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Imaging

Delays in Diagnosis of Axial Spondyloarthritis

Jan 12, 2021

The diagnosis of axial spondyloarthritis (and anklylosing spondylitis) (axSpA) is often delayed and usually not diagnosed by rheumatologists; a recent metanalysis shows that longer delays were attributable to lower education levels, younger age at onset and absence of extra-articular

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Spinal Benefits Seen With Cosentyx in PsA

MedPage Today
Jan 05, 2021

Secukinumab (Cosentyx) was effective for axial manifestations of psoriatic arthritis in a 52-week multicenter phase III study, investigators reported.



The primary endpoint of a 20% response on the criteria of the Assessment of Spondyloarthritis International Society (ASAS20) at week

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Update on Polymyalgia Rheumatica and Giant Cell Arteritis (Best of 2020)

Dec 31, 2020

JAMA has published a clinical update of recent studies on GCA. While PET/CT scanning are novel means of demonstrating activity, they have not changed the diagnostic approach to GCA or PMR and although there are no new proven treatment strategies for PMR beyond glucocorticoids, the FDA has

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SpA: Etiology to Diagnosis to Treatment - An Abstract Roundup

Nov 25, 2020

Here's a review of ten abstracts and presentations on spondyloarthritis encompassing a wide range of topics from etiology to diagnosis to treatment.  

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#BestACR20Tweets RT @DrPetryna : @RheumNow #ACR20 abs1921 single center baseline & follow-up PET/CT scan study in pts w/ refractory LVV-GCA on TCZ: while 83.33%pts achieved clincial remission only 10% experiences normalization of Total vascular score. https://t.co/M97X8fLfLp

Dr. John Cush RheumNow ( View Tweet)

Nov 22, 2020
#BestACR20Tweets RT @Janetbirdope : Filgo decreased MRI inflammation of many structures early in Rx in SpA which seems novel says w Maksymowych 5M015 @RheumNow #ACR20 @CRASCRRheum #ACRbest https://t.co/5HQiIettjh https://t.co/NwFMkLIhWw
Dr. John Cush RheumNow ( View Tweet)
Nov 21, 2020
XRay Bone Erosions in CCP+ Patients with Dr Eric Dein ( @ejdein1) #ACR20 https://t.co/f6RnoExBgk https://t.co/MJCp3sR1UZ
Dr. John Cush RheumNow ( View Tweet)
Nov 21, 2020

Swollen Joints Associated with Ultrasound Synovitis in PsA 

Nov 18, 2020

Ultrasonography has been added to the rheumatologist’s toolbox in recent years as a sensitive imaging modality in assessment of inflammatory arthritis but its relationship with tender or swollen joints is not quite clear. A large study of early, DMARD naive PsA patients shows that swollen joints

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Our latest article is asking: "Erosions on X-ray: can we delegate this to the computers?" by David Liew ( @drdavidliew) #ACR20 https://t.co/YvKjAWebT9 https://t.co/mUCv8ycep2
Dr. John Cush RheumNow ( View Tweet)
Nov 18, 2020
Read our article titled: Best Imaging Techniques for non ANCA Vasculitis by Dr. Alexa Meara ( @lexmeara) as discussed at #ACR20 https://t.co/CyfC8bdq42 https://t.co/HrMGvqcNC4
Dr. John Cush RheumNow ( View Tweet)
Nov 16, 2020
HCQ Not Associated with QTc Length in SLE and RA Patients: Dr. Janet Pope ( @Janetbirdope) abstract #0431 presented Friday at the #ACR20 virtual meeting. https://t.co/zPIaFIiqr5 https://t.co/prJZXWnTVB
Dr. John Cush RheumNow ( View Tweet)
Nov 15, 2020

Erosions on X-ray: can we delegate this to the computers?

