360
Table 14.1Included items and sensitivity of different diagnostic and classification criteria for polymyalgia rheumaticaBird/Wood criteria (1979)Jones/Hazleman criteria (1981)Hunder criteria (1982)Nobunaga criteria (1989)EULAR/ACR classification (2012)Age>65 years>50 years≥50 yearsDuration onset<2/52>2/12≥1 month≥2 weeks≥2 weeksPain/aching/tendernessBilateral shoulder pain/stiffnessShoulder/pelvic girdle painBilateral: neck or torso; shoulders or upper arms; hips or thighsBilateral muscles pain in > 2: neck, shoulders, upper arm, hips/pelvis, thighsBilateral shoulder and/or pelvic girdle pain Hip pain/limited range of motion (1 point)Bilateral upper arm tendernessMorning stiffness>1 h>1 h>45 min (2 points)ESR/CRP>40 mm/h>30 mm/h/> 6
μ(mu)g/mL>40 mm/h>40 mm/hElevatedOtherDepression and/or weight lossRapid corticosteroid responseExclusion of other diagnosisAbsence of RA and muscle diseaseExclusion of other diagnosesNormal myogenic enzymesAbsence of: RF/anti-CCP (2 points)No swelling hand jointsPeripheral joint pain (1 point)Sensitivity3 or moreAll criteriaAll criteriaAll criteriaScore ≥ 4 points99.5 %84.9 %93.3 %67.8 %68 %EULAREuropean League Against Rheumatism,ACRAmerican College of Rheumatology,RFrheumatoid factor,anti-CCPanti-citrullinated protein antibodyI. Castrejon