Medical Calculator#Chronic Pain#Extremity Pain#Fatigue

2012 ACR/EULAR Classification Criteria for Polymyalgia Rheumatica (PMR)

Classifies polymyalgia rheumatica by expert consensus recommendations.

This tool should only be used in patients who: are ≥50 years of age, present with bilateral shoulder pain, and who have an abnormal ESR and/or CRP.

When To Use
  • This score can be used to classify patients who present with symptoms concerning for polymyalgia rheumatica (PMR).
  • It should only be used with patients who are ≥50 years of age, present with bilateral shoulder pain, and who have an abnormal ESR and/or CRP.
  • You can use this score with or without ultrasound findings, but the cutoff value for classification will change.

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Ultrasound criteria (optional)

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Clinical Advice

  • Patients scoring ≥4 without ultrasound are classified as having PMR.
  • Patients scoring ≥5 with ultrasound are classified as having PMR.
  • Initial therapy usually includes oral steroids but clinical judgment should be used when determining treatment pathway.

Additional Information

  • Patients scoring ≥4 without ultrasound are classified as having PMR.

  • Patients scoring ≥5 with ultrasound are classified as having PMR.