2022 ACR/EULAR Takayasu Arteritis Classification Criteria

2022 ACR/EULAR Takayasu arteritis classification (weighted, max 19); a cumulative score ≥ 5 classifies as Takayasu arteritis once both absolute requirements (age ≤ 60 at diagnosis and imaging evidence of vasculitis) are met.

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

Example

Absolute requirement — age ≤ 60 years at diagnosis
Yes
Absolute requirement — evidence of vasculitis on imaging
Yes
Female sex
Yes
Angina or ischemic cardiac pain
Yes
Abdominal aorta with renal or mesenteric involvement
Yes

Result: 2022 ACR/EULAR 6/19 — ≥ 5: classify as Takayasu arteritis.

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

What the result means

Threshold
a cumulative score ≥ 5 classifies as Takayasu arteritis (sensitivity 93.8%, specificity 99.2%).

What you enter

  • Absolute requirement — age ≤ 60 years at diagnosis
  • Absolute requirement — evidence of vasculitis on imaging
  • Female sex (+1)
  • Angina or ischemic cardiac pain (+2)
  • Arm or leg claudication (+2)
  • Vascular bruit (+2)
  • Reduced pulse in upper extremity (+2)
  • Carotid artery abnormality — reduced/absent pulse or tenderness (+2)
The other 4 fields
  • Arm systolic blood-pressure difference ≥ 20 mmHg (+1)
  • Symmetric involvement of paired arteries (+1)
  • Abdominal aorta with renal or mesenteric involvement (+3)
  • Number of affected arterial territories (one +1 / two +2 / three or more +3)
How this is calculated
Items
after both absolute requirements: aorta + renal/mesenteric +3; territories +1/+2/+3; five vascular signs +2 each; female sex, arm-SBP diff ≥ 20, symmetric arteries +1 each (max 19).

Grayson PC, Ponte C, Suppiah R, et al. 2022 American College of Rheumatology/EULAR classification criteria for Takayasu arteritis. Arthritis Rheumatol. 2022;74(12):1872-1880. 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.