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Best Imaging Techniques for non ANCA Vasculitis  

Alexa Meara MD

Large vessel vasculitis (LVV) and CNS vasculitis are rare subsets of vasculitis. The challenges related to these diseases are well known to the rheumatologists who treat around the world.

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Industry Abstract Previews - ACR2020

Jack Cush, MD

Each pharmaceutical company has spent months and years preparing to present and highlight their featured clinical trials and abstracts at ACR 2020.  This is our selection of their best studies for you to review and evaluate as part of your to-do list.

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Spondyloarthritis at ACR Convergence 2020

Antoni Chan, MD, PhD

There are some really interesting poster and abstract presentations on spondyloarthritis at the ACR Convergence 2020. I’ll be covering these topics, and discussing select individual posters and abstracts during this meeting. 

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Immune Necrotizing Myopathy

Jack Cush, MD

A full read review of immune-mediated necrotizing myopathy is portrayed as a distinct subtype of inflammatory myopathies first described in 2004.

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RheumNow Podcast – Good Time Charlie…. (10.16.20)

Jack Cush, MD

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

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IL-1 Inhibition Alters Arthroplasty Rates

Jack Cush, MD

A subanalysis of the CANTOS trial suggests that inhibition of interleukin-1β (IL-1β) can reduce rates of incident hip or knee replacement (THR/TKR) surgeries.

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Fractures from Delays in Denosumab Reinfusions

Jack Cush, MD

Denosumab is effective in osteoporosis when used on schedue, but research suggests that discontinuation leads to rapid reversal of effect; a new observational study has shown that delays in denosumab administration of more than 16 weeks results in an increased vertebral fracture risk, according t

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RheumNow Podcast – Function Follows Form (10.2.20)

Jack Cush, MD

Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com. Regulatory approvals, update on global rheumatology alliance, smoking and psoriasis, gabapentin let down and defining difficult RA.

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EULAR Treatment recommendations 4S005: MSK US is highly sensitive and useful adjunct, but not recommended for routine mgmt in T2T. I find very useful for pts with unclear disease activity, but should be trained if using it #ACR20 @RheumNow

Eric Dein ejdein1 ( View Tweet)

Ultrasound to assess synovial-entheses junction correlated with clinical findings Abs#0311 Do you use MSK US in your clinic? @RheumNow #ACR20

Robert B Chao, MD doctorRBC ( View Tweet)

Serial RF titers? Abst#0754 from Japan: Pts with RF>45, tracked RF at month 0/4/12 after starting b/tsDMARD. 46/130 had RF decrease titers, had better radiographic remission/DAS28-ESR. Limits: varied Rx, More aggressive Rx w RF decrease grp @RheumNow. #ACR20

Eric Dein ejdein1 ( View Tweet)

Use of diagnostic imaging for #GCA is ⬆️ Use of temporal artery biopsy⬇️ data from #MayoClinicRheumatology @garveythomasma1 #acr20 #RheumTwitter https://t.co/kQTg5FTlVq
KenWarringtonMD MdWarrington ( View Tweet)
Scoring hand x-rays for Sharp scores is painfully tedious and not always perfectly consistent. Why not get a computer to do it? Turns out you can - a deep adaptive machine learning model does as well as a human, each x-ray in literally one second. #ACR20 ABST0493 @RheumNow https://t.co/SvqkaFy8XZ
David Liew drdavidliew ( View Tweet)
Diagnosis in GCA is changing. Some questions from these nice Olmsted County data: - why are dx in women declining? - in the past, without imaging, were we missing GCA diagnoses? It's easy to forget how far we've come in GCA! @MayoClinic @MdWarrington #ACR20 ABST0517 @RheumNow https://t.co/QsW8BSsf1a
David Liew drdavidliew ( View Tweet)
Another interesting study demonstrating the use of ultrasound to assess psoriatic arthritis. In very early, DMARD naïve PsA, clinically swollen joints are associated with PD synovitis, but tender, non-swollen joints are not @RheumNow #ACR20 Abst#313

Dr. Antoni Chan synovialjoints ( View Tweet)

Emerging trend #MachineLearning - SpA expert Dr Dennis Poddubnyy talks at #ACR20 press conference - Development and Validation of an #artificial_intelligence Approach for the Detection of Radiographic Sacroiliitis using MRI @RheumNow

Bella Mehta bella_mehta ( View Tweet)

Small study showed poor to fair agreement of PE and US findings of hands in PsA. Do you use US in your clinic for diagnostics? #ABS0314 @RheumNow #ACR20 https://t.co/6oQG4SB1d3 https://t.co/SQK7uhX02T

Links:

Dr. Rachel Tate uptoTate ( View Tweet)
Tips for assessing enthesial thickening by ultrasound: - check the contralateral side - convex appearance @RheumNow #ACR20 #mskus https://t.co/kvburcX4Ju
sheila RHEUMarampa ( View Tweet)
Study of 5792 RA pts from 11 RCTs compared ACR Boolean remission with (4V) or without Pt Global scores (3V) using Xray & functional outcomes. 3V (TJC28, SJC28, CRP CRP mg/dL<=1) was as validi as 4V-remission in predicting Xray, less so functional, outcomes https://t.co/r1azrh3SHS

Links:

Dr. John Cush RheumNow ( View Tweet)

Nonradiographic axial spondyloarthritis= meeting axSpA criteria without Xray sacroiliitis. Swiss study compared women & men w nr-axSpA. Women had a longer Dx delay, higher Dz activity & enthesitis, less B27+ & signif lower TNFi resp rate (OR 0.19) vs Men https://t.co/ykAHfimOd5

Links:

Dr. John Cush RheumNow ( View Tweet)

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