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2012 EULAR ACR Polymyalgia Rheumatica Classification Criteria Calculator

  • Age 50 years or older
  • Bilateral shoulder pain
  • Morning stiffness more than 45 minutes
  • Hip pain or limited range of motion
  • Negative rheumatoid factor and anti CCP
  • Absence of peripheral joint pain
  • 2012 EULAR ACR Polymyalgia Rheumatica Classification Criteria Explanation and Clinical Context
    The 2012 EULAR ACR classification criteria for polymyalgia rheumatica are designed to help classify patients presenting with new onset bilateral shoulder pain and elevated inflammatory markers.

    This scoring system applies to patients aged 50 years or older and integrates clinical features such as prolonged morning stiffness, hip involvement, serologic status, and absence of peripheral joint pain.

    A total score of 4 points or more without ultrasound findings supports the classification of polymyalgia rheumatica. These criteria are intended for research classification and should not replace clinical judgment.

    Clinical Significance
    The criteria assist clinicians in differentiating polymyalgia rheumatica from rheumatoid arthritis and other inflammatory or non inflammatory musculoskeletal conditions, particularly in early disease stages.

    Reference
    Dasgupta B et al. 2012 Provisional classification criteria for polymyalgia rheumatica. Annals of the Rheumatic Diseases. 2012;71:1145 to 1154.

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