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Polymyalgia Rheumatica Diagnostic Criteria - Healey Version
Dec 21, 2024
•
Mark Morgan
categories:
rheumatology
This is a diagnostic tool for polymyalgia rheumatica.
Polymyalgia Rheumatica Diagnostic Criteria - Healey
Pain: To meet criteria, 2 of the following 3 areas below must have pain
no
YES
<-- Pain at neck
no
YES
<-- Pain at shoulders
no
YES
<-- Pain at pelvic girdle
------------------------------------------------------------------------
no
YES
<-- Age over 50 years
no
YES
<-- Pain persisting for at least one month
no
YES
<-- Morning stiffness lasting more than 1 hour
no
YES
<-- Rapid response to prednisone (20 mg/day or less)
no
YES
<-- Erythrocyte sedimentation rate (ESR) > 40 mm/hour
no
YES
<-- Absence of other diseases capable of causing the musculoskeletal symptoms
Interpretation -->
Interpretation
score=(age)+(pain)+(neck)+(shoulders)+(hips)+(stiff)+(steroid)+(esr)+(excluded);score>6.9?'Meets criteria for polymyalgia rheumatica':'Does not meet criteria for polymyalgia rheumatica'
display/hide references
reference:
#1
Healey LA. Long-term follow-up of polymyalgia rheumatica: evidence for synovitis. Semin Arthritis Rheum. 1984 May;13(4):322-8.
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