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High fiber diet can increase short chain fatty acids and decreased pro-arthritogenic cytokines
@RheumNow #RNL2022 https://t.co/L1NQoSAAWS
Robert B Chao, MD doctorRBC ( View Tweet)
Dr. Mease reviews axial disease in PsA. Here are my pearls.
💎It is not the same as AxSpA
💎Can be asymptomatic
💎sacroiliitis can by asymmetrical
💎may not appear in consecutive vertebrae
💎may not follow ALL
#RNL2022 @RheumNow https://t.co/tuXTORp9lp
Dr. Rachel Tate uptoTate ( View Tweet)
Important pearls on Psoriatic arthritis from #PhilipMease at #RNL2022:
☝️axial disease may present late in the course of PsA vs in early stages if the disease in ankylosis spondylitis
☝️can be asymptomatic (prevalence of inflam back pain 45% vs AS) @RheumNow https://t.co/uIdvMGKrAH
Elena MyasoedovaMD MyasoedovaElena ( View Tweet)
Dr. Mease explores the GRAPPA evidence table for PsA treatment recommendations in axial disease. #RNL2022 @RheumNow https://t.co/gVv2W7OnMM
Dr. Rachel Tate uptoTate ( View Tweet)
Dr. Philip Mease on PsA Axial Disease vs. AS
Can be asymptomatic, unilateral, more peripheral arthritis
@RheumNow #RNL2022 https://t.co/lExb7n9xWR
Robert B Chao, MD doctorRBC ( View Tweet)
A dilemma at the ‘SPA’ what to use in axial PsA beyond TNFi? IL17, JAKi, Another TNFi. What about IL23i? #RNL2022 @RheumNow presented by Phil Mease https://t.co/Db68lqCEfJ
Janet Pope Janetbirdope ( View Tweet)
Medications that worked for axial involvement in PsA patients.
Philip Mease @RheumNow #Rnl2022 https://t.co/wJYnyNuhbd
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
One shortcoming in determining axial disease activity is the BASDAI itself. And yet, this study by Dr. @AlexisOgdie shows that the BASDAI scores were similar in those w and w/o axial disease in PsA. Dr. Mease. And yet not all drugs work equally in PsA/axSpA. #RNL2022 @RheumNow https://t.co/h1PYfNgEV3
Dr. Rachel Tate uptoTate ( View Tweet)
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)