Disease onset |
Onset of illness within 2 weeks |
Disease duration >2 months |
Bilateral aching and stiffness ≥ 1 month in two of the following: neck/torso, shoulders/upper arms, hips/thighs |
Persistent pain ≥1 month in two of the following: neck, shoulders, pelvic girdle |
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Morning stiffness |
Morning stiffness >1 h |
Morning stiffness >1 h |
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Morning stiffness >1 h |
Morning stiffness >45 min (two points) |
Shoulder/pelvic/hip pain |
Bilateral shoulder pain with/without stiffness |
Shoulder or pelvic girdle pain without muscle weakness |
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Hip pain/restricted range of motion (one point) |
Upper arm tenderness |
Bilateral upper arm tenderness |
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Exclusions by signs/symptoms/laboratory values |
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Absence of objective signs of muscle disease |
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Absence of other joint involvement (one point) |
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Absence of RF or anti-CCP antibodies (two points) |
Age at onset |
Age ≥ 65 years |
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Age ≥ 50 years |
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ESR/CRP |
Initial ESR ≥40mm/h |
ESR >30 mm/h or CRP >6 mg/l |
ESR >40 mm/h |
ESR >40 mm/h |
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Absence of other rheumatic diseases |
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Absence of RA |
Exclusion of other diagnosis, with the exception of GCA |
Absence of other joint or musculoskeletal diseases |
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Response to glucocorticoids |
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Fast and dramatic response to systemic glucocorticoids |
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Rapid response to prednisolone (≤20 mg/day) |
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Signs on ultrasonography |
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If ultrasonography available, ≥ one shoulder with subdeltoid bursitis, biceps tenosynovitis or glenohumeral synovitis (posterior/axillary); and ≥ hip with synovitis/trochanteric bursitis (one point) |
If ultrasonography available, both shoulders with subdeltoid bursitis, biceps tenosynovitis or glenohumeral synovitis (one point) |
Depression/weight loss |
Depression/weight loss |
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Requirements for diagnosis |
Diagnosis of probable PMR requires at least three of the above criteria |
All the above criteria required for diagnosis of PMR |
All the above criteria required for diagnosis of PMR |
Diagnosis of PMR requires the age of ≥50 years and the fulfilment of at least three criteria |
Diagnosis with PMR requires the age of ≥50 years, bilateral shoulder aching, abnormal CRP/ESR levels and at least four points (without ultrasonography)/at least five points (with ultrasonography) |