Table 1

Provisional classification criteria for PMR scoring algorithm

FeaturePoints without ultrasound (0–6)Points with ultrasound (0–8)
Morning stiffness lasting >45 min22
Hip pain or limited range of motion11
Absence of RF or ACPA22
Absence of other joint involvement11
≥1 shoulder with subdeltoid bursitis and/or biceps tenosynovitis and/or glenohumeral synovitis and ≥1 hip with synovitis and/or trochanteric bursitisn/a1
Both shoulders with subdeltoid bursitis, biceps tenosynovitis or glenohumeral synovitisn/a1
  • Required to apply algorithm: age ≥50 years, bilateral shoulder aching and abnormal C reactive protein (CRP) and/or erythrocyte sedimentation rate (ESR).

  • A score ≥4 is categorised as PMR without ultrasound and a score of ≥5 is categorised as PMR if ultrasound findings are included.

  • ACPA, anti-cyclic citrullinated peptide antibody; PMR, polymyalgia rheumatica; RF, rheumatoid factor.