Rheumatology · Geriatrics

2012 ACR/EULAR PMR Classification Score (without US) calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Morning stiffness lasting more than 45 minutes (+2)Hip pain or limited hip range of motion (+1)Absence of rheumatoid factor and anti-CCP antibodies (+2)Absence of other joint pain (+1)

Result

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PMR classification criteria not met (<4)

Band: PMR classification criteria not met (<4)

Interpretation. PMR classification criteria not met (<4)

Suggested management. In a patient aged 50 or older with new bilateral shoulder pain and raised CRP or ESR, a score below 4 (without ultrasound) does not classify polymyalgia rheumatica.

2012 ACR/EULAR PMR Classification Score (without US): 0 — PMR classification criteria not met (<4). Interpretation: PMR classification criteria not met (<4) What to do: In a patient aged 50 or older with new bilateral shoulder pain and raised CRP or ESR, a score below 4 (without ultrasound) does not classify polymyalgia rheumatica. Inputs: Morning stiffness lasting more than 45 minutes (+2): false; Hip pain or limited hip range of motion (+1): false; Absence of rheumatoid factor and anti-CCP antibodies (+2): false; Absence of other joint pain (+1): false Source: Dasgupta B et al. 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. Ann Rheum Dis. DOI: 10.1136/annrheumdis-2011-200329. PMID: 22388996. Scope: required age ≥50, bilateral shoulder aching, abnormal CRP/ESR; scoring morning stiffness >45 min (2), hip pain/limited ROM (1), RF/ACPA absence (2), absence of other joint pain (1); ≥4 without US (or ≥5 with US algorithm) classifies PMR. (2012)

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Clinical inputs

Morning stiffness lasting more than 45 minutes (+2)
Hip pain or limited hip range of motion (+1)
Absence of rheumatoid factor and anti-CCP antibodies (+2)
Absence of other joint pain (+1)

Primary source

Dasgupta B et al. 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. Ann Rheum Dis. DOI: 10.1136/annrheumdis-2011-200329. PMID: 22388996. Scope: required age ≥50, bilateral shoulder aching, abnormal CRP/ESR; scoring morning stiffness >45 min (2), hip pain/limited ROM (1), RF/ACPA absence (2), absence of other joint pain (1); ≥4 without US (or ≥5 with US algorithm) classifies PMR. (2012)

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