Tweets
Systematic review of CV outcomes w/ SGLT2 inhibitors- 5 studies, 11,190 IMID pts (SSc 25%, SLE 71%) SGLT2i use assoc w/ signif lower all-cause mortality and heart failure risk (no clear MI benefit). SGLT2i have establ use in NIDDM, CHF & CKD Pts. https://t.co/U28aBsQpJ8 https://t.co/g9Ak2MCJEN
Links:
Dr. John Cush @RheumNow ( View Tweet )
1 hour 1 minute ago
JAMA Uveitis review: Uveitis peaks at 20–50 yrs; 41–60% is anterior. ~40 linked to systemic disease (HLA-B27=axSpA). 1st exclude infection (TB, toxo, herpes). Anterior UV: topical steroids. Posterior/pan UV: DMARDs first (MTX remission 52%, MMF 71%); adalimumab if refractory https://t.co/jQQGzhAm7c
Dr. John Cush @RheumNow ( View Tweet )
1 hour 24 minutes ago
van Vollenhoven’s Treatment Advances in Lupus
Professor van Vollenhoven has compiled a state-of-the-art review on lupus treatment advances – current and future. SLE management is entering an unprecedented phase.
https://t.co/5oCf60XmuJ https://t.co/8TGC1Y4Cqp
Dr. John Cush @RheumNow ( View Tweet )
3 hours 17 minutes ago
Comorbidity management is subpar in Rheum. Surveys of 2213 inflamm rheum Dz pts & 140 rheumatologists. Rheums think theyre OK (71-92%) screening (HTN, OP, vaccines, CA), but pts say NOT (12=33%).Rheums agree they have no structured comorbidity screening in place (time 91%, https://t.co/mqcptziRdw
Dr. John Cush @RheumNow ( View Tweet )
4 hours 29 minutes ago
Impact of Myositis in Scleroderma Patients
Systemic sclerosis (SSc) may have overlap features such as myositis. When present, myositis in SSc is associated with an increased risk of cardiac involvement and a shift in mortality away from ILD towards a greater cardiac risk. https://t.co/bKYP9FmadY
Dr. John Cush @RheumNow ( View Tweet )
6 hours 29 minutes ago
EBR Journal Club: Secukinumab in Polymyalgia Rheumatica (REPLENISH)
The EBR Journal Club Companion applies my adapted version of the JAMA approach to critical appraisal to an important RCT in rheumatology.
https://t.co/uejuXKsrWD https://t.co/SqtsxK6etR
Dr. John Cush @RheumNow ( View Tweet )
9 hours 31 minutes ago
150 #Gout pts (56 yrs old; 33wks F/U; 21% drank EtOH, 29% obese, 5% MASLD) on allopurinol followed w/ labs. 30y (20%) had incr AST/ALT (87% mild, none severe). Allopurinol was cont 18/10 without change in AST/ALT. Allopurinol was not the primary cause of LFT elevation https://t.co/XOkUtbdRIK
Dr. John Cush @RheumNow ( View Tweet )
1 day ago
Monogenic Inflammatory Disorders Go Unrecognized
Lancet Rheumatology published a large cohort analysis using a genome-first approach with whole-exome sequencing, finding a prevalence of 1 in 4026 (159/640092) for monogenic disorders, half with inflammatory features. Only one https://t.co/bItqMXIoUH
Dr. John Cush @RheumNow ( View Tweet )
1 day ago
Treat-to-Target has Excellent 10-Year Outcomes in RA
Most patients with RA whose initial treatment used a stringent treat-to-target strategy in a clinical trial were in remission 10 years later, with only modest radiographic progression over that time, researchers said. https://t.co/aWQgQAsoSI
Dr. John Cush @RheumNow ( View Tweet )
1 day 5 hours ago
(about vaccines….) “If you don’t fear the problem you won’t value the solution”
-Dr. William Schaeffer
Dr. John Cush @RheumNow ( View Tweet )
1 day 7 hours ago
Should You Use Low Dose Naltrexone?
A recent review of 105 studies and 15 randomized controlled trials of LDN found that, across a range of disorders (chronic pain, autoimmune and neuroimmune disorders, gastrointestinal disease, dermatological conditions, post-infectious https://t.co/sC7kteQVMZ
Dr. John Cush @RheumNow ( View Tweet )
2 days ago
Cryptococcus is rare, but twice as likely with JAK inhibitors. Retrospective TriNetX analysis of RA pts (>30k/grp) starting JAKi vs TNFi; JAKi vs non-TNFi; & TNFi vs non-TNF. Crypto seen in <0.2% in all groups; but signif higher HR for JAKi (HR 2.2 & 2.15) https://t.co/1J4SjcqF8u
Dr. John Cush @RheumNow ( View Tweet )
2 days 7 hours ago
REVEAL study enrolled 418 early microscopic polyangiitis pts - High baseline (Pre-Rx) neutrophil-to-lymphocyte ratio (NLR > 10) was assoc w/ signif higer Dz activity (BVAS), alveolar hemorrhage, poor renal function, reduced survival & higher infection-related mortality (P = https://t.co/wYBOz00GGB
Dr. John Cush @RheumNow ( View Tweet )
2 days 9 hours ago
FDA has granted Fast Track designation to EG-501 (Evergreen), investigational Rx for cognitive impairment with neuropsychiatric systemic lupus erythematosus (NPSLE), following positive results from the phase 2 ClearMEMory study https://t.co/n9wO2wLLBk https://t.co/E0kL3j931Z
Dr. John Cush @RheumNow ( View Tweet )
2 days 23 hours ago
Biologic safety. Vasculitis mimics. What to do with seropositive arthralgia.
RheumNow Live 2027 tackles the decisions you face in clinic.
Jan. 30–31 | Onsite + virtual
Registration NOW OPEN.
Early Bird Pricing through 12/15/2026.
https://t.co/zYYC2350tE https://t.co/mPI1o7sEcx
Links:
Dr. John Cush @RheumNow ( View Tweet )
3 days 1 hour ago


