POEMS syndrome CT: Difference between revisions

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Revision as of 23:40, 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

CT scan may be helpful in the diagnosis of POEMS syndrome. Findings on CT scan suggestive of POEMS syndrome include bone lesions, lymphadenopathy, hepatomegaly, splenomegaly, pleural effusion, pericardial effusion, and ascites.

CT Scan

CT scan may be helpful in the diagnosis of POEMS syndrome. Findings on CT scan suggestive of POEMS syndrome include:

Bone lesions^[1]
Lymphadenopathy^[1]
Hepatomegaly^[1]
Splenomegaly^[1]
Pleural effusion^[1]
Pericardial effusion^[1]
Ascites^[1]

Images

CT image demonstrating cervical lymphadenopathy. Source: Case courtesy of David Puyó, Radiopaedia.org, rID: 22420

Abdominal CT image demonstrating hepatomegaly (arrow) and splenomegaly (arrowhead). Source: Case courtesy of Dr Julian Maingard, Radiopaedia.org, rID: 31486

CT image showing pleural (arrows) and pericardial (arrowhead) effusion. Source: Case courtesy of Dr David Cuete, Radiopaedia.org, rID: 29213

Abdominal CT image showing ascites. Source: Case courtesy of Radswiki, Radiopaedia.org, rID: 11214

References

↑ ^1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X (January 2016). "CT characteristics in 24 patients with POEMS syndrome". Acta Radiol. 57 (1): 51–7. doi:10.1177/0284185114564614. PMID 25571895.

Template:WikiDoc Sources

[pmid25571895-1] 1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X (January 2016). "CT characteristics in 24 patients with POEMS syndrome". Acta Radiol. 57 (1): 51–7. doi:10.1177/0284185114564614. PMID 25571895.

