POEMS syndrome chest x ray: Difference between revisions

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Revision as of 22:35, 5 February 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sabawoon Mirwais, M.B.B.S, M.D.[2]

Overview

An x-ray may be helpful in the diagnosis of POEMS syndrome. Findings on an x-ray suggestive of POEMS syndrome include osteolytic bone lesions, pleural effusion, increased cardiac silhouette, and ascites.

X Ray

An x-ray may be helpful in the diagnosis of POEMS syndrome. Findings on an x-ray suggestive of POEMS syndrome include:

Images

Chest x-ray of pleural effusion. Source: Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 16075

X-ray of an osteolytic bone lesion involving the humerus. Source: Case courtesy of Dr Maulik S Patel, Radiopaedia.org, rID: 19359

Chest x-ray demonstrating increased cardiac silhouette. Source: Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 7142

Cardiomegaly (increased cardiac silhouette).
Image courtesy of C. Michael Gibson MS. MD

References

↑ Clark MS, Howe BM, Glazebrook KN, Mauermann ML, Broski SM (June 2017). "Osteolytic-variant POEMS syndrome: an uncommon presentation of "osteosclerotic" myeloma". Skeletal Radiol. 46 (6): 817–823. doi:10.1007/s00256-017-2607-8. PMID 28343327.
↑ Cui RT, Yu SY, Huang XS, Zhang JT, Tian CL, Dou LP, Pu CQ (June 2015). "Incidence and risk factors of pleural effusions in patients with POEMS syndrome". Hematol Oncol. 33 (2): 80–4. doi:10.1002/hon.2135. PMID 24519469.
↑ Cui RT, Yu SY, Huang XS, Zhang JT, Li F, Pu CQ (December 2013). "The characteristics of ascites in patients with POEMS syndrome". Ann. Hematol. 92 (12): 1661–4. doi:10.1007/s00277-013-1829-7. PMID 23811954.

Template:WikiDoc Sources

[pmid28343327-1] Clark MS, Howe BM, Glazebrook KN, Mauermann ML, Broski SM (June 2017). "Osteolytic-variant POEMS syndrome: an uncommon presentation of "osteosclerotic" myeloma". Skeletal Radiol. 46 (6): 817–823. doi:10.1007/s00256-017-2607-8. PMID 28343327.

[pmid24519469-2] Cui RT, Yu SY, Huang XS, Zhang JT, Tian CL, Dou LP, Pu CQ (June 2015). "Incidence and risk factors of pleural effusions in patients with POEMS syndrome". Hematol Oncol. 33 (2): 80–4. doi:10.1002/hon.2135. PMID 24519469.

[pmid23811954-3] Cui RT, Yu SY, Huang XS, Zhang JT, Li F, Pu CQ (December 2013). "The characteristics of ascites in patients with POEMS syndrome". Ann. Hematol. 92 (12): 1661–4. doi:10.1007/s00277-013-1829-7. PMID 23811954.

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@@ Line 4: / Line 4: @@
 ==Overview==
-Patients suffering from POEMS syndrome may have pulmonary manifestations such as pleural effusion and increased cardiac silhouette. Chest films acquired in the lateral decubitus position (with the patient lying on their side) are more sensitive, and can detect as little as 50 ml of fluid. At least 200ml-300 ml of fluid must be present before upright chest films can detect signs of pleural effusion (e.g. blunted [[costophrenic angle]]s).<ref name="pmid6182697">{{cite journal| author=Sahn SA| title=The differential diagnosis of pleural effusions. | journal=West J Med | year= 1982 | volume= 137 | issue= 2 | pages= 99-108 | pmid=6182697 | doi= | pmc=1274018 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6182697}}</ref>
+An [[X-rays|x-ray]] may be helpful in the [[diagnosis]] of POEMS [[syndrome]]. Findings on an [[X-rays|x-ray]] suggestive of POEMS [[syndrome]] include [[Osteolysis|osteolytic]] [[bone]] [[Lesion|lesions]], [[pleural effusion]], increased [[Heart|cardiac]] silhouette, and [[ascites]].
 ==X Ray==
-An x-ray may be helpful in the diagnosis of POEMS syndrome. Findings on an x-ray suggestive of POEMS syndrome include:
+An [[X-rays|x-ray]] may be helpful in the [[diagnosis]] of POEMS [[syndrome]]. Findings on an [[X-rays|x-ray]] suggestive of POEMS [[syndrome]] include:
-*Osteolytic bone lesions<ref name="pmid28343327">{{cite journal |vauthors=Clark MS, Howe BM, Glazebrook KN, Mauermann ML, Broski SM |title=Osteolytic-variant POEMS syndrome: an uncommon presentation of "osteosclerotic" myeloma |journal=Skeletal Radiol. |volume=46 |issue=6 |pages=817–823 |date=June 2017 |pmid=28343327 |doi=10.1007/s00256-017-2607-8 |url=}}</ref>
+*[[Osteolysis|Osteolytic]] [[bone]] [[Lesion|lesions]]<ref name="pmid28343327">{{cite journal |vauthors=Clark MS, Howe BM, Glazebrook KN, Mauermann ML, Broski SM |title=Osteolytic-variant POEMS syndrome: an uncommon presentation of "osteosclerotic" myeloma |journal=Skeletal Radiol. |volume=46 |issue=6 |pages=817–823 |date=June 2017 |pmid=28343327 |doi=10.1007/s00256-017-2607-8 |url=}}</ref>
-*Pleural effusion<ref name="pmid24519469">{{cite journal |vauthors=Cui RT, Yu SY, Huang XS, Zhang JT, Tian CL, Dou LP, Pu CQ |title=Incidence and risk factors of pleural effusions in patients with POEMS syndrome |journal=Hematol Oncol |volume=33 |issue=2 |pages=80–4 |date=June 2015 |pmid=24519469 |doi=10.1002/hon.2135 |url=}}</ref>
+*[[Pleural effusion]]<ref name="pmid24519469">{{cite journal |vauthors=Cui RT, Yu SY, Huang XS, Zhang JT, Tian CL, Dou LP, Pu CQ |title=Incidence and risk factors of pleural effusions in patients with POEMS syndrome |journal=Hematol Oncol |volume=33 |issue=2 |pages=80–4 |date=June 2015 |pmid=24519469 |doi=10.1002/hon.2135 |url=}}</ref>
-*Icreased cardiac silhouette
+*Increased [[Heart|cardiac]] silhouette
-*Ascites<ref name="pmid23811954">{{cite journal |vauthors=Cui RT, Yu SY, Huang XS, Zhang JT, Li F, Pu CQ |title=The characteristics of ascites in patients with POEMS syndrome |journal=Ann. Hematol. |volume=92 |issue=12 |pages=1661–4 |date=December 2013 |pmid=23811954 |doi=10.1007/s00277-013-1829-7 |url=}}</ref>
+*[[Ascites]]<ref name="pmid23811954">{{cite journal |vauthors=Cui RT, Yu SY, Huang XS, Zhang JT, Li F, Pu CQ |title=The characteristics of ascites in patients with POEMS syndrome |journal=Ann. Hematol. |volume=92 |issue=12 |pages=1661–4 |date=December 2013 |pmid=23811954 |doi=10.1007/s00277-013-1829-7 |url=}}</ref>
 ==Images==
 [[Image:Pleural Effussion Xray.jpg|300px|left|thumb|Chest x-ray of pleural effusion. [https://radiopaedia.org/cases/right-hemithorax-white-out-pleural-effusion?lang=us Source: Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 16075]]]