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#ACR21 #Abstr1913 What do our patients think about #Telemedicine?GRA Registry (N=596; 50% RA and #lupus):
💠Most found => effective than In-Person
💠25% dissatisfied and not keen to continue post-COVID
💠Poor predictors: Age, 🇬🇧🇨🇦🇦🇺🇳🇿, Graduates @RheumNow
https://t.co/55UmppwF9P https://t.co/9AyYB4hI3V
Md Yuzaiful Md Yusof Yuz6Yusof ( View Tweet)
Guselkumab in Psoriatic Arthritis
Dr. Pedro Castillo ( @_Castillo_Pedro) discuss three abstracts presented at #ACR21 that expand on the use of guselkumab for use with psoriatic arthritis.
https://t.co/hAbLTU4epW https://t.co/p33p6iysjX
Links:
Dr. John Cush RheumNow ( View Tweet)
It was real...
no sugar coating...
the pandemic was tough...
But no match for these women!
You can watch on demand.
@ACRrheum #ACR21 @rheumnow @bmsnews https://t.co/M4YegqJ5mt
TheDaoIndex KDAO2011 ( View Tweet)
Should we be measuring drug levels in pts taking infliximab?
⭐️Drug monitoring vs. standard dosing showed 73% sustained control vs. 55% (RA, PsA, SpA, UC, Crohn's, PsO)
#ACR21
Abs#1946
#ACRBest @RheumNow
https://t.co/sWMen50ljP https://t.co/F4Wpqis3id
Links:
Robert B Chao, MD doctorRBC ( View Tweet)
Prospective study of PsO screened @ derm clinics
🔹PsO➕>3 mo back pain starting <45yo➕no biologics➡️rheum ref, 100 pts seen➡️19 dx'ed as:
🔹14 axPsA, 68% met axSpA ASAS, 11/14 w/o pPsA
🔹5 pPsA w/o axial dz
https://t.co/azoks5CHCP
#ACR21 Abst#1796 @RheumNow
Pedro Castillo _Castillo_Pedro ( View Tweet)
Anti-MAA Ab is not ‘baa’ humbug. In prevalent #RheumatoidArthritis, + MAA Ab was predictive of developing #RA #ILD. ? Novel biomarker. Needs validation but nice convincing data @RheumNow #ACR21 #ACRBest abst#1916 https://t.co/wuTPzSIsey
Janet Pope Janetbirdope ( View Tweet)
#ACR21 2022 ACR/EULAR MPA Criteria
▶️Classification, NOT diagnostic!
⭐️Clinical: negative for nasal GPA symptoms
⭐️Lab: +6 for pANCA or MPO, negative for cANCA/PR3 or eosinophilia
@RheumNow https://t.co/6YWmabNzuH https://t.co/XVzBF2KONp
Links:
Eric Dein ericdeinmd ( View Tweet)
Elevated CRP levels (>3) in PsA associated with ⬆️risk of cardiovascular events
⭐️NSAID use significantly REDUCED risk of CV events
Abs#1920
#ACR21 @RheumNow
https://t.co/gIz9f4SlWo https://t.co/V4uDeO3Iuz
Links:
Robert B Chao, MD doctorRBC ( View Tweet)
Racial differences in PsA patients in large US real world database
95% Whites (W) and 5% were AA
NSAIDs: 80% W and 78% AAs
TNFI: 51% W and 41% of AAs
DMARDs: 72% of W and 98% of AAs
HTN/DM/Obesity/Gout 🔼 AA
Cancer/osteoporosis /anxiety 🔼 whites
Abst#1780 #ACR21 @Rheumnow https://t.co/7ee4bVU7ZA
swethaann23 swethaann23 ( View Tweet)
Another study linking long term GC and CV risk in RA!
Medicare data >65yo 130000+ pts
1-year incidence CV ⬆️ as follows:
📍Dose ≤5mg 1.4%
📍Dose 5-10mg 1.7%
📍Dose >10mg 1.9%
Not replicated in younger pts (Optum data)
#ACR21 #Abst1915 @RheumNow https://t.co/DLXdfvfiBW
Aurelie Najm AurelieRheumo ( View Tweet)
#ACR21 2022 ACR/EULAR EGPA Criteria
▶️Classification, NOT diagnostic!
