Case | Age/Sex | Organomegaly | Endocrinopathy | M-protein | Skin change | Bone lesion | VEGF level* (pg/ml) | Cerebrospinal fluid protein (mg/dl) |
1 | 43/W | CM, HM, SM, LA | – | IgAλ | HP, HT | Sclerotic | 1310 | 93 |
2 | 68/W | CM, HM, SM | – | IgAλ | HP, HT | Sclerotic | 2290 | 63 |
3 | 47/W | HM, SM | – | IgGλ | HP | – | 1670 | 38 |
4 | 47/W | CM, HM, SM, LA | Hy | IgAλ | HP, HT | – | >2000 | 95 |
5 | 31/M | HM, SM | Gy, Im | IgGλ | HP, HT | Sclerotic, lytic | 5500 | 130 |
6 | 54/W | HM, LA | – | IgGκ | HP, HT | Sclerotic | 756† | 107 |
7 | 48/M | LA | Gy | IgGλ | HP | Sclerotic | 1830 | 63 |
8 | 46/M | HM, LA | Gy | IgGλ | HP | Sclerotic | >2000 | 108 |
9 | 62/M | SM | Gy | IgAλ | HP, HT | Sclerotic | >2000 | 165 |
10 | 58/M | – | Im | IgAλ | HP, HT | Sclerotic | >2000 | 53 |
11 | 57/W | CM, HM, SM | Hy | IgAλ | HP, HT | Sclerotic | >2000 | 179 |
12 | 28/W | HM, SM | – | IgGλ | HP, HT | Sclerotic, lytic | 1120 | 238 |
13 | 72/M | HM, SM | Gu | IgGλ | HP | – | ND | 124 |
14 | 67/W | CM, SM, LA | Hy | IgGλ | HP | – | >2000 | 97 |
15 | 63/M | HM, SM, LA | Hy, Gy, Im | IgGλ | HP, HT | – | ND | 82 |
16 | 45/M | LA | Gu, Hy, Im | IgAλ | HP, HT | – | ND | 196 |
17 | 69/W | ND | – | IgAλ | HP | – | ND | 108 |
18 | 60/M | LA | Hy | IgAλ | HP, HT | – | ND | 62 |
19 | 63/M | SM | Im | – | HP | Sclerotic | 814† | 78 |
20 | 45/M | HM | Gu, Gy | – | HP, HT | – | 1280 | 360 |
21 | 85/M | CM, HM, SM, LA | Gy | IgAλ | HP | – | 500† | 57 |
22 | 47/M | HM, SM | Im | IgGλ | HP, HT | Lytic | 1280 | 81 |
VEGF, vascular endothelial growth factor (normal<707 pg/ml for serum, <115 pg/ml for plasma); –, abscent; CM, cardiomegaly; Gu, glucose intorelance; Gy, gynecomastia; HM, hepatomegaly; HP, hyperpigmentation; HT, hypertrichosis; Hy, hypothyroidism; Im, impotence; LA, lymphadenopathy; ND, not determined; POEMS, polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin changes; SM, splenomegaly.
*Serum VEGF levels were measured except in patients 6, 19 and 21.
†Plasma VEGF levels were measured.