Pearl: Most oral lesions in #lupus are painless. The classic oral lesion is a lacy, reticular pattern superimposed on an erythematous plaque. @RheumNow #ACR21 https://t.co/nxWnppxsZI

HZV in pts w/ #rheumatic dse by Dr CCMok et al 🔸Prevalence rates of HZV infxn (per 100py): SLE 1.7, RA 0.64, other RDs 0.76 🔸RFs assoc'd w/1st HZV infection 📌#SLE dx, serum albumin, serum creatinine; ⬆lympho/neutro ratio, CYC & Prednisolone use @RheumNow #ACR21 abs0862 https://t.co/TXRmoBBDXK

Don't stop hydroxychloroquine in SLE, even when doing well. Associated with ⬆️flare risk. x2 even when in remission. Abstr#0959 #ACR21 @RheumNow https://t.co/1gGx0V5oxk

CV events go down when #hydroxychloroqine dose goes up in SLE BUT only in non smokers. Maybe due to smoking attention of HCQ levels &/or smoking as a bigger risk for CV over rides HCQ dose? ⬇️cardiac events by 28% in non-smokers abst0871 #ACR21 @RheumNow #RheumPix https://t.co/XxgK7iRXWi

#ACR21 Rheum Secrets and Pearl Lupus pernio on the nasal ala. ⭐️Lupus in the name, but this is #sarcoid and not same as perniosis (chillblains) @Rheumnow https://t.co/r49yjkjsje

Plenary at #ACR21 Renal outcome Risk of minority patients with pediatric #lupus @rheumnow abst#0956 inpatient hospitalizations. https://t.co/HK8w246Dsn

#ACR21 Rheum Secrets and Pearls High CRP - not a typical marker of SLE flare. Look for infection! @Rheumnow https://t.co/g1Z6OHvANv

Elevated CRP? Dr. Kolfenbach reminds us that it is not typical of #SLE flares, rule out INFECTION! @RheumNow #ACR21 #RheumTwitter #MedTwitter https://t.co/FnkPdZ8gSl

"We need to do more than improving quality of care to close the gap in racial disparities." - Dr. J Chang Trends of adverse renal outcomes⬇️w/time in children hosp w/SLE. Improvements seen across racial/ethnic group, but black-white disparity persists abst#0956 #ACR21 @rheumnow https://t.co/HcOwQiKCb2

This slide 👇 from Dr. Mary Crow's lecture shows how 2 categories of autoantibodies with their distinct functions can allow for different therapeutic targets in #lupus @RheumNow #ACR21 #rheumatology https://t.co/wkthvj21cE

#ACR21 Hench Lecture. Wonderful talks by Peggy Crow on #lupus pathogenesis. Tour de force since LE cells discovery. Potential sources of self-nucleic acids: 💠Endogeneous retroelements LINE-1 💠Mitochondria 💠Cell-derived nuclear debris (NETs, apoptotic) @RheumNow https://t.co/TSdyqblYaA

Great Hench Lecture from Peggy Crow at HSS! From LE Cell to Interferon: Deconstructing Lupus Pathogenesis #ACR21 https://t.co/rUxiwKGFqm https://t.co/af2PKrFBv3

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Obesity does not affect #SLE disease activity despite persistent ⬆️in CRP. From Toronto #lupus database #ACR21 abst#0864 @RheumNow https://t.co/4ZpAMaU0jk

Attaining low disease activity in #SLE ⬇️ mortality! More time in LLDAS = #lupus low disease activity state = ⬆️survival in >4000 pts with SLE. Also + was clinical remission on treatment CROT. Treat to a target has come to SLE @RheumNow #ACR21 abst0865 #ACRBest #RheumPix https://t.co/8ld8oncFRR

Dr. P Crow #PhilipHench provides a tour of research on SLE pathogenesis: 👉discovery of Ab to small nuclear RNAs and the spliceosome 👉T cells' role on B cell differentiation 👉⬆️CD40L on SLE lymphocytes 👉IFN genes and their effects on the immune system #ACR21 @rheumnow https://t.co/6v9O19UUxX