2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative

被引：500

作者：

Dasgupta, Bhaskar ^{[2
]}

Cimmino, Marco A. ^{[3
]}

Maradit-Kremers, Hilal ^{[4
]}

Schmidt, Wolfgang A. ^{[5
]}

Schirmer, Michael ^{[6
]}

Salvarani, Carlo ^{[7
]}

Bachta, Artur ^{[8
]}

Dejaco, Christian ^{[9
]}

Duftner, Christina ^{[6
,10
]}

Jensen, Hanne Slott ^{[11
]}

Duhaut, Pierre ^{[12
]}

Poor, Gyula

Kaposi, Novak Pal ^{[13
]}

Mandl, Peter ^{[14
]}

Balint, Peter V. ^{[14
]}

Schmidt, Zsuzsa

Iagnocco, Annamaria ^{[15
]}

Nannini, Carlotta ^{[16
]}

Cantini, Fabrizio ^{[16
]}

Macchioni, Pierluigi ^{[7
]}

Pipitone, Nicolo ^{[7
]}

Del Amo, Montserrat ^{[17
]}

Espigol-Frigole, Georgina ^{[18
]}

Cid, Maria C. ^{[18
]}

Martinez-Taboada, Victor M. ^{[19
]}

Nordborg, Elisabeth ^{[20
]}

Direskeneli, Haner ^{[21
]}

Aydin, Sibel Zehra ^{[21
]}

Ahmed, Khalid ^{[22
]}

Hazleman, Brian ^{[23
]}

Silverman, Barbara ^{[23
]}

Pease, Colin ^{[24
]}

Wakefield, Richard J. ^{[24
]}

Luqmani, Raashid ^{[25
]}

Abril, Andy ^{[26
]}

Michet, Clement J. ^{[1
]}

Marcus, Ralph ^{[27
]}

Gonter, Neil J. ^{[27
]}

Maz, Mehrdad ^{[28
]}

Carter, Rickey E. ^{[4
]}

Crowson, Cynthia S. ^{[1
,4
]}

Matteson, Eric L. ^{[1
,4
]}

机构：

[1] Mayo Clin, Dept Internal Med, Div Rheumatol, Rochester, MN 55905 USA

[2] Southend Univ Hosp, Dept Rheumatol, Westcliff On Sea, Essex, England

[3] Univ Genoa, Dept Internal Med, I-16126 Genoa, Italy

[4] Mayo Clin, Dept Hlth Sci Res, Rochester, MN USA

[5] Immanuel Krankenhaus Berlin, Med Ctr Rheumatol Berlin Buch Berlin, Dept Rheumatol, Berlin, Germany

[6] Innsbruck Med Univ, Dept Internal Med 1, Innsbruck, Austria

[7] Arcispedale S Maria Nuova, Dept Rheumatol, Reggio Emilia, Italy

[8] Mil Inst Med, Dept Rheumatol & Internal Med, Warsaw, Poland

[9] Med Univ Graz, Dept Rheumatol, Graz, Austria

[10] Gen Hosp Kufstein, Dept Internal Med, Kufstein, Austria

[11] Gentofte Univ Hosp, Div Rheumatol, Hellerup, Denmark

[12] Serv Med Interne, Amiens, France

[13] Natl Inst Rheumatism & Physiotherapy, Dept Radiol, Budapest, Hungary

[14] Natl Inst Rheumatism & Physiotherapy, Gen & Pediat Rheumatol Dept, Budapest, Hungary

[15] Univ Roma La Sapienza, Dipartimento Med Interna & Specialita Med, Rheumatol Unit, Rome, Italy

[16] Osped Misericordia & Dolce, Rheumatol Unit, Prato, Italy

[17] Hosp Clin Barcelona, Ctr Diag Imaging, Barcelona, Spain

[18] Univ Barcelona, Hosp Clin, Dept Syst Autoimmune Dis, Barcelona, Spain

[19] Univ Cantabria, Fac Med, Serv Reumatol, E-39005 Santander, Spain

[20] Sahlgrens Univ Hosp, Dept Rheumatol, Gothenburg, Sweden

[21] Marmara Univ, Sch Med, Dept Rheumatol, Istanbul, Turkey

[22] Princess Alexandra Hosp, Dept Rheumatol, Harlow, Essex, England

[23] Addenbrookes Hosp, Dept Rheumatol, Cambridge, England

[24] Univ Leeds, Rheumatol & Rehabil Res Unit, Leeds, W Yorkshire, England

[25] Univ Oxford, Nuffield Dept Orthopaed Rheumatol & Musculoskelet, Oxford, England

[26] Mayo Clin, Div Rheumatol, Dept Internal Med, Jacksonville, FL 32224 USA

[27] Rheumatol Associates N Jersey, Teaneck, NJ USA

[28] Mayo Clin, Div Rheumatol, Dept Internal Med, Scottsdale, AZ USA

来源：

ANNALS OF THE RHEUMATIC DISEASES | 2012年 / 71卷 / 04期

关键词：

GIANT-CELL ARTERITIS; POPULATION-BASED COHORT; QUALITY-OF-LIFE; DIAGNOSTIC UNCERTAINTY; CLINICAL-OUTCOMES; GUIDELINES; MANAGEMENT; ARTHRITIS; FEATURES; RELAPSE;

D O I：

10.1136/annrheumdis-2011-200329

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The objective of this study was to develop EULAR/ACR classification criteria for polymyalgia rheumatica (PMR). Candidate criteria were evaluated in a 6-month prospective cohort study of 125 patients with new onset PMR and 169 non-PMR comparison subjects with conditions mimicking PMR. A scoring algorithm was developed based on morning stiffness >45 minutes (2 points), hip pain/limited range of motion (1 point), absence of RF and/or ACPA (2 points), and absence of peripheral joint pain (1 point). A score >= 4 had 68% sensitivity and 78% specificity for discriminating all comparison subjects from PMR. The specificity was higher (88%) for discriminating shoulder conditions from PMR and lower (65%) for discriminating RA from PMR. Adding ultrasound, a score >= 5 had increased sensitivity to 66% and specificity to 81%. According to these provisional classification criteria, patients >= 50 years old presenting with bilateral shoulder pain, not better explained by an alternative pathology, can be classified as having PMR in the presence of morning stiffness >45 minutes, elevated CRP and/or ESR and new hip pain. These criteria are not meant for diagnostic purposes.

引用

页码：484 / 492

页数：9

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