title: Acute carotid obliteration: a new vascular manifestation in POEMS syndrome.
abstract: The case of a 65-year-old woman with polyneuropathy, organomegaly, skin changes and monoclonal gammopathy of IgG-lambda type is described. This patient developed an acute carotid obliteration during oral anticoagulation and despite absence of vascular risk factors. Macroangiopathy has been described as a rare systemic manifestation of POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal spike and skin changes), affecting the coronary and lower limbs arteries. To our knowledge, this is the second case of POEMS syndrome with a cerebrovascular manifestation.
authors.affiliation: Servicio de Neurología, Hospital de Navarra. Pamplona (Navarra), Spain. elena.erro.aguirre@cfnavarra.es
authors.forename: M E
authors.initials: ME
authors.lastname: Erro
authors.forename: F
authors.initials: F
authors.lastname: Lacruz
authors.forename: N
authors.initials: N
authors.lastname: Aymerich
authors.forename: T
authors.initials: T
authors.lastname: Ayuso
authors.forename: G
authors.initials: G
authors.lastname: Soriano
authors.forename: J
authors.initials: J
authors.lastname: Gállego
authors.forename: J A
authors.initials: JA
authors.lastname: Villanueva
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D001162:Arteriosclerosis Obliterans / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D008875:Middle Aged; D016878:POEMS Syndrome / Q000150:complications* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000925:Anticoagulants