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Difficult to treat #rheumatoidarthritis - phenotypes need to be defined and order of Rx may be v Impt. Well, it is really difficult @RheumNow #ACR22 session 12S127 https://t.co/x3bkUP590A
Janet Pope Janetbirdope ( View Tweet)
So does PsA affect your capacity to work?
DISCOVER-2 analysis:
It’s presenteeism, not absenteeism which is the issue
PsA pts drag themselves into work, but treating them helps them actually do their job. We need to fund more rheumatologists!
ABST0509 @RADoctor #ACR22 @RheumNow https://t.co/Jnac6mV9O5
David Liew drdavidliew ( View Tweet)
#RheumPearl: Dr. J Stone shares useful #ophthalmology terms that #rheums should know. Note that IOI may not be idiopathic (do the workup- it might be #sarcoid myositis). Does @DGlaucomflecken have anything to add? #ACR22 @rheumnow https://t.co/bxWm7MlePj
TheDaoIndex KDAO2011 ( View Tweet)
Michailidou et al. Predictive models VTE in GCA. Predictors Age, inpatient status at the time of diagnosis of GCA, numberof admissions before diagnosis of GCA, Charlson comorbidity index @rheumnow #ACR22 Abstr#0458 https://t.co/TVZ53sERrS https://t.co/JzUuEZThY0
Richard Conway RichardPAConway ( View Tweet)
BIOBADASAR study of cancer risk in RA patients with prev cancer treated with b/tsDMARD. No increased risk, but yet again abatacept numbers are making me slightly nervous! @rheumnow #ACR22 Abstr#0267 https://t.co/H8gYm9STT3 https://t.co/sEIS6Ljwao
Richard Conway RichardPAConway ( View Tweet)
Rheumatology Secrets & Pearl Lecture
with Dr. John Stone:
- Patient presenting with fever, headache, neck pain, and CPPD of multiple joints.
- Consider Crowned Dens Syndrome. CT Neck showing calcification around Odontoid Process
@RheumNow #ACR22 https://t.co/Md1bqzPyr5
Akhil Sood MD AkhilSoodMD ( View Tweet)
Henningson et al. IV methylpred in GCA. No better visual acuity, higher cumulative GC at 3 months, higher diabetes. Interesting! I find it so hard not to give, in case the contralateral eye gets it, but no evidence for this @rheumnow #ACR22 Abstr#0459 https://t.co/yMcw2HGQUx https://t.co/tNKUgYNTdG
Richard Conway RichardPAConway ( View Tweet)
Morning stiffness has the highest correlate to disease activity in pregnant AS patients, as demonstrated in Abs 0374. I will indeed be focusing on this much more for my patients. #ACR22 #ACRbest @RheumNow https://t.co/9bmlQtGsLH https://t.co/qrxebQ6Ow1
Dr. Rachel Tate uptoTate ( View Tweet)
RheumNow’s expanded coverage of the #ACR22 Annual meeting is sponsored in part by Novartis. All content chosen by RheumNow & its Faculty
Dr. John Cush RheumNow ( View Tweet)
Kunishita et al Abatacept in those with RA and prev cancer (or not). Equally effective. No significant difference in 5-year malignancy but those curves look like they are diverging to me! @rheumnow #ACR22 Abstr#0255 https://t.co/1E2SXMGbqD https://t.co/gTvOOnuzo0
Richard Conway RichardPAConway ( View Tweet)
What do you do if a person with #rheumatoidarthritis was great on 1st JAKi. It was 1st line advanced Rx @RheumNow #ACR22
Janet Pope Janetbirdope ( View Tweet)
They're #dopplegangers! #IgG4RD and #GPA both can have similar clinical manifestations, storiform fibrosis and elevated IgG4 levels. Distinguishing factors can be: necrosis, granulomatous inflammation, neutrophilic inflammation, and presence of ANCA #ACR22 @rheumnow https://t.co/6bHibsvcV8
TheDaoIndex KDAO2011 ( View Tweet)
DISCOVER-2:
Guselkumab in bionaïve PsA
Work productivity data at 2 yrs
64% employed at BL; 50% work impairment at BL
84% employed at BL continued to work
Amongst unemployed at BL proportion of pts working rose by >=20%
https://t.co/zqmfFvPPMi
Abst #0509 #ACR22 @Rheumnow https://t.co/J9Fhj1qHfV
Aurelie Najm AurelieRheumo ( View Tweet)
Migratory oligoarticular arthritis of AAV favors the lower extremities and may herald a flare. – Dr. J Stone #ACR22 @rheumnow https://t.co/VdBaeNyCR3
TheDaoIndex KDAO2011 ( View Tweet)
Yamaguchi et al. Effect of concurrent RO62 abs in Jo1+ antisynthetase syndrome. Present in 16%. Associated more muscle involvement 85% vs 59% (p=0.011). Maybe more Raynauds 56% vs 38% (p=0.09)
@rheumnow
#ACR22 Abstr#0162 https://t.co/6XH6qNKkn7 https://t.co/1JQCtCWrw0
Richard Conway RichardPAConway ( View Tweet)
"Serum complement levels are the Rosetta Stone for understanding lupus activity in pregnancy." Dr. Stone @RheumNow #ACR22 https://t.co/4FbThAZyvq
Dr. Rachel Tate uptoTate ( View Tweet)
Raynaud's may not be first presenting symptom in SSc with RNA Pol3 antibodies. May be a mimic of early inflammatory arthritis. Implications for steroid use.
@RheumNow #ACR22 #Pearls https://t.co/FO8dtOTn9V
Julian Segan JulianSegan ( View Tweet)
How is BASDAI reflecting dis activity in pregnant women w/ AS?
Back pain and fatigue from 2nd sem onwards & BASDAI in 3rd sem = poor sens & spe.
Morning stiffness = highest classification value. https://t.co/pafKqpmZFq
Abstr #0374 #ACR22 @Rheumnow https://t.co/IJY0hm01GW
Aurelie Najm AurelieRheumo ( View Tweet)
“Not always bilateral symmetrical arthropathy”
Early RA also px
💥Asymmetric Oligoarthritis
OR
💥Migratory oligoarthritis
🔥not to miss in mig. oligoarthritis
👉ANCA - GPA /MPA
🦵LL>UL
✅GC response
#ACR22 @RheumNow #rheumpearls
Patricia Harkins DrTrishHarkins ( View Tweet)
Narain et al. SSA/SSB and RO52 abs in IIM with ILD. No difference with SSA/SSB+ . RO52+ lung function more likely to decline over time. FVC, p = 0.0117; FEV1, p = 0.0045; DLCO p = 0.0027 @rheumnow #ACR22 Abstr#0164 https://t.co/ixHOwPJAT2 https://t.co/sIkolMoVqk
Richard Conway RichardPAConway ( View Tweet)