Table 6

PMR classification criteria scoring algorithm—required criteria: age 50 years or older, bilateral shoulder aching and abnormal CRP and/or ESR*

Points without US (0–6)Points with US (0–8)
Morning stiffness duration >45 min22
Hip pain or limited range of motion11
Absence of RF or ACPA22
Absence of other joint involvement11
At least one shoulder with subdeltoid bursitis and/or biceps tenosynovitis and/or glenohumeral synovitis (either posterior or axillary) and at least one hip with synovitis and/or trochanteric bursitisNot applicable1
Both shoulders with subdeltoid bursitis, biceps tenosynovitis or glenohumeral synovitisNot applicable1
  • * A score of 4 or more is categorised as PMR in the algorithm without US and a score of 5 or more is categorised as PMR in the algorithm with US.

  • Optional ultrasound criteria.

  • ACPA, anticitrullinated protein antibody; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; PMR, polymyalgia rheumatica; RF, rheumatoid factor; US, ultrasound.