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[POEMS syndrome].

Martin Soubrier1

  • 1Service de rhumatologie, Hôpital Gabriel Montpied, CHU, Clermont-Ferrand. msoubrier@chu-clermontferrand.fr

Presse Medicale (Paris, France : 1983)
|July 17, 2007
PubMed
Summary
This summary is machine-generated.

POEMS syndrome is a rare disorder characterized by polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes. Elevated vascular endothelial growth factor (VEGF) is a key feature, influencing treatment strategies.

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Area of Science:

  • Hematology
  • Neurology
  • Endocrinology

Context:

  • POEMS syndrome is a rare multisystem disorder.
  • It presents with a distinct constellation of symptoms including polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes.
  • Other potential manifestations include fluid overload, fever, and organ damage.

Purpose:

  • To summarize the key features, pathogenesis, and treatment of POEMS syndrome.
  • To highlight the role of vascular endothelial growth factor (VEGF) in POEMS syndrome.
  • To discuss current and potential therapeutic approaches.

Summary:

  • POEMS syndrome combines polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy (or plasma cell disorder), and skin changes.
  • Elevated vascular endothelial growth factor (VEGF) is a hallmark of the syndrome.

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  • Treatment is tailored to the individual, including radiation, transplantation, chemotherapy, and potentially novel agents like thalidomide and bevacizumab.
  • Impact:

    • Provides a comprehensive overview of POEMS syndrome for clinicians and researchers.
    • Emphasizes the importance of VEGF in understanding the disease.
    • Informs treatment decisions for refractory cases and guides future research directions.