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Living with POEMS syndrome

A rare condition that affects many body systems, including nerves, organs, hormones, blood cells and skin, mostly in adults.

Understanding POEMS syndrome

POEMS syndrome is a rare condition that affects many parts of the body.

The name stands for polyneuropathy (nerve damage), organ enlargement, endocrine problems, a blood plasma cell disorder (monoclonal gammopathy) and skin changes. It usually appears in adults and older adults. Features include nerve damage that worsens, an enlarged liver, spleen or lymph nodes, hormone gland problems and darker skin.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Nerve disease in the arms and legs (polyneuropathy)
  • Enlarged liver, spleen or lymph nodes
  • Hormone gland problems
  • Darkening of the skin and extra hair
  • Fluid buildup (edema)
  • Fatigue

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include blood and bone marrow specialists, brain and nervous system specialists and cancer specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Autoimmune Association, Global Autoimmune Institute and The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Brain and nervous system specialists (neurologists); Cancer specialists (oncologists)
Expert care
Expert lists: Autoimmune Association, Global Autoimmune Institute, The Foundation for Peripheral Neuropathy
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Autoimmune Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What tests confirm POEMS syndrome?
Which specialists, such as neurology and hematology, should be on my care team?
How will my hormone levels and nerve symptoms be monitored?

Quick facts

Symptoms usually startAdult and as an Older Adult

GARD says the underlying cause is not well understood.

NeurologicalBlood

Also known as: crow-fukase syndrome; osteosclerotic myeloma; pep syndrome; poems - polyneuropathy organomegaly endocrinopathy monoclonal and skin changes; polyneuropathy organomegaly endocrinopathy monoclonal gammopathy and skin changes; polyneuropathy-endocrinopathy-plasma cell dyscrasia syndrome

Patient organizations

Source: NIH GARD · POEMS syndromeGARD ID 7411 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with POEMS syndrome.

Explore the POEMS syndrome blog

Explore research for POEMS syndrome

Explore actively recruiting POEMS syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for POEMS syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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