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{POEMS syndrome}}
-{{CMG}}
+{{CMG}}{{AE}}{{Sab}}
 ==Overview==
-CT scan does not have a major role in the diagnosis of POEMS syndrome however the three minor diagnostic criteria for POEMS syndrome (extravascular volume overload, organomegaly, and bone lesions) can be detected effectively by CT scanning. CT scan of the abdomen may show evidence of organomegaly.
+CT scan may be helpful in the diagnosis of POEMS syndrome. Findings on CT scan suggestive of POEMS syndrome include bone lesions, lymphadenopathy, hepatomegaly, splenomegaly, pleural effusion, pericardial effusion, and ascites.
 ==CT Scan==
-CT scan does not have a major role in the diagnosis of POEMS syndrome however the three minor diagnostic criteria for POEMS syndrome (extravascular volume overload, organomegaly, and bone lesions) can be detected effectively by CT scanning.<ref name="pmid25571895">{{cite journal |vauthors=Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X |title=CT characteristics in 24 patients with POEMS syndrome |journal=Acta Radiol |volume=57 |issue=1 |pages=51–7 |date=January 2016 |pmid=25571895 |doi=10.1177/0284185114564614 |url=}}</ref> CT scan of the abdomen may show evidence of organomegaly. Abdominal [[CT scan]] may be helpful in the [[diagnosis]] of ascites. Findings on [[CT scan]] suggestive of ascites include:<ref name="pmid3536306">{{cite journal |vauthors=Halvorsen RA, Thompson WM |title=Ascites or pleural effusion? CT and ultrasound differentiation |journal=Crit Rev Diagn Imaging |volume=26 |issue=3 |pages=201–40 |year=1986 |pmid=3536306 |doi= |url=}}</ref>
+CT scan may be helpful in the diagnosis of POEMS syndrome. Findings on CT scan suggestive of POEMS syndrome include:
-* Fluid accumulation within [[abdominal cavity]].
+*Bone lesions<ref name="pmid25571895">{{cite journal |vauthors=Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X |title=CT characteristics in 24 patients with POEMS syndrome |journal=Acta Radiol |volume=57 |issue=1 |pages=51–7 |date=January 2016 |pmid=25571895 |doi=10.1177/0284185114564614 |url=}}</ref>
-** Same [[density]] as water (-10 to +10 HU): [[Transudate]]
+*Lymphadenopathy<ref name="pmid25571895">{{cite journal |vauthors=Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X |title=CT characteristics in 24 patients with POEMS syndrome |journal=Acta Radiol |volume=57 |issue=1 |pages=51–7 |date=January 2016 |pmid=25571895 |doi=10.1177/0284185114564614 |url=}}</ref>
-** More [[density]] than water (>15 HU): [[Exudate]]
+*Hepatomegaly<ref name="pmid25571895">{{cite journal |vauthors=Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X |title=CT characteristics in 24 patients with POEMS syndrome |journal=Acta Radiol |volume=57 |issue=1 |pages=51–7 |date=January 2016 |pmid=25571895 |doi=10.1177/0284185114564614 |url=}}</ref>
-** [[Density]] as ~45 HU: Blood ([[hemoperitoneum]])
+*Splenomegaly<ref name="pmid25571895">{{cite journal |vauthors=Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X |title=CT characteristics in 24 patients with POEMS syndrome |journal=Acta Radiol |volume=57 |issue=1 |pages=51–7 |date=January 2016 |pmid=25571895 |doi=10.1177/0284185114564614 |url=}}</ref>
-{| align="center"
+*Pleural effusion<ref name="pmid25571895">{{cite journal |vauthors=Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X |title=CT characteristics in 24 patients with POEMS syndrome |journal=Acta Radiol |volume=57 |issue=1 |pages=51–7 |date=January 2016 |pmid=25571895 |doi=10.1177/0284185114564614 |url=}}</ref>
-|+ '''Ascites'''
+*Pericardial effusion<ref name="pmid25571895">{{cite journal |vauthors=Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X |title=CT characteristics in 24 patients with POEMS syndrome |journal=Acta Radiol |volume=57 |issue=1 |pages=51–7 |date=January 2016 |pmid=25571895 |doi=10.1177/0284185114564614 |url=}}</ref>
-!
+*Ascites<ref name="pmid25571895">{{cite journal |vauthors=Shi X, Hu S, Luo X, Luo M, You H, Zhu Y, Xi X |title=CT characteristics in 24 patients with POEMS syndrome |journal=Acta Radiol |volume=57 |issue=1 |pages=51–7 |date=January 2016 |pmid=25571895 |doi=10.1177/0284185114564614 |url=}}</ref>
-|- valign="top"
+==Images==
-|[[Image:Ascites-001.jpg|350px|thumb|Ascites due to peritoneal carcinomatosis, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11213">rID: 11213</ref>]]
+[[Image:Cervical lymphadenopathy CT.jpg|300px|left|thumb|CT image demonstrating cervical lymphadenopathy. [https://radiopaedia.org/cases/cervical-lymphadenopathy-cause-unknown?lang=us Source: Case courtesy of David Puyó, Radiopaedia.org, rID: 22420]]]
-|[[Image:Ascites-002.jpg|350px|thumb|Ascites due to peritoneal carcinomatosis, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11213">rID: 11213</ref>]]
+[[Image:Hepatosplenomegaly CT .jpg|300px|center|thumb|Abdominal CT image demonstrating hepatomegaly (arrow) and splenomegaly (arrowhead). [https://radiopaedia.org/articles/hepatomegaly?lang=us Source: Case courtesy of Dr Julian Maingard, Radiopaedia.org, rID: 31486]]]
-|-|
+[[Image:Pleural and Pericardial Effusion CT.jpg|300px|left|thumb|CT image showing pleural (arrows) and pericardial (arrowhead) effusion. [https://radiopaedia.org/articles/pleural-effusion?lang=us Source: Case courtesy of Dr David Cuete, Radiopaedia.org, rID: 29213]]]
-|[[Image:Ascitessss.jpg|350px|thumb|Ascites due to cirrosis secondary to hepatitis C infection-Case courtesy of Dr David Cuete, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/23057">rID: 23057</ref>]]
+[[Image:Ascites CT.jpg|300px|center|thumb|Abdominal CT image showing ascites. [https://radiopaedia.org/articles/ascites?lang=us Source: Case courtesy of Radswiki, Radiopaedia.org, rID: 11214]]]
-|[[Image:Ascites-2.jpg|250px|thumb|Ascites due to cholangiocarcinoma, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11214">rID: 11214</ref>]]
-|}
-[[Image:CT image right side pleural effusion.jpg|left|thumb]]
-[[Computed tomography|CT]] scan of chest showing left sided pleural effusion. - By I, Drriad, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=2262905
-[[Image:Pericard-effusion-03.jpg|left|thumb|350px|Cardiac MSCT: Pericardial effusion]]
-<br clear="left"/>
 ==References==