Dr. K Costenbader #ACR21 #YearinReview add-ons Rx: 👉Avacopan for AAV: new oral C5a inh allowed for remission & prevention of relapse, aggressive pred taper https://t.co/39V3LLOYKZ

Experts (Drs. M Clowse, Sammaratino) limit mAb TNFi 1 month b/f delivery or extend dosing. But, they do dose again for flares. Risk for infection is low based on the PIANO registry. Postpartum, they restart the meds w/in 1 week (vag delivery), 2 weeks C/S @rheumnow #pregnancy

Which of the following would you d/c in the 3rd trimester of pregnancy? #ACR21 #Pregnancy @rheumnow

Dr. M Clowse (on HCQ during pregnancy): 👉All pregnant women get HCQ 400 mg/day regardless of how big they are (she does not dose based on mg/kg/d) 👉with maternal metabolism/volume distrib, levels are low. #ACR21 @rheumnow #pregnancy @drbags71 https://t.co/dZtFLdKOvk

Is holding MTX during breastfeeding overblown? @MotherToBaby data showed that infants get 0.4% of mom’s dose 24 hrs post-MTX dose. Skip breastfeeding 1 day post-MTX may be safe. Consider monitoring infant CBC. Studies needed to follow infants longitudinally #ACR21 @rheumnow https://t.co/ikJvkk5BjI

Dr. Chambers review @MotherToBaby prospective data on HCQ use in pregnancy (n=279): 👉no major defects (regardless of dose) 👉no oral clefts 👉SGA slightly lower in exposed group b/c of underlying dz 👉no case of retinopathy in babies after 1 year f/u @rheumnow #Pregnancy https://t.co/vw2eryFgro

Dr. Chambers reviewed @MotherToBaby data of pregnant rheum women during the pandemic noted: ⬆️EtOH use in pregnancy, ⬆️stress, anxiety, depression ⬆️obesity ⬇️likelihood to get prenatal care #ACR21 @rheumnow #RheumPregnancy https://t.co/GCYCIuiunS

#GreatDebate: add on BLMB vs. VCS to MMF for LN Dr. Petri argues for BLMB b/c: 👉cost is less 👉better adherance 👉not good for class V 👉voclosporin had greater nephrotoxicity 👉insuff data in pregnancy, but not contraindicated like VSC #ACR21 @rheumnow https://t.co/mk2eXwkxcG

#ACR21 #GreatDebate: Dr. Rovin argues for VCS add to MMF b/c: 👉fewer side effects than legacy CNI 👉elevated in creatinine related hemodynamic reversible effect 👉did increase BP (but controllable) @rheumnow (2/2) https://t.co/mmWp0sBveT

💻 Telemedicine: would you rather have a telephone or a video clinics? Non inferiority RCT shows 80% satisfaction rates and phone-only non-inferior to video visits. I would have expected patients to prefer video visits 🧐 #ACR21 #Abst0112 @RheumNow https://t.co/klgMJ6EthH https://t.co/17ffTAZCfv

• A Randomized Trial Showing No Differences in Patient Satisfaction with Telemedi…

Data science for the dumbs. Very informative talk from Dr Jamie Collins! Surely helpful for me. A good way to decide on the best supervised methods for data analysis in machine learning is to separate according to our goal: to explain or to predict? #ACR2021 @RheumNow https://t.co/J0j6VMkoTV

Don't forget to discuss Influenza vaccination w/ your RA patients! Higher concerns about RA medications and low necessity of vaccination beliefs associated with a ⬇️ likelihood of vaccination and suboptimal vaccine coverage. #ACR21 @RheumNow #Abst0141 https://t.co/c5GthZxh3n https://t.co/4Nt92CHFzV

• Who Gets Influenza Vaccinations Prior to and After a Diagnosis of RA? Results f…

Our Panel discussion on highlights of #ACR21 Day1 held live yesterday with great colleagues from @RheumNow faculty is now available online! 👯‍♀️ @RichardPAConway @Yuz6Yusof @bella_metha @_Castillo_Pedro https://t.co/ulZTNNeqKf

• Md Yuzaiful Md Yusof on Twitter: "Don't forget to catch up with our @R…

Abst#271 #ACR21. RA activity predicts left ventricular mass change in pts without CVD ⭐️35% had abnormal LV geometry at baseline TTE ⭐️55% at f/u TTE 3-6 years later ⭐️Increase in concentric remodeling on LV @Rheumnow https://t.co/uHnqITcTy9 https://t.co/KmV8volVwd

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#ACR21 Abst#0276: Pulse pressure (PP) = Systolic BP - Diastolic BP, measures arterial compliance ⭐️RA: higher PP than controls ⭐️PP was independent risk factor for subclinical atherosclerosis ▶️ Look at the vitals, we have this at every pt visit! @Rheumnow https://t.co/KZaf1AwO6Q https://t.co/kN4xGxWiV9

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