Síndrome de POEMS: a propósito de un caso

Vianca Gutiérrez Araujo, Esther Hernández Santos, Luis Arturo Camacho Saavedra
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Abstract

POEMS syndrome is a disease of unknown pathogenesis. The acronym stands for the disease’s main clinical manifestations: polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin disorders. Recent studies suggest the association of genetic mutations with immunoglobulin λ. We report the case of a 56-year-old male patient with a 10-month clinical picture, whose initial signs and symptoms were lower limb edema and hypertrichosis, followed by gastrointestinal symptoms, inguinal lymphadenopathy and lower limb paresthesia. We emphasize the importance of this clinical case, given the limited reports of POEMS syndrome at the national level and no reported cases in the department of La Libertad, and the long time it takes to diagnose such disease.
诗歌综合症:关于一个案例
POEMS综合征是一种病因不明的疾病。首字母缩略词代表了该疾病的主要临床表现:多神经病变、器官肿大、内分泌病变、单克隆伽玛病和皮肤病。最近的研究表明基因突变与免疫球蛋白λ有关。我们报告一例56岁男性患者,其临床表现为10个月,其初始体征和症状为下肢水肿和多毛,随后出现胃肠道症状,腹股沟淋巴结病和下肢感觉异常。我们强调这一临床病例的重要性,因为在国家一级对POEMS综合征的报道有限,La Libertad部门没有报告病例,而且诊断这种疾病需要很长时间。
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