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Juvenile dermatomyositis, with Gottren's and diffuse hyperpigmentation Regional Winner of Europe & Central Asia Image Competition: Rheum Dz in Patients of Color #ACR21 @rheumnow https://t.co/vxayxgINa8
TheDaoIndex KDAO2011 ( View Tweet)
Lichenoid cutaneous lupus erythematosus mimicking acanthosis nigricans Regional Winner of Latin America and Caribbean Image Competition: Rheum Dz in Patients of Color #ACR21 @rheumnow https://t.co/4oAXIClwsm
TheDaoIndex KDAO2011 ( View Tweet)
#ACR21 Abst#0453. KEEPsAKE: Risankizumab (Skyrizi) monoclonal Ab inhibits IL23 by binding p19. ▶️150 mg RZB vs Placebo ⭐️RZB: higher ACR20/50/70, PASI90, HAQ-DI ⭐️Resolution of enthesitis, dactylitis. Improve fatigue, fxn ⭐️No safety signal https://t.co/bqQJ4Zr7o5 @Rheumnow https://t.co/2ZfGRs2GUd

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Eric Dein ericdeinmd ( View Tweet)
#SLE pts have equal rates of post op CV events compared to TypeII DM pts and ⬆️ compared to matched controls. Esp driven by comorbidities. Should we add ASA post op in SLE pts with CV risks? #ACR21 #abst0128 @RheumNow https://t.co/COdbDxFgBQ
Janet Pope Janetbirdope ( View Tweet)

Rare co-existence of FMF & axSpA significantly lowered age of axSpA symptom onset. Radiographic changes in FMF+axSpA suggested worse disease. Rate of amyloidosis and hip involvement were higher in FMF+axSpA pts. Abs 0378 #ACR21 #RheumNow @RheumNow https://t.co/lUmn3A90Ob https://t.co/n3kj8GcV1i

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Dr. Rachel Tate uptoTate ( View Tweet)
KEEPsAKE trial 1 (DMARD-IR) and 2 (DMARD/biologic-IR) on risankizumab (IL23i) for PsA: 👉phase 3 DBRPCT 24 weeks 👉150 mg week 0,4, 16 weeks 👉improved ACR20,ACR50,ACR70 👉improved PASI90 👉improved HAQ-DI 👉no increased safety signals #ACR21 Abstr#0438 #Plenary @rheumnow https://t.co/ioIBXgV4Hi
TheDaoIndex KDAO2011 ( View Tweet)
Abs 0463 #ACR21 @RheumNow Park & colleagues compared treatment persistence across abatacept, TNFi, and JAKi in dual seropositive RA patients using Medicare database - Users of abatacept were more persistent to index time of 12 months and showed longer time to discontinuation https://t.co/0huE7zZjLq
Akhil Sood MD AkhilSoodMD ( View Tweet)
#ACR21 Abst#0454 Lupus nephritis mortality from 1999-2019 ⭐️-27% age-standardized mortality rate in LN death, though increased trend in last 5 yrs! ▶️ Afr-American 38% of deaths, though 12% of population (RR ~4.5), ⬆️mortality with urbanization https://t.co/fjeGXtItvD @RheumNow https://t.co/cE3t6lq8zi

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Eric Dein ericdeinmd ( View Tweet)
Promising results of Risankizumab for #psoriaticarthritis 🔸Pts significantly achieved higher rates of ACR20, 50 and 70 response at wk 24 vs. placebo 🔸Well tolerated and showed no safety signals @RheumNow #ACR21 #ACRBest abs0453 https://t.co/TDSLEgF68g
sheila RHEUMarampa ( View Tweet)
#ACR21 @RheumNow Abst#0450 Hwang et al. from the PSOAS cohort analyzed 1618 radiographs between 2002-2017 ⭐️Higher spinal disease: Male gender; longer disease duration; smoking ⭐️🔼Disease progression 🔼CRP levels ⭐️🔽Disease progression with time-varying TNFI use https://t.co/XsKp28HOxz
swethaann23 swethaann23 ( View Tweet)
Pre clinical RA: don't miss the feet 🦶🏼! Among 577 patients with clinically suspect arthralgia undergoing MRI: -23% intermetatarsal bursitis > ACPA + 56% vs. 19% -higher risk or RA HR 3.3. Would we find the same results w/ US? #OP0468 @RheumNow #ACR2021 https://t.co/VkzUu93qGq https://t.co/GGw7UgdPVR

