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COVID-19

Virtual Video Joint Exam Pearl #5: Its easier to see gouty Tophi and rheumatoid nodules than nail changes of PsA or subtle rashes. For Rashes and oral lesions its BEST to have the patient take multiple pix with the cell phone and send them in by EMR or Email.

Dr. John Cush RheumNow ( View Tweet)

Aug 04, 2020
Virtual Video Joint Exam Pearl #1: pain elicited by cervical lateral bending (in someone w/ otherwise normal Cx ROM) is highly correlated with Tender trigger points in the neck region (hence #FM)

Dr. John Cush RheumNow ( View Tweet)

Aug 04, 2020

Fighting Hydroxychloroquine Misinformation

Aug 03, 2020

JAMA Internal Medicine has posted an Editor's note on the use of hydroxychloroquine for COVID-19; noting the sequence of dysfunction since the president promoted its use on March 21, 2020, when he said “What do you have to lose? I’ll say it again: What do you have to lose? Take it

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The RheumNow Podcast is up - Top 13 Rheumatology Centers in the US; anakinra & colchicine in COVID, unload the loading dose, CB2 in Scleroderma.

Dr. John Cush RheumNow ( View Tweet)

Aug 02, 2020

RheumNow Podcast - Top 13 Rheumatology Centers (7-31-20)

Jul 31, 2020

Dr. Jack Cush reviews the news and TOP 13 list of Best Rheumatology Hospitals.

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Colchicine Benefits COVID-19 Patients

Jul 30, 2020

A proof-of-concept study published in Annals of Rheumatic Disease suggests that colchicine significantly improves COVID-19 outcomes.

Efficacy and safety must be determined in controlled clinical trials.he outbreak of COVID-19 posed the issue of urgently identifying treatment strategies.

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The only thing worse than bad covid research is a meta-analysis of bad covid research

Vinay Prasad VPrasadMDMPH ( View Tweet)

Jul 29, 2020
Important finding of marked lung fibrosis (scarring) after severe #COVID19 in 8 patients https://t.co/Akp6jVXmB9 @TheLancetInfDis (first complete pathologic description of this finding) https://t.co/QCuri3olgs
Eric Topol EricTopol ( View Tweet)
Jul 29, 2020
Full Read comprehensive overview of Cytokine Storm Syndrome in COVID-19. https://t.co/5hkzHG2zHy

Dr. John Cush RheumNow ( View Tweet)

Jul 28, 2020
Retropective study of 22 French severe COVID-19 pneumonia pts - 10 Rx w/ standard-of-care vs 12 with SOC plus IV anakinra (300 mg⋅d−1 x5 d, tapered over 3 d).
Dr. John Cush RheumNow ( View Tweet)
Jul 27, 2020
The RheumNow Podcast is up - COVID-19 Responds to Steroids & TCZ, statin myopathy, Lung Dz in AOSD, TNFi & Liver, IL-23 in Psoriasis.

Dr. John Cush RheumNow ( View Tweet)

Jul 24, 2020

ACR Advice on Reopening Strategies

Jul 24, 2020

The American College of Rheumatology (ACR) has issued a guidance document for rheumatologists and rheumatology health professionals to consider as practices, business and patient care begins to reopen in this next phase of the COVID-19 pandemic. This document discusses local conditions,

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RheumNow Podcast – COVID-19 Responds to Steroids (7.24.20)

Jul 24, 2020

Dr. Jack Cush reviews the News and Journal Reports from the past week on RheumNow.com.

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Low Risk of COVID in Biologic Treated Rheum Patients

Jul 23, 2020

In an Annals of Rheumatic Disease report, Italian investigators performed consecutive testing for SARS-CoV-2 (IgM and IgG) between 25 March to 25 May 2020 and compared test results between rheumatic disease (RMD) patients and the general population. 



Their study included 295

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Here's our experience at @BostonChildrens in managing patients with MIS-C, as well as how to distinguish these patients from those with #kawasakidisease --> https://t.co/C0nesg40FD Just published in @jclinicalinvest #COVID19
Jonathan Hausmann MD hausmannMD ( View Tweet)
Jul 23, 2020

Rapid Loss of SARS-CoV-2 Antibodies in Mild Disease

Jul 23, 2020

According to a small, observational study out of UCLA published as correspondence in the NEJM on July 21, 2020, those with mild COVID-19 symptoms showed an approximate antibody half-life of 73 days.

COVID-19 infection was confirmed by PCR in 30 out of 34 study participants. The remaining four

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Higher Rates of SARS-CoV-2 Seropositivity in the USA

Jul 22, 2020

The number of reporting cases of COVID-19 infection tends to underestimate the true prevalence of infection as only the more severe cases (e.g.,acute respiratory syndrome) get tested or go to the hospital. JAMA Internal Medicine reports that a cross-sectional seroprevalence study from the U.S.

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Steroids and Tocilizumab in Cytokine Storm Syndrome

Jul 21, 2020

A recent study from the Netherlands has shown that patients with severe COVID-19-associated cytokine storm syndrome (CSS)  with high dose steroids and tocilizumab had a faster recovery, less need for invasive mechanical ventilation and fewer deaths when compared to CSS patients receiving

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One-third of hospitalized COVID-19 patients have evidence of pulmonary embolism by CT scan. Retrospective study 1477 hospitalized COVID-19 pts; diagnostic yield of Chest CT for PE was 37%, w/ higher Ddimer in PE pts. https://t.co/jxy7FF5143

Dr. John Cush RheumNow ( View Tweet)

Jul 21, 2020
45 yr adult male w/ Kawasaki-like multisystem inflammatory syndrome w/ COVID-19 infx: presented w/ 6d fever, sore throat, diarrhea, LN, BLE pain, conjunctivitis, tachycardia, ESR 120, CRP 546 mg/L, high Troponin; Rx and resolved w/ IVIG & TCZ https://t.co/cy

Dr. John Cush RheumNow ( View Tweet)

Jul 21, 2020

RECOVERY Trial: Dexamethasone in COVID-19

Jul 20, 2020

Inflammatory events following infection with SARS-CoV-2 can often worsen the morbid or mortal outcomes with COVID, yet it has been unclear if glucocorticoids may modulate inflammation-mediated damage and lung injury.  The RECOVERY trial reports that dexamethasone (DEX) use lowered 28-day

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A randomized controlled trial testing dexamethasone for Covid-19 (the RECOVERY trial) showed that, compared with usual care, this corticosteroid drug reduced 28-day mortality in hospitalized patients. #COVID19 #SARSCoV2

NEJM NEJM ( View Tweet)

Jul 19, 2020
#Texas we REALLY need to #WearAMaskSaveALife ... 6 patients of mine have tested positive for #COVID19 in the last week. #MedTwitter @rheum_covid @COVID19Tracking

Mohammad A. Ursani MD, RhMSUS DrMAUrsani ( View Tweet)

Jul 19, 2020
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