title: Guillain-Barré syndrome as the first manifestation of POEMS syndrome.
abstract: POEMS syndrome is a rare multisystem disorder, characterized by the presence of polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes.  The variety of clinical pictures and asynchronous manifestation of dominant features make diagnosis difficult.  We report a case of a 42-year-old man with polyneuropathy who was initially negative for monoclonal protein and so Guillain-Barré syndrome was diagnosed. Other signs and symptoms, including monoclonal gammopathy, developed later in the course of the disease and finally POEMS syndrome was diagnosed.
authors: Kliniczny Oddział Neurologii z Pododdziałem Chorób Układu Pozapiramidowego, III Szpital Miejski im. dr. Karola Jonschera w Lodzi. mosojka@go2.pl
authors: Monika
authors: M
authors: Sójka
authors: Agata
authors: A
authors: Gajos
authors: Justyna
authors: J
authors: Pigońska
authors: Marek
authors: M
authors: Bogucki
authors: Krzysztof
authors: K
authors: Tyfa
authors: Andrzej
authors: A
authors: Bogucki
mesh_terms: D000328:Adult; D020275:Guillain-Barre Syndrome / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D016878:POEMS Syndrome / Q000175:diagnosis* / Q000209:etiology*