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Morning stiffness duration*
Hip pain or limited range of motion*
RF or ACPA*
Other joint pain*
At least one shoulder with subdeltoid bursitis and/or biceps tenosynovitis and/or glenohumeral synovitis (either posterior or axillary) and at least one hip with synovitis and/or trochanteric bursitis
Both shoulders with subdeltoid bursitis, biceps tenosynovitis or glenohumeral synovitis
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Classifies polymyalgia rheumatica by expert consensus recommendations.
The 2012 ACR/EULAR PMR Criteria are as follows:
|
Variable |
Points |
|
|
Morning stiffness duration |
≤45 min |
0 |
|
>45 min |
2 |
|
|
Hip pain or limited range of motion |
No |
0 |
|
Yes |
1 |
|
|
RF or ACPA |
Present |
0 |
|
Absent |
2 |
|
|
Other joint pain |
Present |
0 |
|
Absent |
1 |
|
|
Ultrasound Criteria |
||
|
At least one shoulder with subdeltoid bursitis and/or biceps tenosynovitis and/or glenohumeral synovitis (either posterior or axillary) and at least one hip with synovitis and/or trochanteric bursitis |
No |
0 |
|
Yes |
1 |
|
|
Both shoulders with subdeltoid bursitis, biceps tenosynovitis or glenohumeral synovitis |
No |
0 |
|
Yes |
1 |
|
Patients scoring ≥4 without ultrasound are classified as having PMR.
Patients scoring ≥5 with ultrasound are classified as having PMR.