Description

Sykes et al proposed the term TEMPI Syndrome to describe a systemic disorder in patients with MGUS (monoclonal gammopathy of uncertain significance).


 

Features:

(T) telangiectasias, prominent over the face, trunk and upper extremities

(E) erythrocytosis with elevated serum erythropoietin concentration

(M) monoclonal gammopathy, often IgG kappa, with less than 10% plasma cells in the bone marrow

(P) perinephric serous fluid, between the kidney and the renal capsule

(I) intrapulmonary shunt with hypoxemia

 

A patient responded to therapy with bortezomib, a proteosome inhibitor.

 


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