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Women at high risk of fracture remain untreated for osteoporosis
EurekAlert!
An estimated 100,000 to 120,000 fragility fractures occur annually in the Netherlands, the equivalent of at least 11 broken bones per hour.
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Coffee with milk may have an anti-inflammatory effect
EurekAlert!
Can something as simple as a cup of coffee with milk have an anti-inflammatory effect in humans? Apparently so, according to a new study from the University of Copenhagen. A combination of proteins and antioxidants doubles the anti-inflammatory properties.
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Pathogenic Impact of microRNA Cotargeting in Lupus
A group of researchers from the Graduate School of Medicine at Nagoya University in Japan have discovered the impact of microRNA (miRNA) on inflammation in lupus in mice.
https://t.co/j0TRgIaam6 https://t.co/HNJbsTfT7c
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Dr. John Cush RheumNow ( View Tweet)
Study of 58 pediatric patients with Kikuchi-Fujimoto disease saw 15 (26%) with Macrophage Activation Syndr. KFD-MAS+ pts had signif. more skin rash (27%), Steroid Rx(80%), Dz recurrence (33%), lower cell counts (WBC, plt, lymphs) & higher LDH. https://t.co/GINlAJlEHi https://t.co/idhuaAo9T6
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Dr. John Cush RheumNow ( View Tweet)
197 ANCA assoc Vasculitis pts in RAVE - treated w/ RTX or CTX, thenAZA. 18/22 severe infections occurred within 6 months. Predictors of severe infx included higher baseline CD19+B cells & PJP prophylaxis w/ TMP/SMX (both groups Rx RTX or CYC/AZA) https://t.co/YhNDCdJuof https://t.co/Fg8AOLtYbI
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Dr. John Cush RheumNow ( View Tweet)
Advancing Telehealth in Rheumatology
https://t.co/XZTkGQMImc https://t.co/QJjXzjAx5Q
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Dr. John Cush RheumNow ( View Tweet)
Rheumatic Disease - IBD Overlap
Nearly one in 10 patients with IBD also have rheumatologic disorders, meaning that specialists have to talk to each other to develop a treatment plan that works for both conditions, a researcher suggested.
https://t.co/s3u9q8Sw9Y https://t.co/RjFyEcm6FA
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Dr. John Cush RheumNow ( View Tweet)
AI Passes U.S. Medical Licensing Exam
Two artificial intelligence (AI) programs -- including ChatGPT -- have passed the U.S. Medical Licensing Examination (USMLE), according to two recent papers.
https://t.co/E5GEWrJR00 https://t.co/nd9PrLVn4U
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Dr. John Cush RheumNow ( View Tweet)
VEXAS may be more common than expected
A great study of a recently described rheumatologic/hematologic disorder VEXAS syndrome recently appeared in JAMA, describing the frequency and presentations of UBA1 variant.
https://t.co/HeYdjTKiqV https://t.co/T7lKHaQU3Z
Links:
Dr. John Cush RheumNow ( View Tweet)
What separates a Great Rheum from an Elite Rheumatologist?
Dr. John Cush RheumNow ( View Tweet)
Skin manifestations in MDA5 phenotype #inflammatorymyopathy
✅Punched out ulcers on arm, forearm, extensor aspect of elbow
✅Extensive ulcers in PIP and DIP creases
✅Vasculitic rash over fingers with digital ischemia and erythematous palmar papules
👉https://t.co/hUc6Lakww0 https://t.co/smJ1BrSWGc
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MJR MJR_journal ( View Tweet)
Variable Pregnancy Outcomes with Belimumab in SLE
An analysis looked at outcomes in pregnant SLE exposed to belimumab reported there are few pregnancies and confounding disease and comorbidity factors to provide clear guidance for such patients.
https://t.co/nBzoyL4cHW https://t.co/UYIAsfRtB8
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Dr. John Cush RheumNow ( View Tweet)
"Dry Synovitis" exist in juvenile arthritis pts? Study of 12 DS pts, says its different from Poly #JIA; onset 6.1 yrs, w/ polyarthritis, no palpable swelling, progressive LOM/contractures, neg ESR/CRP/RF/CCP, +MRI synovitis w/ osteochondral involvement.https://t.co/okGPCsIPNs https://t.co/XlFhgTtq5b
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Dr. John Cush RheumNow ( View Tweet)
Why not end your patient visit with a recitation pledging your service and commitment:
"Your coming to see me to day is very important, to the both of us. I pledge to be of service to you. Together WE can certainly improve your health" https://t.co/HrzbipL1ZG https://t.co/amDCk309wi
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Dr. John Cush RheumNow ( View Tweet)
JAK-pot Study: To Cycle or Switch after JAK inhibitor Failure?
Data from 17 international registries suggest that for RA patients failing their first JAKi, it did not matter if they were cycled to another JAKi or switched to a bDMARD.
https://t.co/WunRxeF5Wm https://t.co/cOIjglnPNU
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Dr. John Cush RheumNow ( View Tweet)
Subanalysis of Scleroderma Lung Study II (MMP vs CTX in SSc-ILD) showed pt reported GI reflux (~moderate) was independently associated with the change ILD and fibrosis over two years (but not so for esophageal dilation) https://t.co/5Gz2vfOock https://t.co/N2FsvNe24M
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Dr. John Cush RheumNow ( View Tweet)
AS, but not PsA, has Increased Mortality Risk
A recent meta-analysis showed a significantly increased risk of overall mortality in ankylosing spondylitis (AS) but not psoriatic arthritis (PsA), largely associated with cardiovascular-specific mortality.
https://t.co/bi3q7LW4S6 https://t.co/DUc9sB4MI0
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Dr. John Cush RheumNow ( View Tweet)
Simon Says “Don’t Do This”
Dr. Jack Cush reviews this week’s journal articles, focuses on studies that should not have been done and responds to viewer questions in Ask Cush Anything.
https://t.co/ZisyCRxV6L https://t.co/inYDkKKJO3
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Dr. John Cush RheumNow ( View Tweet)
CDC: Nursing home residents not up to date w/COVID-19 vaccines have 30%–50% higher risk for COVID infx vs those up to date. Betw 2022-23 Those vax had COVID rate of 7.2-15.6/1000pts vs 9.5-18.8/1000 pt in those unvaccinated. https://t.co/Eem2H5AMoN https://t.co/o2ZyPVswZp
Links:
Dr. John Cush RheumNow ( View Tweet)
VEXAS may be more common than expected
A great study of a recently described rheumatologic/hematologic disorder VEXAS syndrome recently appeared in JAMA, describing the frequency and presentations of UBA1 variant.
https://t.co/OFaeH62eHy https://t.co/7znps74Llv
Links:
Dr. John Cush RheumNow ( View Tweet)
