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9 Cards in this Set

  • Front
  • Back
Amyloid cardiomyopathy
Amyloid cardiomyopathy
is most often caused by deposition of
monoclonal light chain fragments in the myocardium
forming stiff, β-pleated sheets. Thus,
primary amyloidosis is seen in plasma cell
dyscrasias such as multiple myeloma, which
. Amyloid cardiomyopathy
in the setting of multiple myeloma might also
present with hypercalcemia and bone pain.
characteristically causes on x-ray
characteristically causes “punched-out” lytic
bone lesions on x-ray
POEMS syndrome
presenting
with POEMS syndrome, a constellation
of symptoms associated with osteosclerotic
multiple myeloma. Symptoms include Polyneuropathy,
Organomegaly, Endocrinopathy,
Multiple myeloma, and Skin changes.
Polyneuropathies are generally progressive sensorimotor
deficits. Hepatosplenomegaly is generally
seen, in contrast to other myeloma patients.
Endocrine manifestations include
amenorrhea, diabetes mellitus, hypothyroidism,
and adrenal insufficiency. Skin
changes are diverse, but may include hyperpigmentation,
hypertrichosis, thickening, and digital
clubbing
POEMS syndrome...Polyneuropathies
Polyneuropathies are generally progressive sensorimotor
deficits.
liveR/POEMS syndrome
Hepatosplenomegaly is generally
seen, in contrast to other myeloma patients.
POEMS syndrome
Endocrine manifestations
Endocrine manifestations include
amenorrhea, diabetes mellitus, hypothyroidism,
and adrenal insufficiency. Skin
changes are diverse, but may include hyperpigmentation,
hypertrichosis, thickening, and digital
clubbing
POEMS syndrome
Skin
changes
Skin
changes are diverse, but may include hyperpigmentation,
hypertrichosis, thickening, and digital
clubbing
POEMS syndrome
her peripheral blood smear
her peripheral blood smear
demonstrates a large number of plasma cells,

as are seen in multiple myeloma. In addition,
her laboratory work reveals anemia, hyperuricemia,
and hypercalcemia, all consistent
with a diagnosis of multiple myeloma. This diagnosis
can be confirmed by the presence of
an M spike on protein electrophoresis of urine
and serum
POEMS syndrome l

aboratory work reveals
In addition,
her laboratory work reveals anemia, hyperuricemia,
and hypercalcemia, all consistent
with a diagnosis of multiple myeloma. This diagnosis
can be confirmed by the presence of
an M spike on protein electrophoresis of urine
and serum