Coexistence of TEMPI syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantation

Abstract The TEMPI syndrome is a very rare paraneoplastic syndrome associated with plasma cell dyscrasia and monoclonal gammopathy. First described in 2011, the pathophysiology of TEMPI syndrome is still unknown. Essential for diagnosis is to recognize the five clinical findings: telangiectasias, er...

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Main Authors: Davide Nappi, Martina Tauber, David Sykes
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:eJHaem
Subjects:
Online Access:https://doi.org/10.1002/jha2.561
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author Davide Nappi
Martina Tauber
David Sykes
author_facet Davide Nappi
Martina Tauber
David Sykes
author_sort Davide Nappi
collection DOAJ
description Abstract The TEMPI syndrome is a very rare paraneoplastic syndrome associated with plasma cell dyscrasia and monoclonal gammopathy. First described in 2011, the pathophysiology of TEMPI syndrome is still unknown. Essential for diagnosis is to recognize the five clinical findings: telangiectasias, erythrocytosis and elevated serum erythropoietin, monoclonal gammopathy, perinephric fluid collection, and intrapulmonary shunting. Here we report a case of a woman with the coexistence of TEMPI and leukocytoclastic vasculitis, shedding light on a possible common inflammatory pathway involved in the pathogenesis of the syndrome.
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spelling doaj.art-070fea2566cb4c95a3a027b750eae4c42023-10-03T16:50:47ZengWileyeJHaem2688-61462022-11-01341385138710.1002/jha2.561Coexistence of TEMPI syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantationDavide Nappi0Martina Tauber1David Sykes2Hematology and Bone Marrow Transplantation Bolzano Hospital Bolzano ItalyDepartment of Pathology Bolzano Hospital Bolzano ItalyMassachusetts General Hospital Center for Regenerative Medicine Boston Massachusetts USAAbstract The TEMPI syndrome is a very rare paraneoplastic syndrome associated with plasma cell dyscrasia and monoclonal gammopathy. First described in 2011, the pathophysiology of TEMPI syndrome is still unknown. Essential for diagnosis is to recognize the five clinical findings: telangiectasias, erythrocytosis and elevated serum erythropoietin, monoclonal gammopathy, perinephric fluid collection, and intrapulmonary shunting. Here we report a case of a woman with the coexistence of TEMPI and leukocytoclastic vasculitis, shedding light on a possible common inflammatory pathway involved in the pathogenesis of the syndrome.https://doi.org/10.1002/jha2.561angiogenesiserythrocytosisinflammationMGUSmultiple myeloma
spellingShingle Davide Nappi
Martina Tauber
David Sykes
Coexistence of TEMPI syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantation
eJHaem
angiogenesis
erythrocytosis
inflammation
MGUS
multiple myeloma
title Coexistence of TEMPI syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantation
title_full Coexistence of TEMPI syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantation
title_fullStr Coexistence of TEMPI syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantation
title_full_unstemmed Coexistence of TEMPI syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantation
title_short Coexistence of TEMPI syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantation
title_sort coexistence of tempi syndrome and leukocytoclastic vasculitis successfully treated with autologous stem cell transplantation
topic angiogenesis
erythrocytosis
inflammation
MGUS
multiple myeloma
url https://doi.org/10.1002/jha2.561
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AT martinatauber coexistenceoftempisyndromeandleukocytoclasticvasculitissuccessfullytreatedwithautologousstemcelltransplantation
AT davidsykes coexistenceoftempisyndromeandleukocytoclasticvasculitissuccessfullytreatedwithautologousstemcelltransplantation