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You can stop MTX in RA pts in low disease state after adding tofa 11 mg daily long acting for 24 Wks if CDAI <11 (Oral Shift) No diff btw continue vs D/C MTX. Some pts will be happy to stop MTX without loss of effect LBOOO4 #EULAR2019 @RheumNow
Janet Pope Janetbirdope ( View Tweet)
Sjogrens EULAR guidelines leave me dry! Lots of collaboration and work on guidelines but not much content which begs for RCTs in Sjogrens to help our pts. SP0190. But some recent RCTs recently + such as Leflunomide+ Hydroxychloroquine #EULAR2019 @RheumNow https://t.co/JZDcBLHai8
Janet Pope Janetbirdope ( View Tweet)
For PsA poly arthritis what do you usually start
Janet Pope Janetbirdope ( View Tweet)
What happens when you use very low doses for rituximab retreatment for RA? More flares, but interesting mean disease activity/B cells comparison suggest most get by fine and fewer get infections #EULAR2019 LB0010 from Nijmegen @RheumNow https://t.co/opsUMPwOFd
David Liew drdavidliew ( View Tweet)
RA confers a similar risk of inpatient admission for influenza as age >65yo in a large Australian general medical cohort. When will our RA patients get similar access to high dose influenza vaccine as patients >65yo do? #EULAR2019 FRI0058 @bonnialiu @earlyARA @RheumNow https://t.co/hR1fYHdZzQ
David Liew drdavidliew ( View Tweet)
"My confidence & zest for life back again", "Being a good mum", "Not having to think about ways to conserve energy". The #patient view of #remission involves the symptoms of the disease, as well as its manifestations. Ruth Williams at #EULAR2019 https://t.co/uzaF7lXuEg
Arthritis Ireland Arthritisie ( View Tweet)
Some very good & practical suggestions for how to improve function and patient #remission suggested by Ruth Williams: good continuity of care & communication; holistic approach to physio, OT & podiatry; CBT; exercise classes & simple aids. #EULAR2019 https://t.co/OHxLjV7Syj
Arthritis Ireland Arthritisie ( View Tweet)
Great talk from @EATC4Children Prof Ramanan on uveitis and current therapeutic options #EULAR2019 https://t.co/44RuFyr1JM
Alder Hey Research AHFTResearch ( View Tweet)
RheumNow expanded twitter coverage of the #EULAR2019 annual meeting is sponsored by Horizon Pharma. All content chosen by RheumNow & its Faculty.
Dr. John Cush RheumNow ( View Tweet)
RA-ILD therapy: some very useful thoughts from @TobyMMaher, a respiratory expert from Royal Brompton #EULAR2019 SP0199 @RheumNow https://t.co/6Y7HziX4Kc
David Liew drdavidliew ( View Tweet)
20% of patients post-total KNEE replacement have chronic pain
vs
5% of patients post-total HIP replacement
We don’t know why @larhumato #eular2019
Dr Irwin Lim _connectedcare ( View Tweet)
Does Rheumatoid Arthritis Really Improve During Pregnancy? A Systematic Review and Metaanalysis 👉🏻Disease activity improved in 60% of patients with RA in pregnancy and flared in 46.7% postpartum. https://t.co/QKun6vOzDY #EULAR2019 Thanks @montesa_maria https://t.co/9QA84ITapO
Carlo V Caballero MD carvicab ( View Tweet)
EULAR large vessel guidelines say if refractory GCA consider addition of Tocilizumab or MTX to steroids. Whereas in TAkayasu's you should start with immunosuppressive + steroids SP0192 #EULAR2019 @RheumNow https://t.co/Sn1j5Pqzgu
Janet Pope Janetbirdope ( View Tweet)
The same basic factors are in play in RA-ILD as in IPF, as are outcomes. There’s a separation between the two, but maybe things are coming back together... #EULAR2019 SP0199 Toby Maher from @RoyalBrompton @RheumNow https://t.co/gUDYbDcBrZ
David Liew drdavidliew ( View Tweet)
Belimumab with great safety in largest SLE RCT ever #EULAR2019 @RheumNow https://t.co/cvdX6bBtag
Janet Pope Janetbirdope ( View Tweet)
Association between pre-treatment ANA and TNFi immunogenicity in RA? Very interesting, worth exploring... #EULAR2019 SAT0155 from Shinko, Kobe, Japan @RheumNow https://t.co/hmUNonteq4
David Liew drdavidliew ( View Tweet)
Psoriatic arthritis guidelines packed but no pics allowed. Updated lit search included depression as a comprbidity & each MSK manifestation added. Aim for remission. Then divided by axial. Poly, oligo and enthesial Mtx rapid for poly arthritis #EULAR2019 @RheumNow https://t.co/rVDi6mXwFI
Janet Pope Janetbirdope ( View Tweet)
Non-inferiority of ultra low-dose RTX (1x500; 1x200) Vs "standard low-dose" (1x1000) couldn't be stablished. However it worked for many pts (check slides). Work by Verhoef et al. #EULAR2019 @DrJuanOvalles @MedReuma @carmona_loreto @EMJRheum @RheumNow #rheumatoidarthritis @ARD_BMJ https://t.co/QsWlZ59SBA
Sebastian C Rodriguez-García sdlcrodriguez ( View Tweet)
Filgotinib effective in RA naive to MTX, either with or without MTX #EULAR2019 @RheumNow https://t.co/HPTIG3e2Tp
Emilio Martin Mola emartinmola ( View Tweet)
EULAR APS guidelines state do NOT use direct thrombin inhibitor for Rx of APS thrombotic event as they work LESS well than warfarin target INR above 2.0. Don't need to aim at 3.0 as more bleeding SP0191 #EULAR2019 @RheumNow https://t.co/XB3PVrkHG3
Janet Pope Janetbirdope ( View Tweet)