Tweets
 
      💊  SGLT2i vs GLP-1 in Lupus Nephritis
TriNetX evaluating the impact of GLP-1 agonists vs SGLT-2 inhibitors on outcomes of lupus nephritis
📊 GLP-1 use linked to better renal & CV outcomes in LN including:
⬇️ CKD progression 
⬇️ Mortality
⬇️ Acute MI
@RheumNow #ACR25 https://t.co/v4LgKFDt68
              
      
      
        
    
  
         Akhil Sood MD, MS @AkhilSoodMD  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      Could a sputum test predict risk for RA conversion in at-risk patients?
98 at risk pts, Converters had higher
-BL sputum CCP levels 
-BL Sputum nucleosome and cit-nucleosome levels !although not asso after adjusting for sputum anti-CCP-IgA level
In converters, correlation of https://t.co/bqmQqS1Jz5
               
          
      
      
        
    
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         Aurelie Najm @AurelieRheumo  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      Where do patients find informations about their RMD?
Study of 705pts
-80% search engines via smartphone 80.3%
Different pattern within 2 yrs of diagnosis vs. later stage:
-more frequent 19% vs 8%
Most users find online content -understandable 80%
-apply it in daily life 68% https://t.co/9IMvpt2ffr
               
          
      
      
        
    
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         Aurelie Najm @AurelieRheumo  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      More biomarkers predictive of conversion to clinical RA in at-risk pts
Serum PAD4 & PAD 4 levels measured in CCP+ at-risk individuals
-PAD4 (not PAD2)  increased in RA Converters vs. non converters and HC
-PAD4 levels Pre-RA = RA
Within high CCP+ at risk individuals, higher https://t.co/LU5zUzui1G
               
          
      
      
        
    
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         Aurelie Najm @AurelieRheumo  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      Trying to reach RA, PsA patients on social media, to participate in studies?
Simple, informational messages work for recruitment
Message framing affects engagement but not recruitment
The more we understand, the better we can reach the right people
#ACR25 ABST0187 @RheumNow https://t.co/JoAthXhXvi
              
      
      
        
    
  
         David Liew @drdavidliew  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      A simple flow cytometry analysis of peripheral blood monocytes to predicts progression to clinical RA or PsA in at-risk patients? 
Too good to be true!
284 RA 56 PsA 57 HC
-HLA-DR higher in PsA
-CD11c lower in RA
But no clear difference between Converters and non Converters https://t.co/f3Sett4eXd
               
          
      
      
        
    
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         Aurelie Najm @AurelieRheumo  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      Rheumatologists love AI scribes in clinic.
The way we interact is potentially well suited, and accuracy and synthesis quality is bound to improve. Is it inevitable that it will universally be standard practice for us soon?
UCSF clinics #ACR25 @JYazdanyMD ABST0189 @RheumNow https://t.co/kOzfpLlvgD
              
      
      
        
    
  
         David Liew @drdavidliew  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      CMV is a worry with high-dose steroids, especially in certain settings.
The risk is far from universal, though: in this Korean cohort treated with high dose pred, almost no-one without risk factors got it.
Meds are rarely the only infection risk factor
#ACR25 ABST203 @RheumNow https://t.co/zLYhLVKgYL
               
          
      
      
        
    
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         David Liew @drdavidliew  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      #ACR25 Abstr#803 We need more data to justify biologics before conventional immunosuppressant in #SLE. Post-hoc analysis of 5 Phase 3 RCTs = improved efficacy & GC reduction in BEL+No IS vs PBO+IS. Potential selection bias as control group might be doomed to fail  @RheumNow https://t.co/kXmrOUbJzj
               
          
      
      
        
    
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         Md Yuzaiful Md Yusof @Yuz6Yusof  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
  
      #0793 In #SLE, abusive trauma was linked to 58% higher risk of medication non-adherence; resilience buffered this effect. Patients with trauma cited motivational, not access-related, barriers. Trauma-informed & resilience-focused care may improve adherence. @RheumNow #ACR25
    
        Mrinalini Dey @DrMiniDey ( View Tweet )
        4 days 18 hours ago 
      
     
      #0794 LLMs can accelerate qualitative lupus pregnancy research. Using AI to translate & analyze interviews from Portuguese, GPT-4 achieved top accuracy & coherence vs human themes. LLMs may expand inclusion & equity in rheum research. @RheumNow #ACR25 https://t.co/TAxg6Qyk0L
              
      
      
        
    
  
         Mrinalini Dey @DrMiniDey  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
      Real-world Indian cohort of 290 axSpA patients, generic tofacitinib achieved low/inactive disease in 89% after 25 months. Most adverse events were mild (e.g., transaminitis 14.5%) and manageable. No serious infections or MACE reported. A cost-effective alternative to bDMARDs in https://t.co/JBHfNq7kYt
              
      
      
        
    
  
         Antoni Chan MD (Prof) @synovialjoints  (  View Tweet )
        
        
          4 days 18 hours ago 
        
       
        
    

