Lower the uric acid and save cognitive abilities. #ACR18 @RheumNow Abstract 2226. pic.twitter.com/wtSxUg4NUL
— William Shergy (@WilliamShergy) October 23, 2018
Always exciting to have new classification criteria presented at ACR.. while not diagnostic, can guide us to capture pts who need further eval & treatment!
Large vessel vasculitis, IgG4 related disease.#ACR18 @RheumNow— Brittany A (@MissbeeMD) October 23, 2018
What to do when your SLE patient gets pregnant. #ACR18 @RheumNow Abstract 5T096 pic.twitter.com/MsR0boQwRK
— William Shergy (@WilliamShergy) October 23, 2018
Interesting data on PET/CT in GCA from Dr Sammel from Sydney incl some pickup of cranial GCA. Not replacing TABx totally but ?similar to MRI/USS with the plus of picking up infx/Ca, with same radiation as full CT. Aussies doing well with PET/CT @drceowen! #ACR18 ABSTL15 @RheumNow pic.twitter.com/omhLbS1xbN
— David Liew (@drdavidliew) October 23, 2018
#ACR18 Late Breaking Abstracts#L17 Bimekizumab (anti-IL17 A & F) in PsA. Superior ACR50 vs PBO at wk 12, increase in response to wk24, sustained to wk48. No major new safety signals (candida 5%, LFTs, 1 suicidal ideation).
Would be interesting to see vs IL17A alone.@RheumNow pic.twitter.com/r41yRb55Y7— ǝlʇʇıɥʍ ɯɐs (@samwhittle) October 23, 2018
Nancy Baker on Challenges of Telehealth: Payers vary from state to state in the US (See figure) #ACR18 @RheumNow pic.twitter.com/m17BUhKxIn
— Suleman Bhana, MD (@DrBhana) October 23, 2018
Why preconceptual counseling is so important even if patients are not currently sexually active! @rheumnow #acr18 https://t.co/UwKaQnAwZK
— k dao (@KDAO2011) October 23, 2018
Nancy Baker on Benefits of Telehealth:
-reduced health care costs
-improved access to care
-More productive workforce
-Better patient experience. #ACR18 @RheumNow pic.twitter.com/CJOZ5bX6vL— Suleman Bhana, MD (@DrBhana) October 23, 2018
L17 Ph2 48 wk trial dual neutralization of IL‑17A and IL‑17F w/bezilkumab in PsA: at wk 12 ACR 50
And PASI and maintained at wk 48. Serious AEs around 4% at wks24&48, not dose related; most common nasopharyngitis. Oral candidiasis 10/206 (4.9%) at wk48 in BZK. #acr18 @rheumnow— Olga Petryna (@DrPetryna) October 23, 2018
#ACR18 @RheumNow abs 2418. This study from philadelphia is referring to only 47% of their sexually active women being on contraception and of the 53% not on contraception, 59% were on a potentially teratogenic med. pic.twitter.com/90G6qNpKyO
— Ian N Bruce (@Lupusdoc) October 23, 2018
We need to worry more about our SLE patients and their bone loss. #ACR18 @RheumNow. Abstract 2327. pic.twitter.com/vMDN2vtju8
— William Shergy (@WilliamShergy) October 23, 2018
Peripheral vascular disease is associated with OP and hip fractures. #ACR18 @RheumNow Abstract 2305. pic.twitter.com/VhFz3KzLNY
— William Shergy (@WilliamShergy) October 23, 2018
Nancy Baker: Drivers of telehealth: lack of doctor access, advancements in tech (high speed internet), Affordable Care Act, patients more comfortable with digital medicine #ACR18 @RheumNow
— Suleman Bhana, MD (@DrBhana) October 23, 2018
Themes of ACR mtg 2018 include stopping or reducing RA medication when pt is doing well. There is a saying about don't rock the boat. Pts must be followed carefully with shared decision if lowering effective RA Rx. #ACR18 @RheumNow #GameChanger
— Janet Pope (@Janetbirdope) October 23, 2018
High serum Uric acid levels may protect against bone loss. #ACR18 @RheumNow Abstract 2333 pic.twitter.com/a6YYwlfeyp
— William Shergy (@WilliamShergy) October 23, 2018
RheumNow expanded twitter coverage of the ACR 2018 Annual meeting sponsored in part by Novartis. All content chosen and distributed by RheumNow and its faculty.
— Dr. John Cush (@RheumNow) October 23, 2018
European cohort study shows RA and SpA patients switched from Enbrel to SB4 had similar DAS28 and BASDAI respectively at 3 mth f/u @RheumNow #ACR18 pic.twitter.com/lWpBsEeC7k
— Dr. Arthur Lau (@ArthurRheum) October 23, 2018
Dr. Apostolos Konzis, adaptive immune response in idiopathic pericarditis: 67% presence of anti heart antibodies against myosin and anit-intercalcated antibodies with no identifiable self antigen #Acr18 @RheumNow
— Suleman Bhana, MD (@DrBhana) October 23, 2018
Family planning in Rheumatology: ASK about pregnancy intent & contraception often. Give facts and resources regarding these issues. So important to improve outcomes in both women and future children. #ACR18 @RheumNow
— Brittany A (@MissbeeMD) October 23, 2018
RheumNow expanded twitter coverage of the ACR 2018 Annual meeting sponsored in part by Horizon Pharma. All content chosen and distributed by RheumNow and its faculty.
