Prague Med. Rep. 2022, 123, 27-34

https://doi.org/10.14712/23362936.2022.3

POEMS Syndrome Diagnosis in a Patient with Mixed Polyneuropathy: Case Report

María Isabel Ocampo-Navia1, María Andrea Negret Noreña2, Luis Rafael Chaparro Santos3, José Ricardo Morera Afanador3, Ricardo Andrés Quintero Farías3, José Luis Bustos Sánchez4

1Department of Neurosurgery, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia
2Department of Internal Medicine, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia
3Department of Internal Medicine, Hospital Universitario San Rafael de Tunja, Boyacá, Colombia
4Department of Neuroscience, Hospital Universitario San Rafael de Tunja, Boyacá, Colombia

Received July 30, 2020
Accepted February 16, 2022

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.

References

13 live references