A Case of POEMS Syndrome with Endocrinopathy.

Itoh, Yuki; Hayakawa, Naohiro; Okamura, Tomoko; Takayanagi, Tetsuya; Suzuki, Atsuro; Oda, Naohisa; Ueda, Akihiro; Inaguma, Yoko; Emi, Nobuhiko; Itoh, Mitsuyasu

doi:10.2169/naika.100.3038

Cited by 1 publication

(2 citation statements)

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“…The stress may have been the cause of acute exacerbation of adrenal insufficiency as a manifestation of the POEMS syndrome. Five cases of adrenal insufficiency in association with POEMS syndrome have been reported (Table 2) [7][8][9][10][11] . In 3 of these cases [7][8][9] , adrenal insufficiency was originally diagnosed and treated, but other symptoms developed during treatment, leading to a diagnosis of POEMS syndrome 5 months to 2 years after the original diagnoses.…”

Section: Discussionmentioning

confidence: 99%

“…Five cases of adrenal insufficiency in association with POEMS syndrome have been reported (Table 2) [7][8][9][10][11] . In 3 of these cases [7][8][9] , adrenal insufficiency was originally diagnosed and treated, but other symptoms developed during treatment, leading to a diagnosis of POEMS syndrome 5 months to 2 years after the original diagnoses. In 2 of the 5 cases 10)11) , the adrenal insufficiency was diagnosed on the basis of endocrine tests, but with the exception of the case we report, there are no reported cases in which adrenal insufficiency developed and led to a diagnosis of PO-EMS syndrome.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Identification of Adrenal Insufficiency Leading to a Diagnosis of POEMS Syndrome

Tsuchida

Nishisako

Hirose

et al. 2018

J St. Marianna Univ

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A 57-year-old Japanese man with abdominal distention was referred to gastroenterologists at our hospital, where abdominal computed tomography revealed ascites and swollen lymph nodes. He was admitted for testing and treatment. Suffering from unremitting hyponatremia, hyperkalemia, hypotension, and hypoglycemia, he was transferred to our division for electrolyte correction and further diagnosis. Hormone stimulation testing revealed adrenal insufficiency. Upon electrophysiology, immunoelectrophoresis, and measurement of vascular endothelial growth factor, POEMS syndrome was diagnosed. POEMS syndrome may underlie adrenal insufficiency and should be considered when polyneuropathy, ascites, and swollen lymph nodes occur along with adrenal insufficiency.

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