Dr. Seo noted why he likes to pick fights. He quotes Dr. David Jayne "#GreatDebates are boring if both sides agree!" @rheumnow #ACR23 https://t.co/6VkVg0RMpX

#GCA Rx #bDMARD is established to #steroid spare and reduce relapses. #Tocilizumab #GiACTA Dr Seo said ‘biologics work and steroids are bad!’ ⁦@ACRheum⁩ ⁦@RheumNow⁩ #ACR23 #ACRbest https://t.co/JmSE1KKlf5

Proof-of-concept study: when PsA pts w/Achilles enthesitis & +US findings underwent pain induction, they showed ⬆️activity in the OBF gyrus, ant cing, left PCG, SMG, STG an left PC lobule vs. US- grp. PsA pts w/+US process pain differently than US- #ACR23 ABST1388 @RheumNow https://t.co/ScXA17LHPa

#GreatDebate #ACR23 @RheumNow Advanced Rx 1st line in PMR/GCA @philseo IL-6 research in RA (STREAM, MOBILITY): safety of toci, sarilumab - compares to ADA Ifn risk driven by GCs GUSTO: TCZ w/ only 3d GC pulse - 13/18 in remission 24, 52w PMR: "its not just a little bit of pred" https://t.co/sAlQ0pttcq

@RheumNow https://t.co/WmHt6c12TG

Taiwanaise study of factors associated with 5 year mortality in patients after their first biological b,ts DMARDS A highter risque mortality in RTX and lower in tsDMARD vs TNFi @RheumNow @Janetbirdope @Yuz6Yusof https://t.co/rjpo08Tg46

#GreatDebate #ACR23 @RheumNow Advanced Rx 1st line in PMR/GCA? @philseo: Yes "Biologics work. Steroids suck" https://t.co/mQfbiaTsRV

#ACR23 Great debate: should we use biologics at PMR/GCA onset? Dr Spiera (Cons) -Need to agree on clin important diff & flares -No evidence as disease modifying in GCA - No need for disease modifying in PMR -Most pts can be treated with steroid & rapid taper -Cost @RheumNow https://t.co/ptM8E7EQzF

Plants For Joints continuation data poster was meant to be this am #ACR23 - but withdrawn. Makes me sad! Intervention: plant-based diet, exercise, stress Rx for 16w Abstract reports 1y follow-up: sustained DAS improvement, despite BMI reductions rebounding Enticing @RheumNow https://t.co/4adYf5BTtt

Coming soon - the great debate! Should PMR and GCA be treated with Advanced Therapies at disease onset? @ACRheum @RheumNow #ACR23

Pt w/ refractory SCLE, wants to get pregnant. Dr. Petri's approach is: counsel patient and review meds (e.g PPI's can induce SCLE). She also asks: Where's your hat and sunblock? Get HCQ blood levels b/f starting anifrolumab or belimumab #ACR23 @rheumnow #MeetExpert

Difficult SLE skin dse? Dr. Mosca reminds us to engage pts in the treatment process including adherence to preventive measures & lifestyle mods (sun protection, smoking) Other considerations: + antimalarials early use of newer tx? - Anifrolumab #ACR23 @RheumNow https://t.co/kz8YfcBB2d

#ACR23 Great Debate @ACRheum @RheumNow Should you start with upfront bDMARD in #PMR and #GCA?

Frailty in PMR @DrTrishHarkins >1/3 are frail or pre-frail. Frailty correlates with PROs - worse mood, pain, fatigue, and QoL. Abstr#1201 #ACR23 @RheumNow https://t.co/pH5yG4AscU https://t.co/QuHmOgpLbi

Telemedicine tools with central evaluation of clinical and imaging (+/- MRI SIJs) information may be helpful in the diagnostic process for patients with suspected axSpA. This reduces the risk of overdiagnosis, Poddubnyy D, Abst#1392 #ACR23 @RheumNow https://t.co/kYEMdqmQF8 https://t.co/2lRg2byGjK