All News
![](https://pbs.twimg.com/profile_images/1053080464284700672/firDjbsv.jpg)
"We conditionally recommend against methotrexate in breastfeeding women."
"We strongly recommend that TNF-inhibitors as a class are compatible with breastfeeding."
-Reproductive issues in RA
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)
![](https://pbs.twimg.com/profile_images/1053080464284700672/firDjbsv.jpg)
SLE pregnancy mgmt: 1) check anti-SSA/Ro and anti-SSB/La, APS antibodies once, check SLE activity every trimester
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)
![](https://pbs.twimg.com/profile_images/1053080464284700672/firDjbsv.jpg)
SLE pregnancy mgmt: 2) mgmt & prevention of SLE activity, including immunosuppressants (use AZA instead of MMF, etc.)
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)
![](https://pbs.twimg.com/profile_images/1053080464284700672/firDjbsv.jpg)
SLE pregnancy mgmt: 2) refer to MFM given high risk OB/pregnancy....
Continue HCQ!
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)
![](https://pbs.twimg.com/profile_images/1053080464284700672/firDjbsv.jpg)
SLE mgmt:
HCQ and AZA compatible with breastfeeding... MMF not!
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)
![](https://pbs.twimg.com/profile_images/1053080464284700672/firDjbsv.jpg)
Men on MTX: conditionally recommend to continue MTX prior to conception (low level evidence). #ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)
![](https://pbs.twimg.com/media/DqOz13-XQAANAoq.jpg)
Abstract 2587
Both TNFi and MTX demonstrated HbA1c reductions in DM pts with inflammatory arthropathies
#ACR18 @rheumnow https://t.co/we0LltxTUV
Julio Gonzalez japaoli19 ( View Tweet)
![](https://pbs.twimg.com/media/DqOxHsGW4AAFWEM.jpg)
AbstractL02
Small sample of pts had clinical and steroid tapering benefit after Tofacitinib Tx in open label dermatomyositis study
#ACR18 @rheumnow https://t.co/7Sg9DqXpJB
Julio Gonzalez japaoli19 ( View Tweet)
![](https://pbs.twimg.com/profile_images/926433283193425920/cOMunlL6.jpg)
For joint replacement surgery, how long do you hold tofacitinib?
k dao KDAO2011 ( View Tweet)
![](https://pbs.twimg.com/profile_images/991511695506878464/hjzSOtWH.jpg)
Why was TENS more effective for FM in this study vs previous studies?
Leslie Crofford:
“All TENS is not the same“ - they will publish their parameters when final study is published.
#ACR18 @RheumNow
ǝlʇʇıɥʍ ɯɐs samwhittle ( View Tweet)
![](https://pbs.twimg.com/profile_images/883609165922394112/i-2eHFGw.jpg)
Probably the first ever reference to Harold and Kumar at an ACR? No-one can accuse either side of being staid in the medical marijuana debate at #ACR18 5T119 @RheumNow
David Liew drdavidliew ( View Tweet)
![](https://pbs.twimg.com/profile_images/1053080464284700672/firDjbsv.jpg)
New DCVAS criteria for large vessel vasculitis help capture patients from all across the world, not just North America.
"Infectious diseases can be geographic, while rheumatologic diseases can be demographic." - Me
@RheumNow #ACR18
Brittany A MissbeeMD ( View Tweet)
![](https://pbs.twimg.com/media/DqOgR9QWkAApxrj.jpg)
Dr. Ferucci on Rheumatology telemedicine in rural native clinics in Alaska: initial visit is still in person to establish a baseline and perform a physical exam. Best uses for TeleRheumatology and challenges (see slides) #ACR18 @RheumNow https://t.co/LeBsPzlZxP
Suleman Bhana, MD DrBhana ( View Tweet)
![](https://pbs.twimg.com/media/DqOiXtoXgAAOW6_.jpg)
#ACR18 Late Breaking:
#L19 Crofford - Active vs placebo TENS vs no TENS for pain & fatigue in #fibromyalgia. TENS superior for pain & fatigue. >30% pain reduction in 44% TENS vs 22% PBO TENS vs 14% no TENS. Safe.
Surprising but exciting to see TENS back for FM.
@RheumNow https://t.co/a3qSWQBbqY
ǝlʇʇıɥʍ ɯɐs samwhittle ( View Tweet)
![](https://pbs.twimg.com/profile_images/883609165922394112/i-2eHFGw.jpg)
Tanezumab sc (anti-nerve growth factor) interesting for OA knee and hip, but the added elective joint replacements without radiographic differences between groups remains unexplained. More safety data on the way #ACR18 ABSTL20 @RheumNow
David Liew drdavidliew ( View Tweet)
![](https://pbs.twimg.com/media/DqO06K3WsAAKKKA.jpg)
Strong ACR20 W16 response after Filgotinib in PsA (16.9% TNFi failures)
#ACR18 @rheumnow https://t.co/kmOSQVRYdD
Julio Gonzalez japaoli19 ( View Tweet)
![](https://pbs.twimg.com/media/DqO2YibWsAE6Uom.jpg)
PASI75/90 responses along with global pain reduction seen with oral Tyk2 inhibitor.
No changes on lab parameters, serious infections or thrombosis seen
#ACR18 @RheumNow https://t.co/N6LyXOd0an
Julio Gonzalez japaoli19 ( View Tweet)
![](https://pbs.twimg.com/media/DqOWvV8U0AAycGE.jpg)
Lower the uric acid and save cognitive abilities. #ACR18 @RheumNow Abstract 2226. https://t.co/wtSxUg4NUL
William Shergy WilliamShergy ( View Tweet)
![](https://pbs.twimg.com/profile_images/1053080464284700672/firDjbsv.jpg)
Always exciting to have new classification criteria presented at ACR.. while not diagnostic, can guide us to capture pts who need further eval & treatment!
Large vessel vasculitis, IgG4 related disease.
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)
![](https://pbs.twimg.com/media/DqObG7cUUAARxpC.jpg)
What to do when your SLE patient gets pregnant. #ACR18 @RheumNow Abstract 5T096 https://t.co/MsR0boQwRK
William Shergy WilliamShergy ( View Tweet)