⭐️Clinical: obstructive airway, polyps, MM
⭐️Labs: eosinophilia & extravasc eos-inflamm bx, negative points for Hematuria, cANCA or PR3
- Least sensitive: 85%, but 99% specific
@RheumNow https://t.co/6YWmabNzuH https://t.co/kLVqXzNTEf
Links:
Eric Dein ericdeinmd ( View Tweet)
If #dermatomyositis, it is TIFgamma1 that has the high risk of #cancer. If you can order this #AB and it is negative in adults do we need to do cancer screen at baseline? and repeatedly? Need more data. Great observation though. #myositis hub #ACR21 abst#688 @RheumNow https://t.co/zeQl0DACbJ
Janet Pope Janetbirdope ( View Tweet)
#ACR21 #Abstr1908 Potential prognostic biomarker for lymphoma in #sjogren. ISG15 (IFN-I) expression was consistently ⬆️in pts with lymphoma vs none, both in blood and salivary gland biopsy. Work needed re: relation to other markers, ethnicity @RheumNow https://t.co/8VYYEXpXSw https://t.co/ZIkpx5kUfu
Md Yuzaiful Md Yusof Yuz6Yusof ( View Tweet)
Abst 1916
England & colleagues determined if anti-MAA Ab = predictor of incident RA-ILD
- Anti-MAA Ab significantly associated w/ incident RA-ILD
- Strongly associated w/ higher concentrations anti-MAA
- Antibody associations = antigen/isotype dependent
#ACR21 @RheumNow https://t.co/z1RspmxBvc https://t.co/hvUm4O6RmX
Akhil Sood MD AkhilSoodMD ( View Tweet)
DAS-28 independently associated survival in RA-ILD. As I keep saying, treating the rheumatoid disease properly is the current best strategy for treating RA-ILD. Abstr#1918 #ACR21 @RheumNow #ACRBest https://t.co/FpUK6upyOi
Richard Conway RichardPAConway ( View Tweet)
@Will_I_Am_Osler @zach_wallace_md @RheumNow Very nice, amazingly similar!
- also 3/4 with IgG4 >5xULN
- similar list of other diseases
wonderful to have correlation over multiple continents, the beauty of an international meeting like #ACR21! https://t.co/vabBKNbd7u
David Liew drdavidliew ( View Tweet)
Machine learning algorithm demonstrated high level of accuracy (88%) and precision (0.95) in diagnosing potential cases of axSpA
⭐️Is there a role for ML to facilitate faster rheum eval for suspicious axSpA cases?
Abs#1922
#ACR21
@RheumNow
https://t.co/tAPfROPICU https://t.co/HJD37B9jZw
Links:
Robert B Chao, MD doctorRBC ( View Tweet)
Is there a relationship between the weather and RA disease activity?⛈️
#ACR21 Abs#1912
🌡️Temperature & humidity significantly affect pain, TJC & SJC
🌦️PGA was mostly influenced by humidity
Should we take the weather into account when assessing patients?
@RheumNow https://t.co/e3PewZWkLR
Mrinalini Dey DrMiniDey ( View Tweet)
RA ILD survival. The ‘smoking’ gun! RA ILD in VA pts mostly menand smokers - data showed disease activity of #RheumatoidArthritis & ⬆️HAQ both reduced survival independently #ACRBest #ACR21 abst#1918 @RheumNow https://t.co/8GD7rHV07t
Janet Pope Janetbirdope ( View Tweet)
Preventive Window of Opportunity in RA? Dr. Aurelie Najm ( @AurelieRheumo) discusses abstract #0455 presented at the #ACR21 annual meeting.
https://t.co/bCN1k5hhUc https://t.co/gpEHk0XIRc
Links:
Dr. John Cush RheumNow ( View Tweet)