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ACR/Vasculitis Foundation Guideline for Giant Cell Arteritis and Takayasu Arteritis

d Jack Cush, MD

The ACR and the Vasculitis Foundation have published their evidence-based recommendations and expert guidance for the management of GCA and Takayasu arteritis. These recommendations address a variety of clinical questions and scenarios including diagnostic testing, imaging, treatments, and surgical interventions. Recommendations for GCA and TAK include support for the use of glucocorticoid-sparing immunosuppressive agents and the use of imaging to identify large vessel involvement. Recommendations for TAK include the use of glucocorticoids as initial therapy.

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Nail, pitting, psoriasis, onycholysis

Impact of Nail Psoriasis on Psoriatic Arthritis

d Jack Cush, MD

Mease and colleagues have shown that psoriatic arthritis (PsA) patients with nail involvement have worse disease and outcomes than those without nail psoriasis.

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RheumNow Podcast – What Not to Do (7.16.2021)

d Jack Cush, MD

Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow.com.

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Botanical extract, Chrysanthemum zawadskii var. latilobum (GCWB) studied in 112 w/ mild-mod. knee OA. Randomized, double-blind, placebo-controlled study finds GCQB signif better than placebo in WOMAC total & function scores https://t.co/xyKlrL2CG7

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Sweets Syndrome (Acute Febrile Neutrophilic Dermatosis) in NEJM. A 46-year-old woman with erythematous painful raised lesions on her thumb, arms and other areas. https://t.co/Tggz1lLULR

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Dr. John Cush RheumNow ( View Tweet)

Do Women or Men make the best doctors? https://t.co/HTtZd9GHRH+

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Dr. John Cush RheumNow ( View Tweet)

Carpal Tunnel Syndrome has an annual incidence of 0.4%. Population based study shows more likely in women, 50-59 years, w/ obesity, gout, rheumatoid arthritis or a prior hx of wrist injury. https://t.co/X7U5yh0R3l

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Dr. John Cush RheumNow ( View Tweet)

Impact of Nail Psoriasis on Psoriatic Arthritis Mease and colleagues have shown that psoriatic arthritis (PsA) patients with nail involvement have worse disease and outcomes than those without nail psoriasis. https://t.co/fOiso0EGAK https://t.co/6YREBE2mHg

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Dr. John Cush RheumNow ( View Tweet)
Top Tweet Last Week: Potential Birth Defects with Hydroxychloroquine HCQ is one of the safest meds used in rheumatology, but there is new claims data suggesting a small increase in the risk of malformations associated with first-trimester HCQ use. https://t.co/IHNKjHVXaU https://t.co/Oay2ayVr9m

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ICYMI: News: EULAR Guidelines on Intraarticular Therapy EULAR has published evidence-based recommendations on the use of intra-articular therapies (IAT) based on the literature review and recommendations of a multidisciplinary international task force. https://t.co/Z6vC0x9zY1 https://t.co/dKpjpo50YT

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Dr. John Cush RheumNow ( View Tweet)
ICYMI: Hands-Down Rheumatology - Sarcoidosis usually presents as a monarthritis or oligoarthritis. Late sarcoid arthritis affects knees, ankles, fingers (dactylitis). Bony lesions show honeycomb trabecular pattern). https://t.co/lmXBbJz6ts https://t.co/qqSEmm4lNI

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Dr. John Cush RheumNow ( View Tweet)
Rheums--Have a rheumatology question or case for Jack Cush? Record it here and we may feature it on an upcoming podcast. Tell us your name and where you practice rheumatology. https://t.co/wzNmOzH4VE https://t.co/kKoBTHWX6z

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ICYMI: New ACR Rheumatoid Arthritis Guideline: Emphasis on Methotrexate https://t.co/J9wmcZr17D https://t.co/9fUNrdVWuP

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Osteonecrosis in Lupus A single center analysis of systemic lupus erythematosus (SLE) patients found symptomatic osteonecrosis (ON) in nearly 10%. https://t.co/PoVsm6TYT1 https://t.co/MTeTiUXDS4

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Arthritis as a Harbinger of Pediatric Cancer Lancet Rheumatology has published a cohort analysis showing that a small but significant subset of children presenting with arthralgia or arthritis may have a pediatric malignancy. https://t.co/jospgTxqBd https://t.co/eewDj5rQgL

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Dr. John Cush RheumNow ( View Tweet)
Knee corticosteroids injx within 4 wks of total joint arthroplasty may be assoc w/ a higher risk of postop infection (studies suggest a risk w/in 3 mos of TKA). Greatest risk seen w/in 2 wks of injx (OR 2.89), worse in <65 yrs & w/ comorbidities (RA) https://t.co/nZKTkv7ym5 https://t.co/4W6CNsrqpf

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Dr. John Cush RheumNow ( View Tweet)
NEJM posts images of the malar rash, typical of #SLE. https://t.co/YZsnAXyhVX

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Dr. John Cush RheumNow ( View Tweet)

Survey of women re: sex & reproduction (SRH) says women prefer 1) Rheums to initiate SRH discussions, 2) clear info on pregnancy & infertility risks w/ Dz & DMARDs, 3) holistic Rx approach, 4) not to be intermediaries betw Rheum & OB https://t.co/Orlh6gLO6P https://t.co/rS4r39Easx

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Dr. John Cush RheumNow ( View Tweet)
Of 100 newly diagnosed #RA patients, Foot Involvement was the 1st manifestation in 29%. Pattern: 59% w/ forefoot involvement, 27% hindfoot and 14% midfoot. Pts were 58-63% RF+/CCP+. https://t.co/OGS2Fzfgg3 https://t.co/AKCj4pipYG

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Dr. John Cush RheumNow ( View Tweet)
Very cool to see #RheumMadness in @ACRheum 🔥 #NephMadness —> #RheumMadness a “joint” venture Impressive work by @DavidLeverenz and entire team @LisaCriscione @GuyKatzMD @didemsayginmd @Allen06440733 RheumMadness: An Educational Tournament https://t.co/hHpm93C0yT https://t.co/ZPYxG6NUrl

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Matthew Sparks, MD, FASN, FAHA Nephro_Sparks ( View Tweet)
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