David Liew drdavidliew
4 years ago
Just to fast-forward slightly, baseline CV risk was equal, since you asked... #ACR21 https://t.co/W3SLbFbQVE
David Liew drdavidliew
4 years ago
This is the overall MACE data. Those overall HR certainly in the wrong direction, even if they don't cross 1. #ACR21 https://t.co/5RGT3QMdti
sheila RHEUMarampa
4 years ago
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
Mrinalini Dey DrMiniDey
4 years ago
John Stone: "If I'd had time I would have said more"
Fantastic #SecretsAndPearls session! 👏 Huge breadth and depth of topics covered- if only there was more time!
#ACR21 @RheumNow https://t.co/oFyj8enMMk
Aurelie Najm AurelieRheumo
4 years ago
ORAL surveillance TOFA vs. TNFi:
in patients with > 50yo > 1 CV risk MTX IR
-# ⬆️ in MACE and MI (not stroke)
-MACE risk factors on TOFA smoking, >65 male gender
-# ⬆️ MACE in its w/ any of these RF
What are you going to tell your patients? #Abtr0958 #ACR21 #ACRBest @RheumNow https://t.co/81kVTH63bb
Meral K. El Ramahi, MD MeralElRamahiMD
4 years ago
Clinical Pearl at #ACR21 from Dr. J. Stone:
⭐️Ferritin:ESR ratio helps distinguishes systemic JIA flares from macrophage activation syndrome (MAS).
⭐️During MAS:
*️⃣Ferritin rapidly rises as an acute phase reactant
*️⃣ESR declines as fibrinogen is consumed.
#ACRBest @RheumNow
Ashima Makol MD AshimaMakol
4 years ago
✨Great Pearls when screening patients for clinically suspect #Scleroderma or #Juvenile #Dermatomyositis
📌 Don’t Stop Work Up at Negative ANA if strongly suspect SSc
📌 #Myositis Specific Antibodies have different phenotypes in kids than adults (MDA-5, TIF-1g, NXP-2)
#ACR21 https://t.co/KrkkzA5bkV
Meral K. El Ramahi, MD MeralElRamahiMD
4 years ago
Clinical (Peds Rheum) Pearl at #ACR21 by Dr. John Stone:
⭐️Dilated capillaries at the eyelid margin is the last cutaneous sign to resolve in inflammatory myositis!
⭐️Do not stop treatment until this sign is gone!
#ACRBest @RheumNow https://t.co/5H3Q9mTN9x
sheila RHEUMarampa
4 years ago
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
TheDaoIndex KDAO2011
4 years ago
MACE risk Tofa vs TNFi ORAL surveillance: age 50+ w/1 additional CV risk, MTX-IR
👉higher # MACE, MI in Tofa 5 or 10 mg bid (no increase in stroke)
👉risks for MACE w/tofa: tobacco, ASA, age 65+, male sex
👉counsel high risk pts (?avoid use)
Abst#0958 #Plenary #ACR21 @rheumnow https://t.co/tg35cts9tw
Meral K. El Ramahi, MD MeralElRamahiMD
4 years ago
Clinical Pearl at #ACR21 by Dr. John Stone:
⭐️Patients w/ RNAPIII positive SSc do not always have puffy hands, Raynaud's phenomenon, or ANA positivity!
#ACRBest @RheumNow @SChatterjee https://t.co/9J6OBibi4l
Janet Pope Janetbirdope
4 years ago
Oral Surveillance outcomes in a nutshell Tofacitinib two doses vs TNFi event driven trial more AEs of interest in Tofa groups MACE Malignancy SIE in older groups VTE esp #tofacitinib 10 mg BID @RheumNow #ACR21 #ACRBest abst#0958 https://t.co/j39g7yVVFB
Richard Conway RichardPAConway
4 years ago
Dr Naovarat reports on 18 year outcomes of HIV and rheumatic disease. 16 patients treated with TNFi, including 2 who switched to tocilizumab and ustekinumab. No major infections. Rising viral load in 1 led to discontinue. Abstr#0965 #ACR21 @RheumNow https://t.co/jcGPaURKmb
Mrinalini Dey DrMiniDey
4 years ago
#ACR21 #Rheumatology #Pearl: In #Takayasu's, listen for bruits on the back- could be originating from pulmonary artery or descending aorta.
@RheumNow https://t.co/0wGdR3Rqy2
Dr. Antoni Chan synovialjoints
4 years ago
Supplementation for 5 years with vitamin D3 +/- n-3 fatty acids reduced incident autoimmune disease by 25-30% in older adults vs. those who received neither supplement. The effect of vitamin D3 appeared stronger after 2 years @RheumNow #ACR21 Abst#0957 https://t.co/uOwNyjxEoG https://t.co/S5kIM4kj6L


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