R. Popescupretor et al., OSTEOSCLEROTIC MYELOMA, POLYRADICULOPATHY AND CASTLEMANS DISEASE - THE SPECTRUM OF POEMS SYNDROME, Aktuelle Neurologie, 23(3), 1996, pp. 122-124
A patient with POEMS-syndrome showed polyradiculopathy angiofollicular
lymph node hyperplasia, optic disc oedema, gynaecomastia and gonadal
deficiency, IgA-lambda light-chain, hyperpigmentation of the skin asso
ciated with osteosclerotic myeloma of the left femur and 5th and 8th d
orsal vertebra. Immunohistology study of the sural nerve revealed smal
l depots of IgA in the endoneurium. After locale radiation of the bone
plasmacytomas there was mild improvement in the neuropathy.