All News
Most prevalent locations of enthesitis on the global SpA population are the lumbar spinous processes, the thoracic spinous processes & Achilles tendon. MEI & MASES best capturing axSpA enthesitis. MEI & SPARCC best in pSpA & PsA. Abs 1004 #ACR22 @RheumNow https://t.co/6IbusqHI5d https://t.co/5y5NFthyJz
Dr. Rachel Tate uptoTate ( View Tweet)
Tofacitinib in new-onset PMR:
Nice mechanistic data - all the right things line up - leading to promising proof-of-concept study (EAST PMR)
Plenty to tease apart here but real promise to explore in bigger studies
ABST1107 #ACR22 @RheumNow https://t.co/s4ts7lrVtZ
David Liew drdavidliew ( View Tweet)
Dr Iyer shares how ROSCE can teach trainees #telerheumatology using video visits:
☝️ Relevant to career, enhanced self-directed learning
☝️Accdg to ROSCE results, improvement needed on telemed focused exams
🤓Video ROSCE as T-L strat, eval
#ACR22 @RheumNow #MedEd @rheumarhyme https://t.co/kZXMrbwtzW
sheila RHEUMarampa ( View Tweet)
Coming off denosumab is very tricky! No such thing as drug holiday given high risk of rebound fractures. Need to cap with BP but duration uncertain.
@RheumNow #ACR22 #osteoporosis https://t.co/a4VNAI2D49
Julian Segan JulianSegan ( View Tweet)
Was my pleasure to chat with Prof Eder @lihi_eder about her fantastic abstract #1007 about dietary interventions in PsA- DIPSA study!
Catch our interview now on below link 🌟
#ACR22 @RheumNow
https://t.co/liwc38wErT
Patricia Harkins DrTrishHarkins ( View Tweet)
Abs 1008 at #ACR22 shows endothelial dysfunction found in SpA pts assoc'd with worsening mSASSS, time of disease evolution, BASMI and BASFI, and CV plaques in axSpA. @RheumNow https://t.co/7Zxl4PcPfR https://t.co/3cAqigHtNU
Dr. Rachel Tate uptoTate ( View Tweet)
The great debate
Pre-RA to treat or not to treat?
@HaniElgabalawy @Janetbirdope
What a conversation with a patient at-risk of RA would look like based on current literature.
Would you suggest to treat?
If I was Mr Jones, I wouldn’t buy it.
#ACRdebate #ACR22 @RheumNow https://t.co/vEj4KOauzz
Aurelie Najm AurelieRheumo ( View Tweet)
Abstr #1037 evaluated BASDAI vs ASDAS in PsA w/ axial dx
Both ASDAS & BASDAI showed
- strong correlation w/ pt pain & Global Assessment
- weak correlation in tender and swollen joint counts and enthesitis
#ACR22 @RheumNow #axSpA #PsA https://t.co/EunXIwzn3M
Akhil Sood MD AkhilSoodMD ( View Tweet)
The Great Debate! Should you treat pre-clinical RA?
US erosions in 5th MTPs predict clinical arthritis in +CCP "Pre-RA" patients
~15% of patients will develop RA
@RheumNow #ACR22 https://t.co/jS2YMlF4iO
Robert B Chao, MD doctorRBC ( View Tweet)
Danish registry, 11000+ pts w/ sarcoidosis:
> incidence young males
> IR if born after 1976 in males IRR 1.22, no diff in females
1976 = yr systematic BCG vaccination stopped
Attributed to ↘️ intake BCG vax
Underlying mechanism?
https://t.co/At3dUwIgES
Abs#1111 #ACR22 @Rheumnow https://t.co/gArfdAVapD
Aurelie Najm AurelieRheumo ( View Tweet)
The Great Debate! Should you treat pre-clinical RA?
"The more good factors you have, the less likely you will develop RA"
- Janet Pope
Never smoker, normal BMI, low EtOH, exercise, healthy diet
@RheumNow #ACR22 https://t.co/jIMOn8ht6u
Robert B Chao, MD doctorRBC ( View Tweet)
70% of #AOSD pts were females! Large HCA database study - incidence rate - 0.16 - 0.21 per 100,000 (similar to French studies).
24% required ICU level of care, 12% had PNA (fig)
Mortality is higher than other cohorts - 3.2%
#ACR22 @RheumNow abst#0829 https://t.co/fcFUnExYOE
Bella Mehta bella_mehta ( View Tweet)
🤓Active learning creates a greater + impact in patient care using cognitive errors metacognition - study by Dr Milne et al.
☑️Reflection, #metacognition enhances clinical competence, incorporate in curriculum
#ACR22 @RheumNow #meded @rheumarhyme @PhRheumaJr @GerRheumDoc https://t.co/veefYToXBV
sheila RHEUMarampa ( View Tweet)
#ACR22 The Great Debate: to treat subclinical #Rheumatoidarthritis or not. @Janetbirdope counted hands manually in person. Let's check out the #socialmedia community. What is your definition of sub-clinical RA? @RheumNow
Md Yuzaiful Md Yusof Yuz6Yusof ( View Tweet)
Romo works even better in higher risk patients. More ammunition to use up-front. Availability is a limiting factor though.
@RheumNow #ACR22 #osteoporosis https://t.co/90X97jVJcP
Julian Segan JulianSegan ( View Tweet)
Dr. Jack Cush discusses uptake of #telemedicine in 2020 and the relative decline of uptake since then:
@RheumNow -- What's your take on continuing to use #telehealth for rheum visits? #ACR22 https://t.co/OB5Wnnq6Fh
CreakyJoints.org CreakyJoints ( View Tweet)
“Go digital or go home” -- Dr Jack Cush says on #telemedicine in a session at #ACR22 @RheumNow https://t.co/4PzGgS900t
CreakyJoints.org CreakyJoints ( View Tweet)
Dr. Megan Clowse gives 2 major tips on how rheumatologists can help avoid catastrophic pregnancies:
✳️Routinely ask open-ended Qs to promote HONEST dialogue about repro health
✳️Provide ACCURATE info & guidance using discussion guides and handouts
#ACR22 @RheumNow @rheumarhyme https://t.co/qXwKMdJmR8
sheila RHEUMarampa ( View Tweet)
Infections in pre-RA: a cause or a consequence?
Rheumatoid arthritis is known to be associated with a higher risk of infections, and this occurs for multiple reasons: immune dysfunction, systemic inflammation, comorbidities, and treatments.
https://t.co/N91Goop92l https://t.co/yvnRrsHSCB
Links:
Dr. John Cush RheumNow ( View Tweet)
Dr. Michael Holers on preclinical RA
"Individuals who are anti-CCP positive are not clinically well. We just can't see what is going on"
@RheumNow #ACR22
Robert B Chao, MD doctorRBC ( View Tweet)