Diagnostic criteria.
Mandatory major criteria | Polyneuropathy |
Monoclonal plasma cell proliferative disorder (almost always l) | |
Any one of the following three other major criteria: | Sclerotic bone lesions |
Castleman’s disease | |
Elevated levels of VEGF | |
Any one of the following six minor criteria: | Organomegaly (splenomegaly, hepatomegaly, or lymphadenopathy) |
Extravascular volume overload (edema, pleural effusion, or ascites) | |
Endocrinopathy (adrenal, thyroid, pituitary, gonadal, parathyroid, pancreatic) | |
Skin changes (hyperpigmentation, hypertrichosis, glomeruloid hemangioma, plethora, acrocyanosis, flushing, white nails) | |
Papilledema | |
Thrombocytosis/polycythemia |