2017 EULAR/ACR Myositis Classification

2017 EULAR/ACR classification criteria for idiopathic inflammatory myopathies (Lundberg 2017), without-biopsy weights.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Age of onset
>= 40 years (2.1)
Proximal upper-extremity weakness
Yes
Proximal lower-extremity weakness
No
Neck flexors weaker than extensors
No
Leg proximal weaker than distal
No
Heliotrope rash
Yes
Gottron's papules
No
Gottron's sign
No
Dysphagia / esophageal dysmotility
No
Anti-Jo-1 antibody
Yes
Elevated CK / LDH / AST / ALT
No

Result: 2017 EULAR/ACR myositis score 9.8 — definite inflammatory myopathy (>= 7.5, ~90% probability).

The tool opens with these values already filled in. Replace them with your own.

What the result means

< 5.3
Below the classification threshold.
5.3-7.4
Possible / probable inflammatory myopathy.
>= 7.5
Definite (~90% probability). Without-biopsy weights. A classification, not a treatment order.

What you enter

  • Age of onset (points)
  • Proximal upper-extremity weakness (0.7)
  • Proximal lower-extremity weakness (0.8)
  • Neck flexors weaker than extensors (1.9)
  • Leg proximal weaker than distal (0.9)
  • Heliotrope rash (3.1)
  • Gottron's papules (2.1)
  • Gottron's sign (3.3)
  • Dysphagia / esophageal dysmotility (0.7)
  • Anti-Jo-1 antibody (3.9)
  • Elevated CK / LDH / AST / ALT (1.3)
How this is calculated

Lundberg IE, Tjarnlund A, Bottai M, et al. 2017 EULAR/ACR classification criteria for adult and juvenile idiopathic inflammatory myopathies and their major subgroups. Arthritis Rheumatol. 2017;69(12):2271-2282. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.