Polymyalgia rheumatica diagnostic study of choice: Difference between revisions
Rim Halaby (talk | contribs) |
Rim Halaby (talk | contribs) |
||
| Line 14: | Line 14: | ||
===PMR Diagnostic Criteria Scoring Without Ultrasound=== | ===PMR Diagnostic Criteria Scoring Without Ultrasound=== | ||
{| | {| style="cellpadding=0; cellspacing= 0; width: 600px;" | ||
|- | |- | ||
| | | style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF; width: 70%" align=center |'''Variable'''||style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF" align=center |'''Points''' | ||
|- | |- | ||
| | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Morning stiffness for 45 minutes|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |2 | ||
|- | |- | ||
| No involvement of other joints||1 | | style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |Pain or limited range of motion in the hips||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |1 | ||
|- | |||
| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |Absence of [[rheumatoid factor]] or [[anti-citrullinated protein antibody]]||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |2 | |||
|- | |||
| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |No involvement of other joints||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |1 | |||
|} | |} | ||
Revision as of 21:57, 1 June 2014
|
Polymyalgia Rheumatica Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Polymyalgia rheumatica diagnostic study of choice On the Web |
|
American Roentgen Ray Society Images of Polymyalgia rheumatica diagnostic study of choice |
|
Polymyalgia rheumatica diagnostic study of choice in the news |
|
Risk calculators and risk factors for Polymyalgia rheumatica diagnostic study of choice |
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
| Variable | Points |
| 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 |