasma cell disorder and skin changes; nevertheless, clinical presentation is heterogeneous. We describe a clinical case, the diagnostic and therapeutic approach in a patient with sensorimotor polyneuropathy in whom POEMS syndrome was diagnosed; to understand this pathology, its clinical and paraclinical manifestations in order to make a diagnosis or to avoid a delayed one and to provide an adequate treatment.
POEMS 综合征是一种罕见的副肿瘤性疾病,其特征是存在感觉运动性多发性神经病,并伴有浆细胞单克隆增生性疾病和血管内皮生长因子过度产生。缩写“POEMS”代表多系统表现,包括多发性神经病、器官肿大、内分泌病、单克隆浆细胞疾病和皮肤改变;然而,临床表现是异质的。我们描述了一个临床病例,以及在一名感觉运动性多发性神经病患者中诊断为 POEMS 综合征的诊断和治疗方法;为了理解这种病理学,了解其临床和辅助检查表现,以便做出诊断或避免延迟诊断,并提供适当的治疗。