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A case report of POEMS syndrome with renal involvement as immunotactoid glomerulopathy.

Abstract POEMS syndrome is a rare multi-system disorder, which sometimes involves the kidney. Immunotactoid glomerulopathy (ITG) is an uncommon glomerular disease resulted from deposits of immunoglobulins and its derivatives. ITG caused by POEMS syndrome is rarely reported.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29489695
OWN - NLM
STAT- MEDLINE
DCOM- 20180307
LR  - 20180307
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 9
DP  - 2018 Mar
TI  - A case report of POEMS syndrome with renal involvement as immunotactoid
      glomerulopathy.
PG  - e9920
LID - 10.1097/MD.0000000000009920 [doi]
AB  - RATIONALE: POEMS syndrome is a rare multi-system disorder, which sometimes
      involves the kidney. Immunotactoid glomerulopathy (ITG) is an uncommon glomerular
      disease resulted from deposits of immunoglobulins and its derivatives. ITG caused
      by POEMS syndrome is rarely reported. PATIENT CONCERNS: A 63-year-old man was
      presented with acute kidney injury. In addition, it's found that he had abnormal 
      serum free kappa /lambda ratio, polyneuropathy, Castleman's disease,
      organomegaly, endocrinopathy and skin changes. DIAGNOSES: POEMS syndrome was
      diagnosed, Renal biopsy revealed an ITG. INTERVENTIONS: Dexamethasone and
      thalidomide were given, as well as hemodialysis and other supportive treatments. 
      OUTCOMES: The patient's extrarenal manifestations improved gradually and his
      renal function also showed slight improvement. LESSONS: ITG caused by POEMS
      syndrome is rare, however, it makes sense that the monoclonal proteins produced
      by the plasma cells could cause ITG. Chemotherapy similar to that employed in
      multiple myeloma may be beneficial for these patients.
FAU - Wang, Yan
AU  - Wang Y
FAU - Yan, Yu
AU  - Yan Y
FAU - Sui, Zhun
AU  - Sui Z
FAU - Dong, Bao
AU  - Dong B
FAU - Zuo, Li
AU  - Zuo L
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Glomerulonephritis/*etiology/pathology
MH  - Humans
MH  - Kidney Diseases/*etiology/pathology
MH  - Kidney Glomerulus/pathology
MH  - Male
MH  - Middle Aged
MH  - POEMS Syndrome/*complications/pathology
EDAT- 2018/03/01 06:00
MHDA- 2018/03/08 06:00
CRDT- 2018/03/01 06:00
PHST- 2018/03/01 06:00 [entrez]
PHST- 2018/03/01 06:00 [pubmed]
PHST- 2018/03/08 06:00 [medline]
AID - 10.1097/MD.0000000000009920 [doi]
AID - 00005792-201803020-00056 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Mar;97(9):e9920. doi: 10.1097/MD.0000000000009920.