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USPSTF - No Need to Screen for Vitamin D Deficiency

d Jack Cush, MD

JAMA has published the new recommendation from the US Preventive Services Task Force (USPSTF) stating that screening for vitamin D deficiency is unnecessary and unwarranted in asymptomatic adults.

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NICE Guidelines on Chronic Pain Management

d Jack Cush, MD

In the United Kingdom, where it is estimated that chronic pain affects one‑third to one‑half of the population, NICE (National Institute for Health and Care Excellence) has recently released an updated guideline on the management of chronic pain for people aged 16 years and over.

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Sinusitis Activity Linked to Brain Dysfunction

d Jack Cush, MD

Have you wondered why fibromyalgia, fatigue or cognitive dysfunction often co-associate with chronic sinusitis?

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IL-23 Targeting for Enthesitis in Psoriatic Arthritis

d MedPage Today

Treatment with guselkumab (Tremfya) was effective in resolving enthesitis among patients with psoriatic arthritis (PsA), a post-hoc analysis of two phase III trials found.

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Low Risk of Malignancy with Secukinumab

d Jack Cush, MD

Analysis of ongoing safety from the secukinumab (SEC) drug development program shows a low risk for malignancy in SEC patients treated for up to five years for either psoriasis, psoriatic arthritis (PsA) or ankylosing spondylitis (AS).

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#RNL2021 notes from Dr. Rachel Tate ( @uptoTate ) Clinical pearl: Bisphosphonates can cause posterior iritis (consider this in patients with negative labs and long term use of bisphosphonates.) Dr. Wang #RheumNow

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Artificial intelligence study shows neural networks can be trained to detect radiographic sacroiliitis on pelvic Xrays and achieve expert-level detection of definite radiographic sacroiliitis & could improve diagnostic accuracy at non-specialised sites https://t.co/oLNzWjHjrw

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News Feature: Low Risk of Malignancy with Secukinumab Analysis of ongoing safety from the SEC drug development program shows a low risk for malignancy in SEC patients treated for up to five years for either psoriasis, PsA or AS. https://t.co/tf1lWa03tF https://t.co/Ad1fOJZv4c

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In millions with hand OA, the thumb base (CMC1) is the most affected joint. metanalysis of 16 studies shows Xray CMC1 OA is more prevalent in females and is strongly associated with age. https://t.co/mNeXbWHdwa

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News Feature: DMARD Dropouts During COVID-19 Rheumatologists are still seeing the consequences of COVID, with many patients avoiding usual care, follow-up visits, routine lab testing and with many self-stopping their antirheumatic meds. https://t.co/gwtfvR9o53 https://t.co/92APJKUs0W

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Since the COVID vaccine rollout, more people have been eligible to receive the vaccine. However, not everyone chooses to get one. I have heard many reasons from my patients who are vaccine hesitant. Read more from Dr. Kathryn Dao ( @KDAO2011 ) https://t.co/f5gwBICEGy https://t.co/XgW6wVgo0F

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Hopkins Lupus Cohort (1168 patients) followed 24 months shows disease activity (measured by SELENA SLEDAI) increased risk of death (HR=1.22), renal damage (HR=1.24) & CV Dz (HR=1.17); But HCQ reduced death (HR=0.46) https://t.co/zBfitPV5Bl

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#RNL2021 takeaways from @KDAO2011 ""Liver damage is not an extra-articular manifestation of RA!"" - Dr. S Cohen "

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#RNL2021 coverage from @doctorRBC "Dr. N Haroon talking about SpA treatment -TNFi can reduce spinal radiographic progression -Better to taper biologics in AxSpA than stopping -JAKinibs are coming "

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Reasons for medication nonadherence: 1. Fear, 2. listed side effects, 3. Cost, 4. Complexity, 5. Confusion, 6. Depression, 7. more meds without clinical improvement. https://t.co/OBAfbFLIO9

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Metanalysis of IBD studies finds combo biologics may have efficacy in refractor IBD. 279 IBD pts Rx w/ dual biologic or JAKi Rx . Most common = TNFi + anti-integrins (48%), ustekinumab & integrins (19%); remission seen in 59% & 34%, higher w/ EIM https://t.co/RReyRuNXck

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Coverage from Dr. Robert Chao ( @doctorRBC) from #RNL2021 #RheumNow "How do you treat RA pts with persistent pain? Dr. Alan Matsumoto - “We have to understand that there may be other pathways of pain besides inflammatory”

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News Feature: Anti-inflammatory Diet Control of Rheumatoid Arthritis https://t.co/fvOW9MeTTY https://t.co/6MZsFEC5aJ

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Thanks @uptoTate for sharing this great quote from #RNL2021 "Dactylitis to me is enthesitis and synovitis in the same digit." Dr. A. Kavanaugh #RNL2021"

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Did you get a chance to listen to last week's podcast?#RheumNow Mistakes with Steroids https://t.co/qHtiyTzQme https://t.co/RI5XnZOmV2

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