Polyneuropathy as Novel Initial Manifestation in a Case of “Nonsecretory” POEMS Syndrome with Sjögren’s Syndrome

Figure 1

Images of the bone lesion detected by MRI and (18) F-FDG PET/CT. (a)~(c): Short-tau inversion-recovery (STIR) sequence in MRI shows a bone lesion in T12 vertebra, with T1-hypointense and T2-hyperintense signal. (a) Sagittal TI STIR image. (b) Sagittal T2 STIR image. (c) Transaxial T2 STIR image. (d)~(h): (18) F-FDG PET/CT image shows an osteosclerotic lesion, with hypermetabolism in T12 vertebra. (d) Sagittal CT image. (e) Sagittal PET image. (f) Transaxial CT image with a significant sclerotic ring around the bone lesion. (g) Transaxial PET image with an average SUV value of 12.4. (h) Fused PET/CT image.

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)