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Does IL23i work in axial #PsA? No. Yes. Maybe. Phil Mease #RNl2022 @RheumNow https://t.co/4bSDXCdHl2
Janet Pope Janetbirdope ( View Tweet)
Differences between As / Axial PsA.
Philip Mease @RheumNow #Rnl2022 https://t.co/4FYNwLAwnE
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
Are AxSpA and axial PsA the same? #RNL2022 @RheumNow
Dr. Rachel Tate uptoTate ( View Tweet)
BASDAI doesn't include back pain?!!
Philip Mease @RheumNow #Rnl2022 https://t.co/EhBZu2G1HI
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
ClinicalPearl Juvenile SpA is Impt as Pam Weiss states #RNL2022 @RheumNow Kids esp teen boys do get axSpA and Juvenile isn’t AS https://t.co/aEqCBsOLPB
Janet Pope Janetbirdope ( View Tweet)
How to evaluate for Axial PsA?
Philip Mease @RheumNow #RNL2022 https://t.co/Zig3K69P78
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
Dr. Weiss reviews ILAR criteria for enthesitis related arthritis or ERA. #RNL2022 @RheumNow https://t.co/YVgU5hIBVI
Dr. Rachel Tate uptoTate ( View Tweet)
Juvenile onset SpA is different than adult onset SpA. Dr. Weiss #RNL2022 @RheumNow
In kids:
💎back pain/stiffness less common
💎enthesitis and peripheral arthritis more common
💎less likely to be +HLA B27 https://t.co/Ja01lrf2ss
Dr. Rachel Tate uptoTate ( View Tweet)
Healthy mother = healthy baby
Pregnancy and neonatal complications linked to disease activity and inflammation
@RheumNow #RNL2022 https://t.co/MeBnYnSfuK
Robert B Chao, MD doctorRBC ( View Tweet)
TNFi and pregnancy
No association w/ congenital anomalies/infant infection
Discontinuation of TNFi before wk 24, increases risk of disease flare
Biologic lvls low in breast milk
Does not affect vaccine response
Live rotavirus vaccine did not cause infection
@RheumNow #RNL2022 https://t.co/ZNdjf5qNDb
Robert B Chao, MD doctorRBC ( View Tweet)
#ClinicalPearl You really are what you eat! Guy micobiome is ‘off’ in animal 🦒 & human studies in #inflammatory #arthritis compared to healthy population. But is it 🐓 or 🥚? Possibly both. @JoseScher @RheumNow #RNL2022 https://t.co/6nKsovlSgf
Janet Pope Janetbirdope ( View Tweet)
Ok 💩 results #ClinivalPearl one fecal transplant in active #PsA did WORSE than sham Rx. Those doing high colonics - no idea why one would- likely also a waste {pun intended} Dr Jose Scher presented RCT #RNL2022 @RheumNow https://t.co/FDlOvPdzvl
Janet Pope Janetbirdope ( View Tweet)
If you don’t treat active #rheumatoidarthritis while woman 👩 is pregnant, you may do more harm to 👶🏻. Look at the data @UmaMahadevanIBD #RNL2022 @RheumNow https://t.co/6P94IdfS15
Janet Pope Janetbirdope ( View Tweet)
ACR recommendations fro TNF biologics during pregnancy!
Why stop at third trimester?! i agree do not rock the boat!!
@UmaMahadevanIBD @RheumNow #Rnl2022 https://t.co/NEMEV3ThkF
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
Pregnancy exposure to biologics didn't increase risk of infection to THE FETUS !!
@UmaMahadevanIBD @RheumNow #Rnl2022 https://t.co/rdEaake6ey
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
Other data on TNF and pregnancy!
To maintain pregnancy and avoid complications , decrease inflammation! how? by continuing TNF!
▶️No increase risk of infection or vaccination response.
@UmaMahadevanIBD @RheumNow #Rnl2022 https://t.co/mcEMDzNlyH
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
What about live vaccines?! is there any increase risk of complications ?!
@UmaMahadevanIBD @RheumNow #Rnl2022 https://t.co/x74RoWNnLc
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
Pregnancy and Biologics
@UmaMahadevanIBD sharing excellent information on how stopping drugs can lead to more harm:
Lacking data that RA improves during pregnancy
Provider bias?
Steroids can increase complications in pregnancy
@RheumNow #RNL2022 https://t.co/jtCnD4wTag
Robert B Chao, MD doctorRBC ( View Tweet)
And finally, Day 1 will close out with POD 4: Spondyloarthritis Spectrum at 5pm ET. Join Dr. Philip Mease at his presentation on Axial Psoriatic Arthritis. #RNL2022 https://t.co/TInpHYteOx
Dr. John Cush RheumNow ( View Tweet)
#ClinicalPearl #Lupus nephritis is often now START w 2 immune suppressive & less total dose of #prednisone & May pulse w 500 mg solumedrol x3 instead of 1g. J Merrill #RNL2022 @RheumNow https://t.co/ePKkPHWhYJ
Janet Pope Janetbirdope ( View Tweet)