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POEMS-Syndrom als seltene Ursache eines bilateralen Papillenödems

POEMS syndrome as a rare cause of bilateral optic disc edema

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Zusammenfassung

Das POEMS-Syndrom (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes) ist eine seltene paraneoplastische Erkrankung, die auf einer Neoplasie der Plasmazellen basiert. Ein Papillenödem tritt dabei relativ häufig auf. Die Ursache der Entwicklung des Papillenödems ist bisher noch nicht abschließend geklärt. Berichtet wird über den Fall eines 62-jährigen Patienten mit POEMS-Syndrom und bilateralem Papillenödem.

Abstract

The POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes) is a rare paraneoplastic syndrome based on a clonal plasma cell disorder. Optic disc edema (ODE) is a frequent ocular sign in POEMS syndrome. The cause of the ODE has not yet been entirely clarified. This article reports the case of a 62-year-old male suffering from POEMS syndrome with a bilateral ODE.

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Literatur

  1. Allam JS, Kennedy CC, Aksamit TR, Dispenzieri A (2008) Pulmonary manifestations in patients with POEMS syndrome: a retrospective review of 137 patients. Chest 133(4):969–974

    Article  PubMed  Google Scholar 

  2. Dispenzieri A, Kyle RA, Lacy MQ, Rajkumar SV, Therneau TM, Larson DR, Greipp PR, Witzig TE, Basu R, Suarez GA, Fonseca R, Lust JA, Gertz MA (2003) POEMS syndrome: definitions and long-term outcome. Blood 101(7):2496–2506

    Article  CAS  PubMed  Google Scholar 

  3. Dispenzieri A (2007) POEMS syndrome. Blood Rev 21(6):285–299

    Article  PubMed  Google Scholar 

  4. Dispenzieri A (2015) POEMS syndrome: update on diagnosis, risk-stratification, and management. Am J Hematol 90(10):951–962

    Article  CAS  PubMed  Google Scholar 

  5. Imai H, Kusuhara S, Nakanishi Y, Teraoka-Escaño MF, Yamamoto H, Tsukahara Y, Negi A (2005) A case of POEMS syndrome with cystoid macular edema. Am J Ophthalmol 139(3):563–566

    Article  PubMed  Google Scholar 

  6. Kaushik M, Pulido JS, Abreu R et al (2011) Ocular findings in patients with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes syndrome. Ophthalmology 118:778–782

    Article  PubMed  Google Scholar 

  7. Song HB, Yu HG (2015) Optic disc edema responding to localized anti-vascular endothelial growth factor treatment in a patient with POEMS syndrome. Korean J Ophthalmol 29(5):357–358

    Article  PubMed  PubMed Central  Google Scholar 

  8. Wiaux C, Landau K, Borruat FX (2007) Unusual cause of bilateral optic disc swelling: POEMS syndrome. Klin Monbl Augenheilkd 224(4):334–336

    Article  CAS  PubMed  Google Scholar 

  9. Yokouchi H, Baba T, Misawa S, Sawai S, Kitahashi M, Oshitari T, Kuwabara S, Yamamoto S (2015) Correlation between peripapillary retinal thickness and serum level of vascular endothelial growth factor in patients with POEMS syndrome. Br J Ophthalmol. doi:10.1136/bjophthalmol-2015-307068.

    PubMed  Google Scholar 

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Correspondence to A. Birkenbach.

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A. Birkenbach, F. Kühlhorn, M. Grube, H. Helbig und M.A. Gamulescu geben an, dass kein Interessenkonflikt besteht.

Die Autoren erklären, dass es sich bei diesem Beitrag um einen retrospektiven Fallbericht handelt. Da es sich um keine Studie handelt, war die Ethikkommission nicht involviert.

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Die Ergebnisse wurden als Poster auf dem DOG-Kongress 2015 in Berlin präsentiert.

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Birkenbach, A., Kühlhorn, F., Grube, M. et al. POEMS-Syndrom als seltene Ursache eines bilateralen Papillenödems. Ophthalmologe 114, 262–265 (2017). https://doi.org/10.1007/s00347-016-0287-8

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  • DOI: https://doi.org/10.1007/s00347-016-0287-8

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