Lupus
3 years 2 months ago
Dr. Eric Yen presenting about lupus nephritis mortality in the USA (1999-2019):
- Increasing trend in LN mortality x5 yrs
- Increased odds of death for Black pts > Latinx > API > AI/AN
- Urbanization (large central metro area) independent RF + effect modifier
#ACR21 https://t.co/qf61SkCqw4
3 years 2 months ago
#ACR21 #Abstr0456 How can we explain cognitive impairment in #lupus? Using f- and DCE-MRI, a study showed:
💠Abnormalities in brain functional connectivity
💠Extensive Blood-Brain Barrier leakage (BBB)
BBB could be a future target @RheumNow https://t.co/KLeWfbQUQ0 https://t.co/ibNvBUWlMK
3 years 2 months ago
So what’s interesting is that type I IFNs actually tighten the BBB. Is this dysfunctional in SLE? Or does this argue that CI does not correlate with SLE disease activity perhaps? #ACR21 #ACRAmbassador https://t.co/y5x2k3NQFi
3 years 2 months ago
Why is lupus nephritis mortality trending up in the US, in contrast to overall SLE mortality?
Race matters
Urban location can make things worse
I'm outside looking in but hope it's not too bold to say disparities affect whether you live or die from LN
#ACR21 ABST0454 @RheumNow https://t.co/wmB9l9fFTT
3 years 2 months ago
SLE patients with +aPL was associated with:
➡️Nephritis
➡️Discoid rash
➡️Serositis
➡️Neurologic disorder
Consider aPL and LAC status in patients w/these manifestations and whether anticoagulation/antiplatelets may be needed
#ACR21 Abst#0077 @RheumNow
3 years 2 months ago
Lichenoid cutaneous lupus erythematosus mimicking acanthosis nigricans
Regional Winner of Latin America and Caribbean
Image Competition: Rheum Dz in Patients of Color
#ACR21 @rheumnow https://t.co/4oAXIClwsm
3 years 2 months ago
#SLE pts have equal rates of post op CV events compared to TypeII DM pts and ⬆️ compared to matched controls. Esp driven by comorbidities. Should we add ASA post op in SLE pts with CV risks? #ACR21 #abst0128 @RheumNow https://t.co/COdbDxFgBQ
3 years 2 months ago
#ACR21 Abst#0454
Lupus nephritis mortality from 1999-2019
⭐️-27% age-standardized mortality rate in LN death, though increased trend in last 5 yrs!
▶️ Afr-American 38% of deaths, though 12% of population (RR ~4.5), ⬆️mortality with urbanization
https://t.co/fjeGXtItvD @RheumNow https://t.co/cE3t6lq8zi
3 years 2 months ago
Yikes! Higher rates of lupus nephritis deaths in last 5 years
👉8900 lupus nephritis deaths in USA studied
race/ethnicity and urbanization assc w/ LN mortality
👉highest in blacks and large central metro regions
#ACR21 #Plenary Abstr# 0454 @rheumnow https://t.co/bxQvID8jht
3 years 2 months ago
Nice graphic presentation of the results! Dr. Katie Liao and her group present the characteristics and disease manifestations of Ro+ #SLE patients from the Australian #lupus registry and biobank
@RheumNow #ACR21 abs0323 https://t.co/Yl5sZgiTw1