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10 Signs You'd Make a Great Pathologist #PathTwitter #MedTwitter 1. You've been told that you "ask too many questions" at some point in your life.

Becca Brass, MD @BeccaBrass ( View Tweet )

5 hours 39 minutes ago
108 pts with autoimmune cytopenias (TTP, ITP, AIHA, etc) were given COVID vaccination showing low rate of post-vax flares. Signif HEME decreases in 7.4% of AIHA & ITP; mild decrease in 10% AIHA and 20% ITP, w/ no Rx change

Dr. John Cush @RheumNow ( View Tweet )

10 hours 18 minutes ago
Variance in Uric acid? 85 pts without gout & serial SUA measured. 72/85 had nl SUA, but 21% later had high SUA x1. If SUA < 6, much less like to have future hyperuricemia (7% vs 39%, p = 0.0037). 13 w/ high SUA, half later had nl SUA.

Dr. John Cush @RheumNow ( View Tweet )

11 hours 13 minutes ago
Global SECURE-IBD trial on IBD drugs and COVID shows that severe COVID-19 outcomes were not associated with the use of biologics and mesalamine/sulfasalazine, AZA, 6MP, MTX combo Rx or biologics (TNFi, IL-12/23, IL-23, integrin inhib)

Dr. John Cush @RheumNow ( View Tweet )

12 hours 18 minutes ago
Prospective study of 77 RA patients in remission --> vax w/ BNT162b2 (BioNTech-Pfizer) (w/ temp D/C of DMARDs per ACR) found a vaccine-related flare rate of 7/8% (6 pts) w/ 5/6 flares after 2nd dose (2.6 days), resolved w/in 2 wks #RheumNow
Dr. John Cush @RheumNow ( View Tweet )
13 hours 18 minutes ago
Can I get the INFLUENZA and COVID Vaccines together? The CDC says: "YES...both vaccines can be given at the same visit, people should follow the recommended schedule for either vaccine.... ideally get a flu vaccine by the end of October."

Dr. John Cush @RheumNow ( View Tweet )

14 hours 18 minutes ago
Patients with rheumatoid arthritis (RA) who had a history of cancer did NOT have an increased risk of new or recurrent cancers if treated with biologic therapies, a meta-analysis found. #RheumNow
Dr. John Cush @RheumNow ( View Tweet )
17 hours 17 minutes ago
NEJM Image Challenge: A patient presented with painful and erythematous plaques on his hands and elbows. Lab examinations showed leukocytosis and thrombocytopenia. What is the diagnosis?
NEJM @NEJM ( View Tweet )
1 day 9 hours ago
Aortitis: Let’s review the differential for #aortitis including Non-Infectious and Infectious Causes! @febrilepodcast x @RheumOnePagers | created by @MithuRheum @swinndong #IDTwitter #RheumTwitter #FOAMed
Rheum OnePagers @RheumOnePagers ( View Tweet )
1 day 9 hours ago
New study on #COVID19Vaccine in autoimmune cytopenias 🩸7.4% had clinically significant ⬇️ in counts 🩸 All successfully managed w/steroids & transfusion 🩸 Mild ⬇️ in 10% AIHA and 20% ITP ⭐️Vaccination safe with close monitoring⭐️

AmericanJournalofHematology @AjHematology ( View Tweet )

1 day 9 hours ago
Pooled analysis of the DISCOVER-1 and DISCOVER-2 trials have shown that guselkumab, an IL-23 inhibitor, was effective and safe in psoriatic arthritis (PsA) patients with axial involvement and imaging-confirmed sacroiliitis. #RheumNow
Dr. John Cush @RheumNow ( View Tweet )
3 days 12 hours ago

The #1 question I get from new consults: “How did I get arthritis?” Here is my list of 11 drugs (or drug classes) known to cause arthritis or rheumatic disorders (as an unintended consequence). #RheumNow

Dr. John Cush @RheumNow ( View Tweet )
3 days 14 hours ago