POEMS syndrome: clinical features

Evidence-based neurology checklist on poems syndrome: clinical features: Polyneuropathy This is a subacute progressive sensorimotor neuropathy It is a length-dependent mixed axonal and demyelinating neuropathy The onset is often with positive symptoms before progressive weakness Only half of cases…

Polyneuropathy

  • This is a subacute progressive sensorimotor neuropathy
  • It is a length-dependent mixed axonal and demyelinating neuropathy
  • The onset is often with positive symptoms before progressive weakness
  • Only half of cases start with neuropathy

Organ involvement

Endocrine features

M protein

Skin lesions

Other features

Proposed major diagnostic criteria

Proposed minor diagnostic criteria (≥2 required)

Poor prognostic features

Acronyms

Synonym

References

  1. So YT. Immune-mediated neuropathies. Continuum (Minneap Minn) 2012; 18:85-105.
  2. Mauerman ML, Sorenson EJ, Dispenzieri A, et al. Uniform demyelination and more severe axonal loss distinguish POEMS syndrome from CIDP. JNNP 2012; 83:480-486.
  3. Arimura K. Early recognition of POEMS syndrome: what is the role of neurophysiology? JNNP 2012; 83:474.
  4. Riccio A, Natale D, Pettinato G, Sparano L, Petto A, Puzziello A. Castleman's disease. Ann Rheum Dis 2001; 60:176.
  5. Naddaf E, Dispenzieri A, Mandrekar J, Mauermann ML. Clinical spectrum of Castleman disease-associated neuropathy. Neurology 2016; 87:2457-2462.
  6. And 11 more. Subscribe to see the full list

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