From: Pulmonary manifestations of POEM syndrome: a retrospective analysis of 282 cases
ALL | No symptomes | Respiratory symptoms | P-value | Adjusted P-valuea | |
---|---|---|---|---|---|
N, (%) | 282 (100) | 169 (59.9) | 113 (40.1) | ||
Pleural effusions, N (%) | 159(56.4) | 73(43.2) | 86(76.1) | < 0.001 | < 0.001 |
Unilateral, N (%) | 42(14.9) | 21(12.4) | 21(18.6) | ||
Bilateral, N (%) | 117(41.5) | 52(30.8) | 65(57.5) | ||
Mediastinal or hilar lymphadenopathy, N (%) | 177(62.8) | 99(58.6) | 78(69) | 0.075 | 0.066 |
Pleural thickening, N (%) | 131(46.5) | 80(47.3) | 51(45.1) | 0.716 | 0.753 |
Bone lesions of ribs or thoracic vertebra, N (%) | 77(27.3) | 53(31.4) | 24(21.2) | 0.062 | 0.086 |
Interstitial lung disease, N (%) | 22(7.8) | 12(7.1) | 10(8.8) | 0.592 | 0.775 |
Pulmonary hypertension, N (%) | 100(35.5) | 36(21.3) | 64(56.6) | < 0.001 | < 0.001 |
Mild, N (%) | 58(20.6) | 22(13) | 36(31.9) | ||
Moderate, N (%) | 31(11) | 10(5.9) | 21(18.6) | ||
Sever, N (%) | 11(3.9) | 4(2.4) | 7(6.2) | ||
Heart enlargement, N (%) | 114(40.4) | 60(35.5) | 54(47.8) | 0.039 | 0.107 |
Pericardial effusions, N (%) | 210(74.5) | 108(63.9) | 102(90.3) | < 0.001 | < 0.001 |
Systolic dysfunction, N (%) | 7(2.5) | 3(1.8) | 4(3.5) | 0.587 | 0.441 |
Diastolic dysfunction, N (%) | 108(38.3) | 64(37.9) | 44(38.9) | 0.856 | 0.965 |
PFT | |||||
FEV1, L | 2.41 ± 0.77 | 2.65 ± 0.66 | 1.92 ± 0.77 | < 0.001 | < 0.001 |
FEV1% of predicted | 83.25 ± 19.61 | 90.6 ± 17.38 | 69.71 ± 16.09 | < 0.001 | < 0.001 |
FVC, L | 3.04 ± 0.9 | 3.29 ± 0.82 | 2.5 ± 0.83 | < 0.001 | < 0.001 |
FVC% of predicted | 84.01 ± 21.3 | 90.68 ± 20.05 | 70.91 ± 17.47 | < 0.001 | < 0.001 |
DLCO% of predicted | 64.69 ± 21.94 | 71.51 ± 20.3 | 50.33 ± 18.22 | < 0.001 | < 0.001 |
TLC% of predicted | 82.07 ± 13.79 | 85.65 ± 11.74 | 74.52 ± 14.94 | < 0.001 | 0.001 |
Diffuse dysfunction, N (%) | 115(85.2) | 75(82.4) | 40(90.9) | 0.193 | 0.149 |
Restrictive dysfunction, N (%) | 64(47.4) | 34(37.4) | 30(68.2) | 0.001 | 0.001 |
Obstructive dysfunction, N (%) | 13(16.9) | 9(9.9) | 14(31.1) | 0.002 | 0.002 |