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Early Promise for Steroid-free Approach for Giant Cell Arteritis

d David Liew, FRACP

A very small study presented at ACR18 looking at tocilizumab monotherapy in patients with a new diagnosis of giant cell arteritis has nevertheless given hope to the tantalising idea that some GCA patients might achieve drug-free remission without steroids, although broader data are requ

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Pregnancy and Contraception in Patients with Rheumatic Diseases

d Ian Bruce, MD, FRCP

A number of abstracts at this year’s ACR in Chicago highlighted issues around pregnancy and contraception advice in routine clinical practice.

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ACR 2018 Podcast - Day 3

d Jack Cush, MD

Audio Highlights and Interviews from Day 3 at the ACR 2018 meeting  LISTEN HERE


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Hydroxychloroquine Dosing: the Great Debate

d Philip Gardiner

Rheumatologists tend to be a conservative bunch of people. We’re law abiding and we (mostly) follow guidelines. Which is fine when they are in the best interests of our patients, but what do we do when we fundamentally disagree?

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Important workat the intersection of Vasculitis and PID. Ie when Immunologic galaxies collide!!! @VasculitisFound @CleClinRheum #Acr18 https://t.co/L5tiNYQKEM

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Leonard Calabrese LCalabreseDO ( View Tweet)

Check out this video on the SELECT COMPARE trial: upadacitinib vs adalimumab vs placebo in MTX IR patients https://t.co/Qkez4L8iA8 @ArthurRheum #ACR18

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Arthur Lau ArthurRheum ( View Tweet)

In skin-predominant #dermatomyositis, #lenabasum, a #cannabinoid type 2 receptor agonist, reduced type 1 and 2 IFN levels in the skin. IL31 protein, assoc w pruritus, also decreased. Abstract 2977. Dr.Werth #ACR18 @RheumNow https://t.co/2jmIak2B5B
Nicole Bitencourt NicoleBitencou5 ( View Tweet)
In myositis related #ILD, detection of pleural irregularities (PI) by #LungUltrasound correlated with findings on #HRCT Warwick score. Abstract 2979 Dr. Simone Barsotti. #ACR18 @RheumNow https://t.co/a4YPk4BGKV
Nicole Bitencourt NicoleBitencou5 ( View Tweet)
In #JDM, #calcification occurs in the mitochondria of affected muscles, leading to intracellular inflammation and mitochondrial DNA extrusion with Ab formation to mtDNA. #MitochondriaMatter in JDM! Abstract2981 Dr. Christian Lood #ACR18 @RheumNow https://t.co/BmBHPQoWDb
Nicole Bitencourt NicoleBitencou5 ( View Tweet)
In pts w #ImmuneCheckpointInhibitors (ICI) related myositis, 16% had #myocarditis and 16% a myasthenia-like oculomotor weakness. There's 50% risk of severe morbidity & mortality if myocarditis. #screen for #myocarditis in ICI myositis Abstract2976 Dr.Anquetil #ACR18 @RheumNow https://t.co/TqHt2wLelu
Nicole Bitencourt NicoleBitencou5 ( View Tweet)
Mentioned by @RheumNow at the meeting roundup this morning. #ACR18 https://t.co/tZPKOWhuX0

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Paul Sufka, MD psufka ( View Tweet)

Dr. Cush abstract 221 DIP Joint Involvement and Its Association with Disease Activity in Rheumatoid Arthritis (RA): Analysis Based on a Nationwide RA Database in Japan —DIP involvement associated with higher RA dz activity. #ACR18 @Rheumnow https://t.co/Co8GFtZVjC

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Suleman Bhana, MD DrBhana ( View Tweet)

Don't forget your #sunblock! Windows only block UVB not UVA. You won't get photosensitive cutaneous #lupus if you use sunblock correctly! #ACR18 @RheumNow https://t.co/XGAAoENxMj
Nicole Bitencourt NicoleBitencou5 ( View Tweet)
patients with incidental post-op finding of inflammatory aortitis have high incidence of aortic complications, especially within 1st year, abstract #2988 @RheumNow #ACR18

Cassandra Calabrese CCalabreseDO ( View Tweet)

In myositis associated #ILD, medication regimens WITH #CalcineurinInhibitors (CNI) showed trend towards better #survival than those without. Abstract2980 Dr. Takahisa Gonu #ACR18 @RheumNow

Nicole Bitencourt NicoleBitencou5 ( View Tweet)

Check out this video summary about the GIOP trial 24 month data presented at #ACR18 https://t.co/rqtoI2orJP @RheumNow

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Arthur Lau ArthurRheum ( View Tweet)

We should always stop propagating myths about methotrexate, and this time I am guilty. I can no longer pretend to myself that I should be prescribing folic acid 6x/week instead of daily #ACR18 @RheumNow https://t.co/mlYcEZCdWZ

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David Liew drdavidliew ( View Tweet)

@jeffsparks @pkiely500 @RheumNow Thanks for clarifying that. I suspect it would be very difficult to analyse, and it would be a brave person who did a double blind RCT of MTX vs another DMARD in RA ILD!

Philip Gardiner PhilipGardiner ( View Tweet)

@pkiely500 @PhilipGardiner @RheumNow Disease activity was the exposure of interest in this study. Methotrexate use had no association as an adjustment variable

Jeff Sparks jeffsparks ( View Tweet)

such a great abstract @cappelliMD looking at effect of rheumatic irAE on patients quality of life, as expected - a significant impact! abstract #2349 @RheumNow @LCalabreseDO #ACR18

Cassandra Calabrese CCalabreseDO ( View Tweet)

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