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COVID 19 Updates from RheumNow

IL-6 Inhibitors May Benefit COVID-19 Infection

In the last few days there have been encouraging "preliminary" reports that IL-6 inhibition by either tocilizumab or sarilumab may be efficacious in patients with severe coronavirus infections.

Sarilumab (Kevzara)

High Dose Chloroquine Harmful in Severe COVID-19

JAMA Open Network reports an interim analysis of the Brazilian CloroCovid-19 trial showing thta higher doses of chloroquine (CQ) in the treatment of severe COVID-19 was associated with QTc interval prolongation and increased mortality.

RheumNow Podcast – In Times of Trouble (4.24.20)

Dr Jack Cush reviews the news, journal reports, twitter feed and COVID developments from the past week on RheumNow.com

Potential Role of B Cells in COVID

A pre-proof letter to the editor in the Journal of Allergy and Clinical Immunology presents a series of patients with immunoglobulin deficiency disorders and how they differentially responded when infected with the coronavirus.

NIH Consensus Guidelines for the Treatment of COVID-19

A National Institutes of Health (NIH) expert panel has developed consensus treatment guidelines for the management of coronavirus (COVID-19). To date  no drug has been proven to be safe and effective for treating COVID-19.

TNR Grand Rounds - Moving Forward with Telemedicine

Dr. Alvin Wells gives a primer on Telerheumatology and Telemedicine in the era of COVID-19.

COVID-19 and the Slippery Road of Cytokine Storms

Early reports on the COVID-19 pandemic allude to a cytokine storm or hyper-inflammation, especially in patients who succumbed to the illness.

A Role for Netosis in COVID-19 Infection?

Journal of Experimental Medicine has published a paper from a consortium of researchers at Cold Spring Harbor Laboratory, the Feinstein Institutes for Medical Research, and the Research Institute of the McGill University Health Centre (RI-MUHC) on the potential of neutrophil extracellula

RheumNow Podcast – Drive Them Crazy (4.17.20)

Dr. Jack Cush reviews the news, journal articles and new ACR COVID-19 guidelines from the past week on RheumNow.com.

Shutdown and the New Normal

 So far, we’ve been wrong about everything” claimed a U.S. governor during a TV interview.

COVID-19 Systemic Involvement

The presentations of the COVID-19 infection have been clearly chronicled with the worrisome onset of sore throat, dry cough, loss of smell and taste with fevers, myalgias, fatigue and the worrisome progression of pulmonary involvement in a minority.  Lab findings may include a leukocytosis,

ACR COVID-19 Guidance for Rheumatic Disease Patients

On April 11th, the ACR Board of Directors approved a COVID-19 guidance document written by an ACR task force charged with updating and clarifying recommendations for rheumatologists and rheumatic disease patient management during the current COVID-19 crisis.

Social

#ACR21 Ignaki Sanz makes the case that +++ AUTOANTIBODIES are integrally involved in #COVID19 immunopathogeneisis and may rise and fall w disease states- TBD what role they play in acute disease and #LongCovid @CCalabreseDO @VirusesImmunity @CleClinicMD #COVID19AB https://t.co/9dzCSh5V7R
Leonard Calabrese @LCalabreseDO ( View Tweet )
2 years 5 months ago
Dr. P Krause (FDA/CBER Deputy Dir., Office of Vaccine Research and Review) on #COVIDvaccine in kids: 👉Children respond to vaccine better than adults; can use lower doses 👉the lower dose will mitigate safety concerns (FDA gave EUA for Pfizer vaccine for 5-11 yo) #ACR21 https://t.co/Z7kcYQKZ8S
TheDaoIndex @KDAO2011 ( View Tweet )
2 years 5 months ago
👉 anti-CK Ab may be a cause of #LongCovid syndrome 👉found in patients with autoimmune (SLE/Sjogrens) and can affect dz severity. 👉has not been seen in children 2/2 #ACR21

TheDaoIndex @KDAO2011 ( View Tweet )

2 years 5 months ago
In case you missed it. @ACRheum #COVIDvaccine guidance v 4.0 for Rheum patients & what's added: 👉3rd dose recommend, timing relative to meds (as before) 👉mRNA booster preferred if initial doses were mRNA 👉mAb as PrEP/Rx for high risk pts https://t.co/R8K8WeZBMt

TheDaoIndex @KDAO2011 ( View Tweet )

2 years 5 months ago
Abst#0858 Hopkins SLE Cohort 860 pts, 65 w/COVID19, 228 vax'd: 👉COVID19 infx did not increase dz activity, but aPLs were increased (rash decreased likely d/t quarantine and no sun exposure) 👉COVID19 vaccine did not affect dz activity #ACR21 @rheumnow https://t.co/C65qJuMIbk

TheDaoIndex @KDAO2011 ( View Tweet )

2 years 5 months ago
So fitting that @ACRheum President @DrDavidKarp has highlighted the amazing work of @rheum_covid in the #ACR21 Opening Session. In crazy times, it delivered results with unprecedented speed, when our patients needed it most. We will look back in history with thanks. @RheumNow https://t.co/cTnAZP9UDl
David Liew @drdavidliew ( View Tweet )
2 years 5 months ago
Abst 0501 Kakkar & colleagues examined immunogenicity of single dose of SARS-CoV-2 Vaccine in patients with systemic sclerosis - Vaccine is safe - Immunosuppression lowered Ab production but no effect on T cell response #ACR21 @RheumNow https://t.co/NsLrWHh7ZS
Akhil Sood MD @AkhilSoodMD ( View Tweet )
2 years 5 months ago
#LongCovid management #ACR21 #CDC 🔴Multidisciplinary approach: Holistic management 🟢Arthralgias" NSAIDs 🟢Brain fog: cognitive training 🟢 Anosmia/ dysgeusia: olfactory training 🟢 Fatigue: Exercise 🟢 Anxiety/ Depression/ PTSD: psychotherapy #ACRambassador https://t.co/dB1OHlO0bl
Nelly ZIADE 🍀 @Nellziade ( View Tweet )
2 years 5 months ago
Excellent session on COVID-19 update on therapeutics chaired by @rheum_cat Prof. Luis Ostrosky outlining the therapies at different phases of COVID-19 including antivirals, convalescent plasma, anticoagulation, exercise and long-term endemic phase @RheumNow #ACR21 Session6S424 https://t.co/jso7x1v1oA
Dr. Antoni Chan @synovialjoints ( View Tweet )
2 years 5 months ago
Young et al. Impact of COVID-19 on rheumatology training 302 rheumatology trainees from 33 countries surveyed ➡️52% feel burned out🔼from prior ➡️66% felt supported by their program ➡️72% felt positive about being in Rheumatology Abst#0485 #ACR21 @RheumNow @kristenyoung

swethaann23 @swethaann23 ( View Tweet )

2 years 5 months ago