— Dr. John Cush (@RheumNow) October 23, 2018
Dr Polly Ferguson's advice: look elsewhere when something is unusual in infectious osteomyelitis especially chest- first rib is often involved in #SAPHO #CRMO #ACR18 @RheumNow
— Nicole Bitencourt (@NicoleBitencou5) October 23, 2018
Dr. Ferguson. C(P).Acnes bacteria may be a trigger for SAPHO syndrome via activation of the NLRP3 inflammasome #ACR18 @RheumNow https://t.co/BGHP18Ue5Y
— Suleman Bhana, MD (@DrBhana) October 23, 2018
#ACR18 Late Breaking:#L15 Anthony Sammel – PET/CT vs TAB for suspected GCA. PET 92% sens, 85% spec. (NB 3/7 false+ were clinically diagnosed with GCA). NPV 98%. Kappa 0.65. Including 4 vessels improves PET performance.
Great data, GCA Dx remains a difficult art.@RheumNow pic.twitter.com/eAA3QNYBfd— ǝlʇʇıɥʍ ɯɐs (@samwhittle) October 23, 2018
RheumNow expanded twitter coverage of the ACR 2018 Annual meeting sponsored in part by Eli Lilly and Company. All content chosen and distributed by RheumNow and its faculty.
— Dr. John Cush (@RheumNow) October 23, 2018
Men on SSZ: do not discontinue proper to conception… but can have effects on sperm count/motility/morphology so consider sperm analysis if difficulty conceiving while on SSZ.#ACR18 @RheumNow
— Brittany A (@MissbeeMD) October 23, 2018
Dr Eric Matteson – Philip Hench Lecturer #acr18 The best Disclosure slide ever! “I prescribed a lot of C21H28O5” (that’s Cortisone to you and me) ! In fact, we all still do. 2.5 million Americans take steroids on any given day. @rheumnow Has it had it’s day? pic.twitter.com/7Cw2IDtfyZ
— Philip Gardiner (@PhilipGardiner) October 23, 2018
#ACR18 @RheumNow abs 2836 maybe it's time to think across connective tissue diseases as well as within them to better understand their molecular taxonomy. A bit of shameless self-promotion!! @Dr_JohnR @tracyannbriggs pic.twitter.com/CL6vH0zbDj
— Ian N Bruce (@Lupusdoc) October 23, 2018
CPT II carnitine palmitoyltransferase 2 defect presents with #recurrent #rhabdomyolisis with exertion. Send plasma acylcarnitine profile in acute phase. #GeneticMimicsOfRheumaticDisease #ACR18 @RheumNow
— Nicole Bitencourt (@NicoleBitencou5) October 23, 2018
Enbrel non medical switch study w 89 pts switching. No sig change in DAS28-ESR, SJC/TJC/global scores but only 3 month f/u… data on Enbrel non med switches have been very sparse so every study, even small is important right now @RheumNow #ACR18 pic.twitter.com/DouMLWlIix
— Dr. Arthur Lau (@ArthurRheum) October 23, 2018
Patients and HCPs main concerns re: biosimilars are less efficacy and being forced to switch @RheumNow #ACR18 pic.twitter.com/wDBpxzpPE5
— Dr. Arthur Lau (@ArthurRheum) October 23, 2018
#ACR18 Neil Basu from Aberdeen showing some lovely functional brain imaging data that implies that #fibromyalgia symptoms in RA have similar neurobiological signature to ‘primary’ FM. Strong correlation between FM survey score and DMN-insula connectivity. @RheumNow pic.twitter.com/onrbeLhOYM
— ǝlʇʇıɥʍ ɯɐs (@samwhittle) October 23, 2018
Based on this survey, most MDs don’t agree with biosimilar interchangeability, but most pharmacist think it’s ok @RheumNow #ACR18 pic.twitter.com/ZhM2h3AD2b
— Dr. Arthur Lau (@ArthurRheum) October 23, 2018
#ACR18 @rheumnow abs 2419. In a busy clinic, ask 'one key question' as a way to opening discussion on pregnancy planning in SLE. With an EPR it can even come up as a prompt on your screen. pic.twitter.com/hQwlcxIZrB
— Ian N Bruce (@Lupusdoc) October 23, 2018
#ACR18 @RheumNow abs 2653. Worryingly over 50% of SLE patients on potentially teratogenic drugs are using less reliable forms of contraception: 6% on nothing. A global issue in SLE. pic.twitter.com/UH2IqaOa8D
— Ian N Bruce (@Lupusdoc) October 23, 2018
Abst 1910 Dr Ford followed 340 ACPA+ but no clinical RA pts. Risk of developing future RA depends on titre: 50% of 'hi' ACPA patients develop RA by 5 years of follow-up. #RA #ACR18 @RheumNow
— Philip Gardiner (@PhilipGardiner) October 23, 2018
Abst.2286 Dr Laporte (Brest) Myositis like changes seen in MRI in all 18 PMR patients; 66% Lesions improved with Tocilizumab #Acr18 #vasculitis @rheumnow Unfortunately there is no biopsy information.
— Philip Gardiner (@PhilipGardiner) October 23, 2018
Cartilaginous inflammation can occur not just in #RelapsingPolychondritis but also in #GPA as in this pt with pr3+ ear chondritis, subglottic stenosis and thickening of the trachea. Image by Dr. Marcela Ferrada #ACR18 @RheumNow pic.twitter.com/0U0jEjb0ZX
— Nicole Bitencourt (@NicoleBitencou5) October 23, 2018