Document Detail


Thyroid function and its clinical significance in POEMS syndrome.
MedLine Citation:
PMID:  19863172     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
POEMS syndrome, also known as Crow-Fukase syndrome, represents a rare multisystem syndrome characterized by polyneuropathy, organomegaly, endocrinopathy, M protein, and skin changes. Hypothyroidism is one of the common endocrine abnormalities which are central features of POEMS syndrome. The clinical data associated with the measurement of thyroid function and its clinical significance in POEMS syndrome is still rare. Herein, we report 24 cases with POEMS syndrome which were studied thyroid function and clinical manifestations and performed an associated analysis between hypothyroidism and edema/effusions. Of the 24 patients with POEMS syndrome, 17(70.8%) had a recognized hypothyroidism (including 11 clinical hypothyroidism and 6 subclinical hypothyroidism). Fourteen patients (58.3%) had some form of extravascular volume overload. In 14 patients with edema/effusions, 12 were diagnosed as having hypothyroidism. Hypothyroidism may be one of causes of edema/effusions. After thyroid hormone treatment and chemotherapy, symptoms of hypothyroidism and edema /effusions were improved greatly.
Authors:
Xiao-Yi Dun; Fan Zhou; Hao Xi; Zhen-Gang Yuan; Jian Hou
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Leukemia & lymphoma     Volume:  50     ISSN:  1029-2403     ISO Abbreviation:  Leuk. Lymphoma     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007422     Medline TA:  Leuk Lymphoma     Country:  England    
Other Details:
Languages:  eng     Pagination:  2013-6     Citation Subset:  IM    
Affiliation:
Department of Hematology, Chang Zheng Hospital, The Second Affiliated Hospital of The Second Military Medical University, Shanghai 200003, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Enzyme-Linked Immunosorbent Assay
Female
Humans
Hypothyroidism / complications,  drug therapy*
Male
Middle Aged
POEMS Syndrome / complications,  drug therapy*
Thyroid Function Tests
Thyroxine / administration & dosage,  therapeutic use*
Treatment Outcome
Vascular Endothelial Growth Factor A / blood
Chemical
Reg. No./Substance:
0/Vascular Endothelial Growth Factor A; 7488-70-2/Thyroxine

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