The natural history of a “benign” rib lesion in a patient with a demyelinating polyneuropathy and an unusual variant of poems syndrome

Zachary Simmons, John Wald, James W. Albers, Eva L. Feldman

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Patients with POEMS (polyneuropathy, organomegaly, endocrinopathy, M‐protein, and skin changes) syndrome exhibit great clinical variability and often have osteosclerotic myeloma. We present a patient with an acquired demyelinating polyneuropathy who was eventually diagnosed as having POEMS syndrome. Her long period of observation permitted documentation of the natural history of a plasmacytoma, including its remarkably slow rate of growth and its transformation from a nonsclerotic to a sclerotic bone lesion. Her clinical and laboratory features emphasize the variability of this syndrome. Biopsy of benignappearing bone lesions should be considered in patients with acquired demyelinating polyneuropathies who do not respond to standard treatment modalities. Serial x‐rays may not distinguish benign lesions from plasmacytomas in this treatable condition. © 1994 John Wiley & Sons, Inc.

Original languageEnglish (US)
Pages (from-to)1055-1059
Number of pages5
JournalMuscle & Nerve
Volume17
Issue number9
DOIs
StatePublished - Jan 1 1994

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Polyneuropathies
Ribs
Natural History
POEMS Syndrome
Plasmacytoma
Bone and Bones
Skin
Nuclear Family
Documentation
Observation
X-Rays
Biopsy
Growth
Therapeutics

All Science Journal Classification (ASJC) codes

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

Cite this

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abstract = "Patients with POEMS (polyneuropathy, organomegaly, endocrinopathy, M‐protein, and skin changes) syndrome exhibit great clinical variability and often have osteosclerotic myeloma. We present a patient with an acquired demyelinating polyneuropathy who was eventually diagnosed as having POEMS syndrome. Her long period of observation permitted documentation of the natural history of a plasmacytoma, including its remarkably slow rate of growth and its transformation from a nonsclerotic to a sclerotic bone lesion. Her clinical and laboratory features emphasize the variability of this syndrome. Biopsy of benignappearing bone lesions should be considered in patients with acquired demyelinating polyneuropathies who do not respond to standard treatment modalities. Serial x‐rays may not distinguish benign lesions from plasmacytomas in this treatable condition. {\circledC} 1994 John Wiley & Sons, Inc.",
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The natural history of a “benign” rib lesion in a patient with a demyelinating polyneuropathy and an unusual variant of poems syndrome. / Simmons, Zachary; Wald, John; Albers, James W.; Feldman, Eva L.

In: Muscle & Nerve, Vol. 17, No. 9, 01.01.1994, p. 1055-1059.

Research output: Contribution to journalArticle

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