RT Journal Article
SR Electronic
T1 Longitudinal bioimpedance assessments to evaluate hydration in POEMS syndrome
JF BMJ Supportive & Palliative Care
JO BMJ Support Palliat Care
FD British Medical Journal Publishing Group
SP 369
OP 372
DO 10.1136/bmjspcare-2015-000991
VO 6
IS 3
A1 Amara Callistus Nwosu
A1 Lauren Morris
A1 Catriona Mayland
A1 Stephen Mason
A1 Andrew Pettitt
A1 John Ellershaw
YR 2016
UL http://spcare.bmj.com/content/6/3/369.abstract
AB Polyneuropathy, organomegaly, endocrinopathy, M-protein and skin changes (POEMS) syndrome is a rare paraneoplastic disorder associated with an underlying plasma cell dyscrasia and multiorgan failure. POEMS syndrome is potentially fatal and adversely affects quality of life. Oedema is common with many patients affected by pleural effusions, ascites and lower limb oedema. Bioelectrical impedance vector analysis (BIVA) is a non-invasive assessment tool, which enables rapid bedside assessments of nutrition and hydration. This paper describes the use of sequential BIVA assessments to evaluate the response to diuretic therapy in a woman aged 52 years with POEMS syndrome. This case illustrates the potential to use BIVA to conduct longitudinal assessments of hydration status. This provides opportunities for further research using BIVA to monitor hydration and response to interventions. This may be useful in specific situations, for example at the end of life.