title: An unusual case of POEMS syndrome.
abstract: We report a 48-year-old man, a farmer, presenting with chronic sensori-motor polyneuropathy. Electrophysiology revealed demyelinating type of neuropathy. Immunoelectrophoresis for monoclonal protein was negative; however, plasmacytoma was discovered on spine imaging. After receiving radiotherapy and chemotherapy over past 9 months there has been a considerable improvement in patient's disability. This case highlights the role of skeletal survey in evaluation of chronic demyelinating neuropathy.
authors.affiliation: Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Mani
authors.initials: M
authors.lastname: Gupta
authors.forename: Rajesh
authors.initials: R
authors.lastname: Verma
authors.forename: Ravindra Kumar
authors.initials: RK
authors.lastname: Garg
authors.forename: Maneesh
authors.initials: M
authors.lastname: Singh
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003907:Dexamethasone / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008558:Melphalan / Q000008:administration & dosage; D008875:Middle Aged; D016878:POEMS Syndrome / Q000175:diagnosis* / Q000209:etiology; D010954:Plasmacytoma / Q000150:complications* / Q000000981:diagnostic imaging* / Q000628:therapy; D011859:Radiography; D013125:Spinal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging* / Q000628:therapy
chemical_list: D003907:Dexamethasone; D008558:Melphalan