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My post on @RheumNow: “Muscle loss and frailty in rheumatic disease" https://t.co/lpTBAPkrbV #ACR19
Dr. Paul Sufka psufka ( View Tweet)
The most interesting disease topic of #ACR19? Systemic JIA-associated lung disease. An increasingly recognized complication of #SJIA with poor prognosis.
https://t.co/ySHLbU5Pjc
@RheumNow
Jonathan Hausmann MD hausmannMD ( View Tweet)
Asymptomatic sacroiliitis was observed in about 15% of young IBD pts. Entero MRI may be helpful for early inflammatory changes in IBD pts. abst #1174 #ACR19 @RheumNow https://t.co/sQxj8cmuKd
Dr. Rachel Tate uptoTate ( View Tweet)
Thanks. I forgot about low all phosph as a tip off for hypophosphatemia. Results in CPPD, calcific tendonitis and osteoporosis #ACR @RheumNow https://t.co/RkoeRAXggt
Janet Pope Janetbirdope ( View Tweet)
2020 Gout Clinical Practice Guideline
‼️ For patients with gout where XOI, uricosurics and other interventions have failed to achieve serum urate target/ FREQUENT flares/ NON-RESOLVING tophi, strongly recommend switching to pegloticase over continuing current ULT
#ACR19 @RheumNow
Kanika Monga, MD DrKanikaMonga ( View Tweet)
2020 Gout Clinical Practice Guideline
‼️ For patients with gout where XOI, uricosurics and other interventions have failed to achieve serum urate target/ INFREQUENT flares/ NO tophi, strongly recommend AGAINST switching to pegloticase over continuing current ULT
#ACR19 @RheumNow
Kanika Monga, MD DrKanikaMonga ( View Tweet)
Myositis -
specific organ involvement
joints: MTX, rituximab, abatacept
lung: azathioprine, mycophenolate, rituximab
skin: mycophenolate
#ACR19 @RheumNow
Kanika Monga, MD DrKanikaMonga ( View Tweet)
Behcets - oral ulcers not NECESSARY for dx and 20% may present with uveitis. Revascularization not recommended for Takayasu as first line tx- get inflammation under control. Good skin biopsy needs fat to diagnose medium vessel vasculitis so go deep. Dr. West #ACR19 @RheumNow
Dr. Rachel Tate uptoTate ( View Tweet)
Estos mensajes son los que me gustan indicar y comprometer a nuestros pacientes que la indicación que lo mejora está en su modo de vida y no solo en un medicamento Los médicos son grandes educadores primero y luego prescriben https://t.co/BLKJ8Yytex
Miguel Albanese alibafer ( View Tweet)
Dr. West’s pearls continued. GPA arthritis usually affects LE, is migratory + can be the first manifestation of vasculitis. #ACR19 @RheumNow #ACRbest
Dr. Rachel Tate uptoTate ( View Tweet)
Pearls from Dr. West. GCA oral ulcers usually mid portion of lat tongue. If neutrophils or necrosis on TAB then could be ANCA vasculitis. For GPA scleritis use rituximab first. GPA can cause 7th nerve palsy + facial droop. #ACR19 @RheumNow #ACRbest
Dr. Rachel Tate uptoTate ( View Tweet)
The amazing Metabolic Bone Disease expert, @CLDeal, recaps pearls on an important, under-diagnosed disease! #CleClinicRheum #ACR19 @abelsoa @RulaHajjAliMD @CCalabreseDO @LCalabreseDO https://t.co/dsMRpfzJFY
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
Laura Cappelli organized an open discussion at #ACR19 between oncologists and rheumatologists addressing the rheumatic problems seen in some patients on cancer-fighting check point inhibitors. https://t.co/iOtJq6gwh9
Hopkins Med News HopkinsMedNews ( View Tweet)
Dr. West’s #ACR19 pearls. Idiopathic orbital inflammation- think sarcoid, vasculitis, igG4-get biopsy. In IgG4 hypocomplementemia implies renal involvement, LN bx not useful but may also help rule out lymphoma or infection. @RheumNow
Dr. Rachel Tate uptoTate ( View Tweet)
Results from2 anti-IL-17 agents Secukinumab and Ixekizumab in non-radiographic axial Spondyloarthritis poster #L2 and abstract #2729 is promising as treatment options for patients #ACR19 @RheumNow
Dr. Antoni Chan synovialjoints ( View Tweet)
The ASAS40 and all major secondary endpoints for Ixekizumab Q4W and Q2W were met at Wk 16 and Wk 52 with no unexpected safety findings. IXE superior to PBO for improving signs, symptoms, and inflammation on MRI in pts with nr-axSpA abstract #2729 #ACR19 @RheumNow
Dr. Antoni Chan synovialjoints ( View Tweet)
#ACR19 - AM session re:classification vs diagnostic criteria, referencing 2016 Sjogrens Guidelines
1. Designed for rsrch
2. May miss important cases (lower sensitivity)
3. Not intended for diagnosis
Remember this when using them in practice! @RheumNow
https://t.co/KHWyVYjOjM https://t.co/xyOpkh9mSC
Mike Putman EBRheum ( View Tweet)
Killed zoster vaccine was safe with no flare of RA and PsA We need to know if response was good. #ACR19 @RheumNow abst2093 https://t.co/xp2Ju5wZWK
Janet Pope Janetbirdope ( View Tweet)
Do you combine bDMARD with apremilast? #ACR #ACR19 @RheumNow abstract 1481
Janet Pope Janetbirdope ( View Tweet)
retrospective study using Medicare claims data demonstrates lower risk of infection-related hospitalization with abatacept compared to other biologics, in RA patients previously exposed to TNFi. Abstr#1801 #ACR19 @RheumNow
Cassandra Calabrese CCalabreseDO ( View Tweet)