POEMS综合征
POEMS syndrome
定义 英文原文(暂无中文)
POEMS syndrome is a paraneoplastic syndrome characterized by polyradiculoneuropathy (P), organomegaly (O), endocrinopathy (E), clonal plasma cell disorder (M), and skin changes (S). Other features include papilledema, extravascular volume overload, sclerotic bone lesions, thrombocytosis/erythrocytosis, and elevated VEGF levels.
别名
多发性神经病-内分泌病-浆细胞恶液质综合征
基本事实
- 遗传方式
- 未知
- 发病年龄
- 成年期、老年期
- 患病率
- 1-9 / 1 000 000(Japan)
临床表型 51
必现 100%1
- 多发性神经病 HP:0001271
极常见 99–80%6
- 皮肤生理异常 HP:0011122
- 内分泌系统异常 HP:0000818
- 性腺功能减退症 HP:0000135
- 循环抗体水平升高 HP:0010702
- 淋巴增生性疾病 HP:0005523
- 内脏肿大 HP:0003271
常见 79–30%33
- 神经反射消失 HP:0001284
- 腹水 HP:0001541
- 杵状指 HP:0100759
- 糖尿病 HP:0000819
- 水肿 HP:0000969
- 血管内皮生长因子水平升高 HP:0031052
- 勃起功能障碍 HP:0100639
- 疲乏 HP:0012378
- 男子女性乳房发育 HP:0000771
- 血管瘤 HP:0001028
- 肝脏肿大 HP:0002240
- 皮肤色素沉着 HP:0000953
- 多毛症 HP:0000998
- 甲状腺功能减退症 HP:0000821
- 白甲 HP:0001820
- 淋巴结肿大 HP:0002716
- 干骺端硬化 HP:0004979
- 肌无力 HP:0001324
- 疼痛 HP:0012531
- 视乳头水肿 HP:0001085
- 感觉异常 HP:0003401
- 心包积液 HP:0001698
- 胸腔积液 HP:0002202
- 原发性肾上腺功能不全 HP:0008207
- 肺动脉高压 HP:0002092
- 足骨硬化 HP:0100925
- 手骨硬化症 HP:0004054
- 颅底硬化 HP:0002694
- 椎体终板硬化 HP:0004576
- 脾肿大 HP:0001744
- 皮肤增厚 HP:0001072
- 血小板增多症 HP:0001894
- 体重减轻 HP:0001824
偶见 29–5%11
- 手足发绀 HP:0001063
- 动脉血栓形成 HP:0004420
- 肾小球血管瘤 HP:0031357
- 感觉过敏 HP:0100963
- 泌乳素水平升高 HP:0000870
- 脂肪营养不良 HP:0009125
- 多血症(红细胞增多症) HP:0001050
- 红细胞增多症 HP:0001901
- 肌肉无力导致的呼吸功能不全 HP:0002747
- 限制性通气功能障碍 HP:0002091
- 静脉血栓形成 HP:0004936
近两年的全球研究 346L2
2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。
- 2026-09综述开放获取A Quarter Century of EHD Protein Research: From Endosomal Recycling to Ciliopathies
- 2026-08Clinicopathological features and outcomes of glomerular microangiopathy: a retrospective cohort study
- 2026-08Monoclonal gammopathy of clinical significance: a guide for nephrologists
- 2026-07Autologous stem cell transplantation in POEMS syndrome: Multicenter real-world treatment patterns and outcomes
- 2026-07病例报告HIV-negative KSHV/HHV8-associated multicentric Castleman disease with concurrent Kaposi sarcoma and POEMS-like manifestations
- 2026-07Acquired vitamin B6 deficiency in POEMS: a marker of disease activity and cause of neuropathy?
