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ICYMI: Towards Personalised Care in Rheumatoid Arthritis

d Antoni Chan, MD, PhD

Since the millennium, we have seen an expansion in the number of advanced treatments both biologic and targeted synthetic disease modifying anti-rheumatic drugs for rheumatoid arthritis. The challenge remains on how best to characterise the subtypes of RA in order to choose the best drug to ensure optimal outcome for patients. 

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many heads

ICYMI: Issues in AxSpA: Treatment Intensification, Pregnancy

d Sheila Reyes, MD

A lot of interesting studies will be presented at the poster sessions on Sunday, November 12 and some of them address practical real-world issues such as treatment intensification and the impact of pregnancy on axSpA imaging. 

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back, LBP, spine, AS

Can Rheumatologists Accurately Diagnose axSpA in Patients with Chronic Back Pain?

d Sheila Reyes, MD

Chronic low back pain is a common complaint that brings patients to the doctor’s attention. Although the majority of low back pain is mechanical in nature, an important minority is inflammatory in nature.

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Rheumatology,Roundup,2023

Rheumatology Roundup - ACR 2023

d Jack Cush, MD

Drs. Jack Cush and Arthur Kavanaugh discuss highlights and key takeaways from ACR 23.

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How early is early in psoriatic arthritis?

d Antoni Chan, MD, PhD

Guidelines (ACR/EULAR/GRAPPA) for the management of psoriatic arthritis (PsA) recommend the early referral of patients with the suspected condition for early assessment and treatment.

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Does clinical enthesitis correlate with ultrasound enthesitis in psoriatic pts? 52 wk study randomized to secukinumab or placebo found a long-term stable response of enthesitis control BUT NO correlation between clinical & US enthesitis @RheumNow #ACR23 Abs#2243 https://t.co/H7pESzYrNi
Robert B Chao, MD  ( View Tweet)
#Cardiovascular imaging will help to detect #cardiac abnormalities earlier@in #rheumatic #diseases. #ACR23 ⁦@RheumNow⁩ ⁦@ACRheum⁩ 14T118 https://t.co/QKCpLWtkUv
Janet Pope  ( View Tweet)
A new innovative way of teaching MS ultrasound to students using teledidactic teaching with portable ultrasound devices resulted in a significant increase in knowledge comparable to the conventional course, Schäfer SV, Abst#2079 #ACR23 @RheumNow https://t.co/re0gErx5ke https://t.co/yPbS9Rj0az
Dr. Antoni Chan  ( View Tweet)
Will postpartum BME ⏩axSpA-like structural lesions? Study by Varkas et al show there was no significant dev't of axSpA-like lesions on MRI in postpartum women 5 yrs after delivery. Postpartum BME likely sec to transient mech stress-induced SI BME #ACR23 ABST1892 @RheumNow https://t.co/KJ3DngmkbI
sheila  ( View Tweet)
PET/CT real-world performance in GCA diagnosis, Sydney @tonysammel: comparable to other modalities can optimize for sen or spec based on managing equivocal results ?some steroid confounding but definitely one of 3 complementary imaging options for GCA #ACR23 ABST1646 @RheumNow https://t.co/FvdLMvpqEU
David Liew drdavidliew ( View Tweet)
Can US differentiate pain? In #ACR23 Abs. #1388 PsA pts who have pain & inflammatory enthesitis on US, process pain differently than the US negative patients, despite the induction of pain or discomfort on all groups. Interesting finding. https://t.co/YcccLoQCBj @rheumnow https://t.co/o94bMwndxX
Dr. Rachel Tate  ( View Tweet)
Automated #deeplearning systems #ArtificialIntelligence identify & predict joint damage in hand radiographs from #RheumatoidArthritis patients ➡️May aid in monitoring joint damage #ACR23 👉🏽https://t.co/IcoZHY6lns https://t.co/mZWg6YIUp3
Dr Ai Lyn Tan DrAiLynTan ( View Tweet)
Dr. Jack Cush

Canadian Consensus on MSK Ultrasound

d Jack Cush, MD

Dr. Jack Cush discusses abstract 0726 presented at the 2023 ACR Convergence meeting in San Diego, CA.

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many heads

Issues in AxSpA: Treatment Intensification, Pregnancy

d Sheila Reyes, MD

A lot of interesting studies will be presented at the poster sessions on Sunday, November 12 and some of them address practical real-world issues such as treatment intensification and the impact of pregnancy on axSpA imaging. 

Read Article
RA.Ow02.jpg

Towards Personalised Care in Rheumatoid Arthritis

d Antoni Chan, MD, PhD

Since the millennium, we have seen an expansion in the number of advanced treatments both biologic and targeted synthetic disease modifying anti-rheumatic drugs for rheumatoid arthritis. The challenge remains on how best to characterise the subtypes of RA in order to choose the best drug to ensure optimal outcome for patients. 

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Abs#0726 #ACR23 @RheumNow MSUS recs in Canadian Rheum training 🇨🇦: Focus MSUS exam of hands/wrists/feet: ID effusion, synov, erosions v osteophyte, tenosyn Limited MSUS of knee/ankle for effusion @USSONAR_Rh @MymaAlbaydaMD Agree: MSUS should be part of rheum training for all https://t.co/UNPpAA1p0V
Eric Dein  ( View Tweet)
Does the weather affect synovitis? Abstract this suggested so! Low wind speed & temp rise associated w/joint u/s findings in a large prospectove cohort Full disclosure: I'm super skeptical of this, whole lotta p values. Still, love "fun" science😂🤣 @RheumNow #ACR23 Abstr407 https://t.co/JkqdUbM8YK
Mike Putman EBRheum ( View Tweet)
RheumNow Podcast square

ACR Convergence Preview (11.10.2023)

d Jack Cush, MD

Dr. Jack Cush reviews this past week's news on RheumNow.com and suggests a learning plan for those wanting to consume the upcoming ACR Convergence 2023 meeting. 

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AI Can Predicts Radiographic Change in RA The ACR has published a preview of new research from #ACR23 showing that AI & a deep learning system could accurately identify & predict joint space narrowing and erosions in hand radiographs of patients w/ RA. https://t.co/GGplIcyZLk https://t.co/CVhZfR4gCj

Links:

Dr. John Cush RheumNow ( View Tweet)
Retrospective study(2016-2019) of referred newly, suspected (#RA) pts found no value in initial Xrays. Only 32/724 patients (4.4%) had RA like erosions, with Erosions leading to a Dx in only 2 pts (0.3%) & changed prognostic classification in 3 pts (0.4%) https://t.co/fi48WiBgIc https://t.co/skObArXYr6

Links:

Dr. John Cush RheumNow ( View Tweet)

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