title: [Poems syndrome: review of a case].
abstract: POEMS (acronym for polyneuropathy, organomegaly, endocrinopathy, M protein and skin changes) is a very rare syndrome probably related to plasma cell dyscrasia. A 43 year old man developed a progressive symmetric sensory motor polyneuropathy 2 years before admission. Hepatosplenomegaly and sclerodermatoid skin changes were present on physical examination. A sclerotic lesion of the right femur was disclosed by radiologic examination. Serum immunoelectrophoresis demonstrated a monoclonal protein IgG-lambda pattern and the bone marrow biopsy revealed an increased plasma cell count (15%). The patient died 7 months after admission from pneumonia. A review of the literature is included.
authors.affiliation: Departamento de Medicina Interna, Facultad de Medicina, Universidad de Chile (Divisíon Occidente), Hospital San Juan de Dios, Santiago.
authors.forename: V
authors.initials: V
authors.lastname: Galleguillos
authors.forename: M I
authors.initials: MI
authors.lastname: Rodríguez
authors.forename: L
authors.initials: L
authors.lastname: Bronfman
authors.forename: E
authors.initials: E
authors.lastname: Niklitscheck
authors.forename: M
authors.initials: M
authors.lastname: Silva
authors.forename: J R
authors.initials: JR
authors.lastname: Soto
mesh_terms: D000328:Adult; D002677:Chile / Q000453:epidemiology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D016878:POEMS Syndrome / Q000175:diagnosis* / Q000453:epidemiology
vernacular_title: Síndrome de Poems: revisión a propósito de un caso.