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In Vasculitis, Beware of Infection

d RheumNow

Risks of infection were strikingly high among patients with antineutrophil cytoplasmic antibody-associated (ANCA) vasculitis, which may relate to both the disease and its treatment, Scottish researchers found.

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Follow current COVID19 precautions. Most of our Rheum Dz pts are safe on current therapies. I would advise tp continue biologics/immunosuppressives to maintain dz control. Only stop if the pt is hospitalized or has a high fever >102F (and call you/MD for further instruction)

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A question from #RNL2020 by @RheumNow regarding my talk about "Using questions to Enhance Rheumatology Education:" "Do you think its best to ask questions before or after the lecture?"

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Clinic rules for me: 1) wash hands after every patient; 2) wear gloves when examining pt; 3) Clean workspace and phone BID; 4) Leave the room to cough; if coughing alot - wear a mask, get tested or stay home

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We had a discussion at RheumNow Live with an ID expert. There is no compelling reason to stop biologics or immunosuppressives because of COVID19. There is research on the potential benefits of Plaquenil, baricitinib and IL-6 inhibitors in Rxing COVID19

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Follow current COVID19 precautions. Most of our Rheum Dz pts are safe on current therapies. I would advise tp continue biologics/immunosuppressives to maintain dz control. Only stop if the pt is hospitalized or has a high fever >102F (and call you/MD for further instruction)

Dr. John Cush RheumNow ( View Tweet)

Bush administration developed federal guidelines for a public-health crisis. Among the core principles are “be first,” “be right,” “be credible,” “show respect” and “promote action.” This should apply to our current crisis.

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