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Interesting study with Dr. Julia Manasson on gut and skin microbiome in monozygotic twins discordant for psoriatic disease. (red = Psoriatic). Gut ruminococcus bromii virtually absent in psoriatic pts. Eager to see further studies!
#ACR21 Abst#0944 @RheumNow https://t.co/zrZPBAjh5p
Pedro Castillo _Castillo_Pedro ( View Tweet)
Clinical Pearl at @ACR21
Is patchy tongue erythema + angular chelitis representative of Sjogren's or oral candidiasis?
Beware: Oral candiasis is a mimic of Sjogren's tongue.
Differentiate by asking if burning of tongue. If so, not Sjogren's -- start PO antifungal!
@RheumNow https://t.co/FbdiX8PFKV
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
I honestly find Vit D literature confusing! VITAL RCT omega3 and vit D in preventing autoimmune diseases. They seems to work?🧐The confidence intervals just shy of 1.00...I am still skeptical..but keeping vit D normal doesnt hurt I guess....#ACR21 @rheumnow abst#0957 https://t.co/QFcz2zK4Ic
Bella Mehta bella_mehta ( View Tweet)
Physician global score was the strongest predictor of future flares in AS patients with TNFi dose tapering. 29 (27%) flared at 2/3 of standard
dose, 21 (20%) at 1/2 dose, 29 (27%) at 1/3 dose and 27 (25%) after discontinuation @RheumNow #ACR21 Abst#0929 https://t.co/pIzLgexe3k https://t.co/UM9cGLiYl7
Dr. Antoni Chan synovialjoints ( View Tweet)
Abst#0946 shows a distinct lipid profile in RA vs PsA synovium + synovial fluid.
Sphingomyelins & phosphatidyl-cholines/ethanolamines had the greatest separation power to classify RA + PsA samples. These lipid markers may have clinical utility if validated.
#ACR21 @Rheumnow https://t.co/ktKRypTtlE
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
SKIPPAIN results: Spinal pain response after 8 weeks of SEC showed notable differences between HLA-B27 subgroups. Can subtype pre-determine tx efficacy/response? Abs 0917 #ACR21 #RheumNow @RheumNow https://t.co/FKpCqXpobM https://t.co/WbjjyTIaiG
Dr. Rachel Tate uptoTate ( View Tweet)
MCP, wrist, elbow, shoulder and ankle: Not common sites for #osteoarthritis so consider a metabolic disease like CPPD🧐
@RheumNow #ACR21 #RheumTwitter #MedTwitter https://t.co/utId4ljsZK
sheila RHEUMarampa ( View Tweet)
IV Golimumab efficacy and Early (ED) vs Late (LD) AS
⭐️ED better response than LD with PRO
⭐️Treatment-emergent adverse events/ serious adverse 🔼 LD as compared to ED
Abst #0912 #ACR21 @RheumNow https://t.co/5EaWAvfQ57
swethaann23 swethaann23 ( View Tweet)
Outcomes of COVID-19 in Patients with Rheumatoid Arthritis.
Dr. Akhil Sood ( @AkhilSoodMD) shares the studies presented #ACR21.
https://t.co/yrs8N8XSiS https://t.co/EKHuTS5aDr
Links:
Dr. John Cush RheumNow ( View Tweet)
My "followers" just don't get me. #ACR21 #RheumPix https://t.co/E6gy6RVMBy
Dr. John Cush RheumNow ( View Tweet)
Nationwide study - low income - greater length of stay than highest income. Lowest income many be supported but those who do not have those resources may have an increased length of stay in children hospitalized with pediatric #lupus @dsoulsMD @rheumnow #ACR21 abst#0768 https://t.co/j7VDpVW7ND
Bella Mehta bella_mehta ( View Tweet)
GO-ALIVE study by Prof ADeodhar & grp
🔘IV GOL was shown to be effective across all efficacy outcomes in AS pts w/ early & late dse
🔘⬆proportions of pts w/ early dse achieved BASDAI50 and ASDAS inactive dse
Early dx and tx 👉better outcomes
@RheumNow #ACR21 #ACRBest abs0912 https://t.co/jwvEn5LdDB
sheila RHEUMarampa ( View Tweet)
CV events go down when #hydroxychloroqine dose goes up in SLE BUT only in non smokers. Maybe due to smoking attention of HCQ levels &/or smoking as a bigger risk for CV over rides HCQ dose? ⬇️cardiac events by 28% in non-smokers abst0871 #ACR21 @RheumNow #RheumPix https://t.co/XxgK7iRXWi
Janet Pope Janetbirdope ( View Tweet)
Physician global score only predictor of axSpA flares when tapering TNFi
⭐️Changes in imaging did not predict flare
Abs#929
#ACR21 @RheumNow
https://t.co/vVn6ARKJu0 https://t.co/FlVtlLmTfl
Robert B Chao, MD doctorRBC ( View Tweet)
Unconscious bias affects all of us. If you don’t see color then you’re not color blind but lying, paraphrasing Dr Rose-Smith #ACR21 7S117. Free downloadable slides from talk including exercises to ⬇️implicit bias @RheumNow Say to pt ex help me make decision that is right for you https://t.co/cdTFlkuBja
Janet Pope Janetbirdope ( View Tweet)
Don't forget, sometimes, taking off the mask is worth it!
@RheumNow #ACR21 #clinicalpearls https://t.co/WAdSZEm4pe
sheila RHEUMarampa ( View Tweet)
French real-world AxSpA cohort analysis showed drug retention of SEC & TNFi were similar. In subgroups analyses, age, BASDAI at dx & BMI were similar. Abs 0911 #ACR21 #RheumNow @RheumNow https://t.co/ewtmpxKTNu https://t.co/Yh0nX3x83Z
Dr. Rachel Tate uptoTate ( View Tweet)
#ACR21 Rheum Secrets and Pearl
Lupus pernio on the nasal ala.
⭐️Lupus in the name, but this is #sarcoid and not same as perniosis (chillblains)
@Rheumnow https://t.co/r49yjkjsje
Eric Dein ericdeinmd ( View Tweet)
Pearl: Erythema nodosum isn't typically located on the posterior calf and does not ulcerate; if it does👉consider #vasculitis
@RheumNow #ACR21 #RheumTwitter https://t.co/hlsaQLj7cN
sheila RHEUMarampa ( View Tweet)
Plenary at #ACR21 Renal outcome Risk of minority patients with pediatric #lupus @rheumnow abst#0956
inpatient hospitalizations. https://t.co/HK8w246Dsn
Bella Mehta bella_mehta ( View Tweet)