Application of 2012 EULAR/ACR criteria for polymyalgia rheumatica to Korean patients previously classified by Chuang and Hunder criteria or Healey criteria

International Journal of Rheumatic Diseases
Eun Seong ParkSang-Won Lee

Abstract

To apply 2012 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) criteria to Korean patients previously classified as polymyalgia rheumatica (PMR) by Chuang and Hunder criteria or Healey criteria and investigated whether they might be still reclassified as PMR or not. We retrospectively reviewed the medical records of 113 previously classified PMR patients. We applied 2012 EULAR/ACR criteria without ultrasonography to PMR patients, and fulfilment required at least 4 points. We evaluated odds ratios (OR) using logistic regression analyses. The mean age was 61.7 years. Seventy-one patients (62.8%) fulfilled Chuang and Hunder criteria, and 113 patients (100%) met Healey criteria. When we applied 2012 EULAR/ACR criteria, 98 patients fulfilled essential items (≥50 years, bilateral shoulder aching and abnormal C-reactive protein or erythrocyte sedimentation rate), and only 80 patients achieved points ≥4. Eight patients fulfilling the criteria exhibited higher frequencies of all the detailed items than those who did not. In multivariate logistic regression analysis, absence of rheumatoid factor or anti-citrullinated peptide antibodies was the only independent contributing item to the fulfilment of 2012 EUL...Continue Reading

References

Oct 1, 1979·Annals of the Rheumatic Diseases·H A BirdP H Wood
May 1, 1984·Seminars in Arthritis and Rheumatism·L A Healey
Nov 1, 1982·Annals of Internal Medicine·T Y ChuangL T Kurland
Feb 1, 1981·Annals of the Rheumatic Diseases·J G Jones, B L Hazleman
Jun 9, 2016·Annals of the Rheumatic Diseases·Valérie Devauchelle, Alain Saraux
Aug 5, 2017·Lancet·Miguel A González-GaySantos Castañeda

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