Nov 12, 2020

The prospect of automating hand x-ray scoring reliably has always been an enticing one, and data presented at the American College of Rheumatology (ACR) Convergence 2020 suggest this might be in reach in the near future – opening up the prospect of automatic x-ray scoring in real-word

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Filgo decreased MRI inflammation of many structures early in Rx in SpA which seems novel says w Maksymowych 5M015 @RheumNow #ACR20 @CRASCRRheum #ACRbest https://t.co/LOOOn7Hjvp
Janet Pope Janetbirdope ( View Tweet)
Nov 09, 2020
@rheumnow #ACR20 abs1535 retrospective study of SI MRI reveals 20% pts w/out spondyloarthritis have BME on an MRI, predominantly in the antero-middle quadrant. Erosions were seen in 31% of healthy patients and in 61% of patients with spondyloarthritis

Olga Petryna DrPetryna ( View Tweet)

Nov 09, 2020
COX2 inhibitors associated with inhibition of radiographic spinal progression in AxSpA pts compared to non-selective NSAIDs. ⬇️radiographic spinal progression over 2 yrs ⬇️mSASSS progression @RheumNow #ACR20 Abs#2030 https://t.co/p1CeNBm3ma
Robert B Chao, MD doctorRBC ( View Tweet)
Nov 09, 2020
Worth checking out the #ACR20 image competition. Here's an image of cerebral toxoplasmosis during ADA treatment for RA @RheumNow. https://t.co/APPlumeUtA
Eric Dein ejdein1 ( View Tweet)
Nov 09, 2020
Using a panel of urinary prtns, data from this study show transferrin, AGP1, ceruloplasmin, MCP1 & sVCAM1 are sig. ⬆in active LN pts. More studies req'd for confirmation. Utility in monitoring renal response to tx? @RheumNow #ACR20 abs1796 https://t.co/3Zicpz3uDd
Nov 09, 2020
#mskus findings in pt w/normal muscle volume(ABC) vs. w/sarcopenia(DEF). This Japanese study showed US of VL muscle is useful in discriminating RA pts w & w/o sarcopenia. @RheumNow #ACR20 abs1537 https://t.co/Gv7V0eebEt
Nov 09, 2020
Learning points from Dr. Janeth Yinh's talk on the utility of #mskus in evaluating painful wrist structures: 👉consider tendon tears in IA 👉consider anatomic variations in pts w/ recalcitrant CTS @RheumNow #ACR20 https://t.co/F2cwxAlfoU
Nov 08, 2020
A large artery becomes a medium-sized artery when it penetrates a viscus. Small vessels include capillaries, arterioles, corresponding veins/venules, intraparenchymal arteries without muscular walls. A good skin biopsy includes the fat! Pearls from Dr. J Stone #ACR20 @RheumNow

Dr. Rachel Tate uptoTate ( View Tweet)

Nov 08, 2020
Dr. Stone Rheum Pearls - B cell therapy treats APS-capillaritis... without effecting aPL titers. #ACR20 @RheumNow https://t.co/5ZJN3xBE57
Eric Dein ejdein1 ( View Tweet)
Nov 08, 2020
EULAR Treatment recommendations 4S005: MSK US is highly sensitive and useful adjunct, but not recommended for routine mgmt in T2T. I find very useful for pts with unclear disease activity, but should be trained if using it #ACR20 @RheumNow

Eric Dein ejdein1 ( View Tweet)

Nov 08, 2020
Ultrasound to assess synovial-entheses junction correlated with clinical findings Abs#0311 Do you use MSK US in your clinic? @RheumNow #ACR20

Robert B Chao, MD doctorRBC ( View Tweet)

Nov 07, 2020
Serial RF titers? Abst#0754 from Japan: Pts with RF>45, tracked RF at month 0/4/12 after starting b/tsDMARD. 46/130 had RF decrease titers, had better radiographic remission/DAS28-ESR. Limits: varied Rx, More aggressive Rx w RF decrease grp @RheumNow. #ACR20

Eric Dein ejdein1 ( View Tweet)

Nov 07, 2020
Use of diagnostic imaging for #GCA is ⬆️ Use of temporal artery biopsy⬇️ data from #MayoClinicRheumatology @garveythomasma1 #acr20 #RheumTwitter https://t.co/kQTg5FTlVq
KenWarringtonMD MdWarrington ( View Tweet)
Nov 07, 2020
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