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Takeaways from #ACR23 #ReviewCourse session on Update on Relapsing Polychondritis - Dr. Marcela Ferrada
1. Be aware of common/uncommon manifestations (see slide). Affects more than just the ear!!!
2. Collagen II antibodies: not really sensitive or specific for diagnosis. Biopsy… https://t.co/f5xGtcMzk3 https://t.co/xVigSabXDb
Paul Sufka, MD psufka ( View Tweet)
What a talk. @DrPujaMehta1 on the big stage, with a truly inspirational talk in the #ACR23 Daltroy Lecture.
If you have any thoughts at all on DEI, or just are curious, you need to watch this.
I need to listen to it again, but two initial key points for me:
@RheumNow https://t.co/G4lngvpdS7
David Liew drdavidliew ( View Tweet)
Colchicine - what a fascinating medicine.
From a rheum point of view, interesting to see it play out for secondary prevention coronary artery disease, lot of patients. Great we can share our collective clinical confidence with it with cardiology
#ACR23 @US_FDA session @RheumNow https://t.co/Q7zLtyby8l
David Liew drdavidliew ( View Tweet)
Cellular based biology explanation of sex bias in ARDs 👀
Data from AMP w/ sc-RNA seq from synovial tissue shows:
Enriched inflammatory pathways in females synovial macrophages clusters vs. males
Basis for gender specific treatment strategies?
@RheumNow ABST0724 #ACR23 https://t.co/1p8PDIRNoI
Aurelie Najm ( View Tweet)
Abs#0726 #ACR23 @RheumNow
MSUS recs in Canadian Rheum training 🇨🇦:
Focus MSUS exam of hands/wrists/feet: ID effusion, synov, erosions v osteophyte, tenosyn
Limited MSUS of knee/ankle for effusion
@USSONAR_Rh @MymaAlbaydaMD
Agree: MSUS should be part of rheum training for all https://t.co/UNPpAA1p0V
Eric Dein ( View Tweet)
Real world data on low dose PEXIVAS steroid by Nagle et al. Increased risk of progression/relapse/death/ESKD in those with severe GPA/MPA HR 1.72. More marked in those with creat>300 or with RTX induction Abstr#0725 #ACR23 @RheumNow https://t.co/vTXVZfjbXx https://t.co/4FuMjxOuyB
Richard Conway ( View Tweet)
#ACR23 Abs 0465 suggests changes in rheums’ rx patterns in context of nationwide abortion restriction, particularly in abortion-restricted states; reproductive-age female pts may have less access to EB treatments like MTX/MMF for rheum dz. https://t.co/QN9C4PjUaN
@rheumnow
Dr. Rachel Tate ( View Tweet)
These US Medicare data show us what we've all suspected:
PMR patients stuck on steroid get the fractures, heart attacks, & infections that land them in hospital.
And it costs $$$
Hopefully PMR steroid-sparing Rx can change this!
@RADoctor @SattuiSEMD #ACR23 ABST0718 @RheumNow https://t.co/XAWmf2qZAU
David Liew drdavidliew ( View Tweet)
Dr. Arbeeva explains how a "modern diet" can lead to MetS, intestinal dysbiosis & obesity - risk factors assoc w/ development of #osteoarthritis
Modern diet:
⬆️calorie processed food
⬇️proportion of fruits & veggies
⬆️ratio of omega-6 FA:omega-3FA
#ACR23 @rheumnow @rheumarhyme https://t.co/biVSE103S0
sheila ( View Tweet)
#ACR23 Memorable Quote as reminded to us by Dr. P Seo during Year in Review:
"What you think of as a rare manifestation of a common disease is probably a common presentation of a disease you are not aware of (yet)!"
- Prof Seza Zen, MD
@RheumNow https://t.co/Xhwb1brLKG
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
Which to use in #EGPA? #Mepolizumab IL5i vs Benralizumab = monoclonal Ab binding to IL5Ralpha. Noninferiority RCT - both are similar. Is more Impt ? IL5 drug vs #Rituximab or #Cyclo for severe Eosinoph granuloma todos w polyangiitis 🤷 #ACR23 @RheumNow @ACRheum https://t.co/zyZeHHSsck
Janet Pope ( View Tweet)
We gotta do better! Reproductive health counseling is poorly done- only a third rheumatologists surveyed ask pts about reproductive health: sexual activity, pregnancy desire, contraception. Abstr#0162 @_michgarcia @rheumnow #ACR23 https://t.co/r9tewu2I9N
TheDaoIndex KDAO2011 ( View Tweet)
Join us tonight at 6pm PT/ 9pm ET for our daily #ACR23 recap. https://t.co/0RDwTdzhwS
Dr. John Cush RheumNow ( View Tweet)
AI is here to stay, like it or not.
Some words to ponder on👇
#ACR23 @RheumNow @rheumarhyme https://t.co/2K3Qc0Il8i
sheila ( View Tweet)
Low uptake of Artificial intelligence in Medicine! This needs to change. Keynote speaker #ACR23 @RheumNow https://t.co/gOTu1wBnZS
Bella Mehta bella_mehta ( View Tweet)
"Machines don't decide, they make predictions..-Dr. Avi Goldfarb
As a parting note, he leaves the audience some Qs: "In your orgs/institutions, how much of what you do is really about delivering value? Or serving patients & other stakeholders?"
#ACR23 @RheumNow @rheumarhyme https://t.co/xnFeQgDPco
sheila ( View Tweet)
This is what exactly what AI should mean for clinical rheumatologists:
discard the mundane & repetitive
enhance/make time the value add
Rheumatologists are really good at the value add, and we dislike the mundane & repetitive. We should embrace what is to come.
#ACR23 @RheumNow https://t.co/6Lb2ihlPFF
David Liew drdavidliew ( View Tweet)
Does the weather affect synovitis? Abstract this suggested so! Low wind speed & temp rise associated w/joint u/s findings in a large prospectove cohort
Full disclosure: I'm super skeptical of this, whole lotta p values. Still, love "fun" science😂🤣
@RheumNow #ACR23 Abstr407 https://t.co/JkqdUbM8YK
Mike Putman EBRheum ( View Tweet)
Understanding placebo effects is very important for any clinical research! This book will lay down important concepts in this. And fully accessible in a few weeks!
@RheumNow #ACR23 https://t.co/J3grEhP460
Bella Mehta bella_mehta ( View Tweet)
Little disturbing to see the data that most patients using cannabis dont know what exact product they are using. Also not most is not prescribed/ illegal!
Lots to learn and may have potential but need to be careful!
@RheumNow #ACR23 https://t.co/Y0vHmVvWdL
Bella Mehta bella_mehta ( View Tweet)