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