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RheumNow expanded twitter coverage of the ACR 2018 Annual meeting sponsored in part by Novartis. All content chosen and distributed by RheumNow and its faculty.
Dr. John Cush RheumNow ( View Tweet)

Had a great discussion with @AngusWorthing about increasing the number of rheumatologists active in political advocacy.
My take: a lot of things need to improve in rheum, and more people in advocacy is how to get it done.
How to get started? Just @ me or Angus
#ACR18 https://t.co/n3MePEqjeC
Paul Sufka, MD psufka ( View Tweet)

50% of SLE patients who are told they have HCQ retinopathy may actually have a mimicking retinal pathology. Second opinion by retinal specialist critical before stopping drug. #ACR18 #GreatDebate https://t.co/IdC1UAePbq
Maximilian Konig MaxKonigMD ( View Tweet)

We had a great discussion and will post it soon. https://t.co/N7dWlp3zz2
Dr. John Cush RheumNow ( View Tweet)

CT scan best modality to assess calcification of ligament surrounding odontoid process, or crowned dens syndrome.
MOC 3 at #ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)

Autoinflammatory dz in adults can often be missed due to milder disease forms; often found when their children are evaluated for more severe symptoms. Don't forget family history when obtaining patient's information! #ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)

"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)

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)

SLE pregnancy mgmt: 2) mgmt & prevention of SLE activity, including immunosuppressants (use AZA instead of MMF, etc.)
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)

SLE pregnancy mgmt: 2) refer to MFM given high risk OB/pregnancy....
Continue HCQ!
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)

SLE mgmt:
HCQ and AZA compatible with breastfeeding... MMF not!
#ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)

Men on MTX: conditionally recommend to continue MTX prior to conception (low level evidence). #ACR18 @RheumNow
Brittany A MissbeeMD ( View Tweet)

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)

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)

For joint replacement surgery, how long do you hold tofacitinib?
k dao KDAO2011 ( View Tweet)

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)

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)

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)

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)

#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)