Polymyalgia rheumatica diagnostic study of choice: Difference between revisions
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==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
Shown below is the 2012 provisional classification criteria for polymyalgia rheumatica by the European League Against Rheumatism/American College of Rheumatology collaborative initiative. Each of the findings is given a point, then the total score is calculated by adding all the point. Two scores have been developed depending on whether an ultrasound is performed or not. | * Shown below is the 2012 provisional classification criteria for polymyalgia rheumatica by the European League Against Rheumatism/American College of Rheumatology collaborative initiative. Each of the findings is given a point, then the total score is calculated by adding all the point. Two scores have been developed depending on whether an ultrasound is performed or not. | ||
* The following criteria are '''required''' in addition to the confirmatory score of the diagnostic criteria: | |||
** Age 50 years, AND | |||
** Bilateral shoulder pain, AND | |||
** Elevated CRP and/or ESR | |||
===PMR Diagnostic Criteria Scoring Without Ultrasound=== | |||
{| | |||
| Morning stiffness for 45 minutes|| 2 | |||
|- | |||
| Pain or limited range of motion in the hips||1 | |||
|- | |||
| Absence of [[rheumatoid factor]] or [[anti-citrullinated protein antibody]]||2 | |||
|- | |||
| No involvement of other joints||1 | |||
|} | |||
===PMR Diagnostic Criteria Scoring With Ultrasound=== | |||
==References== | ==References== | ||
Revision as of 21:55, 1 June 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
The diagnosis of PMR is mostly clinical and is supported with an elevated ESR and specific findings on ultrasound of the affected joints. The European League Against Rheumatism/American College of Rheumatology collaborative initiative developed a provisional classification criteria for polymyalgia rheumatica. The following criteria are required: age 50 years, bilateral shoulder aching, and abnormal C-reactive protein (CRP and/or erythrocyte sedimentation rate (ESR).
Diagnostic Criteria
- Shown below is the 2012 provisional classification criteria for polymyalgia rheumatica by the European League Against Rheumatism/American College of Rheumatology collaborative initiative. Each of the findings is given a point, then the total score is calculated by adding all the point. Two scores have been developed depending on whether an ultrasound is performed or not.
- The following criteria are required in addition to the confirmatory score of the diagnostic criteria:
- Age 50 years, AND
- Bilateral shoulder pain, AND
- Elevated CRP and/or ESR
PMR Diagnostic Criteria Scoring Without Ultrasound
| Morning stiffness for 45 minutes | 2 |
| Pain or limited range of motion in the hips | 1 |
| Absence of rheumatoid factor or anti-citrullinated protein antibody | 2 |
| No involvement of other joints | 1 |