Secretary Alex Azar SecAzar
7 years 8 months ago
This proposal has the potential to usher in the most significant change in how Americans’ drugs are priced at the pharmacy counter, ever, and ease the burden of the sticker shock that millions of Americans experience every month for the drugs they need. https://t.co/gOlQVWsGpt
Dr. John Cush RheumNow
7 years 8 months ago
Survey Q for Rheumatologists - a new arthritis drug is FDA approved - how long do you wait to prescribe it?
Two recent reports offer good news to rheumatoid arthritis (RA) women who are planning to become pregnant.
The first studies, RA women experiencing fertility issues who turn to assisted reproductive technology (ART) shows that live births were significantly lower in women with rheumatoid arthritis receiving ART treatment compared to usual rates in women without rheumatoid arthritis.
Dr. John Cush RheumNow
7 years 8 months ago
MMWR reports SCURVY outbreak in the Sudanese; NOTE this also occurs where you live, especially in young people with Horrible, monotonous diets. Sxs include arthralgias, lethargy, fatigue, gingival pain/bleeding, hyperkeratotic skin changes, chest pain https://t.co/v41LdnheOu
QD Clinic - How many days of fever?
QD Clinic - from RheumNow.Live. Recurrent fevers - what does it mean? Lessons from the clinic by Dr Jack Cush.
Dr. John Cush RheumNow
7 years 8 months ago
RCT of Vitamin D in 379 elderly UK adults aged ≥70 y (48% women) give either 12,000 IU, 24,000 IU, or 48,000 IU. There was no ΔBMD, but parathyroid hormone decreased in all 3 groups (significantly betw 48,000 and 12,000-IU groups (P < 0.01). https://t.co/2ZxJ3kcYqx
Research from the NEJM shows that oral antibiotic therapy was noninferior to intravenous antibiotic therapy when used during the first six weeks for complex orthopedic infections.There is considerable discussion whether complex bone and joint infections must be managed with prolonged intravenous antibiotics or if oral antibiotic therapy may suffice.
Dr. John Cush RheumNow
7 years 8 months ago
The rheumatoid arthritis drug Xeljanz saw revenues jump 33% for the year, with total revenues coming in at $1.8 billion in 2018 https://t.co/E7KHJSgkjF
Dr. John Cush RheumNow
7 years 8 months ago
Dr Uma Mahadevan and colleagues have published guidelines for managing pregnancy in IBD patients. Rec coordinated care w/ maternal-fetal medicine subspecialist, GI doc, preconception planning, more on treatement https://t.co/A5zsHYd9hm
Dr. John Cush RheumNow
7 years 8 months ago
Survey Q for Rheumatologists - a new arthritis drug is FDA approved - how long do you wait to prescribe it?
QD Clinic - EOA vs. PsA
QD Clinic - daily lessons and cases from the Rheumatology clinic.
Distinguishing Psoriatic arthritis from Erosive Osteoarthritis can be difficult.
Features Dr. Jack Cush
Dr. John Cush RheumNow
7 years 8 months ago
17.2% of 576 autoimmune pts had Mechanic hands: 50% MCTD; 35% DM; 15% PSS; 15% of UCTD; 14% Sjogren’s; NO SLE pts. 81% Mechanic+ had abnl capillaroscopy. DM w/ Mechanics had more Raynauds, Jo-1+ & abnl capillaroscopy https://t.co/igdTHUYmSj
The interleukin-23 (IL-23)/IL-17 axis plays an important role in inflammation and infection. Some of these chronic immune-mediated inflammatory disorders include PsO, PsA, AS, and IBD. Patients with PsO, PsA, and AS have up to a four-fold risk of developing IBD versus the general population. One study also supported the role for gut inflammation in spondyloarthropathy.
IL-17 inhibitors have proven to be effective in psoriatic arthritis. Analyses of ixekizumab-treated PsA patients with enthesitis or dactylitis shows this approach to yield significant improvements in enthesitis and dactylitis.
Dr. John Cush RheumNow
7 years 8 months ago
UK pts w/ hemochromatosis homozygous for HFE p.C282Y finds men 40-70 w/ incr risk of Hemochr Dx, (OR 411), liver Dz (4.3), RA (2.23), OA (2.01) & DM (1.53). Heterozygotes w/ hemochromatosis was more common but morbidity was modest. https://t.co/8NyRRJGqTl

