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5-year effectiveness of TNFi in patients with early axSpA shown, male gender, HLAB27 positive and presence of at least one objective sign of inflammation or structural damage are more frequently associated with effectiveness #2776 by Molto #ACR19 @RheumNow

Dr. Antoni Chan synovialjoints ( View Tweet)

What dose of MTX do you usually start with in a newly diagnosed rheumatoid arthritis patient? #ACR19 @RheumNow

Philip Robinson philipcrobinson ( View Tweet)

@_connectedcare @RheumNow @ACRheum My pearls (so far) 1. Use vitamin A to reduce SEs w MTX 2. Try doxycycline for refractory calcinosis in scleroderma 3. Use MTX with pegloticase to reduce infusion reactions 4. Anti-IL17 has activity in nr-axSpA 5. Patients think opiates are more effective than SNRIs or TCAs in FM

Philip Robinson philipcrobinson ( View Tweet)

@RheumNow #ACR19 #acrbest abs2470 ⬆️serum calprotectin in PsA pts associated w/presence of carotid plaque, ⬆️intima-media thickness & ⬆️CRP. potential novel bio marker of CV disease in PsA https://t.co/ech3Ll8Nka
Olga Petryna DrPetryna ( View Tweet)
As I leave #acr19, time to reflect. My goal is to uncover pearls that change what I do in my next few clinics. 3 this time. How many such pearls did you find? @RheumNow @ACRheum

Dr Irwin Lim _connectedcare ( View Tweet)

@rheumnow #ACR19 abs2854 internationPsART cohort data: age of onset defines if PSO or PSA starts first (PSO precedes in younger pts), Pustular PSO associated w/shorter time interval PSO to arthritis while nail involvement, plaque PSO & PSO family Hx associated w/ longer interval https://t.co/KtPXhYdbky
Olga Petryna DrPetryna ( View Tweet)
Do you still look at synovial fluid under the microscope? @rheumnow #acr19

k dao KDAO2011 ( View Tweet)

Baricitinib additional improvement in pain vs ADA despite accounting for effect on disease activity https://t.co/zAjS2dOayF @RheumNow

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Dr. Arthur Lau ArthurRheum ( View Tweet)

Claims data showing switching from ETN or ADA to Tofa had higher drug survival vs cycling to another TNF. Does not provide reason for discontinuation though https://t.co/yTNHkKanJA @RheumNow #ACR19

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Dr. Arthur Lau ArthurRheum ( View Tweet)

Weight loss in IgG4-RD NOT because of overwhelming systemic inflammation but from pancreatic involvement. Need pancreatic enzyme replacement. #ACR19 @RheumNow

Maeve Gamble MaeveGamble ( View Tweet)

Abstr#2729: 303 pts randomized. More pts achieved ASAS40 at Wk 16: IXE Q2W (40%), IXE Q4W (35%) vs PBO (19%, p< 0.01) and at Wk 52: IXE Q2W (31%), IXE Q4W (30%) vs PBO (13%, p< 0.01). Blocking IL-17A is a potential treatment option for patients with nr-axSpA. #ACR19 @RheumNow

Maeve Gamble MaeveGamble ( View Tweet)

Fantastic view of how specific defects in the immune system lead to various clinical presentations and laboratory abnormalities. Dr. Mahta Mortezavi #ACR19 @RheumNow https://t.co/ht7VBhDdpR
Jonathan Hausmann MD hausmannMD ( View Tweet)
Drs. Davila and Solow say “No good data to suggest that biologic DMARDs contribute to progression of MGUS so okay to treat as you normally would.” #ACR19 @RheumNow https://t.co/5r2W4q1t5c
Dr. Rachel Tate uptoTate ( View Tweet)
While immunoglobulin replacement for patients with CVID prevents infections, it does not correct any of the autoimmune features....keeping rheumatologists busy! Dr. Mahta Mortezavi #ACR19 @RheumNow

Jonathan Hausmann MD hausmannMD ( View Tweet)

#acr19 ⁦@RheumNow⁩ Dr West’s Pearls: - at 40x magnification of synovial fluid, 1 WBC per hpf = 500 WBC/ uL (hence, 5 WBCs seen= 2500 WBC/uL which means the pt has an inflammatory fluid - you don’t have to wait for the lab results!) https://t.co/nChSnFq5NL
k dao KDAO2011 ( View Tweet)
The updated ACR/NPF treatment recommendations for PsA were discussed by Dr. Mease and Dr. E. Husni at #ACR19. Will you start with a TNFi, as per these recommendations, over other medications for your tx naive patients? @RheumNow

Dr. Rachel Tate uptoTate ( View Tweet)

Nice work showing PROs correlate with high disease activity in pts w/checkpoint inhibitor-related inflammatory arthritis abstr#2151 @cappelliMD @LCalabreseDO @RheumNow #ACR19 #cleclinicrheum https://t.co/Yi8LhNhA0v
Cassandra Calabrese CCalabreseDO ( View Tweet)
500 patients with CVID -94% had infections -30% had autoimmunity -30% had chronic lung disease -10% had granulomatous disease -Dr. Mahta Mortezavi Need I convince you any further to consider CVID when evaluating your patients with rheumatic disease? #ACR19 @RheumNow

Jonathan Hausmann MD hausmannMD ( View Tweet)

#ACR19 poll: Do you use Prednisone to manage symptoms of hand osteoarthritis? @RheumNow

Dr. Paul Sufka psufka ( View Tweet)

Nice job @didemsayginmd ! Abstr#2144 single center rheumatic irAE experience - 50% required ICI interruption! 20% needed DMARDs @RheumNow #ACR19 #cleclinicrheum https://t.co/dGaIaKzYFS
Cassandra Calabrese CCalabreseDO ( View Tweet)
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