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. 2021 Jun 23;61(3):1185–1194. doi: 10.1093/rheumatology/keab506

Table 3.

Modified classification criteria for PMR incorporating US findings in shoulder and knee

Criteria 2012 ACR/EULAR clinical classification criteria without USa 2012 ACR/EULAR classification criteria including shoulder and knee USb
Morning stiffness duration >45 min 2 2
Hip pain or limited range of motion 1 1
Absence of RF or ACPA 2 2
Absence of other joint involvement 1 1
Bilateral shoulder involvement (biceps tenosynovitisc, supraspinatus or subscapularis tendinitisd in each shoulder) 1
Bilateral knee involvement (popliteus tenosynovitisc, medial or lateral collateral ligament inflammationd in each knee) 1
a

The optimal cut point is 4. A patient with a score of ≥4 is categorized as having PMR.

b

The optimal cut point is 5. A patient with a score of ≥5 is categorized as having PMR.

c

Moderate or severe greyscale tenosynovitis and/or any tenosynovial Doppler signals.

d

Any Doppler signals in the tendon or ligament.