- 2026-07Detection of M-protein by iMS-IP and iMS-FLC assays redefines previously non-secretory POEMS syndrome
- 2026-07POEMS Syndrome: 2026 Update on Diagnosis, Risk-Stratification, and Management
- 2026-07综述Lambda restricted light chain as pathogenic cause of POEMS syndrome: a review of the hypothesis
- 2026-07Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal Plasma Cell Disorder, and Skin Changes (POEMS) Syndrome Presenting after Immune Thrombocytopenic Purpura and Complicated by Sinusoidal Obstruction Syndrome
- 2026-06病例报告POEMS syndrome: A case report
- 2026-06Factors associated with improvement in gait disturbance of polyneuropathy in POEMS syndrome
- 2026-06POEMS syndrome masquerading as allergic cutaneous vasculitis
- 2026-06综述病例报告Ultrasound-Guided Sacral Erector Spinae Plane Block for Anorectal Surgery in a Patient with POEMS Syndrome: A Case Study and Literature Review
- 2026-06综述病例报告开放获取Successful treatment of idiopathic multicentric Castleman disease with TAFRO and kidney involvement: case report and literature review
- 2026-06病例报告开放获取Unicentric Adrenal Castleman Disease Mimicking an Adrenal Tumour
- 2026-06综述开放获取Monoclonal Antibodies and Derivatives: Therapeutic Tools for Cancer
- 2026-06病例报告Optic disc oedema in a patient with POEMS syndrome associated with Castleman's disease
- 2026-06综述病例报告开放获取Idiopathic multiple castleman disease case combined with severe neuropathy, Sjogren's syndrome and membrane nephropathy treated by rituximab: a case report and literature review
- 2026-06Fulminant Evans Syndrome and Splenic Infarction As Initial Manifestations of Poems Syndrome with Monoclonal Kappa Light Chain Restriction: A Diagnostic and Therapeutic Challenge
在中国开展的临床试验 7L2
按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。
登记为可入组 5
- 招募中NCT04561557Safety and Efficacy of CT103A Cells for Relapsed/Refractory Antibody-associated Inflammatory Diseases of the Nervous System中国研究中心 1 个:Wuhan
- 招募中NCT05283993A Cohort Study of Plasma Cell Disorders (PCDs) in PKUFH中国研究中心 1 个:Beijing
- 尚未开始招募NCT06518876A Study of KQ-2003 CAR-T Cell Therapy for Patients With Relapsed or Refractory POEMS Syndrome中国研究中心 1 个:Beijing
- 尚未开始招募NCT07115654BCMA/CD3 BsAb Therapy for POEMS Syndrome中国研究中心 1 个:Tianjin
- 招募中NCT07652879KCD (Carfilzomib/Cyclophosphamide/Dexamethasone) Regimen for the Treatment of Newly Diagnosed POEMS Syndrome中国研究中心 1 个:Shanghai
其他状态的试验(2 项)
- 已完成NCT01816620Study to Evaluate Lenalidomide Plus Dexamethasone in Patients With Newly Diagnosed POEMS Syndrome中国研究中心 1 个:Beijing
- 状态未知NCT05263817A Clinical Study of CD19/BCMA CAR-T Cells in the Treatment of Refractory POEMS Syndrome, Amyloidosis, Autoimmune Hemolytic Anemia, and Vasculitis中国研究中心 1 个:Hangzhou
中国境外的在招试验 9L2
这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。
美国2意大利1丹麦1
CT.gov 报告命中 9 项,此处取回并展示最近的 4 项。
- 招募中NCT07448935One Gene, Two Diseases: the Pathologic Role of IGLV1-44 in AL Amyloidosis and POEMS意大利
- 招募中NCT06040567Polyneuropathy, Impairments and Physical Activity - The PolyImPAct Study丹麦
- 招募中NCT06252948Gut Microbiome Studies in Patients With POEMS Syndrome and Other Plasma Cell Disorders美国
- 招募中NCT03717844Registry for Adults With Plasma Cell Disorders (PCD's)美国
外部标识与链接
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本页数据来源
- 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
- 中文病名:Orphanet 中文包,冻结于 2020-06-01
- 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)