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Join us at “The Hot Seat” hosted by Dr. Cush at #RWCS2020 @RheumNow @RWCSmtg https://t.co/EIyUsZQveh
Dr. Rachel Tate uptoTate ( View Tweet)
No switch or Nor-Switch? ACR guidelines recommend AGAINST switch to bio similar in table AS. @RheumNow #RWCS2020 https://t.co/7WPjGLAXdZ
Janet Pope Janetbirdope ( View Tweet)
How to treat inflammatory eye disease scheme by Dr Alvin Wells which makes good sense #RWCS2020 @RheumNow https://t.co/8tieiMUPOZ
Janet Pope Janetbirdope ( View Tweet)
Drug retention with TNFi for SpA in Europe varies by country but approximately 75% at one yr. maybe with more options retention worsens like in RA. @RheumNow #RWCS2020 https://t.co/xnzZxbY7Dj
Janet Pope Janetbirdope ( View Tweet)
Anaphylaxis or not. fever is NOT anaphylactic. IgE has flushing, itch and hives. Cytokine release has flushing and fever Dr A Postolova #RWCS2020 @RheumNow https://t.co/qgP1vP7Yfe
Janet Pope Janetbirdope ( View Tweet)
Delayed hypersensitivity includes serum sickness usually at day 5 to 7. Anna Postolova says. #RWCS2020 @RheumNow https://t.co/sQFYIvDGLq
Janet Pope Janetbirdope ( View Tweet)
If you skin test for IgE reaction don’t test in first 2 weeks post reaction as pt is Anergic then. Sweet spot is at 6 to 8 weeks to test and de sensitive if drug is needed and serious allergic reaction Dr A Postolova #RWCS2020 @RheumNow https://t.co/jakSwJ8xOC
Janet Pope Janetbirdope ( View Tweet)
Most common need for desensitization drugs in Rheum are IV drugs. Infliximab, Rituximab and Tociluzimab. If severe reaction desensitize and if mild premeditate ex antihistamines and steroids if needed @RheumNow #RWCS2020 https://t.co/l6SWUPljbZ
Janet Pope Janetbirdope ( View Tweet)
Mast Cell Activation Syndrome. Learn it. It exists but maybe more pts think they have it than really do. Rx with mast cell stabilization. MCAS has tryptase at a high level. Input for dx Dr A Postolova #RWCS2020 @RheumNow https://t.co/mz5z2o1z8p
Janet Pope Janetbirdope ( View Tweet)
UPA worked quickly without new safety signals noted in SELECT AXIS for AS. Drs. Ruderman and Kavanaugh #RWCS2020 @RheumNow @RWCSmtg https://t.co/g2wkLmDtd9
Dr. Rachel Tate uptoTate ( View Tweet)
Packed audience at great rheum mtg. Practical. Great interaction. #RWCS2020 @RheumNow https://t.co/UErbxolatV
Janet Pope Janetbirdope ( View Tweet)
Invert the topical to mild systemic Rx and beyond for atopic dermatitis if severe. Stop the cytokine and itch. Use dupilumab. MAB to IL4 receptor. Also approved in asthma. Lots more drugs coming George Martin #RWCS2020 @RheumNow https://t.co/sJxfflJX5T
Janet Pope Janetbirdope ( View Tweet)
Get JAKed about potential new Rx for atopic dermatitis- 3 early JAKi RCTs says Dr George Martin #RWCS2020 @RheumNow https://t.co/xMR2884fCt
Janet Pope Janetbirdope ( View Tweet)
Atopic dermatitis has different drivers in age and ethnic groups but it is a Th2 disease. JAK1 is impressive and downstream cytokines. Itch is a big deal. Dr George Martin #RWCS2020 @RheumNow https://t.co/wK0pL8HXwt
Janet Pope Janetbirdope ( View Tweet)
Topicals for psoriasis and maybe atopic dermatitis. Topical JAKi tofacitinib ointment and ruxolitinib. Topical PDE4 apremilast roflumilast crisaborole. Also tapinarof
More to come. Oral TKY2 also. #RWCS2020 @RheumNow https://t.co/NpxMBn5EBr
Janet Pope Janetbirdope ( View Tweet)
Cutaneous side effects with steroids. Striae are irreversible!! Dr. George Martin #RWCS2020 @RWCSmtg https://t.co/74Gp7Xm4tx
Dr. John Cush RheumNow ( View Tweet)
How long will they last? Vast majority of TKR or THR (>70%) will last 25 yrs. Failure is usually for infection or fracture. Dr Wm Bugbee #RWCS2020 @RWCSmtg https://t.co/XyGmeiiQTu
Dr. John Cush RheumNow ( View Tweet)
Trends in periop Rx of hip and knee replacement. Little or no narcotics, pain cocktail, tramexamic acid to reduce blood loss & outpt THR ant approach in low risk pts Dr zen Bugbee #RWCS2020 @RheumNow https://t.co/Ky1rD6uHns
Janet Pope Janetbirdope ( View Tweet)
Adalimumab seeems better than infliximab Behcet’s uveitis. Alvin Wells #RWCS2020 @RheumNow https://t.co/dYrKyNjASB
Janet Pope Janetbirdope ( View Tweet)
In general high volume hip & knee replacement orthopods have better outcome. Surrogate for skill? No always warns Dr Wm Bugbee #RWCS2020 @RheumNow https://t.co/L6DhPZ6sBJ
Janet Pope Janetbirdope ( View Tweet)