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Polymyalgia Rheumatica

Page history last edited by Mike McMahon 14 years ago

BSR Guideline 2009


Click here for guideline












Criteria for diagnosis of polymyalgia rheumatica


Age over 65

ESR over 40 mm/hr

Bilateral upper arm tenderness

Morning stiffness of more than 1 hour

Onset of illness less than 2 weeks

Depression and/or weight loss



The presence of 3 or more of the above 6 criteria is required for the diagnosis of PMR.



The presence of any 3 of these criteria gives a sensitivity of 92% and a specificity of 80% for the diagnosis of PMR.

If an additional criterion of a rapid response to oral steroid therapy is added, this increases the sensitivity to 99%


Bird H. European diagnostic criteria for polymyalgia rheumatica. Ann Rheum Dis 2001;60 Suppl 1:10.




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