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Kanika Monga, MD Tweet
DrKanikaMonga
Poor prognostic factors for MDA-5 ILD: - Ferritin > 1000 ng/mL prior Rx - GCO or consolidations in all lung fields - Worsening of lung consolidations during Rx #ACR19 @RheumNow
Kanika Monga, MD Tweet
DrKanikaMonga
Myositis -- Ask for muscle biopsy when: - high clinical suspicion w/ negative myositis specific antibodies - high clinical suspicion of inherited muscle disease - isolated elevated CPK - recalcitrant to treatment - atypical presentation #ACR19 @RheumNow
Janet Pope Tweet
Janetbirdope
Sjogrens RCT of Tocilizumab showed no benefit. Wonder re outcomes and pt selection. Maybe pick early pts with high inflammatory markers or other organ involvement #ACR @RheumNow #Sjogrens abstr1904
Janet Pope Tweet
Janetbirdope
Tofacitinib works in Polyarticular JIA. Maybe new hope for kids with JIA and benefits of oral medication #ACR #ACR19 #JIA @RheumNow L23.
Janet Pope Tweet
Janetbirdope
Certrolizumab pegol decreases uveitis in open label study of SpA with past uveitis and HLAB27 group enriched for recurrence. Pre and post Rx rates of uveitis were compared. 80% reduction of uveitis but uncontrolled and unblinded. #ACR #ACR19 @RheumNow
Janet Pope Tweet
Janetbirdope
1/3 of pts using apremilast with PsA/SpA from Corrona data base are using it in combination with bDMARDs. Not sure how they get reimbursement #ACR #ACR19 #psoriaticarthritis @RheumNow abstract 1481
Kanika Monga, MD Tweet
DrKanikaMonga
2020 Gout Clinical Practice Guideline ❕Regardless of disease activity, conditionally recommend - limit alcohol intake - limit purine intake - limit high-fructose corn syrup - if overweight/obese, recommend weight loss - against adding vitamin C supplementation #ACR19 @RheumNow
Kanika Monga, MD Tweet
DrKanikaMonga
@RheumNow 2020 Gout Clinical Practice Guideline ‼️ For allopurinol and febuxostat, strongly recommend starting at low dose with subsequent dose titration to target over starting at higher dose ( ≤ 100 mg/d for allopurinol, ≤ 40 mg/d for febuxostat) #ACR19 @RheumNow
Mike Putman Tweet
EBRheum
All the NEW Clinical Practice Guidelines for GOUT! 1. Allopurinol is 1st line 2. Start ULT during flare! 3. No tx for asymptomatic hyperuricemia Seems pretty reasonable - surprised no rec for MTX w/pegloticase #ACR19 @RheumNow Thank you to @philipcrobinson for posting slides! https://t.co/riwHGYNZ8T
Kanika Monga, MD Tweet
DrKanikaMonga
2020 Gout Clinical Practice Guideline 42 recommendations (16 strong) - 27 ULT management (13 strong) - 5 Gout Flares (3 strong) - 5 Lifestyle recommendations - 4 Management of other medications - 1 Asymptomatic Hyperuricemia #ACR19 @RheumNow
Jonathan Hausmann MD Tweet
hausmannMD
Pericarditis is an inflammatory condition that causes chest pain, pericardial friction rub, pericardial effusion. #ACR19 @RheumNow
Kanika Monga, MD Tweet
DrKanikaMonga
“Health tech isn’t just the future, it is the present” - @gnayyar Listen to the incredible Dr. Geeta Nayyar talk to us about health tech, and about her favorite sessions at #ACR19! @RheumNow https://t.co/OcYBws7pFE
Jonathan Hausmann MD Tweet
hausmannMD

CAPS (cryopyrin-associated periodic syndrome) is a heterogeneous group of autoinflammatory conditions that causes intermittent fevers (typically after cold exposure), as well as an urticarial-like rash. #ACR19 @RheumNow

Janet Pope Tweet
Janetbirdope
Remission ever or sustained in RA is same on triple DMARDs Therapy bs biological Rx. From Swedish register. ?channeling bias ?differential access? Either way this supports triple therapy use as impt in RA #ACR #ACR19 @RheumNow Abstract 2908 https://t.co/T8fRPr5a2A
Jonathan Hausmann MD Tweet
hausmannMD
Haploinsufficiency 20 (HA20) is a newly-described autoinflammatory disease caused by mutations in TNFAIP3, encoding the NF-kB regulatory protein A20. #ACR19 @RheumNow
Janet Pope Tweet
Janetbirdope
Gout guidelines Allopurinol over febuxostat, dose low &slowly increase, T2T for serum Uric acid. Only Febuxostat if allopurinol failure/hypersensitivity. Only if failing with flares &tophi use peguricase. flares: colchicine steroids or NSAIDs #ACR @RheumNow https://t.co/ec6bOs5Hxo
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