Reversible pulmonary hypertension in POEMS syndrome--another etiology of triggered pulmonary vasculopathy? NLM AIDSLINE Important note: Information in this article was accurate in 2000. The state of the art may have changed since the publication date.

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Reversible pulmonary hypertension in POEMS syndrome--another etiology of triggered pulmonary vasculopathy?

Can J Cardiol. 2000 Aug;16(8):1007-12. Unique Identifier : AIDSLINE MED/20435621
Paciocco G; Bossone E; Erba H; Rubenfire M; Instituto di Malattie dell'App Respiratorio, Italy.


Abstract: Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin changes (POEMS) syndrome, a plasma cell dyscrasia associated with pulmonary hypertension, has been treated in the past with anticytokine strategies with a poor outcome. A patient is described who had POEMS syndrome with precapillary pulmonary hypertension and Raynaud's phenomenon, and who responded well to a short course of corticosteroids and long term nifedipine. POEMS syndrome, like anorexigens, cocaine, portal hypertension and human immunodeficiency virus infection, may be another trigger for the pulmonary vascular occlusive process found in primary pulmonary hypertension.


Keywords: JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES Adrenal Cortex Hormones/ADMINISTRATION & DOSAGE Case Report Diuretics/ADMINISTRATION & DOSAGE Drug Therapy, Combination Female Human Hypertension, Pulmonary/DIAGNOSIS/DRUG THERAPY/*ETIOLOGY Middle Age Nifedipine/ADMINISTRATION & DOSAGE POEMS Syndrome/*COMPLICATIONS/DIAGNOSIS/DRUG THERAPY Raynaud's Disease/COMPLICATIONS/DIAGNOSIS/DRUG THERAPY Remission Induction Time Factors

KWDjournalarticlereviewreviewofreportedcasesadrenalcortexhormones/administration&dosagecasereportdiuretics/administration&dosagedrugtherapy,combinationfemalehumanhypertension,pulmonary/diagnosis/drugtherapy/KWDetiologymiddleagenifedipine/administration&dosagepoemssyndrome/KWDcomplications/diagnosis/drugtherapyraynaud'sdisease/complications/diagnosis/drugtherapyremissioninductiontimefactors
001230
A00C0918


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