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Six Things Rheumatologists Need to Know About COVID-19

Rachel Tate, DO

From flu shots and face masks to vaccines and searching for the immunological endotype, here are six things rheumatologists need to know about COVID-19.

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A Convergence of Ideas: COVID19 and ACR

Kathryn H. Dao, M.D.

Since the beginning of the pandemic, rheumatologists scrambled to figure out how the SARS-CoV-2 virus will affect their patients with immune mediated inflammatory diseases (IMID). Meeting the needs of patients, managing a practice, and trying to balance a home life have many doctors stressed.

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Infection and Rheumatic Diseases: A New Dawn

Mrinalini Dey, MD

Infection in the setting of autoimmune rheumatic disease (ARD) has been the subject of increasing research and clinical interest for decades. Despite the huge burden of infection in patients with ARDs, this area of research has really been catapulted to the centre-stage of research agendas and coverage at congresses, including ACR 2020, with the arrival of the coronavirus disease 2019 (COVID-19) pandemic.

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RheumNow Podcast – ACR 20 is Coming to Town (10.30.20)

Jack Cush, MD

Dr Jack Cush overviews the RheumNow commitment, upcoming bonus coverage of ACR20 and the good news and journal reports from the past week on RheumNow.com

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How would you change csDMARDS and bDMARDS a few days before vaccination - if/when #COVID19 KILLED vaccine comes in (Assuming live vaccine would need strict medication management.) #ACR20 @RheumNow

Bella Mehta bella_mehta ( View Tweet)

APS induced by CoViD-19: plenary session 1- another reason we need to break down the silos and involve rheumatologist more! Should we be using anticoagulation in these patients? #ACR20 @RheumNow @OSUWexMed

alexa meara lexmeara ( View Tweet)

Data from @rheum_covid global registry: "race & ethnicity associated with poor health outcomes in #rheumaticdisease patients with #COVID19 in US. @MilenaGianfran et al. Important work highlighting health disparities in COVID-19. Abs#0006 #ACR20 @RheumNow https://t.co/4e3gAUJ4q1
Mrinalini Dey DrMiniDey ( View Tweet)
Impact of #COVID19 on #rheum patients in Arab region @Nellziade -2163 pts -Negative effects on continuity of care, persistence on chronic meds & #mentalhealth -Recommends better communication & drug availability for pt benefit Abs#0004 #ACR20 @RheumNow https://t.co/EGmBmcleAr
Mrinalini Dey DrMiniDey ( View Tweet)
Abs#0012 at #ACR20 shows #rheumatology patients in the US had significant changes to healthcare and access to meds during #COVID19. https://t.co/2x7j47WiZL For patients & clinicians: what do you consider to be the most important impact on rheumatology due to COVID-19? @RheumNow

Links:

Mrinalini Dey DrMiniDey ( View Tweet)

Huge congrats @kmdsilvaMD on your @RheumResearch Scientist Development Award- "Respiratory Complications of #COVID19 in Rheumatic Diseases." Be sure to also join Kristin tomorrow as she presents at the #ACR20 plenary! @MGH_ClinEpi https://t.co/LamvuWTMIW
MGH Rheumatology MGHrheumatology ( View Tweet)
Delighted to be reporting for @RheumNow at #ACR20! Here, I review the last year in #infection in #rheumaticdiseases (it’s been a busy one!) and highlight just a few of the abstracts on infections (incl #COVID19), #vaccination and #immunogenicity. Enjoy! https://t.co/x1pzyOICAF

Links:

Mrinalini Dey DrMiniDey ( View Tweet)

COVID-19 use of dexamethasone- why does it work? When to use it ?Is it hyperferrintemic sepsis? Vs early MAS vs? More data needed but this why rheumatologists are needed!!! @RheumNow #ACR20 thank you dr. Rubin! https://t.co/MvQJGqsqu2
alexa meara lexmeara ( View Tweet)
What is your top concern about the SARS-Co-V2 vaccine for rheum patients? @RheumNow #ACR20

k dao KDAO2011 ( View Tweet)

Our daily update is published. States reported record numbers of tests (1.5 million) and cases (116k). Hospitalizations continue their sharp rise. The death toll was 1,124. https://t.co/z3gxwP6EaC
The COVID Tracking Project COVID19Tracking ( View Tweet)
#LTF Please wear your mask https://t.co/dzN0SDLb0T
Dr. John Cush RheumNow ( View Tweet)
Spanish cross-sectional study of 2,102 Rheumatic patients compared meds to COVID risk and showed Denosumab (0.58), zoledronate (0.62), calcium were negatively associated with COVID-19. Why? is it that they are less "sick"? https://t.co/BNbwsCz0rA

Links:

Dr. John Cush RheumNow ( View Tweet)

Racial/ethnic minorities with rheumatic Dz(RD) & COVID had increased odds of hospitalization & ventilatory support. 1,324 pts w/ RD+COVID, 36% hospitalized, 6% died. Compared to whites- Blacks Latinos & Asians had higher risk of hospital (OR=2.7, 1.7, 2.7) https://t.co/OGmarAfzLM

Links:

Dr. John Cush RheumNow ( View Tweet)

Cohort study (n 186) from NYC shows that patients with COVID and autoimmune disease were not at an increased risk for a ICU admission, intubation, or death (adjOR 0.79, 95%CI 0.37-1.67). AI pts had more comorbidities (26% vs. 13%), immunosuppressives https://t.co/TMCcKbns0f

Links:

Dr. John Cush RheumNow ( View Tweet)

RheumNow Podcast is UP! ACR 20 is Coming to Town - news on melanoma, COVID biologics & autoantibodies, Hepatitis & JAKs, Safety of nintedinib, upcoming ACR2020. Watch it here> https://t.co/np5aFCo9FB or listen on Apple> https://t.co/FHJv01AAbC or Android> https://t.co/qxuBmiNxU0

Links:

Dr. John Cush RheumNow ( View Tweet)

QD104 - You Are So Not Disabled QD Clinic - Lessons from the clinic Grappling with Disability Letter Requests Features Dr. Jack Cush https://t.co/Vg5i9rHyKN

Links:

Dr. John Cush RheumNow ( View Tweet)

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