Evidence map›Paper›PMID 41408967›Full record

ArticleMuscle & nerve2026

Neurological Peculiarities of POEMS Syndrome: Experience From a Brazilian University Center.

Renan Fabri Rosenstein, Jose Pedro Soares Baima, Thales Dalessandro Meneguin Pereira, Gracia Aparecida Martinez, Carlos Otto Heise, Angelina Maria Martins Lino

Abstract read
In one paragraph

Article in Muscle & nerve, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Renan Fabri RosensteinDivisão de Clínica Neurológica, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo-São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0009-0001-2482-9011
Jose Pedro Soares BaimaDivisão de Clínica Neurológica, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo-São Paulo, São Paulo, Brazil.
Thales Dalessandro Meneguin PereiraInstituto de Câncer do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo-São Paulo, São Paulo, Brazil.
Gracia Aparecida MartinezInstituto de Câncer do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo-São Paulo, São Paulo, Brazil.
Carlos Otto HeiseDivisão de Clínica Neurológica, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo-São Paulo, São Paulo, Brazil.
Angelina Maria Martins LinoDivisão de Clínica Neurológica, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo-São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPolyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes (POEMS) syndrome is a rare paraneoplastic syndrome associated with significant neurologic morbidity. Better understanding of the manifestations of this disease is crucial to early diagnosis and improvement of prognosis.

methodsWe retrospectively reviewed medical record data of adult patients diagnosed with POEMS syndrome between 2007 and December 2023 fulfilling the 2014 International Myeloma Working Group criteria for POEMS syndrome in a single tertiary care Hospital in Brazil. Clinical, laboratory and electrophysiological data were analyzed.

resultsThirty-three patients were included, with median time from symptom onset to diagnosis of 13 (11-35) months, and 30% of patients were nonambulatory at the diagnosis. Neuropathy was present in 100% of patients, and early proximal muscle weakness was present in 57%. Nerve conductions studies (NCS) disclosed demyelinating polyneuropathy with axonal damage in 96% and conduction block in 33%. Serum monoclonal paraprotein heavy chain was IgG subtype in 73% and lambda light chain in 91%. Castleman disease was diagnosed in 6% of patients. Organomegaly, bone lesions and endocrinological profiles were similar to previously reported cohorts. DISCUSSION: Patients in our cohort had similar clinical profiles to previously reported data. However, unlike other large cohorts, our study showed a high proportion of IgG class paraprotein, non-length-dependent findings and conduction block on electrophysiology, and a lower number of cases associated with Castleman's disease. Our findings highlight the importance of pursuing a POEMS syndrome diagnosis even in the presence of atypical electrophysiological features.

Indexed as

POEMS SyndromeAdultAgedBrazilFemaleHumansMaleMiddle AgedNeural ConductionRetrospective Studieschronic inflammatory demyelinating polyradiculoneuropathynerve conduction studiesplasma cell neoplasmPOEMS syndromepolyneuropathies

Identifiers

PMID41408967
PMCPMC12888833

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