Pregnancy

COVID-19 in Pregnant Rheumatic Women
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Jan 10, 2022

The Global Rheumatology Alliance (GRA) has studied the outcomes of women with rheumatic disease who were pregnant at the time of infection with coronavirus disease 2019 (COVID-19).

The GRA database of rheumatic patients also includes information about pregnancy; further obstetric

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Best of 2021: Jack of All Subspecialties
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Jack Cush, MD

Dec 31, 2021

It's great to be a rheumatologist, but boy, it's getting harder and harder. You have to be a jack of all trades. You have to be good at cardiovascular disease, osteoporosis, vaccination, inflammatory bowel disease - it just never ends. This and more, as Dr. Cush summarizes more than a dozen

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Best of 2021: Tofacitinib Safety Concerns
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Jack Cush, MD

Dec 29, 2021

Dr. Jack Cush reviews and discusses the news and journal reports from the past week on RheumNow.com.

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Best of 2021: Potential Birth Defects with Hydroxychloroquine
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Jack Cush, MD

Dec 23, 2021

HCQ is one of the safest meds used in rheumatology, but new claims data suggests a small increase in the risk of malformations associated with first-trimester HCQ use. The March 2021 issue of the American Journal of Obstetrics and Gynecology studied the risk of major congenital malformations

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Indications Awaiting (12.17.21)
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Jack Cush, MD

Dec 17, 2021

There's good news and bad news in rheumatology fellowship matching for 2022. There's also new FDA approvals and indications, but a new serious safety warning has arisen from the CDC about the J&J COVID-19 vaccine.

Dr. Jack Cush reviews the latest news, journal reports, regulatory

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Pregnancy Outcomes in PsA, SpA, RA: Dr. Rachel Tate ( @uptoTate) reviews abstracts #0369, #1722 and #1730 presented at the ACR21 annual meeting.https://t.co/kUQReWtEdO https://t.co/MZ9Fe1Ms3N

Links:

https://bit.ly/3cZTuFr

Dr. John Cush @RheumNow( View Tweet )

Nov 30, 2021

Infection Risk in Offspring Exposed to Biologics: Dr. Rachel Tate ( @uptoTate)https://t.co/oYpKpCix7Q https://t.co/0yIk9Qhc1h

Links:

https://bit.ly/3cQcwxM

Dr. John Cush @RheumNow( View Tweet )

Nov 26, 2021

Safety of Psoriatic Biologics in Pregnancy
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Jack Cush, MD

Nov 24, 2021

Little is known about the safety of newer biologic use during pregnancy, especially in patients who either conceive while on a biologic or must remain on a biologic during pregnancy (often the case with IBD and inflammatory arthritis). A report from ACR 2021 (Abstract 1713) examined the risk

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SpA & Pregnancy Outcomes? ➡️SpA pts txed w/ bDMARDs at conception are not at higher risk for adverse pregnancy outcomes compared to those w/o bDMARD ➡️Stopping bDMARDs after conception assoc w/ ↑ dz activity during pregnancy + after birth & ↑flares Abst#1730 #ACR21 @RheumNow https://t.co/Y4c7vI0cgS

Meral K. El Ramahi, MD @MeralElRamahiMD( View Tweet )

Nov 09, 2021

RHEKISS registry: SpA pts on bDMARDs at conception are NOT at inc. risk for adverse pregnancy outcomes. Discontinuation of bDMARDs after conception is assoc'd w/ inc. dz activity during/after pregnancy & flare risk. Abs 1730 #ACR21 #RheumNow @RheumNow https://t.co/b2wI9GZios https://t.co/wsuvv3hF0v

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Disease Activity and Outcome in Pregnancies of Patients with SpA - Data from th…

Dr. Rachel Tate @uptoTate( View Tweet )

Nov 09, 2021

Pregnant pts w/ PsA, but not AxSpA, at increased risk of pre-eclampsia. In RA pregnancies, pre-eclampsia risk increases w/ dz severity prior/during pregnancy. We need to discuss potential risks w/ pts and OB team. Abs 1722 #ACR21 #RheumNow @RheumNow https://t.co/yeQmNAZ1jV https://t.co/cBfeVKQHfr

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Risk of Pre-eclampsia and Impact of Disease Activity and Anti-rheumatic Treatme…

Dr. Rachel Tate @uptoTate( View Tweet )

Nov 09, 2021

No clear excess risk for offspring exposed in-utero to, VED or TNFi's. UST showed infection signal BUT w/ wide CIs. We need more research re: biologics and placental transmission potential/subsequent risks. Abs 1713 #ACR21 #RheumNow #ACRbest @RheumNow https://t.co/W3K5uDyHlC

