Neuroimmune Disease (POEMS(Crow/Fukase) syndrome)
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with POEMS syndrome who meet probable or higher in the following diagnostic criteria Major Criteria (1)Multiple polyneuropathy (2)Monoclonal plasma cell proliferation (proven by serum or urine M-protein positivity (immunofixation), bone marrow examination, etc.) (3)Elevated serum VEGF (above 1000 pg/ml) Sub criteria (4)Osteosclerotic lesions (5)Castleman's disease (6)Organ enlargement (lymph nodes, liver, spleen) (7)One or more of edema, pleural effusion, ascites, or cardiac effusion (8)Endocrine abnormalities* (adrenal, thyroid, pituitary, gonad, parathyroid, diabetes) (9)Skin abnormalities (pigmentation, bristle, hemangioma, cyanosis, canities unguium) (10)Papillary edema (11)Platelet hyperplasia *Note that thyroid function abnormalities and diabetes mellitus are not included in the sub-criteria because of their high prevalence. Definite: 3 of the major criteria and at least 1 of the sub criteria are met. Probable: fulfillment of major criteria (1) and (3) and at least one of the sub criteria 2. Patients who have given written consent to participate in the study
Exclusion criteria
Exclusion criteria: 1. Patients deemed inappropriate for inclusion by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The course of clinical endpoints mainly used for each neuroimmune disease. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Neurological findings (ONLS, grip strength, MRC sun score, Performance Status) 2. EQ-5D-5L survey 3. Adverse events 4. Blood examination (VEGF) 5. Monoclonal plasma cell proliferation (proved by serum or urine M protein positivity (immunofixation), bone marrow examination, etc.) | — |
Countries
Japan
Contacts
National University Corporation Chiba University Hospital Special Assistant Professor, Department of Neurology