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Did Your Specialty Choose You?
Why did I end up a rheumatologist? Circumstance, personality types, horoscopes or what? A current study in BMJ sheds light on why.
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ICYMI: Retrospective study of 98 patients with X-linked agammaglobulinemia (XLA) shows arthritis seen in 46% - more oligo- than polyarthritis, affecting . Knee, hip, and ankle. IVIG response rates around 70%; many w/ arthritis had missense mutation https://t.co/qT49OXLyKU https://t.co/Drz1poV1AH
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ICYMI: Voriconazole-induced synovitis, enthesitis and periostitis described in woman treated for invasive aspergillosis. She had polyarthralgias, synovitis, and periostitis on xray. Voriconazole prev. caused periostitis; now drug induced arthritis? https://t.co/6HfLGIaEsU
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Best treatments for NAFLD? WEIGHT loss, but E, pioglitazone, stations, bariatric surgery. And multidisciplinary approach @UmaMahadevanIBD @RWCSmtg https://t.co/ubdFfOrWIu
Dr. John Cush RheumNow ( View Tweet)
NAFLD is increased in #RA. Risk factors include male, BMI, MTX dose, inflammation. @UmaMahadevanIBD @RWCSmtg #rwcs https://t.co/V94aaO5vEH
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When to suspect an interferonopathy (when suspected you should offer an autoinflammatory panel from https://t.co/F9bat3YS1d) #RWCS2022 @RWCSmtg Dr. Susan Shenoi https://t.co/qUts9X8gwJ
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Interferonopathies may respond well to JAK inhibitors. #RWCS2022 @RWCSmtg https://t.co/X64iRs8fNt
Dr. John Cush RheumNow ( View Tweet)
COPA, a rare syndrome w polyarthritis, ILD, pulmonary hemorrhage, w excessive STING signaling. #RWCS2022 @RWCSmtg https://t.co/qjek5MuC7W
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Acardi-Goutietes syndrome type 2 (an interferon party) w mutation presenting as adults, looks like cerebral palsy. Pernio, cerebral calcifications. Dr. Susan Shenoi @RWCSmtg #RWCS2022 https://t.co/x8sF8uWXeU
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Nailfold Capillaroscopy doesnt have to be expensive: use handheld Carson Microbrite (~$10) 10x or 20 x handheld microscope (w/ KY gel) to evaluate #Raynauds #scleroderma https://t.co/8AMsEnaiir https://t.co/JZO0s8xbXA https://t.co/scJTBOD7OS #RWCS2022
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ICYMI: Saphnelo (anifrolumab) has been approved in the European Union as an add-on therapy for the treatment of adult with moderate to severe, active, autoantibody-positive systemic lupus erythematosus (SLE), despite receiving standard therapy.https://t.co/29HupHHOW6
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Great lecture on disparities in healthcare by Dr Alvin Wells at #RWCS2022 @RWCSmtg - disparities in RA treatment https://t.co/KjvDzbixjc
Dr. John Cush RheumNow ( View Tweet)
ICYMI: Dr Eric Ruderman presents on paraneoplastic syndromes. Many autoantibodies have been possibly implicated. #RWCS2022 https://t.co/R2mfpJLsLo https://t.co/twZLk0v3b6 https://t.co/ex1q8JQDe5
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ICYMI: Challenges in Lupus:
-Mortality greatest in 1st yr
-Dx Delays 6.4 yrs
-Long-term complications increased 50 fold
-Steroids worsen long-term outcomes
-Health care costs increased 3 to 5 years prior to Dx
-Mean delay in drug starts after Dx =177 days https://t.co/ZMHTXBn4vm https://t.co/SX0fSxHoES
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The new updated 2022 ACIP immunization schedule for adults has been published. https://t.co/EXCjnjLrlw https://t.co/hewbEmI60t
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Doximity ranked 15 specialties w/ high telehealth adoption rates
1 Endocrinology
2 GI
3. Rheumatology
4 GU
5 Nephrology
6 Cardiology
7 ENT
8 Neuro
9 Allergy
10 Heme/Onc
11Family medicine
12 Dermatology
13 Geriatrics
14 Pulm
15 Psych https://t.co/d7xm1ovk15
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Future considerations and treatment directions in systemic sclerosis per Dr Steen. #RWCS2022 @RWCSmtg https://t.co/FaJaJ9G5lU
Dr. John Cush RheumNow ( View Tweet)
Stem cell transplant has clear benefits on survival and skin thickening. #RWCS2022 @RWCSmtg https://t.co/UnGxLQzy0Q
Dr. John Cush RheumNow ( View Tweet)
GAVE - gastric antral vascular ectasia. AKA "watermelon stomach". Is pretty rare https://t.co/DcU0J2TNrN
Dr. John Cush RheumNow ( View Tweet)
Dr Steen's recipe to freaking with digital ulcers.#RWCS2022 @RWCSmtg https://t.co/VmDag701JC
Dr. John Cush RheumNow ( View Tweet)