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Rheumatic Disease and COVID-19: Who Is at Risk?

MedPage Today

Patients with rheumatic and inflammatory diseases who develop COVID-19 share risk factors for severe disease with the larger population, including older age, male sex, obesity, and hypertension, but also are at increased risk if they are on corticosteroids, French investigators reported.

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Psoriasis Severe legs sara

Systemic Steroids Seldom Flare Psoriasis

Jack Cush, MD

A tenet of drug management suggests that steroid use in psoriasis may be associated with rebound flares; well this has been challenged by a new observational trial showing that the risk of flares (and severe flares) of psoriasis flares were seldom triggered by systemic steroids - certainly much l

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ACR has released 2 free powerpoint slide decks featuring select RA and SLE abstracts from #ACR20 (a 3rd late-breaking slide deck is yet to come!). Download here>> https://t.co/CiNH0xfs7J

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Dr. John Cush RheumNow ( View Tweet)

#FDA Pfizer presentation of their new COVID vaccine data https://t.co/Zk3DF3ycIF
Dr. John Cush RheumNow ( View Tweet)
Stop Making these mistakes because of COVID-19 Concerns: 1. Keep your medical appointments - Drs offices have changed to keep you SAFE 2. Get scheduled blood tests - LabCorp, Quest labs are very safe to go to 3. Restart usual scheduled visits,eye exams, bone density, annual PCP

Dr. John Cush RheumNow ( View Tweet)

Upadacitinib Effective in Biologic Refractory Psoriatic Arthritis #ACR20 https://t.co/uE4ZmfulbP https://t.co/OzpX6hLw6O

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Dr. John Cush RheumNow ( View Tweet)
Taiwanese claims data on new RA (2003‐2016) shows decreasing incidence over time. After RA Dx the life expectancy was 26.3 yrs; lifetime cost US$ 72,953. On avg RA pts live 4.97 years less (historically this was 8-11yrs); has biologic era improved this? https://t.co/gHbZx1bw0A

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Dr. John Cush RheumNow ( View Tweet)

Hepatitis B, RA and Drug Risk with Drs. Stanley Cohen and Jack Cush #ACR20 https://t.co/jOzAkLzNEc https://t.co/lPM8bbHDr7

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Dr. John Cush RheumNow ( View Tweet)
1st refractory to DMARD can be bad omen. RA Study showed 41/402 (10%) were multi-DMARD refractory (MR) and 18% achieved remission/LDAS. DMARD MR predicted by erosions, younger age, high baseline DAS28, delta-DAS < 1.2 1st 6 mos (OR 11.12) https://t.co/KxdK97uuSI

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Dr. John Cush RheumNow ( View Tweet)

UTSW Rheum Gr Rounds - Treatment options for Sarcoidosis @UTSWIMchief https://t.co/cGm6VhsTfc
Dr. John Cush RheumNow ( View Tweet)
#FDA, Summary of Dr. Aron Halls CDC presentation and updates on COVID-19 https://t.co/DUAftAKq0R
Dr. John Cush RheumNow ( View Tweet)
#FDA hearing on Covid vaccines - shows current seroprevalence by state, currently < 10% seroprevalence with higher rates in children and young adults https://t.co/8eG5cKQBiA
Dr. John Cush RheumNow ( View Tweet)
#UTSW Rheum Grand Rounds. IN Sarcoidosis, lymph node bx is not necessary with Loffgrens syndrome (below), lupus pernio rash, uveoparotid fever. @UTSWIMchief https://t.co/SYvuc1gLRy
Dr. John Cush RheumNow ( View Tweet)
#UTSW Rheum Grand Rounds on Sarcoidosis w/ Dr. HSIA - Joints are involved in 15% of pts. Lung sking and ocular involvement predominate https://t.co/G4iWm4pLmO
Dr. John Cush RheumNow ( View Tweet)
Dr. Connie Hsia from #UTSW shows that the frequency of #Sarcoidosis is increasing; there is familial clustering, higher risk in firefighters, WTC, insecticides, construction, organic dust, fumes, smokers https://t.co/hDQV4MmZNt
Dr. John Cush RheumNow ( View Tweet)
Medicare Physician Fee Schedule Final Rule Released https://t.co/UvGQ5PIQEk https://t.co/ZuivQr5jKO

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Dr. John Cush RheumNow ( View Tweet)
Read our article, Mortality in Low Dose Prednisone by Dr. Eric Dein ( @ejdein1) , covering #ACR20 abstracts. https://t.co/y6dL9V6iDC https://t.co/c39ovUJAPz

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Dr. John Cush RheumNow ( View Tweet)
Pregnancy and ILD: Dr. David Liew ( @drdavidliew) reviews abstract #1446 presented at #ACR20. https://t.co/1g5KUdG6XW

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Dr. John Cush RheumNow ( View Tweet)

Hepatitis B, RA and Drug Risk with Drs. Stanley Cohen and Jack Cush #ACR20 https://t.co/jOzAkLzNEc https://t.co/A377Ti9zvX

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Dr. John Cush RheumNow ( View Tweet)
#BestACR20Tweets RT @MeralElRamahiMD :Largest to date cohort study of pregnancies in women w/ ILD showed no mat. deaths suggesting that women w/ ILD may not need to avoid conception or terminate pregnancies, but pts w/ severe ILD were at higher risk for poor pregnancy outcomes.

Dr. John Cush RheumNow ( View Tweet)

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