Abstract
POEMS syndrome is an important paraneoplastic syndrome associated with multisystem involvement. Extravascular volume overload like pericardial effusion and ascites has a broad differential diagnosis. In addition, it may be initial presentation of disease. For that reason, this case report is highlight to warn of different forms of presentation of poems syndrome.
Highlights
We report m a rare case of pericardial effusion and o refractory ascites appearing as the initial c manifestations of POEMS syndrome
Other pro-inflammatory cytokines like Interleukin (IL)-1β, IL6, Tumor Necrosis Factor (TNF)-α have been comprised in POEMS syndrome disease activity implicated.[4]
Ascites is a common complication of POEMS syndrome and has characteristics of non-portal hypertension, based on low SAAG
Summary
Serum-ascites albumin gradient (SAAG) is 12 g/L. Conflict of interest: the authors declare no potential conflict of interest. POEMS syndrome is an important paraneoplastic syndrome associated with multisystem involvement. Extravascular volume overload like pericardial effusion and ly ascites has a broad differential diagnosis.
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