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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
    Traffic (Copenhagen, Denmark) · DOI · Europe PMC
  • 2026-08
    Clinicopathological features and outcomes of glomerular microangiopathy: a retrospective cohort study
    Renal failure · DOI · Europe PMC
  • 2026-08
    Monoclonal gammopathy of clinical significance: a guide for nephrologists
    Nephrology, dialysis, transplantation : official publication of the Eu · DOI · Europe PMC
  • 2026-07
    Autologous stem cell transplantation in POEMS syndrome: Multicenter real-world treatment patterns and outcomes
    Bone marrow transplantation · DOI · Europe PMC
  • 2026-07病例报告
    HIV-negative KSHV/HHV8-associated multicentric Castleman disease with concurrent Kaposi sarcoma and POEMS-like manifestations
    Journal of hematopathology · DOI · Europe PMC
  • 2026-07
    Acquired vitamin B6 deficiency in POEMS: a marker of disease activity and cause of neuropathy?
    Journal of neurology, neurosurgery, and psychiatry · DOI · Europe PMC
  • 2026-07
    Detection of M-protein by iMS-IP and iMS-FLC assays redefines previously non-secretory POEMS syndrome
    Clinical chemistry and laboratory medicine · DOI · Europe PMC
  • 2026-07
    POEMS Syndrome: 2026 Update on Diagnosis, Risk-Stratification, and Management
    American journal of hematology · DOI · Europe PMC
  • 2026-07综述
    Lambda restricted light chain as pathogenic cause of POEMS syndrome: a review of the hypothesis
    Frontiers in immunology · DOI · Europe PMC
  • 2026-07
    Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal Plasma Cell Disorder, and Skin Changes (POEMS) Syndrome Presenting after Immune Thrombocytopenic Purpura and Complicated by Sinusoidal Obstruction Syndrome
    The Israel Medical Association journal : IMAJ · Europe PMC
  • 2026-06病例报告
    POEMS syndrome: A case report
    Radiology case reports · DOI · Europe PMC
  • 2026-06
    Factors associated with improvement in gait disturbance of polyneuropathy in POEMS syndrome
    BMC neurology · DOI · Europe PMC
  • 2026-06
    POEMS syndrome masquerading as allergic cutaneous vasculitis
    The American journal of medicine · DOI · Europe PMC
  • 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
    A&A practice · DOI · Europe PMC
  • 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
    Renal failure · DOI · Europe PMC
  • 2026-06病例报告开放获取
    Unicentric Adrenal Castleman Disease Mimicking an Adrenal Tumour
    Cureus · DOI · Europe PMC
  • 2026-06综述开放获取
    Monoclonal Antibodies and Derivatives: Therapeutic Tools for Cancer
    Oncology research · DOI · Europe PMC
  • 2026-06病例报告
    Optic disc oedema in a patient with POEMS syndrome associated with Castleman's disease
    Archivos de la Sociedad Espanola de Oftalmologia · DOI · Europe PMC
  • 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
    Frontiers in immunology · DOI · Europe PMC
  • 2026-06
    Fulminant Evans Syndrome and Splenic Infarction As Initial Manifestations of Poems Syndrome with Monoclonal Kappa Light Chain Restriction: A Diagnostic and Therapeutic Challenge
    European journal of case reports in internal medicine · DOI · Europe PMC

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NCT04561557
    Safety and Efficacy of CT103A Cells for Relapsed/Refractory Antibody-associated Inflammatory Diseases of the Nervous System
    早期 I 期 · 干预性 · 2020/09/22Tongji Hospital
    中国研究中心 1 个:Wuhan
  • 招募中NCT05283993
    A Cohort Study of Plasma Cell Disorders (PCDs) in PKUFH
    观察性 · 2021/07/01Peking University First Hospital
    中国研究中心 1 个:Beijing
  • 尚未开始招募NCT06518876
    A Study of KQ-2003 CAR-T Cell Therapy for Patients With Relapsed or Refractory POEMS Syndrome
    I 期 · 干预性 · 2024/08/31Novatim Immune Therapeutics (Zhejiang) Co., Ltd.
    中国研究中心 1 个:Beijing
  • 尚未开始招募NCT07115654
    BCMA/CD3 BsAb Therapy for POEMS Syndrome
    II 期 · 干预性 · 2025/08/10Institute of Hematology & Blood Diseases Hospital, China
    中国研究中心 1 个:Tianjin
  • 招募中NCT07652879
    KCD (Carfilzomib/Cyclophosphamide/Dexamethasone) Regimen for the Treatment of Newly Diagnosed POEMS Syndrome
    II 期 · 干预性 · 2026/06/15Shanghai Changzheng Hospital
    中国研究中心 1 个:Shanghai
其他状态的试验(2 项)
  • 已完成NCT01816620
    Study to Evaluate Lenalidomide Plus Dexamethasone in Patients With Newly Diagnosed POEMS Syndrome
    II 期 · 干预性 · 2014/03Peking Union Medical College Hospital
    中国研究中心 1 个:Beijing
  • 状态未知NCT05263817
    A Clinical Study of CD19/BCMA CAR-T Cells in the Treatment of Refractory POEMS Syndrome, Amyloidosis, Autoimmune Hemolytic Anemia, and Vasculitis
    早期 I 期 · 干预性 · 2021/10/08Zhejiang University
    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NCT07448935
    One Gene, Two Diseases: the Pathologic Role of IGLV1-44 in AL Amyloidosis and POEMS
    观察性 · 2025/11/28Fondazione IRCCS Policlinico San Matteo di Pavia
    意大利
  • 招募中NCT06040567
    Polyneuropathy, Impairments and Physical Activity - The PolyImPAct Study
    观察性 · 2023/09/23Rigshospitalet, Denmark
    丹麦
  • 招募中NCT06252948
    Gut Microbiome Studies in Patients With POEMS Syndrome and Other Plasma Cell Disorders
    观察性 · 2021/12/29Mayo Clinic
    美国
  • 招募中NCT03717844
    Registry for Adults With Plasma Cell Disorders (PCD's)
    观察性 · 2018/02/09UNC Lineberger Comprehensive Cancer Center
    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)