CASTLEMAN DISEASE VARIANT OF POEMS SYNDROME. A CASE REPORT

Introduction: POEMS (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes) syndrome is a rare multisystem disorder. Castleman disease is an atypical lymphoproliferative disorder of unknown cause, which can be associated to POEMS. Clinical Case: This is the case of a 37-y...

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Main Authors: Pedro Paolo Sotelo, Fanny Elizabeth Ramírez Calderón, María Del Pilar Quiñones Avila
Format: Article
Language:Spanish
Published: Universidad Ricardo Palma 2019-10-01
Series:Revista de la Facultad de Medicina Humana
Subjects:
Online Access:http://revistas.urp.edu.pe/index.php/RFMH/article/view/2145
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author Pedro Paolo Sotelo
Fanny Elizabeth Ramírez Calderón
María Del Pilar Quiñones Avila
author_facet Pedro Paolo Sotelo
Fanny Elizabeth Ramírez Calderón
María Del Pilar Quiñones Avila
author_sort Pedro Paolo Sotelo
collection DOAJ
description Introduction: POEMS (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes) syndrome is a rare multisystem disorder. Castleman disease is an atypical lymphoproliferative disorder of unknown cause, which can be associated to POEMS. Clinical Case: This is the case of a 37-year-old patient with 2-year history of numbness and weakness in lower limbs associated to multiple adenopathy, skin hyperpigmentation and hypertrichosis. Electromyography showed active chronic sensory-motor polyneuropathy of axonal type; and serum electrophoresis showed a monoclonal band of A Immunoglobulin lambda type. Submaxillary lymph node biopsy was consistent with Castleman Disease. Conclusion: This report highlights the fact that Castleman Disease is frequent among patients with POEMS syndrome, constituting a significant variant, and should always be ruled out. Furthermore, plasmapheresis could be a useful alternative among patients with severe neurological symptoms.
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spelling doaj.art-3f93578c68ca429083fa40a59e3a91c62022-12-21T21:17:38ZspaUniversidad Ricardo PalmaRevista de la Facultad de Medicina Humana1814-54692308-05312019-10-0119412012510.25176/RFMH.v19i4.2145CASTLEMAN DISEASE VARIANT OF POEMS SYNDROME. A CASE REPORTPedro Paolo SoteloFanny Elizabeth Ramírez Calderón0María Del Pilar Quiñones Avilahttps://orcid.org/0000-0003-3992-983XIntroduction: POEMS (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes) syndrome is a rare multisystem disorder. Castleman disease is an atypical lymphoproliferative disorder of unknown cause, which can be associated to POEMS. Clinical Case: This is the case of a 37-year-old patient with 2-year history of numbness and weakness in lower limbs associated to multiple adenopathy, skin hyperpigmentation and hypertrichosis. Electromyography showed active chronic sensory-motor polyneuropathy of axonal type; and serum electrophoresis showed a monoclonal band of A Immunoglobulin lambda type. Submaxillary lymph node biopsy was consistent with Castleman Disease. Conclusion: This report highlights the fact that Castleman Disease is frequent among patients with POEMS syndrome, constituting a significant variant, and should always be ruled out. Furthermore, plasmapheresis could be a useful alternative among patients with severe neurological symptoms.http://revistas.urp.edu.pe/index.php/RFMH/article/view/2145POEMS syndromeCastleman's diseasePlasmapheresis
spellingShingle Pedro Paolo Sotelo
Fanny Elizabeth Ramírez Calderón
María Del Pilar Quiñones Avila
CASTLEMAN DISEASE VARIANT OF POEMS SYNDROME. A CASE REPORT
Revista de la Facultad de Medicina Humana
POEMS syndrome
Castleman's disease
Plasmapheresis
title CASTLEMAN DISEASE VARIANT OF POEMS SYNDROME. A CASE REPORT
title_full CASTLEMAN DISEASE VARIANT OF POEMS SYNDROME. A CASE REPORT
title_fullStr CASTLEMAN DISEASE VARIANT OF POEMS SYNDROME. A CASE REPORT
title_full_unstemmed CASTLEMAN DISEASE VARIANT OF POEMS SYNDROME. A CASE REPORT
title_short CASTLEMAN DISEASE VARIANT OF POEMS SYNDROME. A CASE REPORT
title_sort castleman disease variant of poems syndrome a case report
topic POEMS syndrome
Castleman's disease
Plasmapheresis
url http://revistas.urp.edu.pe/index.php/RFMH/article/view/2145
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