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COVID 19 Updates from RheumNow

Plaquenil Does Not Protect Lupus Patients from COVID-19

Annals of Rheumatic Disease reports on an analysis of lupus (SLE) patients that shows COVID-19 infection rates were similar between those lupus patients who were taking hydroxychloroquine (HCQ) and those not taking HCQ. 

TNR Grand Rounds - What does COVID-19 have to do with Lupus?

Last night's Tuesday Nite Rheumatology featured Dr.

Our Privilege

Another lonely locked-down day. Seems like months. Rent is due, phone and EMR fees next week. Loan is pending. Seems impossible to treat complex diseases without touch and only computer screen rapport.

RheumNow Podcast – The Beat Goes On (5.8.20)

Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow.com.

Safe Practices for Outpatient Appointments

As many parts of the country are lifting restrictions for businesses and allowing them to re-open, doctors are asking what they should do to keep themselves, their staff, and their patients safe.  As rheumatologists, we have vulnerable patients who are at high risk for complications from COV

COVID-19 and Thrombotic Complications

Severe and fatal outcomes with coronavirus infection are often the result of the downstream damage that follows the viral infection.

TNR Grand Rounds: IL-6 in Health and Disease

Dr. Len Calabrese from the Cleveland Clinic delivers this week's Tuesday Nite Rheumatology Grand Rounds, entitled "IL-6 in Health and Disease: Where Rheumatology Meets COVID-19".

Hydroxychloroquine's World of Confusion - What you Need to Know

Hydroxychloroquine has been a dominant news item since the start of the COVID-19 crisis, with a great deal of misconceptions by those who don't know or use or take the drug. HCQ leaped to the headlines on March 19th when President Trump endorsed the drug as being “approved” by FDA.

ACR: In-Person Urgent vs. Virtual Non-Urgent Medical Care

On April 26, 2020 the American College of Rheumatology (ACR) published a guidance paper to assist rheumatologists and rheumatology health professionals in assessing the need for urgent or face-to-face medical care versus virtual or telehealth patient care.  The driving principals being

Hydroxychloroquine and QTc Prolongation

JAMA Cardiology reports the risk of QT (QTc) prolongation when hydroxychloroquine (HCQ) was given to hospitalized patients with coronavirus disease 2019 (COVID-19), especially when given with azithromycin. 

German Society of Rheumatology COVID Pandemic Recommendations

The Annals of Rheumatic Disease has published the preliminary recommendations of the German Society of Rheumatology for the management of Inflammatory rheumatic diseases patients during the SARS-CoV-2/Covid-19 pandemic. 

Rheum Views on the Upside and Downside of COVID-19

The world has been turned upside down in the last 6 weeks. Medicine and rheumatology have certainly changed – a frightening experience for Chicken Little, a disaster for the pessimist, a challenge for the pragmatist and an opportunity for the optimists amongst us.

Social

‘Cool’ explanation for #COVID toes. Type I IFN response can drive perniosis. Great session of cases from Len Calabrese & Jack Cush @RheumNow #ACR21 7S001 usual suspects https://t.co/v8IX2xxOZ7
2 years 5 months ago
@SattuiSEMD presents @rheum_covid data on COVID-19 outcomes in vasculitis/PMR. High rates of severe outcomes, particularly for AAV and GCA (mortality >20% for both). Multiple factors associated with outcomes (see below). Abstr#952 #ACR21 @RheumNow #ACRBest https://t.co/0lw1QhuJct
Richard Conway @RichardPAConway ( View Tweet )
2 years 5 months ago
So important for our systemic vasculitis & PMR pts, @rheum_covid data highlighting the outsized COVID-19 risks they face. Thanks @SattuiSEMD @RichardPAConway @EBRheum in particular for driving forward this badly needed work! #ACR21 ABST0952 @RheumNow https://t.co/L7XS9OblxI https://t.co/LYxR1WUlhM
David Liew @drdavidliew ( View Tweet )
2 years 5 months ago
Factors associated w/ poor COVID19 outcomes in #SLE from the GRA @rheum_covid 📌Demographics - age, sex, region 📌Glucocorticoid use 📌 Comorbids - renal, CV 📌Untreated/active dse ❗Very important msg here: Control dse, manage comorbids & avoid GCs @RheumNow #ACR21 abs0866 https://t.co/eXR3KqGrJa
2 years 5 months ago
Good news for #COVID vaccine in #SLE. ✅doesn’t cause #lupus flares ➡️ no increase in APS. What about #SARS-CoV2 infection in SLE. Flares ↔️ stable but ⬆️APS Abs. from Hopkins cohort. Petri #ACRBest #ACR21 abst0858 @RheumNow https://t.co/ABx4C4lwvs
2 years 5 months ago
Exciting day at #ACR21 I wrote an article discussing COVID 19 in #RheumatoidArthritis discussing the following abstracts 0097 by Hasseli 1445 by @NamrataRheum L04 by @rheum_cat & @rheum_covid @rheumnow #COVID19 #RA #JAK #Rituximab https://t.co/g32ZYHBjQY

Akhil Sood MD @AkhilSoodMD ( View Tweet )

2 years 5 months ago
Dr. Petri noted that 1 week off of immunosuppressants is adequate for most lupus patients to mount a response. She avoided RTX during the pandemic. In pts who have had inadequate response to 2 or 3 doses of mRNA, she switches them to J&J. #ACR21 #COVI19 CH @rheumnow https://t.co/qNjmx9uTLF
TheDaoIndex @KDAO2011 ( View Tweet )
2 years 5 months ago
HSS Study of 136 SLE flares post-vax: 👉100 (74%) w/expected AE (headache/myalgias) 👉11 (8.1%) pts with SLE flare 👉Majority of flares were mild-mod & occurred w/in 1 week of vaccination 👉Most resolved w/in 7 days. Abst#0896 #ACR21 @rheumnow https://t.co/e6AP8PPRH2

TheDaoIndex @KDAO2011 ( View Tweet )

2 years 5 months ago
#ACR21 #Abstr0437 OK, so RTX affects #COVID vaccine but some pts need RTX. Factors predicting response to vaccine: RA vs AAV/IIM Higher IgG Longer time-to-RTX Lower RTX courses Number. Prediction Calculator is developed but need ext. validation #RheumNow https://t.co/iXSaGQ76hS https://t.co/WQAV3GRPBz
Md Yuzaiful Md Yusof @Yuz6Yusof ( View Tweet )
2 years 5 months ago