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

Applies the 2012 EULAR/ACR provisional criteria to classify new-onset polymyalgia rheumatica in patients ≥50 with bilateral shoulder pain and raised ESR/CRP — classification, not diagnosis.

Age (years)

New bilateral shoulder aching (entry criterion)

Abnormal ESR and/or CRP (entry criterion)

Morning stiffness duration (minutes)

Hip pain or limited range of motion (+1)

Rheumatoid factor (RF) and anti-CCP/ACPA

Other (peripheral) joint pain

Shoulder/hip ultrasound performed

US: ≥1 shoulder abnormality AND ≥1 hip abnormality (+1, only if ultrasound performed)

US: both shoulders with subdeltoid bursitis / biceps tenosynovitis / glenohumeral synovitis (+1, only if ultrasound performed)