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Lupus Worries (3-25-22)
Dr. Jack Cush Reviews the news and journal reports from the past week in RheumNow.com.
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Comorbidity Drives Risk of Death in Gout Patients
A study of men with gout from the US Veteran’s Health Administration (VHA) shows that excess mortality in gout could be attributed to comorbidities.
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Stable Low Risk of Acute Coronary Syndrome in RA
A Nordic multinational collaborative study examined the risk of acute coronary syndrome (ACS) in rheumatoid arthritis and found a less than 2 fold increased risk of ACS patients initiating biologic disease-modifying antirheumatic drugs (bDMARDs) with little risk variation with short-ter
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SLE Higher Risk of Postoperative Cardiac Events
ACR Open Rheumatology reports that systemic lupus erythematosus (SLE) patients have a higher risk of postoperative major adverse cardiac events (MACE) that can be identified by common cardiac risk measures.
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ICYMI: Environmental Pollutants Ups Autoimmune Disease Risk
An Italian environmental study shows that air pollution increases the risk of autoimmune diseases, in particular rheumatoid arthritis, CTDs and inflammatory bowel diseases (IBD).
https://t.co/oKdgSZ2jAF https://t.co/WI7aShKR97
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Dr. John Cush RheumNow ( View Tweet)
New podcast available on Lupus worries. Download wherever you get your podcasts.
https://t.co/gU1mmRXYUi https://t.co/54IDshqNYd
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ICYMI: Effect of Intraarticular Steroid Shots on Knee OA Outcomes
In patients w/ OA of the knee, intra-articular injections of steroids didn’t increase rates of either disease progression or subsequent knee replacement surgery, researchers said.
https://t.co/qinnfFLsGQ https://t.co/6859pSNNhL
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Dr. John Cush RheumNow ( View Tweet)
ICYMI: Drugs for Pregnancy Hopefuls
A Young Woman has uncontrolled RA, but wants to get pregnant.
What do you chose?
https://t.co/Sunx8RWRfM https://t.co/hsFNhVfwHd
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Dr. John Cush RheumNow ( View Tweet)
ICYMI: Adalimumab Addition vs. Methotrexate Escalation in Psoriatic Arthritis
https://t.co/q0uIjLrT3G https://t.co/ehgEUSrbPg
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ICYMI: Swedish study found 1774 systemic sclerosis (SSc) pts in 2015 w/ median age 65 yrs (84% women) = prevalence=22.7 per 100,000 . Incidence (2004-2015) was 11.9 per 1,000,000 PYs - incidence remained stable; F were 5x more common than M. https://t.co/NPZUg4CEjA https://t.co/V3H381KpHU
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Ask Cush Anything! Have a rheumatology question or case for Dr. Cush? Submit it here and we may feature it on an upcoming podcast.
https://t.co/KgPIeScthr https://t.co/nk4re9mlcH
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Dr. John Cush RheumNow ( View Tweet)
High disease trajectory despite disease control (^HAQ > DAS28) in RA is more likely with higher pain, fatigue & depression. 10 ys study of 2500 RA pts from NOAR, ESPOIR, ERAN) https://t.co/mrB7fog6PD https://t.co/tqm3LPkOdM
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98 axial SpA women with 335 pregnancies (279 live births) shows preterm birth ( (12.5 v 5.2%), preeclampsia(6.8 v 2.8%) & LBW (8.2 v 2.9%) more prevalent in axSpA, possibly due to incr disease activity during pregnancy & postpartum https://t.co/Bp8QjBXg2K https://t.co/j0xKVvSPIH
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Dr. John Cush RheumNow ( View Tweet)
TENS does not work! Multi-centre, trial in 220 active Knee OA pts pitted TENS vs placebo TENS for 3 Wks. Using WOMAC pain scores there was no difference between TENS and placebo TENS (mean diff -0.06; P=0.74). No diff in AE or 2ndary outcomes https://t.co/4Aw9s1zfBQ https://t.co/gwdK6nbKLB
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Poor Outcomes in Lupus Patients Not at Target
A prospective, longitudinal SLE cohort study examined outcomes and showed that failure to control SLE was common/associated with poorer outcomes including organ damage, glucocorticoid exposure, and more.
https://t.co/wQMmPgbmWF https://t.co/ROeZU56cfy
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Dr. John Cush RheumNow ( View Tweet)
Effect of Intraarticular Steroid Shots on Knee OA Outcomes
In patients with osteoarthritis of the knee, intra-articular injections of steroids did not increase rates of either disease progression or subsequent knee replacement surgery, researchers said.
https://t.co/KlNj1GABlb https://t.co/2npPTNSlSA
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Dr. John Cush RheumNow ( View Tweet)
Having the MUC5B promoter variant increases odds of RA-ILD w/ earlier onset in RA, esp w/ older age of RA onset. Mass Gen Biobank study of 1,005 RA pts; MUC5B found in 15% w/ incr risk of RA-ILD (OR 3.34) & RA onset after 55 yrs (OR 1.52) https://t.co/5odVWnpuxo https://t.co/zeKxADTSBZ
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Dr. John Cush RheumNow ( View Tweet)
Montreal General Hosp SLE cohort study of 489 SLE pts - 35% have Raynauds phenomena; RP in SLE assoc. w/ Female (OR 2.43), White (OR 1.85), CNS disease (OR 1.98), RNP Abs (OR 3.0); negatively assoc w/ hemolytic anemia & cellular casts https://t.co/dUxAAIIyya https://t.co/ttIt9pDsTh
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Dr. John Cush RheumNow ( View Tweet)
Aging & Inflammatory Rheumatic Dis is a growing Problem:
- Multimorbidity drives polypharmacy & compounds safety risks
- More malnutrition, sarcopenia & frailty
- Phenotype of Rheum Dz changes w/ age
- Tx differs for the elderly
- Elder RA is undertreated https://t.co/J2q0mEOqDd https://t.co/VfolGeYx6V
Dr. John Cush RheumNow ( View Tweet)
New download available.
DMARD and Biologic Safety Prescribing
https://t.co/zXE7HwgAYU https://t.co/pMQGPU6KCM
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Dr. John Cush RheumNow ( View Tweet)