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Rituximab is superior to cyclophosphamide in relapsing AAV. Provided you are relapsing after having cyclophosphamide as your first agent of course... @EBRheum @RheumNow #RNL2024 https://t.co/JfbcKH2zCG

https://twitter.com/RichardPAConway/status/1751667454776934533/photo/1

MTX and cyclophosphamide are the two drugs @DrCassySims recommends holding during breast feeding in our vasculitis patients. #RNL2024 @RheumNow

Do you get extra-cranial imaging in your GCA patients? #rheumtwitter #RNL2024 @RheumNow @anisha_dua @DrCassySims @philseo

Dr P Seo answers audience questions…he does not check ANCA levels regularly as results do not impact his actions but may induce anxiety #Vasculitis #RNL2024 @RheumNow https://t.co/GV62DF7s3y

https://twitter.com/KDAO2011/status/1751622005172965610/photo/1

@DrCassySims checks APS ab on ALL pregnant (vasculitis) patients. "HCQ decreases neonatal lupus risk by half, meaning great reward for little risk." CS at #RNL2024 @RheumNow

Dr. P Seo's summary slide on management of #vasculitis #RNL2024 @rheumnow https://t.co/cZLI6iz1sL

https://twitter.com/KDAO2011/status/1751620754469195915/photo/1

How Dr. P Seo manages #vasculitis patients with nonrespiratory manifestations #RNL2024 @rheumnow https://t.co/sjTXulDZ3a

https://twitter.com/KDAO2011/status/1751620523023298852/photo/1

While #dupilumab can be used for #EGPA, be careful about using it in pts with high eosinophilia; don't taper steroids too rapidly if you use this drug. - Dr P Seo @rheumnow #RNL2024 https://t.co/YKQdtvCS0M

https://twitter.com/KDAO2011/status/1751620282664599964/photo/1

Consider using IV Benralizumab (also an IL5 inhibitor) for #EGPA in pts where insurance won't approve SQ mepolizumab - Dr. P Seo #RNL2024 @rheumnow https://t.co/VFE76Uzb2S

https://twitter.com/KDAO2011/status/1751619487701283179/photo/1

EGPA - Peanut butter and Jelly @philseo Respiratory symptoms and systemic disease Respiratory: non-systemic (inhalers, steroids, irrigation) IL-5 inhibs Non-respiratory: eosinophilic (myocarditis, urticaria, EE), vasculitis (MM, GN, DAH, purpura, arthralgias) #RNL2024 @RheumNow https://t.co/KTlvZ1cnfH

https://twitter.com/ericdeinmd/status/1751619310223561188/photo/1

"EGPA is a lot like peanut butter and jelly, two separate things showing up at the same time (in terms of respiratory and systemic manifestations.)" Dr. @philseo at #RNL2024 @RheumNow https://t.co/l0WgG1caN0

https://twitter.com/uptoTate/status/1751619043323187376/photo/1

“Patients with EGPA are like peanut butter and jelly … 2 different manifestations: respiratory manifestations and systemic manifestations” - Dr. P Seo with lunch on his mind. #RNL2024 @rheumnow https://t.co/y7SLEG9qRt

https://twitter.com/KDAO2011/status/1751618841719824491/photo/1

Dr. P Seo's Pearls for #Vasculitis: 1. Weekly or q2weeks SC TCZ is fine for newly diagnosed patients, but if pts relapse, use weekly TCZ. 2. oral steroids perform fine (no need to do IV pulse) even in pts with vision changes 3. taper steroids over 3-4 months @rheumnow #RNL2024

The great unknown with tocilizumab in GCA, do you stop, how do you stop, etc. @philseo approach. I'm not as brave! Usually park at every other week dosing @RheumNow #RNL2024 https://t.co/y7mg57mWND

https://twitter.com/RichardPAConway/status/1751618632881263023/photo/1

Do you have GCA patients on low dose prednisone? Feel reassured. Dr. @philseo provides data showing that low dose prednisone may be helpful in remission maintenance. #RNL2024 @RheumNow https://t.co/oyOsczfkfv

https://twitter.com/uptoTate/status/1751617904942916004/photo/1

Interesting nuance from @philseo re tocilizumab in GCA. For new onset disease, it may be appropriate to use every other week tocilizumab @RheumNow #RNL2024 https://t.co/moCvpQSkq0

https://twitter.com/RichardPAConway/status/1751617374623539405/photo/1

Do you need to pulse steroids in GCA? ACR 2022 abstract#0459 data says oral only may be sufficient Oral vs IV MP - p=0.621 Still favor IV in severe cases @philseo #RNL2024 @RheumNow

Amaurosis fugax is not the only vision symptoms to assess in patients with #GCA. Blue vision, double vision (if patients have to look at you in a side gaze prevent double vision) may also be present - Dr. P Seo @rheumnow #RNL2024 https://t.co/AhQnOJF7fa

https://twitter.com/KDAO2011/status/1751616026813309262/photo/1

#RNL2024 @RheumNow @philseo: I now give Tociliizumab for nearly all patients with GCA GiACTA shows we weren't doing well enough with steroid monotherapy GiACTA shows dosing frequency does not make a big difference in new diagnosis, but makes a difference in relapsing disease https://t.co/JBgUQtZSAr

https://twitter.com/ericdeinmd/status/1751615830385713373/photo/1

When thinking of GCA there are only 2 questions you need to ask. Dr. @philseo reminds us to 1. Establish if new or recurrent disease 2. Assess for presence of visual symptoms #RNL2024 @RheumNow https://t.co/MGML3EafPu

https://twitter.com/uptoTate/status/1751615620867629220/photo/1

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