All News
📢No difference in ESRD or mortality with RTX-based vs CYC-based induction regimen in ANCA #Vasculitis
#ACR21 https://t.co/Bdz5t2uyHi
Guy Katz, MD GuyKatzMD ( View Tweet)
#ACR21 #ACR2021
Extra pulmonary sarcoidosis ➡️ Cutaneous Sarcoidosis
👌🏻 talk
not posting a tweetorial for the talk as I would suggest go see the talk once
masterclass in Cutaneous sarcoidosis https://t.co/vkWXkq7DXF
EnvisionRheumat ERheumat ( View Tweet)
🎉 To celebrate the start of #ACR21, I'm happy to share this slide about #autoantibodies in systemic #autoimmune diseases such as #lupus, sjogren, systemic sclerosis, myosotis...and their main targets 🎯 As you may guess this took me a few hours to assemble... https://t.co/fNmgfOFbiD
Laurent ARNAUD Lupusreference ( View Tweet)
Treatment for VEXAS syndrome. It is steroid responsive. Avoid IL-1 inhibitors severe skin reactions at injection site, bone marrow transplant may be curative @RheumNow #ACR21 Session6S410 L Wilson, DO Cordona https://t.co/eQ1KVDiKKV
Dr. Antoni Chan synovialjoints ( View Tweet)
Love this COVID ARDS risk calculator put forth by @JYazdanyMD at #ACR21 for our patient's with Rheumatic Diseases. A wonderful resource in talking to our patients about vaccine necessity! @CleClinicMD https://t.co/EA5jVYweHm
Emily Littlejohn ELittlejohnDO ( View Tweet)
#ACR21 #ACR2021 Clinical Pearls
🚨 Thread Alert
1/n
💥AAV does not typically cause hard palate lesions➡️consider:
Cocaine induced midline destructive lesion(HNE+)/Malignancy
💥Limited GPA can be ANCA negetive in 50%
💥 oral cavity examination is a must in Rheum https://t.co/RxkLiGdcJt
EnvisionRheumat ERheumat ( View Tweet)
#ACR21 #ACR2021
Sjogrens syndrome with pulmonary involvement guidelines
🚨Thread Alert
👉🏻Screen all patients for pulm inv. irrespective of symtopms ➡️ prevlance of lung involvement can be upto 65%
👉🏻Complete PFT includes ➡️ Spirometry➕ DLCO➕ PuseOximetry https://t.co/prFgQESRyF
EnvisionRheumat ERheumat ( View Tweet)
Targeting the HUGE dilemma!🎯
#Psoriatic vs Erosive #OA
PsA
👉 Fluffy bone formation(enthesitis of phalanges)
👉 Marginal erosions(vs central)
👉 Many jts in same digit(ray inv)
👉 Periarticular SOFT tissue swelling (dactylitis).
👉 NOT much hand OA
#ACR21 RadiologyBootCamp https://t.co/OQLPoeRLny
Ashima Makol MD AshimaMakol ( View Tweet)
Live from #ACR21:
Learning about osteoarthritis from Dr. Marc Hochberg.
"Don't use the term degenerative joint disease."
-much more involved.
I like this figure of the multiple different phenotypes.
#ACRAmbassador https://t.co/UwU4vCmYXa
Jilaine Bolek Berquist BolekBerqui ( View Tweet)
#ACR21 The Great Debate: Belimumab vs Voclosporin as Add-On Therapy in #LupusNephritis | Dr. Petri & Dr. Rovin
Audience Vote 🗳: What would you add to mycophenolate first?
Belimumab 71%, Voclosporin 29%
#ACRAmbassador @ACRheum
Summary of Pros & Cons of Each⬇️ https://t.co/OtLxs8IYr9
Mithu Maheswaranathan, MD MithuRheum ( View Tweet)
#ACR21 TM24. Hydralazine-induced ANCA vasculitis presenting with chondritis.
Labs:
+ANA
+Anti-histone
+p-ANCA, +MPO and +PR3
@Rheumnow https://t.co/YQvqj0vCHp https://t.co/LPyVYYzLtI
Links:
Eric Dein ericdeinmd ( View Tweet)
#ACR21 2022 ACR/EULAR GPA Criteria
▶️Classification, NOT diagnostic!
⭐️Clinical, lab, imaging, and biopsy criteria
⭐️+5 pts for cANCA or PR3, negative pts for pANCA or MPO, or eosinophilia
@RheumNow https://t.co/6YWmabNzuH https://t.co/vg8zaFt5dR
Links:
Eric Dein ericdeinmd ( View Tweet)
#ACR21 TM26. Familial chilblains lupus seen in genetic mutation in Three Prime Repair Exonuclease 1 (TREX1). Suspected due to onset in infancy.
@Rheumnow https://t.co/ZryOpeoJT8 https://t.co/LqZqoGDAL2
Links:
Eric Dein ericdeinmd ( View Tweet)
#ACR21 Late breaking
#ACRambassador
Breakthrough COVID-19 Infections Post-vaccination Among Immunocompromised Patients with Autoimmune or Inflammatory Rheumatic Diseases: A Retrospective Cohort Analysis from a U.S. Nationally-sampled EMR Data Repository https://t.co/oyovR27Upm
Marie Kuchynski MD Doctorkuch ( View Tweet)
#ACR21 [Dr Pooni] #Telemedicine #Pediatrics providers felt PE was worsened BUT msk exam was the MOST reliable.
@endocrine_witch
@millennialpedia
https://t.co/3FGCyBIxB2 https://t.co/fgwdk0WXKm
LiSa ◡̈︎ rheumarhyme ( View Tweet)
👌Superb review of #SSc ILD by @sclerodermaUM #ACR21
👉EARLY/SUBCLINICAL is NOT Mild ILD
👉MMF 1st
👉TCZ in combination for progressive phenotype/progression
👉Nintedanib:start slow, uptitrate for GI tolerability
👉Early HSCT referral (early dcSSc, FVC&DLCO 45-80%, Normal🫀) https://t.co/MUOhc3PakH
Ashima Makol MD AshimaMakol ( View Tweet)
ACR/EULAR Classification Criteria for ANCA vasculitis, updated from prior
Similar disclaimer; these are for use AFTER the diagnosis of small or medium vasculitis has been made
Great international effort, kudos to all involved
#ACR21 #ACRambassador https://t.co/a29TVvzVF7
Mike Putman EBRheum ( View Tweet)
@ACRheum This 👇👇👇idea from @nighat
I moderated a panel of women leaders in a virtual world - one of the attendees is a trainee from a 3rd world country and had a hard time finding ways to get help/collaboration for research studies; she wanted to know what she could do #ACR21 https://t.co/4Jn8jYUXME
TheDaoIndex KDAO2011 ( View Tweet)
#ACR21
new 2022 classification criteria by ACR/EULAR for AAV
💥GPA-Sensitivity-92%, Specificity-94%
💥MPA-Sensitivity-91%, Specificity-94%
💥EGPA-Sensitivity-85%, Specificity-99%
💥Score based https://t.co/61SOl4Tovg
EnvisionRheumat ERheumat ( View Tweet)
Reasons for COVID-19 vaccine hesitancy in rheumatology pts in southeast US based on survey study:
🔰Vaccine being “rushed” or “experimental”
🔰Safety of vaccine in the patients’ rheumatologic diagnoses
🔰Side effects
🔰Concern for Allergic reaction
Abst#1589 #ACR21 @RheumNow https://t.co/xm15KxdA56
swethaann23 swethaann23 ( View Tweet)