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RheumNow Podcast – Uppers and Downers

Jack Cush, MD

Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow.com.

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ACR Updates COVID-19 Vaccine Guidance- April 2021

ACR COVID-19 Vaccine Clinical Guidance Task Force

The ACR COVID-19 Vaccine Clinical Guidance was originally published on February 8, 2021 and updated on March 4, 2021. On April 28, 2021, new recommendations were added regarding mycophenolate, methotrexate, acetaminophen, and NSAID timing considerations,  

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New Side Effect From mRNA COVID Vaccines?

MedPage Today

Herpes zoster reactivation -- a.k.a. shingles -- following COVID-19 vaccination in six patients with comorbid autoimmune/inflammatory diseases may be a new adverse event associated with the Pfizer/BioNTech mRNA vaccine, suggested a new report.

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RheumNow Podcast – Combination Biologics

Jack Cush, MD

Dr. Jack Cush serves up this week's news and articles from RheumNow.com.

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Planes, Trains and COVID Distancing

Jack Cush, MD

MMWR reports the risk of acquiring an infection with SARS-CoV-2 is reduced 23% to 57% when the middle seat was vacant (compared with full aircraft occupancy).

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Autoimmune Risk of Death Up during COVID

Jack Cush, MD

A population-based study in the UK shows that patients with rare autoimmune rheumatic diseases (RAIRD) were 44% more likely to die during the 2020 COVID-19 pandemic (March - April) compared to either the general population or their pre-COVID risk.

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DMARD Dropouts During COVID-19

Jack Cush, MD

A full year from the onset of the SARS-COV-2 pandemic, rheumatologists are still seeing the consequences of COVID, with many patients avoiding usual care, follow-up visits, routine lab testing and with many self-stopping their antirheumatic meds, because it seemed like the right thing to do.

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RheumNow Podcast – Mistakes with Steroids

Jack Cush, MD

Dr Jack Cush gives his spin on this week's RheumNews and Rheum Research from RheumNow.com.

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Rheumatology Care Derailed by COVID-19

Jack Cush, MD

A survey study from the  ArthritisPower PPRN or CreakyJoints database shows that during the COVID-19 pandemic patient care was substantially affected in unforeseen ways.

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Reactogenicity Following mRNA COVID-19 Vaccines

Jack Cush, MD

JAMA has published the real-world reporting of mRNA vaccine side effects (reactogenicity) gathered from CDC V-safe Surveillance system and shows that local and systemic reactions were often mild and transient and most commonly seen during the first day following their second dose.

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RheumNow Podcast is Up! – with news of Uppers and Downers. Read about Vaccine success, CKD gout prophylaxis, TOFA in AS & too much IL-17 inhib can be a problem https://t.co/kt63YrQ0Sw Listen iTunes> https://t.co/FHJv01AAbC or Android SoundCloud>>https://t.co/IyYvjkWUc1

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Dr. John Cush RheumNow ( View Tweet)

CDC study shows that adults >65yrs who are fully vaccinated (w/ Pfizer or Moderna) showed 94% drop in COVID-19 hospitalization (64for among partially vaccinated adults) https://t.co/iJrbiNJg2r

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Dr. John Cush RheumNow ( View Tweet)

Take a look at our COVID-19 section of the site to see all articles published on this virus. https://t.co/TiB7739ONL

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Dr. John Cush RheumNow ( View Tweet)

Dr. J Curtis discussing ACR’s COVID Vaccine guidance. Testing for antibodies may not be necessary at this time as common lab tests differ in what they target. #RNL2021 https://t.co/Xd0DYiwZEg
Robert B Chao, MD doctorRBC ( View Tweet)
News Feature: New Side Effect From mRNA COVID Vaccines? Herpes zoster reactivation following COVID-19 vaccination in 6 patients with comorbid autoimmune/inflammatory diseases may be a new adverse event associated with the Pfizer/BioNTech mRNA vaccine. https://t.co/GgjoIpYDkC https://t.co/sI2Fx0o05G

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Dr. John Cush RheumNow ( View Tweet)
News Feature: Planes, Trains and COVID Distancing MMWR reports the risk of acquiring an infection with SARS-CoV-2 is reduced 23% to 57% when the middle seat was vacant (compared with full aircraft occupancy). https://t.co/tGs9GopeGu https://t.co/ZRMltTpYgW

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Dr. John Cush RheumNow ( View Tweet)
Study of 26 patients with chronic inflammatory cdiseases vaccinated with mRNA vaccines showed all with considerable immunogenic responses. No unexpected side effects seen and No flares of the underlying inflammatory disease was seen. https://t.co/7Q5bYp5A9i

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Dr. John Cush RheumNow ( View Tweet)

HLA-B27 status does not change the risk of COVID-19 in spondyloarthritis patients. Survey of 3435 SpA pts; shows 76% as HLA-B27 positive. COVID infx was thesame between B27 Pos & Neg pts (1.5% vs 1.4%) and severity was also the same https://t.co/qavodFynr0

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Dr. John Cush RheumNow ( View Tweet)

#RNL2021 Coverage from @KDAO2011 "Psoriatic Arthritis Pearls by Dr. E Ruderman -MTX monoRx is effective -which TNFi does not matter -Secukinumab 300 mg is better than 150 mg dose -OK to use IL-17i in pts with FHx of IBD" #RheumNow

Dr. John Cush RheumNow ( View Tweet)

CDC updates its COVID Comorbid Dz list to include type 1 diabetes (& NIDDMA), mod-severe asthma, liver Dz, dementia , stroke/cerebrovascular disease, HIV infxn, cystic fibrosis, obesity, substance use disorders (NOT ARTHRITIS, PSORIASIS) https://t.co/LbVMVGf4IR

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Dr. John Cush RheumNow ( View Tweet)

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