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Table 4 Relationship between pulmonary manifestations and the severity of POEMS syndrome

From: Pulmonary manifestations of POEM syndrome: a retrospective analysis of 282 cases

 

Low risk

Intermediate risk

High risk

Adjusted P-valuea

Mediastinal or hilar lymphadenopathy, N (%)

28 (51.9)

55 (59.8)

94 (69.1)

0.052

Pleural thickening, N (%)

25 (46.3)

46 (50.0)

60 (44.1)

0.497

Rib or thoracic vertebral bone lesions, N (%)

20 (37.0)

24 (26.1)

33 (24.3)

0.088

Interstitial lung disease, N (%)

2 (3.7)

6 (6.5)

14 (10.3)

0.698

Heart enlargement, N (%)

10 (18.5)

35 (38.0)

69 (50.7)

0.012

Pericardial effusions, N (%)

27 (50.0)

62 (67.4)

121 (89.0)

< 0.001

Systolic dysfunction, N (%)

0 (0.0)

1 (1.1)

1 (4.4)

0.065

Diastolic dysfunction, N (%)

18 (33.3)

36 (39.1)

54 (39.7)

0.291

PFT

    

 FEV1, L

3.02 ± 0.50

2.51 ± 0.58

1.79 ± 0.60

< 0.001

 FEV1% of predicted

95.79 ± 14.56

85.79 ± 16.79

69.89 ± 19. 07

< 0.001

 FVC, L

3.69 ± 0.63

3.11 ± 0.74

2.30 ± 0.78

< 0.001

 FVC% of predicted

97.08 ± 16.53

84.64 ± 20.08

72.43 ± 20.26

< 0.001

 DLCO% of predicted

78.52 ± 18.96

68.04 ± 17.17

48.27 ± 20.26

< 0.001

 TLC% of predicted

88.50 ± 12.11

81.61 ± 11.70

76.81 ± 15.98

< 0.001

 Diffuse dysfunction, N (%)

27 (77.1)

45 (84.9)

43 (91.5)

0.013

 Restrictive dysfunction, N (%)

10 (28.6)

23 (43.4)

31 (66.0)

< 0.001

 Obstructive dysfunction, N (%)

3 (8.6)

7 (13.2)

13 (27.1)

0.001

  1. FEV1 forced expiratory volume in 1 second, FVC forced vital capacity, DLCO diffusion capacity of carbon monoxide, TLC total lung capacity
  2. a Analyses of differences using logistic regression. All models were adjusted for age, sex, smoking status, history of alcohol consumption, and chronic respiratory and heart disease