All News
TM61 at #ACR23
23 yo M p/w ~3mo of sternal swelling
- US probable abscess, drained + multiple abx w/ no improvement
- XR R shoulder + L elbow nl but MRI abn
- MRI L elbow: possible osteomyelitis (OM)
- MRI R shoulder; clavicular osteolysis
- Bone Bx clavicle + L Ulna: Chronic… https://t.co/QkLV9ce7hs https://t.co/o8zfu59MRP
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
TM65 @ #ACR23
65 yo white M p/w 9mo of cryptogenic strokes.
PMH: HTN, Crohn's
- 07/2022: CRAO, BMRI: L frontal lobe infarct --> ASA, Atorvastatin started
- 09/2022: weakness, vision changes
--> BMRI: multifocal subacute infarcts --> Apixaban started, Vedolizumab started for… https://t.co/pjoCv7PH9Y https://t.co/YUN78nn6Xb
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
#ACR23 Abs 2463 data from first 3 pts suggest CD19 CAR-T provides possible drug-free remission and resolution of lung/muscle inflammation in antisynthetase syndrome. https://t.co/7udqkDBgqT @rheumnow https://t.co/LSHcI0HMTM
Dr. Rachel Tate ( View Tweet)
Watch: Utility of AI and ChatGPT in Rheumatology
Dr. Kathryn Dao interviews Dr. Richard Stern at the 2023 ACR Convergence meeting in San Diego, CA. #ACR23
https://t.co/SH0TGAdvm8 https://t.co/RHu8bH9YOG
Dr. John Cush RheumNow ( View Tweet)
TM86 #ACR23 @RheumNow
Auricular chondritis, arthritis, axonopathy, high inflamm. Initial Dx: RP
Exam: lymphadenopathy, erythema nodosum, TJC 36, SJC 4 (knees/ankles), decr sensation, asymm reflex, macular rash, nerve thicken
Skin bx: septal panniculitis wo vasc
Dx: leprosy https://t.co/P5QJArRDaA
Eric Dein ( View Tweet)
#Cardiovascular imaging will help to detect #cardiac abnormalities earlier@in #rheumatic #diseases. #ACR23 @RheumNow @ACRheum 14T118 https://t.co/QKCpLWtkUv
Janet Pope ( View Tweet)
🚩Adjunct therapy to treat vasculopathy of MDA5-DM
⭐️Botox heals digital ulcerations and improves Raynaud's (slide 1)
Dr. Katherine Shaw injects Botox for healing recalcitrant ulcerated Gottron's papules (example patient failed nifedipine, sildenafil, pentoxyfylline & while on… https://t.co/4XCvRrzeTL https://t.co/yxUCzS30W1
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
TM85 #ACR23 @RheumNow
IPF s/p lung transplant p/w diffuse bone pain
Exam: no synovitis, +crackles. Labs: ALP 203
CT chest: stable mycetoma
Xray: periosteal reaction
Dx: vericonazole periosititis
Positive Mucorales PCR, fluoride level 19 (ref <4)
Bone pain improved stopping voric https://t.co/Gt8mOAssvh
Eric Dein ( View Tweet)
Im usually super shy on camera but my hair looks great in this video with my friend @RHEUMarampa as we talk about how our reviewer went from a personal project to a fellow study resource. #ACR23 #ACRambassador @RheumNow @cerego https://t.co/KHDni7epFK
Lisa 🐳🗺🧭 rheumarhyme ( View Tweet)
International collaborative has discussed early referrals for PMR - this is what they’re recommending
Better plans to get the right patients into rheumatologists is a big part of helping #MakeRheumForPMR
ABST2395 #ACR23 @RheumNow https://t.co/Kea07IGxhG
David Liew drdavidliew ( View Tweet)
Rashes in Rheumatology at #ACR23
Name the rash? @Rheumnow https://t.co/7CNqOESctW
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
Dysautonomia & joint hypermobility/hEDS - we all know that patients often have both, but what groups of symptoms cluster for patients?
This French study showed three main groups - need to look at treatment strategies for each group individually
#ACR23 ABST1838 @RheumNow https://t.co/UDepsudpXx
David Liew drdavidliew ( View Tweet)
The patients’ voice matters! Watch my interview with @LAlupusLady regarding how she manages #Lupus and her perspective about the disease @rheumnow #ACR23 @uptoTate https://t.co/P9KPJQEkRv
TheDaoIndex KDAO2011 ( View Tweet)
All of us need to remind each other to take care of yourself!
Some tips from Dr. Whitney Marvin
- exercise, date night, talking to a friend
- take breaks, mindfulness
- eating away from computer (as I type this on my desk, next to my lunch)
@RheumNow #ACR23 https://t.co/UmmDqXRECN
Robert B Chao, MD ( View Tweet)
Always refreshing to hear from another specialist's point of view
Cardiologist @Bweber04 on CVD and rheumatologic diseases
Increased risk of death, MI and HF exacerbation in our pt population
Increased all cause mortality
@RheumNow #ACR23 https://t.co/yOkPOmxU4N
Robert B Chao, MD ( View Tweet)
Lessons for #CVD in #inflammatory #rheumatic #diseases #ACR23 @RheumNow @ACRheum #ACRbest
-Negative #coronary #calcification doesn’t r/o presence of #microvascular #dysfunction
- work w #cardiologist for@proper@imaging for #Dx
-for #CAD or #pericarditis #Colchicine is GOOD https://t.co/dMO1FpoA2a
Janet Pope ( View Tweet)
TM13 @ #ACR23
64 yo F w/ CHF p/w dyspnea, palpitat, chest tight
EKG: monomorph VT
- Prior EKG: intervent conduct delay, LAD
TTE: ant wall abn, EF 35-40%
LHC: LV aneurysm, nonobst CAD
cMRI: abn LV wall thickening
PET: hypermetab LV
Endomyo Bx: necrot granuloma
DX?
@RheumNow
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
TM06 @ #ACR23: A Force Awakens
86 yo retired attorney w/ HTN, HLD p/w F, chills
4 mo ago:
- mild MDS on BMBx, cytogen neg
- new rash + Cr rise to 3 mg/dl, resolved w/ pred
3 mo ago: wt loss
1 mo ago: chondritis (ear, nose)
1 wk ago: b/l eye red + pain
DIAGNOSIS?
@RheumNow https://t.co/PdtAxnkXaJ
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
Editorial position on the use of AI in publishing. AI cannot be listed as an author ✍️ Smolen J, #ACR23 @RheumNow https://t.co/P2eOmi6W5c
Dr. Antoni Chan ( View Tweet)
TM15 @ #ACR23
26yo pregnant F w/ unilat painful breast mass. US resembled abscess. Resolved on 💉aspirat but recurred post-part b/l despite abx & I&D
Coe Needle Bx: multifocal acute abscess w/ foreign body GC reaction on lymphoplasmacytic mastitis
Diagnosis?
@Rheumnow
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)