2012 Provisional Classification Criteria for Polymyalgia Rheumatica A European League Against Rheumatism/American College of Rheumatology Collaborative Initiative

被引：188

作者：

Dasgupta, Bhaskar ^{[2
]}

Cimmino, Marco A. ^{[3
]}

Kremers, Hilal Maradit

Schmidt, Wolfgang A. ^{[4
,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 ^{[13
]}

Kaposi, Novak Pal ^{[13
]}

Mandl, Peter ^{[13
]}

Balint, Peter V. ^{[13
]}

Schmidt, Zsuzsa ^{[13
]}

Iagnocco, Annamaria ^{[14
]}

Nannini, Carlotta ^{[15
]}

Cantini, Fabrizio ^{[15
]}

Macchioni, Pierluigi ^{[7
]}

Pipitone, Nicolo ^{[7
]}

Del Amo, Montserrat ^{[16
]}

Espigol-Frigole, Georgina ^{[16
]}

Cid, Maria C. ^{[16
]}

Martinez-Taboada, Victor M. ^{[17
,18
]}

Nordborg, Elisabeth ^{[19
]}

Direskeneli, Haner ^{[20
]}

Aydin, Sibel Zehra ^{[20
]}

Ahmed, Khalid ^{[21
]}

Hazleman, Brian ^{[22
]}

Silverman, Barbara ^{[22
]}

Pease, Colin ^{[23
,24
]}

Wakefield, Richard J. ^{[23
,24
]}

Luqmani, Raashid ^{[25
]}

Abril, Andy ^{[26
]}

Michet, Clement J.

Marcus, Ralph ^{[27
]}

Gonter, Neil J. ^{[27
]}

Maz, Mehrdad ^{[28
]}

Carter, Rickey E.

Crowson, Cynthia S.

Matteson, Eric L. ^{[1
]}

机构：

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

[2] Southend Univ Hosp, Westcliff On Sea, England

[3] Univ Genoa, Genoa, Italy

[4] Immanuel Krankenhaus Berlin, Berlin, Germany

[5] Med Ctr Rheumatol Berlin Buch, Berlin, Germany

[6] Innsbruck Med Univ, Innsbruck, Austria

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

[8] Mil Inst Med, Warsaw, Poland

[9] Med Univ Graz, Graz, Austria

[10] Gen Hosp Kufstein, Kufstein, Austria

[11] Gentofte Univ Hosp, Hellerup, Denmark

[12] Serv Med Interne, Amiens, France

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

[14] Univ Roma La Sapienza, Rome, Italy

[15] Osped Misericordia & Dolce, Prato, Italy

[16] Univ Barcelona Hosp Clin, Barcelona, Spain

[17] Hosp Univ Marques de Valdecilla, Santander, Spain

[18] Univ Cantabria, E-39005 Santander, Spain

[19] Sahlgrens Univ Hosp, Gothenburg, Sweden

[20] Marmara Univ, Sch Med, Istanbul, Turkey

[21] Princess Alexandra Hosp, Harlow, Essex, England

[22] Addenbrookes Hosp, Cambridge, England

[23] Univ Leeds, Leeds, W Yorkshire, England

[24] NIHR Leeds Musculoskeletal Biomed Res Unit, Leeds, W Yorkshire, England

[25] Univ Oxford, Oxford, England

[26] Mayo Clin, Jacksonville, FL 32224 USA

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

[28] Mayo Clin, Scottsdale, AZ USA

来源：

ARTHRITIS AND RHEUMATISM | 2012年 / 64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：

10.1002/art.34356

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 European League Against Rheumatism/American College of Rheumatology 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 rheumatoid factor and/or anti-citrullinated protein antibody (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 C-reactive protein and/or erythrocyte sedimentation rate, and new hip pain. These criteria are not meant for diagnostic purposes.

引用

页码：943 / 954

页数：12

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