This case highlights the tendency towards confirmation bias in patients with a new diagnosis of a rare disease, our patient’s signs and symptoms that arose from Scleroderma and its treatment obscured her presentation with POEMS syndrome.
POEMS syndrome is a rare cause of low-SAAG ascites
Consider POEMS in any patient signs and symptoms of polyneuropathy and monoclonal gammopathy
Almaraz, Karla B. and Mary Lacy. "POEMS syndrome; a rare multi-systemic disorder that overlaps common conditions leading to confirmation bias." (2018). https://digitalrepository.unm.edu/hostpitalmed_pubs/62