Autologous haematopoietic stem cell transplantation in POEMS syndrome:: results in 4 cases

被引:5
作者
Abrisqueta, Pau [1 ]
Rovira, Montserrat [1 ]
Cibeira, Maria Teresa [1 ]
Vallansot, Rolando [1 ]
Gutierrez, Gonzalo [1 ]
Blade, Joan [1 ]
Carreras, Enric [1 ]
Montserrat, Ernili [1 ]
机构
[1] Univ Barcelona, Hosp Clin Barcelona, Hematol Serv, Inst Hematol & Oncol,Unidad TPH,IDIBAPS, E-08036 Barcelona, Spain
来源
MEDICINA CLINICA | 2007年 / 129卷 / 15期
关键词
POEMS syndrome; autologous haematopoietic stem cell transplantation; polyneuropathy; plasma cell dyscrasia; osteosclerotic myeloma; VEGF;
D O I
10.1157/13111711
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
POEMS (polyneuropathy, organomegaly, endocrinopathy, M protein, skin changes) syndrome is a rare disorder characterized by a clonal plasma cell proliferation with a monoclonal protein typically small and lambda restricted. Clinically, this syndrome is a multisystemic disease whose major clinical feature is a peripheral polyneuropathy. A specific treatment for this does not exist. We report 4 patients with POEMS syndrome treated with an autologous haematopoietic stem cell transplantation in our centre. All patients had an improvement in neurologic symptoms and other manifestations of the syndrome. The monoclonal component and bone lesions decreased or disappeared. In conclusion, autologous haematopoietic stem cell transplantation is an effective therapy in patients with POEMS syndrome.
引用
收藏
页码:578 / 581
页数:4
相关论文
共 18 条
[1]   PLASMA-CELL DYSCRASIA WITH POLYNEUROPATHY, ORGANOMEGALY, ENDOCRINOPATHY, M PROTEIN, AND SKIN CHANGES - THE POEMS SYNDROME - REPORT ON 2 CASES AND A REVIEW OF THE LITERATURE [J].
BARDWICK, PA ;
ZVAIFLER, NJ ;
GILL, GN ;
NEWMAN, D ;
GREENWAY, GD ;
RESNICK, DL .
MEDICINE, 1980, 59 (04) :311-322
[2]   UNCOMPACTED LAMELLAE IN 3 PATIENTS WITH POEMS SYNDROME [J].
BERGOUIGNAN, FX ;
MASSONNAT, R ;
VITAL, C ;
BARAT, M ;
HENRY, P ;
LENG, B ;
EFFROY, C .
EUROPEAN NEUROLOGY, 1987, 27 (03) :173-181
[3]   Peripheral blood stem cell transplantation in 16 patients with POEMS syndrome: and a review of the literature [J].
Dispenzieri, A ;
Moreno-Aspitia, A ;
Suarez, GA ;
Lacy, MQ ;
Colon-Otero, G ;
Tefferi, A ;
Litzow, MR ;
Roy, V ;
Hogan, WJ ;
Kyle, RA ;
Gertz, MA .
BLOOD, 2004, 104 (10) :3400-3407
[4]   POEMS syndrome: definitions and long-term outcome [J].
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 .
BLOOD, 2003, 101 (07) :2496-2506
[5]   Overproduction of proinflammatory cytokines imbalanced by their antagonists in POEMS syndrome [J].
Gherardi, RK ;
Belec, L ;
Soubrier, M ;
Malapert, D ;
Zuber, M ;
Viard, JP ;
Intrator, L ;
Degos, JD ;
Authier, FJ .
BLOOD, 1996, 87 (04) :1458-1465
[6]  
Hashiguchi T, 2000, MUSCLE NERVE, V23, P1051, DOI 10.1002/1097-4598(200007)23:7<1051::AID-MUS7>3.0.CO
[7]  
2-V
[8]   High-dose therapy and autologous blood stem cell transplantation in POEMS syndrome [J].
Jaccard, A ;
Royer, B ;
Bordessoule, D ;
Brouet, JC ;
Fermand, JP .
BLOOD, 2002, 99 (08) :3057-3059
[9]   Long term melphalan-prednisolone chemotherapy for POEMS syndrome [J].
Kuwabara, S ;
Hattori, T ;
Shimoe, Y ;
Kamitsukasa, I .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1997, 63 (03) :385-387
[10]   THE CROW-FUKASE SYNDROME - A STUDY OF 102 CASES IN JAPAN [J].
NAKANISHI, T ;
SOBUE, I ;
TOYOKURA, Y ;
NISHITANI, H ;
KUROIWA, Y ;
SATOYOSHI, E ;
TSUBAKI, T ;
IGATA, A ;
OZAKI, Y .
NEUROLOGY, 1984, 34 (06) :712-720