Growing awareness of spondyloarthropathies over the last two decades has led to a better understanding of the pathophysiology of spondyloarthritis, and subsequently increased interest in more distinct, disease state specific treatment options.
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Giant cell arteritis is associated with significant treatment related morbidity due to the dependence on glucocorticoids as a treatment option. After sixty years of therapeutic stagnation, these are exciting times in the management of GCA. At this year's ACR Convergence meeting, encouraging data will be presented on options for GCA.
Chris Wincup
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And I’m finally in the game!! On board for #ACR21
Enjoying hearing Virginia Pascal showing data on how opsonisation of red blood cells containing mitochondria results in the induction of Type I Interferon pathways
Great paper here https://t.co/QWJLncYmC3 #ACRambassador
Looms4Lupus
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#ACR21 - Dr. Virginia Pascual speaking on #PrecisionMedicine in Lupus. Mitochondria in RBC's will cause more disease activity in Lupus patients. Th groups that remove Mitochondria have less disease activity. Hope this takes us to #precisionmedicine soon!. #Looms4Lupus https://t.co/sMOmeJPMJX
David Liew
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So fitting that @ACRheum President @DrDavidKarp has highlighted the amazing work of @rheum_covid in the #ACR21 Opening Session.
In crazy times, it delivered results with unprecedented speed, when our patients needed it most. We will look back in history with thanks.
@RheumNow https://t.co/cTnAZP9UDl
David Liew
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It's all happening for biologic therapies in PMR!
phase 2/3 double-blind RCT:
- new PMR
- n=36
- 11w PNL taper (until relapse - clinical not lab)
- weekly sc TCZ for 16w vs placebo
big benefit persists post-TCZ cessation
real steroid sparing
PMR-SPARE #ACR21 ABST0507 @RheumNow https://t.co/w8tgOPAtyJ
Dr B Bermas noted AAP guidelines say avoid MTX while breastfeeding, but the literature show very little MTX crosses breast milk. Dr Sammaritano stated that is true, but we don’t know how much MTX accumulates,though. #acr21 @rheumnow @UTSWRheum https://t.co/9I7HszorEO
Akhil Sood MD
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Abst 0501
Kakkar & colleagues examined immunogenicity of single dose of SARS-CoV-2 Vaccine in patients with systemic sclerosis
- Vaccine is safe
- Immunosuppression lowered Ab production but no effect on T cell response
#ACR21 @RheumNow https://t.co/NsLrWHh7ZS
David Liew
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In GCA, why might you target GM-CSF over IL-6?
Entirely plausible TCZ might be leaving some Th1 stones unturned, esp:
vascular remodelling
downreg pathways
Transcriptomics from toci/mavri-treated TAB show it's plausible beyond just theory...
Cid group #ACR21 ABST0506 @RheumNow https://t.co/YephlzHOdj
Dr. Antoni Chan
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VEXAS a new genetic disorder, (V) Vacuoles, (E) E1-enzyme, (X) X-linked, (A) Autoinflammatory, (S) Somatic. These are the important clinical features to be looking out for in clinic @RheumNow #ACR21 Session6S410 L Wilson, DO Cordona https://t.co/dBBLox6vVg
#LongCovid management #ACR21
#CDC
🔴Multidisciplinary approach: Holistic management
🟢Arthralgias" NSAIDs
🟢Brain fog: cognitive training
🟢 Anosmia/ dysgeusia: olfactory training
🟢 Fatigue: Exercise
🟢 Anxiety/ Depression/ PTSD: psychotherapy
#ACRambassador https://t.co/dB1OHlO0bl
Dr. Antoni Chan
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Excellent session on COVID-19 update on therapeutics chaired by @rheum_cat Prof. Luis Ostrosky outlining the therapies at different phases of COVID-19 including antivirals, convalescent plasma, anticoagulation, exercise and long-term endemic phase @RheumNow #ACR21 Session6S424 https://t.co/jso7x1v1oA
IL-18 in autoinflammatory Disorders session talk by Raphaela Goldbach-Mansky
- Discovered in 1995
- IL18 expressed in epithelial cells, keratinocyts, macrophages
- IL-18R neg regulated by IL-18 binding protein
https://t.co/U6TTDqEb7L https://t.co/R2lIo188ac
Round up of the QD Clinics for the last week, now available. #ACR21
QD153 - Serologically Active, Clinically Quiescent SLE QD154 - Paradoxical Psoriasis
QD155 - Scary Steroids
QD156 - How I Treat Rheumatoid Arthritis
https://t.co/MLimMt4bW0 https://t.co/Afs117eY7t
Bella Mehta
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It is always difficult to distinguish infection and disease flares in autoinflammatory syndromes = 25 pt sJIA study at #ACR21 showing serum procalcitonin levels are useful when >0.95ng/ml @StillsDis_411 @rheumnow #abst0252
Akhil Sood MD
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Abst # 0494
Dowell & colleagues showed that in RA patients using RISE registry
- disease activity correlated with burden of comorbidities
- this was linked to areas of low SES (ADI > 80) who received primarily Medicaid Coverage
https://t.co/xkdVnieHB2 #ACR21 @RheumNow https://t.co/jyZbV64qVz
Donald Thomas, MD
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#ACR2021 Dr. L Sammaritano shows evidence for using belimumab during breastfeeding @RheumNow https://t.co/kDXXauoOZQ
Contraceptive methods available for pts, avoid estrogen in +aPL or active SLE #acr21 @acrheum reproductive guidelines @rheumnow https://t.co/dNfSyqjWKc
Donald Thomas, MD
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Remember: IUDs are the easiest contraception to recommend to SLE patients... Sammaritano lecture going on now #ACR2021 @RheumNow https://t.co/ZGRFIZyf5h


