TheDaoIndex

Peter’s Pearls in vasculitis - Dr Merkel noted:
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest

Thank you for inviting me to lecture #LSUrheum on Practical Applications of the @acr-journals.bsky.social #LupusNephritis guidelines. #Shreveport

May is #LupusAwareness month! @rheumnow is running a campaign: Lupus Unlocked: Keys to Mastery

First blog by Dr Sammaritano rheumnow.com/news/contracep…

@Lupusreference @LupusOrg @EricFMorand @edvital @alhkim @alvinwellsmd @Janetbirdope

“TNFi are on the whole cardioprotective for IMIDs”- Prod McInnes #CCRE25

Hypogammaglobulinemia is prevalent in our pts exposed to B cell depleting therapy, BiTEs, CAR-T, alkylators. Worse with age and if they have underlying low Ig’s before Rx.
Severe hypoIgG is <200 mg%. High risk patients=AAV & SLE

Dr @LCalabreseDO #CCRE25

Besides alkylators, other meds can cause hypo-IgG @LCalabreseDO #CCRE25

Dr M Kahlenberg shares what she does for #SLE patients
1. HCQ for every patient and check HCQ blood levels once a year
2. Sun protection using zinc/ titanium based sunblock
3. Add HCQ for people with incomplete lupus (when you suspect but not enough evidence)
4. Less steroids! #CCREast25

This is pretty cool- I tried out Open Evidence (ChatGPT for HCPs). It can generate mock board questions, write discharge planning, help with medical decision making. The last photo is a fictional case to see how it would care for a 78 yo w/RA, recurrent infx & HCV @EvidenceOpen

CDC guidance: who should & should’t
get MMR (#measles mumps rubella) vaccine. Interestingly, there is data showing if someone get vaccinated within 72 hours of exposure to measles, they may get some protection and have a milder course. www.cdc.gov/vaccines/vpd...

The War Rheum | RheumNow The effects on rheumatologists and their patients living in Ukraine largely have been unseen by the world. At ACR Convergence 2024, I met Dr. Marta Dzhus who practices at St. Michael's Clinical Hospit...

Treat to target goals are near impossible to achieve. Read my conversation with Dr Dzhus on how the war has affected patients and rheumatologic care in #Ukraine. @ashira-md.bsky.social @kristenyoung.bsky.social @ukrainematters.bsky.social
@rheumcat.bsky.social @rheumnow.bsky.social

Thanks Alabama Society for the Rheumatic Disease for having me come review the 2024 ACR Lupus Nephritis Guidelines. Lively discussions and great company! #SLE #LupusNephritis

Who’s liable for an incorrect #AI diagnosis or medical advice? Is this a reason why physicians are slow to adapt AI in their practice? Interesting law review article on this www.acsh.org/news/2024/03... @rheumnow.bsky.social

80% #hydradenitis suppurativa pts are smokers or former smokers, smoking can predate #HS by 4-5 years. Other associations: DM-2, Spa, obesity, SAPHO, PCOS eval for SCC (squ. cell CA) #RNL2025
@rheumnow.bsky.social

"Tombstone comedones" (2 comodones together) are pathognomonic of #Hydradenitis - Dr. J Cather #RNL2025
@rheumnow.bsky.social

"Vinegar water or 1 tbs bleach to 1 gallon water can help with the odor from #Hidadrenitis" - Dr. J Cather reviewed goals of therapies and Rx's (while laser hair removal can help, it also can cause problems; intralesional steroids can cause atrophy)
@rheumnow.bsky.social
#RNL2025

Dr. C Bakewell's PEARLs on imaging in #ankspond & #PsA:
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social

Can NSAIDS reduce the risk for progression in #ankylosingspondylitis? - Dr. Van Der Heidje #RNL2025
@rheumnow.bsky.social

What are RA flare risks? @rheumnow.bsky.social #RNL2025

The consequences of #RA flares - @rheumnow.bsky.social #RNL2025

WWJCD-- what would Jack Cush do? for RA flares #RNL2025 @rheumnow.bsky.social

"NO guidelines address RA flares!" - @rheumnow.bsky.social
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025

#RNL2025. RA flare definition differs w/ clinical trial. Pt's flare definition is even more different. Recent study defined flare as sDAI >=4.7 or CDAI > =4.5. a longer flare is worse than a shorter flare. Can't rely on DAS28 & low correl w/VECTRA or biomarkers. @rheumnow.bsky.social

#RNL2025 @rheumnow.bsky.social on SGLT2/GLP-1 helpful for PsA, PsO... likely Rheums will be more comfortable writing these Rx's given the benefits seen for the inflammatory disease. Make sure you know side effects and how to titrate them.

Rheum to Travel | RheumNow One of the benefits of attending conferences aside from scientific exchange is meeting new people. At one symposium, I met a unique rheumatologist. This chance meeting turned into an interview, that t...

My new blog:
This unique career lifestyle has been embraced by several of our colleagues and is growing… it has filled the void in areas that are rheumatology deserts. @RheumNow @ACRheum @AWIRGROUP @uptoTate @vksandhumd
rheumnow.com/blog/rheum-t...

EULAR 2025 - Abstracts EULAR invites you to submit an abstract to EULAR 2025, the European Congress of Rheumatology. Every year EULAR invites abstract submitters from all over the globe to present their work at the Europea...

BTW, abstracts are due today for #EULAR25 congress.eular.org/abstractsgen...

I registered to attend RheumNowLive in person … this will make it even more interesting. #ACR25 will need to step up its game @vksandhumd.bsky.social @rheumepi.bsky.social @rheumcat.bsky.social

"If you want a planned pregnancy, you need to first prevent an unplanned pregnancy ." - @kidneydoc101.bsky.social on pregnancy challenges for patients with #LupusNephritis @kdigo.org

Prof TM Chan highlights key management objectives in #LupusNephritis @goKDIGO

Anyone who has interest in Glonerular diseases (eg #LupusNephritis #AAV #IgAN) — @KDIGO.org is having its inaugural guidelines educational meeting happening today and tomorrow … note time zone (LN session at 12:30 CST today) kdigo.org/kdigo-direct...

Coalition of State Rheumatology Organizations (CSRO) The Coalition of State Rheumatology Organizations (CSRO) is comprised of 32 state and regional professional rheumatology societies whose mission is to advocate for excellence in the field of rheumatol...

Attention Rheum Fellows and recent graduates —this is a professional development conference teaching you things about clinical and academic practice you don’t learn during your training csro.info/fellows/fell...