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Initiating Urate Lowering Therapy (ULT) in 75 #Gout patients was associated with a 48% gout flare rate (within 3 mos of ULT). Risk factors include CRP >30mg/L, no prophylaxis (NSAID, colchicine) https://t.co/0oqnMgNVzX

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Analysis of claims data compared hospitalized infection rates among 11,248 matched pairs of new initiators of abatacept or TNF inhibitors. Serious hosp infections were significantly lower in ABA vs infliximab (HR 0.63; 0.47-0.85), but similar to ETN & ADA https://t.co/JhXlC7p1A7

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
23 pts with Fibromyalgia were compared to non-diabetic Framingham and NHANES cohorts and shown to have significantly higher Hgb-A1c levels; suggesting insulin resistence in FM. 16 pts were given metformin and 50% had complete pain resolution (=0) https://t.co/OsbGFhcaCd

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Fascinating case series - which suggests potential reasons to include a PSCK9 inhibitor in a statin-associated necrotizing myopathy — due to these meds possibly lowering HMGCR levels. https://t.co/Jblf2EDNmp

Paul Sufka, MD @psufka ( View Tweet )

7 years 3 months ago
Time To Stop Labeling Physicians As Providers - thoughtful discussion of an unfortunate trend. https://t.co/W5c0sLHKal

Eric Ruderman @JointMD ( View Tweet )

7 years 3 months ago
Biologic Survival study from Japan- ANSWER study w/ 4466 courses in 2494 pts (2009-17). Efficacy Survival best for ABA, TCZ; worst for IFX & CZP. Toxicity Dropouts most in IFX & ADA, least ABA & CZP. Remission best w/ ETN & ABA, least w/ GLM, IFX. https://t.co/IgRDKLemjW

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
"Everyone Needs A Coach" my TED-like talk from RheumNow Live 2019. https://t.co/G4jengfX0X

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
FDA has approved Ruzurgi (amifampridine) for Lambert-Eaton myasthenic syndrome in children 6-17 years. Drug works by blocking potassium channel efflux in nerve terminals, opening Ca2+ channels & increasing acetylcholine release https://t.co/y7JFr76PTr

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Long term safety of Secukinumab in PsO, PsA, & AS RCTs ( 96,054 patient-years) - favorable results with low incidence of serious infx (1.4, 1.9, 1.2, /100PYs), Candida (2.2, 1.5, 0.7/100pYs), IBD (0.01, 0.05, and 0.1/100PYs) or MACE (0.3, 0.4, 0.6). No TB. https://t.co/BTbBlOYj8W

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
In mice infected with the ZIKA virus, use of IL-1 receptor antagonist therapy mitigates placental dysfunction and perinatal injury by inhibiting microglial activation in the perinatal brain and by direct effects on the placenta. https://t.co/pgcOBoXMux

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Danish population study of 55,037 found 210 men (37.6% RF+) & 456 women (41% RF+) RA pts; In women, body fat%, waist size, & obesity was assoc. w/ higher risk of RA. (10% higher for each 5% body fat, 5% for each 5- cm in waist, & 50% higher for obese) https://t.co/PRUBWcWXjC

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Claims comparison of venous thromboembolic events (VTE) in treated RA pts finds a nonsignificant, but numerically higher rate of VTE in TOFA vs TNFi pts (0.60/100PY vs 0.34/100PY) (1.12/100PY vs 0.92/100PY), respectively. HR 1.33 (95% CI 0.78–2.24). https://t.co/JygSou07B1

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
A bit of welcome data on this -> Abatacept concentrations in maternal serum and breast milk during breastfeeding and an infant safety assessment https://t.co/TypfZZgcdK

Dr Philip Robinson @philipcrobinson ( View Tweet )

7 years 3 months ago
New data on tocilizumab in pregnancy, upshot is: "Tocilizumab concentrations in cord blood and infant serum were 80–90% of those in maternal serum" https://t.co/qV7758L4Pm

Dr Philip Robinson @philipcrobinson ( View Tweet )

7 years 3 months ago
In first-degree relatives of RA patients, comparing ACPA pos and neg FDR finds all moderate to severe periodontitis was significantly more prevalent in ACPA+ FDR (91%) compared to ACPA neg FDR (40%). From the Journal of Clinical Periodontology https://t.co/5d4YKGszZO

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
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