Psoriatic arthritis
Day two at ACR 2022 was full of great sessions on imaging, vasculitis, lupus, vasculitis, spondyloarthritis, COVID, pregnancy, microbiome, economics and more.
Here are the RheumNow faculty selections for #ACRbest abstracts today:
Eric Dein ericdeinmd
2 years 11 months ago
@RheumNow video from #ACR22
Opioid use in PsA and SpA patients
Discussing abstract 1012 by @AlexisOgdie
https://t.co/fKRog1aIkH
An interesting study presented at ACR22 looked at whether neural networks can distinguish seropositive rheumatoid arthritis (RA+), seronegative RA (RA-), and psoriatic arthritis (PsA) using hand MRI data based on the structural inflammation patterns.
Eric Dein ericdeinmd
2 years 11 months ago
Ab1012 #ACR22
@AlexisOgdie Opioid Use & Healthcare Utilization in PsA and AS
21% PsA pts on opioids, 27% AS on opioids
Opioid users - more co-morbidities, 🚬, worse disease
Tended to higher use of anti-rheumatic drugs
Higher health care utilizations, medical $$
@RheumNow
Dr. Rachel Tate uptoTate
2 years 11 months ago
CASIPSA results: CT SIJ characteristics from PsA pts similar to age- and sex-matched controls, but w/ higher prevalence of erosions, found in 18% of PsA patients. Abs 1012 #ACR22 https://t.co/jdUSUoUUbf https://t.co/2NQOhncYFc
Aurelie Najm AurelieRheumo
2 years 11 months ago
To propose early intervention in pre-clinical PsA we need to first identify pts!
Eder et al. PRESTO Prediction of Psoriatic Arthritis Tool
Dvlped 600+ Pso
M stiff, PASI, nails, fatigue pain severity
Sens 61% Spe 77% for 5% proba PsA onset w/in 5yrs
Abs#1612 #ACR22 @Rheumnow https://t.co/QYOIKe3nui
Richard Conway RichardPAConway
2 years 11 months ago
Tapryal et al. Diagnostic delay of >6 months contributes to poor PROs in PsA. @RheumNow #ACR22 Abstr#1507 https://t.co/dkaNhXUAeD https://t.co/6G7X7V1aRI
Richard Conway RichardPAConway
2 years 11 months ago
Karmacharya et al. Multimorbidity in PsO strongly influences incident PsA, >=2 comorbidities HR 2.53, >=5 comorbidities HR 3.19. Also higher for non-white, HR 4.02, and decreased with age. @RheumNow #ACR22 Abstr#1506 https://t.co/OFobRzhQVL https://t.co/IP08XlD66H
Richard Conway RichardPAConway
2 years 11 months ago
Benesova et al. Higher treatment response to secukinumab in both male and female AS patients when diagnosed earlier. No such effect seen in PsA patients. Emphasises need to reduce diagnostic delay in AS. @RheumNow #ACR22 Abstr#1497 https://t.co/9g2zN85a33 https://t.co/LfvQFTKr69
Aurelie Najm AurelieRheumo
2 years 11 months ago
Promising results for Izokibep in PsA
Ph2 RCT meets primary endpoint at Wk 16
ACR50: 13% PBO 48% 40mg IZO 52% 80mg IZO
MDA: 5% PBO 42% 40mg 39% 80mg
Results observed as soon as wk2
No new safety signal compared to IL17Ai
https://t.co/Gilhg5k36b
Abs#1597 #ACR22 @RheumNow https://t.co/VvxSRLtkFk
Dr. Rachel Tate uptoTate
2 years 11 months ago
Abs 1187 apremilast may have beneficial effects on cardiometabolic measures including reductions in HbA1c in severely obese patients and reductions in weight and dz activity improvements in PsO/ PsA outcomes across all BMI categories. #ACR22 @RheumNow https://t.co/fCdJxz2IDk https://t.co/mLnwKQs539
Aurelie Najm AurelieRheumo
2 years 11 months ago
Baker et al, Corevitas registry in 7000+ RA pts
Pts w/ moderate pain HR 1.37
Pts w/ severe pain HR 1.42
more likely to switch to diff MOA b/tsDMARD
Adjusted for confounders incl DA
Time we address pain separately to spare MAOs in a lifelong disease!
Abs#1590 #ACR22 @Rheumnow https://t.co/RP8Rb6bp9m
Patricia Harkins DrTrishHarkins
2 years 11 months ago
Metabolic disorders +diet patterns PsA
👉71.9% obese
👉metabolic synd 46.9%
👉dyslipid 41.9%
👉 HTN 37.5%
Diet patterns assoc Dx activity
⬇️sugar⬇️fatigue⬇️PSAID score
⬆️whole fruit ⬇️SJC
⬆️unsat fats ⬆️enthesitis
DIPSA -Med/DASH diet PsA ongoing
#ACR22 @RheumNow Abst1007 https://t.co/cbggEw6IZp
Olga Petryna DrPetryna
2 years 11 months ago
#abs1601 #acr22 @rheumnow gender analysis of RCT 166 PsA pts on UST: F show ⬇️ response in resolution of pain, enthesitis, dactylitis& ACR response rates in both mono and MTXcombo groups. Unlike M, F seem not to benefit from UST+MTX combo for improvement of enthesitis& dactylitis https://t.co/a0uao6eWDO



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