PT  - JOURNAL ARTICLE
AU  - Sandra Weigand
AU  - Boris Ehrenstein
AU  - Martin Fleck
AU  - Wolfgang Hartung
TI  - Joint Involvement in Patients with Early Polymyalgia Rheumatica Using High-resolution Ultrasound and Its Contribution to the EULAR/ACR 2012 Classification Criteria for Polymyalgia Rheumatica
AID  - 10.3899/jrheum.130946
DP  - 2014 Mar 01
TA  - The Journal of Rheumatology
PG  - jrheum.130946
4099  - http://www.jrheum.org/content/early/2014/02/26/jrheum.130946.short
4100  - http://www.jrheum.org/content/early/2014/02/26/jrheum.130946.full
AB  - Objective To assess joint involvement and the contribution of musculoskeletal ultrasound (MSUS) to the novel European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) 2012 classification criteria in patients with polymyalgia rheumatic (PMR). Methods MSUS was performed in 54 consecutive patients with recent-onset PMR. Results Biceps tenosynovitis of at least 1 shoulder has been observed in 70.4% of patients, and 64.8% had a bilateral biceps tenosynovitis. Subdeltoid bursitis (27.8% unilateral, 5.6% bilateral), glenohumeral synovitis (22.2% unilateral, 9.3% bilateral), and hip involvement (22.2% unilateral, 16.7% bilateral) were observed less frequently. The sensitivities of the classification criteria were 85.2% for EULAR/ACR without MSUS and 81.5% for EULAR/ACR with MSUS. Conclusion The most common MSUS pathology was a biceps tenosynovitis. However, US findings had no effect on the sensitivity of the novel EULAR/ACR criteria for PMR.