Borderline Case of TAFRO Syndrome and POEMS Syndrome

Intern Med. 2021 May 15;60(10):1589-1595. doi: 10.2169/internalmedicine.5860-20. Epub 2020 Dec 15.

Abstract

TAFRO syndrome and POEMS syndrome are lymphoproliferative disorders with elevated interleukin-6 and vascular endothelial growth factor (VEGF) levels; however, their underlying pathogenic mechanisms remain unclear. Similarities have been reported in the pathological findings of the lymph nodes of TAFRO syndrome, Multicentric Castleman disease (MCD), and some cases of POEMS syndrome. However, there is no consensus on the relationship among them. We encountered a case of lymphoproliferative disorder that presented with manifestations of both TAFRO syndrome and POEMS syndrome. This case may be a subtype of idiopathic MCD and will be very important for establishing the disease concept of TAFRO syndrome and POEMS syndrome.

Keywords: Castleman disease; POEMS syndrome; TAFRO syndrome; lymphoproliferative disorder.

Publication types

  • Case Reports

MeSH terms

  • Castleman Disease* / complications
  • Castleman Disease* / diagnosis
  • Humans
  • Lymph Nodes
  • POEMS Syndrome* / complications
  • POEMS Syndrome* / diagnosis
  • Vascular Endothelial Growth Factor A

Substances

  • Vascular Endothelial Growth Factor A

Supplementary concepts

  • Multi-centric Castleman's Disease