Myositis

Meral K. El Ramahi, MD MeralElRamahiMD
4 years 7 months ago
Summary of #ACR20 part C:
- A must see talk was the avacopan story
- IVIG for myositis does work! More than just anecdotal evidence now
- DIET is key to helping improve autoimmune dz!
- low dz activity RA pts should taper off of MTX 1st when also on TNFi @jeffsparks @RheumNow

David Liew drdavidliew
4 years 7 months ago
The 'triple M' irAEs (myositis/myocarditis/MG): one of the rheumatic irAEs where autoAb are freq pos
Nice systematic review:
any autoAb+ 61% tested
MG+ 59% tested
MSA+ in 27% tested (18/67, 11 had myositis alone)
@NilashaGhosh @lovetolearn27 @got_rheum #ACR20 ABST1574 @RheumNow https://t.co/utSj8yY0fd


sheila RHEUMarampa
4 years 7 months ago
This cohort study presented by @Dr_Alex_Oldroyd shows that early cancer diagnosis after #myositis onset is associated with significantly improved survival.
Cancer screening essential in pts newly diagnosed with IIMs.
@RheumNow #ACR20 abs1057 https://t.co/qVsnTcEnWb


Meral K. El Ramahi, MD MeralElRamahiMD
4 years 7 months ago
Poll results are in! 75% of those that responded plan to only screen for cardiac manifestations of myositis if a pt develops concerning symptoms. 20% screen for involvement annually w/ a TTE, troponin, BNP, and EKG! @RheumNow #ACR20 https://t.co/crUhFR6Hzf

Robert B Chao, MD doctorRBC
4 years 7 months ago
Pts are starting to ask me more about turmeric and ginger. Excellent review by Dr. Shah
1⃣Both good anti-inflammatory
2⃣Watch out in pts with bleeding/platelet disorder, menorrhagia, gallstones, PUD
3⃣Supported by trials
@RheumNow #ACR20 https://t.co/2U8zDQu64T


Eric Dein ejdein1
4 years 7 months ago
Dr. Stone Rheum Pearls - B cell therapy treats APS-capillaritis... without effecting aPL titers. #ACR20 @RheumNow https://t.co/5ZJN3xBE57


Eric Dein ejdein1
4 years 7 months ago
Great Thieves Market poster by my @jhrheumatology co-fellow Dr. James Son. 27 yo patient with active myositis has this imaging. Check it out for diagnosis! @RheumNow #ACR20 https://t.co/xUT6QkWNAX


Meral K. El Ramahi, MD MeralElRamahiMD
4 years 7 months ago
Do you obtain baseline and/or serial TTE, EKG, BNP, and TROPONIN* on follow-up visits of your patients with myositis? #ACR20 @RheumNow

Meral K. El Ramahi, MD MeralElRamahiMD
4 years 7 months ago
Do you obtain baseline and/or serial TTE, EKG, and BNP on follow-up visits of your patients with myositis? #ACR20 @RheumNow
Treatment of Dermatomyositis Studies: Dr Robert Chao
Dr. Robert Chao reviews two important abstracts - #0955 (IVIg) and #0958 (tocilizumab) - on the treatment of dermatomyositis as presented at the 2020 ACR annual meeting.

Sole RetamozoSole
4 years 7 months ago
Dr Sammy Zakaria said we need close communication with cardiologist in myocarditis related to myositis. #ACR20 @RheumNow https://t.co/kTAZKWpw0S


Sole RetamozoSole
4 years 7 months ago
Myositis:getting to the Heart. #ACR20 Prof Chung @RheumNow https://t.co/pj9rzmRgyx


sheila RHEUMarampa
4 years 7 months ago
#myositis & the ❤: lab tests
⬆ Trop = myocardial stress & injury, absence doesn't r/o myocarditis
BNP - utility unclear
There are no biomarkers specific for myocardial involvement
@RheumNow #ACR20 https://t.co/eyihKPoXSc

Here is the last of our QD Clinics in Podcast form, just before we start ACR2020 coverage.
In this compilation from the past week we talk about
- HIV and arthritis
- Hyperuricemia in PsA
- An odd kind of dermatomyositis
- Running out of options in Difficult RA
Listen here or on your podcast program in your car.