Drs. Jack Cush, Nicola Dalbeth, Ken Saag, and Robert Keenan discuss key presentations related to gout presented at the 2019 ACR/ARP Annual Meeting in Atlanta.
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
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
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
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
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
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
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
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