Een vrouw met polyneuropathie en witte nagels

Translated title of the contribution: A woman with polyneuropathy and white nails

Wilbert A.G. Van Der Meijden*, Jelmer Alsma, Pieter A. Van Doorn

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


A 69-year-old woman had a progressive demyelinating and axonal polyneuropathy and a monoclonal gammopathy. Physical examination showed hyperpigmentation, acrocyanosis, white nails and pitting oedema. Additional tests showed polycythemia, thrombocytosis, a high serum VEGF-level, clonal plasma cells on bone marrow biopsy and sclerotic lesions of a cervical rib and the cervical and thoracal spine. POEMS-syndrome was diagnosed.

Translated title of the contributionA woman with polyneuropathy and white nails
Original languageDutch
JournalNederlands Tijdschrift voor Geneeskunde
Issue number18
Publication statusPublished - 2014


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