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Risk of Serious Infections in Offspring Exposed in Utero to Ustekinumab or Vedo…

Dr. Rachel Tate @uptoTate( View Tweet )

Nov 09, 2021

#ACR21 #Abstr1492 Could gut microbiome contribute to Anti-Ro+/autoimmunity in #lupus? Analyses of 125 stool samples from mother of children with neonatal lupus and/or heart block revealed its potential role in genetic-environment interaction @RheumNow https://t.co/FnJtZJSCRj https://t.co/ttRdP9NIrG

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A Permissive Factor of Anti-Ro+ Mothers of Neonatal Lupus Children Is Linked to…

Md Yuzaiful Md Yusof @Yuz6Yusof( View Tweet )

Nov 09, 2021

Meds men with rheum dz can use while trying to getting their partners pregnant #acr21 ⁦@RheumNow⁩ https://t.co/RlcPakappk

TheDaoIndex @KDAO2011( View Tweet )

Nov 07, 2021

Review of ACR Reproductive Guidelines by Dr. Talabi #ACR21 #ACRAmbassador https://t.co/x2xCSnxpJ2

Veena Katikineni @VeenaRheumMD( View Tweet )

Nov 07, 2021

"Healthier moms lead to healthier babies. This is how I frame the discussion regarding medications and PsA in my practice (with regard to reproductive health)." Dr. Talabi #ACR21 @RheumNow #RheumNow

Dr. Rachel Tate @uptoTate( View Tweet )

Nov 07, 2021

ACR21 Best Abstracts - Day 1
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Jack Cush, MD

Nov 07, 2021

The RheumNow faculty have been glued to their monitors all day, watching video, and running down abstract presentations to find the best – several of these stood out as #ACRBests. Here is a listing of “Best” they saw on Day 1.

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Dr B Bermas noted AAP guidelines say avoid MTX while breastfeeding, but the literature show very little MTX crosses breast milk. Dr Sammaritano stated that is true, but we don’t know how much MTX accumulates,though. #acr21 @rheumnow @UTSWRheum https://t.co/9I7HszorEO

TheDaoIndex @KDAO2011( View Tweet )

Nov 06, 2021

Would you allow a pt to continue MTX while breastfeeding? #acr21 @rheumnow

TheDaoIndex @KDAO2011( View Tweet )

Nov 06, 2021

#ACR2021 Dr. L Sammaritano shows evidence for using belimumab during breastfeeding @RheumNow https://t.co/kDXXauoOZQ

Donald Thomas, MD @lupuscyclopedia( View Tweet )

Nov 06, 2021

Remember: IUDs are the easiest contraception to recommend to SLE patients... Sammaritano lecture going on now #ACR2021 @RheumNow https://t.co/ZGRFIZyf5h

Donald Thomas, MD @lupuscyclopedia( View Tweet )

Nov 06, 2021

Irish registry of AS pts included 76 women who were pregnant ⭐️58% uncomplicated, 41.9% complicated, 11% multiple complications ⭐️frequency of miscarriage ⬆️ ⭐️complications included C-section, preterm, NICU admission #ACR21 @RheumNow Abs#369 https://t.co/90dolEeTIw

Robert B Chao, MD @doctorRBC( View Tweet )

Nov 06, 2021

Lupus Nephritis in pregnancy: @HopkinsRheum Petri recommendations ⭐️AZA safe for LN, with tacro if needed ⭐️❌Voclosporin (alcohol content) ⭐️Belimumab uncertain @Rheumnow #ACR21 Great Debate

Eric Dein @ericdeinmd( View Tweet )

Nov 06, 2021

#ACR21 #ACR2021 Rheumatology Reproductive Health 👉🏻 Biologics and breast milk 👉🏻 Good vaccine response with TNFi (like with covid vaccines ) 👉🏻 ustekimumab seems safe in pregnancy 👉🏻 Tofacitinib/ small molecules may cross placenta/ be in breast milk ➡️ contraindicated in preg/BF https://t.co/qk3sLR4QHz

EnvisionRheumat @ERheumat( View Tweet )

Nov 06, 2021

ASRI data: high frequency of pregnancy and fetal complications (miscarriage, c-section, early delivery, NICU admission) in AxSpA pts. We need more studies regarding risks/tx/outcomes/breastfeeding guidance. Abs 0369 #ACR21 #RheumNow @RheumNow https://t.co/4BR2ZPPjyB https://t.co/qyTwtfEMMy

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