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#ACR20👀🔥🔥@AliDuarteMD Population epi revealed:
⭐️Markedly increased SLE incidence
⭐️Drastically increased SLE prevalence
Better epi saves 🫀, saves💰, informs better🧪🔬and💉🩺@RheumNow @LupusOrg @LupusResearch https://t.co/CTzJuB9DVk
Yu (Ray) Zuo RayZuoMD ( View Tweet)
History of IBS, more aggressive disease phenotype & active SpA before conception or during pregnancy increased the risk for adverse pregnancy outcome. #ABS1324 #ACR20 @RheumNow https://t.co/NQ6kDMSaJ3 https://t.co/I3sxRmPL6j
Dr. Rachel Tate uptoTate ( View Tweet)
John Stone: "The HISTORY is the Rheumatologist's scalpel." TA bx is not gold standard in diagnosis, as not fully sensitive. @RheumNow #ACR20.
Eric Dein ejdein1 ( View Tweet)
A large artery becomes a medium-sized artery when it penetrates a viscus. Small vessels include capillaries, arterioles, corresponding veins/venules, intraparenchymal arteries without muscular walls. A good skin biopsy includes the fat! Pearls from Dr. J Stone #ACR20 @RheumNow
Dr. Rachel Tate uptoTate ( View Tweet)
Dr. Stone Rheum Pearls - B cell therapy treats APS-capillaritis... without effecting aPL titers. #ACR20 @RheumNow https://t.co/5ZJN3xBE57
Eric Dein ejdein1 ( View Tweet)
821 SLE pts from Hopkins lupus clinic showed that LAC was best predictor of venous + arterial thromboses. β2glycoproteinI IgA (+) also important! #ACR20 #Abstr#1261 https://t.co/H0hz9Gp5Hy https://t.co/Vpiih4LyuZ
Dr. John Cush RheumNow ( View Tweet)
In our quest to reduce delays to diagnosis in axSpA, this paper in patients with psoriasis, AAU and IBD, the ASAS-modification of the Berlin algorithm was superior to the original algorithm, with enhanced sensitivity @RheumNow #ACR20 Abstr#1303
Dr. Antoni Chan synovialjoints ( View Tweet)
👩🏫PAN involves arteries but spares veins; it does not affect glomeruli. @RheumNow #ACR20 #MedTwitter https://t.co/zI1hjxGZEI
sheila RHEUMarampa ( View Tweet)
4S013: Rheum Secrets and Pearls - Dr. Stone gives high yield vasculitis pearls. Always characterize by vessels size, get down to fat for adequate skin bx. #ACR20 @RheumNow https://t.co/WTzb9LsO6q
Eric Dein ejdein1 ( View Tweet)
Nurses Health Study results - live healthy & 40% less chance of Getting #SLE #lupus. Not an easy recipe - diet in top 40%, never smoking, regular exercise, modest ETOH, normal BMI. Abstr#1473 Maybe that is why SLE is in the rise Abstr#0274 @RheumNow @CRASCRRheum https://t.co/qYCkYC6Mqq
Janet Pope Janetbirdope ( View Tweet)
Abatacept in IgG4-RD. Plausible, but does it work?
Pilot n=10 @MGHrheumatology
ABA +<4w PNL
Some hit, some miss - but mechanistic correlates of response: Tfh2, unswitched memory B cells.
Exploring new options (w real benefit) very welcome in IgG4-RD!
#ACR20 ABST1480 @RheumNow https://t.co/0saS941Lga
David Liew drdavidliew ( View Tweet)
#ACR20 Dr. M. Crow on Lupus #StateofArtLecture reviews treatment of SLE:
1. HCQ is the foundation of Rx
2. keep pred <7.5mg/day
3. belimumab works better when given early in disease (<2 yrs)
4. combination Rx may be needed
@rheumnow https://t.co/6zh1xkLXgN
k dao KDAO2011 ( View Tweet)
axSpA patients have higher rates of c-section, pre-eclampsia, IUGR and fetal complications vs normal population. Findings from a meta-analysis/systematic review #ABS1323 #ACR20 @RheumNow https://t.co/Ya9r0td7Ev https://t.co/miNURP6bOK
Dr. Rachel Tate uptoTate ( View Tweet)
Distinct gut microbiome in Ankylosing Spondylitis and AS-IBD patients compared with IBD and healthy controls.
1⃣Different alpha and beta-diversity in AS pts vs. IBD
2⃣TNFi use ➡️differentiation microbiome in IBD pts
@RheumNow #ACR20 Abs#1310 https://t.co/AGZbJZ9jtR
Robert B Chao, MD doctorRBC ( View Tweet)
What's food got to do with it? Check out the fantastic session by Drs. @SaraKTedeschi from @BrighamWomens, Dr. Neha Shah from @StanfordMed, & Valter Longo from @USC! It is filled w/ high yield points that will help us answer Qs often asked by pts! #ACR20 @RheumNow @LCalabreseDO https://t.co/s6xBeT0VTS
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
It was a joy to discuss #infection in #rheumatic diseases, one of my favourite subspecialties, with @drjamesgalloway @KCLImmunoMicro.
Hear his reflections on #COVID19 and highlights from the many great infection-related abstracts at #ACR20. @RheumNow
https://t.co/KQ1NuKrQOI
Mrinalini Dey DrMiniDey ( View Tweet)
Guidelines so important in synthesising/directing practice. Not all are good, but how to separate wheat from chaff?
Many will try to influence, careful what you trust!
@DFeterman @garretduronMD @AliDuarteMD @psufka @samwhittle @philipcrobinson @EBRheum
#ACR20 ABST1481 @RheumNow https://t.co/2xqZouPDbZ
David Liew drdavidliew ( View Tweet)
EULAR Treatment recommendations 4S005: MSK US is highly sensitive and useful adjunct, but not recommended for routine mgmt in T2T. I find very useful for pts with unclear disease activity, but should be trained if using it #ACR20 @RheumNow
Eric Dein ejdein1 ( View Tweet)
Do you recommend breathing exercises, yoga, or increase dietary intake of turmeric or ginger in your patients with RA? #ACR20 @RheumNow @SaraKTedeschi @LCalabreseDO
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
Both fat mass and fat free mass have an impact on the response to bDMARDs after 6 months of treatment in AS pts. No tx response changes w/ skeletal muscle mass, visceral fat as well as water components. #ABS1376 #ACR20 @RheumNow https://t.co/oIdE8qvJPp https://t.co/wlXFf8esey
Dr. Rachel Tate uptoTate ( View Tweet)