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QD Clinic - "Doc, When Can I Stop?"

d Jack Cush, MD

QD Clinic - Lessons from the clinic. In this video: Patients stable on a biologic need guidance on when, and if, they can stop their biologic.

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Low Risk of Inflammatory Arthritis in Hidradenitis Suppurativa Patients

d Jack Cush, MD

JAMA Dermatology reports that after the onset and diagnosis of hidradenitis suppurativa (HS), such patients have a higher risk of certain forms inflammatory arthritis.

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QD Clinic - Hepatitis B and Biologics

d Jack Cush, MD

QD Clinic - Lessons from the clinic
Active HBV infection (HGsAg+) on anti-viral therapy but needs a biologic - what should you use?

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QD Clinic - "I Don't Know Why I'm Here" Consult

d Jack Cush, MD

QD Clinic - Lessons from the clinic
The Consult that shows up without a cause - and what to do?

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Health Care Utilization prior to the Dx of Psoriatic Arthritis #PsA is significantly 2 fold higher. Study of 462 PsA & 2310 comparators shows more visits to PCP for MSK issues in 1-5 yrs prior, as well as use of other MSK specialists in 5 yrs preceding Dx. https://t.co/5729ya9Ahr

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Dr. John Cush RheumNow ( View Tweet)

Data from the Swedish Rheumatology Quality register (2716 RA pts) shows that biologic naive patients had longer drug survival. Men (HR 0.86) and MTX users (HR 0.85) were less likely to discontinue abatacept, https://t.co/Vhy3XtEg8R

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Dr. John Cush RheumNow ( View Tweet)

Fantastic article from @HealioRheum detailing the history and the hard work of CSRO. With phenomenal leaders like Dr. Michael Schweitz and @MattieRheumMD, CSRO will continue to effectively advocate for high-quality rheumatology care at an affordable rate! https://t.co/ImA9aeaXqh
CSRO CSROAdvocacy ( View Tweet)

#UTSW Dr Nicole Bittencourt on fever and autoinflammatory workup. Here are sources for genetic testing. I rec the Invitae autoinflammatory panel (or cash pay ~$100) https://t.co/XsJ0k7q0ex

Dr. John Cush RheumNow ( View Tweet)
60% The percentage of patients at @NIH's autoinflammatory disease cohort that are undifferentiated and do not have a specific disease diagnosis -Dr. Amanda Ombrello. #ACR19 @rheumnow https://t.co/d85OtnEA8o
Jonathan Hausmann MD hausmannMD ( View Tweet)
In 80 RA pts, SJC & TJC flares seen in 36% of pts. Pt-reported flares usually reflected incr Dz activity (MD exam & US). Pts & clinicians agreed in 79–93% of joints, moreso SJ than TJ. Using US, there was high specificity (>86%) & low sensitivity (<34%) https://t.co/jMRQg5fUuS

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Dr. John Cush RheumNow ( View Tweet)

#UTSW Dr Lauren Nassi on JIA - enthesitis related arthropathy or ERA. 80% are B27+. May develop AS or SpA much later. They respond very well to TNF inhibitors

Dr. John Cush RheumNow ( View Tweet)

#UTSW Dr Lauren Nassi on JIA - long term outcomes in Oligoarticular jia is not so benign. Half go on to polyarticular disease https://t.co/eRv52dtyZY
Dr. John Cush RheumNow ( View Tweet)
#UTSW Dr Lauren Nassi on JIA- red flags with Oligoarticular JIA Painful joint Hip involvement High acute phase reactants

Dr. John Cush RheumNow ( View Tweet)

#UTSW Rheum GR Rounds Dr Lauren Nassi on JIA - JIA accounts for 50-70% of all cases in a pediatric rheum clinic

Dr. John Cush RheumNow ( View Tweet)

#MLK - "We may have all come on different ships; but we’re in the same boat now” Martin Luther King, Jr.

Dr. John Cush RheumNow ( View Tweet)

#MLK - “We will remember not the words of our enemies, but the silence of our friends.” Martin Luther King, Jr.

Dr. John Cush RheumNow ( View Tweet)

IL-37 may be a target for psoriasis. IL-37 is downregulated in lesional skin & IL-37 serum levels correlate with psoriasis severity. IL-37 is an anti-inflammatory & immunosuppressive cytokine from IL-1 family. Tofacitinib may increase IL-37 in psoriasis https://t.co/jPaGlcDFV2

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Dr. John Cush RheumNow ( View Tweet)

Population based study of ~72K chinese people shows that the DASH diet was assoc with significantly (30%) lower risk of hyperuricemia - more pronounced among older people (≥50 y), women and physically inactive (<0.01 for all). #Gout https://t.co/Ns1KzD5PfM

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Dr. John Cush RheumNow ( View Tweet)
Plasmapheresis Indications : TTP, HUS, Cryoglobulinemia, Hyperviscosity, Myasthenia gravis, Goodpastures, Catastrophic APL Syn, Chr inflamm demyelinating polyneuropathy, Removal of drugs/toxins, Alveolar hemorrhage, ANCA vasculitis (questionable) https://t.co/Prw62LB6WH

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Dr. John Cush RheumNow ( View Tweet)

#MLK - “If I cannot do great things, I can do small things in a great way.” Martin Luther King Jr.

Dr. John Cush RheumNow ( View Tweet)

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