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Aurelie Najm AurelieRheumo ( View Tweet)
Accdg to this study by Dr. B VanDijk et al, intermetatarsal bursitis (IMB) was seen in 23% of clin suspect arthralgia(CSA) pts; predicted clinical arthritis in ACPA+; ⬆ frequent w/ synovitis & tenosynovitis Addtl tool for early RA dx? @RheumNow #ACR21 abs0468 #ACRBest https://t.co/bcUuy8bHLJ
sheila RHEUMarampa ( View Tweet)
AxSpA pts share a gut microbiome signature with Crohn's disease and anterior uveitis pts ⬇️Blautia ⬆️Veillonella and Lactobacillus ⭐️SpA pts uniquely enriched in Collinsella Abs#0062 #ACR21 @RheumNow #ACRBest https://t.co/sdlHxNbhr8 https://t.co/r8eG9c9vwa

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Robert B Chao, MD doctorRBC ( View Tweet)
Early axSpA DESIR: higher dz activity & worse function independently assoc'd w/ ^ hazard of Work Disability vs SES. Dz severity strong predictor of adverse work outcome despite advanced therapeutic strategies in axSpA. Abs 0381 #ACR21 #RheumNow @RheumNow https://t.co/Lc3yUgXvw6

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Dr. Rachel Tate uptoTate ( View Tweet)

#ACR21 Abst#0455 ARIAA Study: Abatacept for subclinical arthritis ⭐️ ACPA + arthralgia + MRI inflammation 🔥 ⭐️ ⬇️ MRI inflam (primary) and ⬇️ progression to arthritis (secondary) ▶️ Many patients likely early RA, would still rec starting MTX 1st https://t.co/4aREvqlpUI @Rheumnow https://t.co/vqRgsd75Il

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Eric Dein ericdeinmd ( View Tweet)
#ACR21 Abst#0293: Lung involvement in 67 sero+ RA pts assoc w/: ⭐︎ SSc-specific ab ➡️ RP155, Th/To, fibrillarin, NOR90 in ILD group ➡️ Ku, Pm/Scl100, CENP-A/B in non-ILD group ⭐︎ older age, ⚦ sex, heavy 🚬 ⭐︎ ↑ WBC, CRP, RF #ACRBest @Rheumnow https://t.co/Yo4jRKqvfV https://t.co/l5gbKoZBkm

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Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
Yikes! Higher rates of lupus nephritis deaths in last 5 years 👉8900 lupus nephritis deaths in USA studied race/ethnicity and urbanization assc w/ LN mortality 👉highest in blacks and large central metro regions #ACR21 #Plenary Abstr# 0454 @rheumnow https://t.co/bxQvID8jht
TheDaoIndex KDAO2011 ( View Tweet)
Nice graphic presentation of the results! Dr. Katie Liao and her group present the characteristics and disease manifestations of Ro+ #SLE patients from the Australian #lupus registry and biobank @RheumNow #ACR21 abs0323 https://t.co/Yl5sZgiTw1
sheila RHEUMarampa ( View Tweet)
ARIAA study of abatacept in pre-RA. Abatacept ⬇️MRI inflammation and reduces progression to RA. Of course it does. Like all these studies, really not sure what this is telling us. Abstr#0455 #ACR21 @RheumNow https://t.co/yNVVZFBWDq
Richard Conway RichardPAConway ( View Tweet)
Is it time to consider targeting gut microbiome for treatment of AS? Large study identified: ⭐️Ruminococcus torques associated with FUT2 gene influences risk of developing AS Abs#0068 https://t.co/E1hL18KZbQ #ACR21 #ACRBest @RheumNow

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Robert B Chao, MD doctorRBC ( View Tweet)

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