Table 1.
Diagnostic criteria for PMR, established by the American College of Rheumatology/European League Against Rheumatism*, and the scoring algorithm.
Criterion | Score† | |
---|---|---|
Without ultrasound (maximum of 6) | With ultrasound (maximum of 6) | |
Morning stiffness for > 45 min | 2 | 2 |
Hip pain or limited range of motion | 1 | 1 |
Absence of rheumatoid factor or anticitrullinated protein antibody | 2 | 2 |
Absence of other joint involvement | 1 | 1 |
At least one shoulder with subdeltoid bursitis, with or without biceps tenosynovitis and synovitis (either posterior or axillary), and at least one hip with synovitis, trochanteric bursitis, or both | Not applicable | 1 |
Subdeltoid bursitis, biceps tenosynovitis, or synovitis, in both shoulders | Not applicable | 1 |
* Prerequisite criteria: being over 50 years of age, having bilateral shoulder pain, having an elevated CRP level, and having an elevated ESR.
† Without ultrasound, a score of 4 or more is categorized as PMR, whereas a score of 5 or more is categorized as PMR with ultrasound.
Source: Dasgupta et al.(1).