Thrombocytosis distinguishes POEMS syndrome from chronic inflammatory demyelinating polyneuropathy.

Abstract:

INTRODUCTION:POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal plasma cell disorder, and skin changes) syndrome may be mistaken for chronic inflammatory demyelinating polyneuropathy (CIDP). Differentiating the 2 entities is crucial, as there are major treatment implications. METHODS:We compared platelet counts in 136 POEMS patients and 67 CIDP controls. RESULTS:Of the patients with POEMS, 53.7% had thrombocytosis, compared with 1.5% of those with CIDP (P < 0.0001). The median platelet count in patients with POEMS was 467,000/μl compared with 275,000/μl in those with CIDP (P < 0.0001). CONCLUSIONS:Thrombocytosis is a helpful indicator to prompt clinicians to consider the diagnosis of POEMS syndrome in patients who are thought to have CIDP, and is an important reminder of the increased risk of thrombotic events in POEMS syndrome.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Naddaf E,Dispenzieri A,Mandrekar J,Mauermann ML

doi

10.1002/mus.24768

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

658-9

issue

4

eissn

0148-639X

issn

1097-4598

journal_volume

52

pub_type

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