POEMS SYNDROME WITH COMPLETE RECOVERY AFTER TREATMENT OF A SOLITARY PLASMACYTOMA

被引:22
作者
BROUSSOLLE, E
VIGHETTO, A
BANCEL, B
CONFAVREUX, C
PIALAT, J
AIMARD, G
机构
[1] HOP NEUROL, NEUROL CLIN, F-69394 Lyon 3, FRANCE
[2] FAC MED LYON, ANAT & CYTOL PATHOL LAB, Lyon, FRANCE
关键词
POLYNEUROPATHY; POEMS SYNDROME; SOLITARY PLASMACYTOMA; NERVE BIOPSY; SURGERY; RADIATION THERAPY;
D O I
10.1016/0303-8467(91)90061-S
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The P.O.E.M.S. syndrome is a rare clinical entity that has been described mainly in Japan. It is characterized by a progressive polyneuropathy with raised CSF protein content, organomegaly, endocrinopathy, skin changes and plasma cell dyscrasia. We report a new documented case associated with a solitary plasmocytoma of the 12th thoracic vertebra. Immunopathological and ultrastructural studies of the peripheral nerve did not disclose any immune-specific changes. Surgery and radiation therapy of the plasmocytoma allowed a complete recovery, with a 5-year follow-up. This case report illustrates the need for serial full skeletal survey, including scintigraphy, in middle-aged patients with progressive polyneuropathy of obscure origin.
引用
收藏
页码:165 / 170
页数:6
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