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Abstr 0584 Patients in GLORIA Study noted to have - High number of comorbidities (median 6) - Multiple medications notably HTN and GI protection Findings represent medical reality of elderly RA patients (>65 years old) #ACR21 @RheumNow https://t.co/2cOtO9MLNM

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Akhil Sood MD AkhilSoodMD ( View Tweet)

#ACR21 #Abstr0858 Petri reported effect of #COVID and vaccination in #lupus cohort 💠No increase in activity post-infection 💠⬇️cutaneous activity 💠⬆️ aCL IgG and IgM post-infection, 💠No increase in SLE activity or aCL abs post-vaccination @RheumNow https://t.co/iAaIfzf33c https://t.co/hA6sk6icrs

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Md Yuzaiful Md Yusof Yuz6Yusof ( View Tweet)
CARRA STOP-JIA 400pts, Obs study w/ 3 treatments plans : -Step up -Early combination -Biologic first Which one do you think works best? I'd say none: overall 40-60% not achieving CDI off steroids at 24 months. Results: 42% for SU, 52% EC, and 44% BF #Abtr0960 #ACR21 @RheumNow

Aurelie Najm AurelieRheumo ( View Tweet)

Are these pictures representative of a Sjogren's tongue or oral candidiasis? Comment below with your thoughts! #ACR21 #ClinicalPearls @RheumNow https://t.co/yGHA0pA7w0
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
7S125 Interesting talk on Anatomy for the Clinician: Putting Your Best Foot Forward #ACR21 @RheumNow https://t.co/zLbDW9yfEb
Akhil Sood MD AkhilSoodMD ( View Tweet)
Awesome presentation today from Dr. Cristina Ruiz-Romero on lipidomic profiles in RA vs PsA. Using mass spectrometry, found differences in both synovial bx and fluid. Potentially useful lipid markers, more studies to follow. #ACR21 #ACRBest Abst#0946 @RheumNow https://t.co/KmWCPKijSx
Pedro Castillo _Castillo_Pedro ( View Tweet)
Andy 0963 #ACR21 @RheumNow covid19 vaccine immunogenicity in rheum pts overall good at 71%, fairly dependent on Rx choice: rituximab 38% after 1g & only 7 % after 1gx2; abatacept IV 45%. Rest biologics >80%, ⬇️MTX &MMF. Low dose prednisone w/out biologics did not affect Ab+ rates https://t.co/TkCC1sgMHG
Olga Petryna DrPetryna ( View Tweet)
Infx oral session 0964 Bitoun, et al. RTX lowers neutralizing Ab response compared to healthy controls, after COVID vaccination -- more supportive data https://t.co/6jvWHSjIgr #ACR21

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Rheum Cat rheum_cat ( View Tweet)

#ultrasound led to a change in Dx or Tx 2/3 of the time in a Sports Med clinic! #ACR21 #ACRAmbassador #POCUS https://t.co/2CviSOQKiz
Arthur Mandelin, MD/PhD, RhMSUS, RMSK NU_Rheum_MSK_US ( View Tweet)
Tofacitinib vs TNF inhibitors in #RA patients +50yrs with >1 CV risk factor; the data from ORAL Surveillance that we have all been waiting for! #ACR21 Risk of MACE related largely to baseline CV risk https://t.co/SpuKTtP8ql
The Lancet Rheumatology TheLancetRheum ( View Tweet)
To add numbers to this - using ARR because it's easiest: Vitamin D: 123/12,937 = 0.95% rheum dx Placebo: 155/12,937 = 1.20% rheum dx ARR = 0.25% or NNT of 400 to prevent 1 case of rheum dx Better get prescribing ASAP!

Mike Putman EBRheum ( View Tweet)

#ACR21 #ACRAmbassador Fascinating analysis of rheum dx from the (negative!) VITAL study (https://t.co/aMtMCIf1F1) Very few pts 278/25,871 (1.1%) but HR 0.78, p = 0.045 for vitamin D preventing autoimmune disease Do you believe it? If so, what's your public policy advice? https://t.co/ZkO5nHAJz9

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Mike Putman EBRheum ( View Tweet)
ORAL-Surveillance, an open label Phase 3b/4 RCT of tofacitinib (JAKi) vs TNFi in RA Numerical elevations in MACE and MI, highest among pts w/hx of CAD or high 10-year risk for MACE I have been considering baseline CVD / VTE / CA risk when prescribing these since this broke https://t.co/8DAx8IgnZM
Mike Putman EBRheum ( View Tweet)
Dr Blazer sheds light on the multilayered SDOHs as they affect outcomes in chronic diseases. Head over to #ACR21 https://t.co/Jq7aiRV3MD
Chinny Jumai Osuorji,MD MediaRheum ( View Tweet)
Factors associated with Anti Drug Ab against TNFi over 2-y in axSpA pts are: ⭐️ 🔼 Disease activity ⭐️Development of adverse events ⭐️Treatment discontinuation Abst #0936 #ACR21 @RheumNow

swethaann23 swethaann23 ( View Tweet)

Clinical Pearl at #ACR21 from Dr. John Stone: ⭐️Listen for bruits on patient's back, specifically, on both sides of the spine. ➡️If you hear a bruit, the Takayasu's lesion may be coming from either: *️⃣Pulmonary artery *️⃣Descending Aorta #ACRBest @RheumNow https://t.co/gVpeh7iowk
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
Just to fast-forward slightly, baseline CV risk was equal, since you asked... #ACR21 https://t.co/W3SLbFbQVE
David Liew drdavidliew ( View Tweet)
This is the overall MACE data. Those overall HR certainly in the wrong direction, even if they don't cross 1. #ACR21 https://t.co/5RGT3QMdti
David Liew drdavidliew ( View Tweet)
Pearl: Most oral lesions in #lupus are painless. The classic oral lesion is a lacy, reticular pattern superimposed on an erythematous plaque. @RheumNow #ACR21 https://t.co/nxWnppxsZI
sheila RHEUMarampa ( View Tweet)
John Stone: "If I'd had time I would have said more" Fantastic #SecretsAndPearls session! 👏 Huge breadth and depth of topics covered- if only there was more time! #ACR21 @RheumNow https://t.co/oFyj8enMMk
Mrinalini Dey DrMiniDey ( View Tweet)
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