Table 1: Diagnostic criteria for POEMS (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes). Diagnosis requires the presence of both mandatory majors, at least 1 other major and 2 minor criteria.
|
MANDATORY MAJOR CRITERIA |
Polyneuropathy |
|
Monoclonal plasma proliferative disorder |
|
|
OTHER MAJOR CRITERIA |
Sclerotic bone lesions |
|
Castleman disease |
|
|
Elevated serum Vascular Endothelial Growth Factor (VEGF) levels |
|
|
MINOR CRITERIA |
Papilledema |
|
Organomegaly (splenomegaly, lymphadenopathy etc.) |
|
|
Extravascular volume overload (pleural effusion, peripheral edema etc.) |
|
|
Skin changes |
|
|
Endocrinopathy (adrenal, thyroid, pituitary etc.) |
|
|
KNOWN ASSOCIATIONS |
Thrombocytosis |