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KMID : 0882420110810020245
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Korean Journal of Medicine
2011 Volume.81 No. 2 p.245 ~ p.250
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A Case of POEMS Syndrome that Presented with a Moderate Pericardial Effusion
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Oh Chang-Myung
Bang Woo-Dae
Lee Sang-Kook
Cho Sung-Soo
Noh Song-Mi
Kim Jin-Seok
Chang Hyuk-Jae
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Abstract
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Pericardial effusions can be caused by a wide variety of infectious or noninfectious diseases. After a conventional diagnostic work-up, the etiology of pericardial effusion often remains idiopathic. We report a patient with POEMS syndrome whose main clinical problem was recurrent pericardial effusions. Patients with POEMS syndrome often have generalized edema and a pleural effusion, while a pericardial effusion is a very rare complication. A 44-year-old man visited our hospital because of a recurrent pericardial effusion. He was initially diagnosed with idiopathic pericarditis five months prior. We reassessed the patient meticulously and found IgG lambda type monoclonal gammopathy, polyneuropathy, lymphadenopathy, peripheral edema, pleural effusion, hypothyroidism, pulmonary hypertension, hyperpigmentation, hypertrichosis, and papilledema, which we diagnosed as POEMS syndrome.
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KEYWORD
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Idiopathic pericarditis, Pericardial effusion, POEMS syndrome
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