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European League Against Rheumatism and American College of Rheumatology provisional criteria for classification of polymyalgia rheumatica

European League Against Rheumatism and American College of Rheumatology provisional criteria for classification of polymyalgia rheumatica
Required criteria: age 50 years or older, bilateral shoulder aching, and abnormal C-reactive protein and/or erythrocyte sedimentation rate
Clinical criteria for scoring algorithm* Points
1. Morning stiffness lasting more than 45 minutes 2
2. Hip pain or restricted range of motion 1
3. Absence of rheumatoid factor and antibody to cyclic citrullinated peptide 2
4. Absence of other joint involvement 1
Ultrasound criteria for scoring algorithm*  
5a. At least one shoulder with subdeltoid bursitis, biceps tenosynovitis, or glenohumeral synovitis; and at least one hip with synovitis or trochanteric bursitis 1
5b. Both shoulders with subdeltoid bursitis, biceps tenosynovitis, or glenohumeral synovitis 1
* With only clinical criteria, a score of ≥4 had a sensitivity of 68% and specificity of 78% for discriminating polymyalgia rheumatica from comparison patients. With a combination of clinical criteria and ultrasound criteria, a score of ≥5 had a sensitivity of 66% and specificity of 81% for discriminating patients with the disorder from comparison patients.
From: Dasgupta B, Cimmino MA, Kremers HM, et al. 2012 Provisional classification criteria for polymyalgia rheumatica: A European League Against Rheumatism/American College of Rheumatology collaborative initiative. Arthritis Rheum 2012; 64:943. https://onlinelibrary.wiley.com/doi/full/10.1002/art.34356. Copyright © 2012 by the American College of Rheumatology. Adapted with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).
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