RheumNow's expanded coverage of the #ACR2019 annual meeting is sponsored in part by Sanofi Genzyme and Regeneron. All content chosen by RheumNow and its faculty.

Mind-blowing - patients with inflammatory joint pain as IrAE with non-inflammatory synovial fluid! What is up!? Abstr#2147 @RheumNow @LCalabreseDO @cappelliMD #ACR19 @FunchainMD @CleClinicMD https://t.co/fBg8ljMWdz

#acr19 @RheumNow Vasculitis myths/pearls by Dr J Stone: - steroids can fail 60% pts (side effects/not work) w/GCA in first 24 wks (use TCZ early!) - GPA pts who still have some dz activity, add some CYP -AAV can flare even when B cells are not measurable (B cells are there!)

More data to support use of checkpoint inhibitor therapy in patients with pre-existing AID! No increase in frequency of irAEs abstr#2146 #ACR19 @RheumNow @cappelliMD https://t.co/Za2hZsDAgh

#ACR19 @rheumnow ABS2439 retrospective cohort study of PSA +HUC/gout shows HUC independently associated w/CVD, mainly w/ Afib (17.8% vs 6.1%, p < 0.001)& HFpEF (7.2% vs 3.1%, p < 0.001) in pts w/PsA. No statist diff in CAD btw the 2 groups (POR 1.21; 95%-CI 0.94-1.55; p=0.131) https://t.co/fZO5pjhdAZ

Can you engage patients in research? You can, and you should! Vincent DelGaizo shows various studies in which patients participated in the design, recruitment, survey and material creation. Resulted in some of the most successful studies in #pedirheum! #ACR19 @RheumNow @carrainc https://t.co/QQdF4fuqSh

Gout tip: If you have a “failed” MTP aspirate, blow out end of needle onto a slide and examine it. #ACR19 @RheumNow #gout

abstract L04 shoes increase risk of CV disease in patients who have calcium pyrophosphate deposition dz. A VA study of 24,000 males shows higher rates of MI, CVA, coronary syndrome and all-mortality with HR = 1.26 - 2.92 increase #ACR19 https://t.co/Gv4NLTc0NY

Apparently some actual published data of benefit of wearables in RA improving FATIGUE. See reference on slide #ACR19 @rheumnow 5T027 https://t.co/WqBQ9neQGp

#acr19 @RheumNow Pearls by Dr Sterling West 1. For pts with gout: as about energy drink consumption 2. Dry joint tap- blow out needle onto the slide 3. Consider CPPD in pts with “seroneg RA”- May not have typical acute flare

In our chronic disease cohort, the accuracy of wearables in measuring steps can be poor. Different gait types & speed affects measurement. Important for validity #ACR19 @rheumnow 5T027

Anyone who says that rheumatic irAEs aren’t a serious irAE hasn’t met my pts, or @cappelliMD’s, or @CCalabreseDO’s @LCalabreseDO’s, or ⬇️list. It can be at least as brutal as the cancer, so my pts tell me, & @jhrheumatology has the numbers to prove it. #ACR19 ABST2151 @RheumNow https://t.co/nxOCvrLWqa

Dr. Carol Langford from @ClevelandClinic⁩ speaking at #ACR19 ⁦@ABIMcert⁩ #Rheumatology Update 🚨 All #ACR19 Attendees 🚨 You can earn up to 53.25 MOCs by attending the meeting but must claim by 12/31/2019 ⁦ @RheumNow⁩ ⁦⁦@ACRheum⁩ ⁦@ABIMFoundation⁩ https://t.co/RvhHiKmOZx

#acr19 @RheumNow Pearls by Dr Sterling West 1. Pain w/ measuring BP (BP cuff test) sens 69%, spec 80%= FM 2. Recurrent troch/anserine bursitis - take off shoes and watch them walk might see hallux rigidis, over pronation- (my hint: look for leg length discrepancy as well)

#acr19 @RheumNow Pearls by Dr Sterling West: mnemonics to help with dermatomes —- trainees these have been on the boards!!! https://t.co/2yZ39fIYfQ