Discover and read the best of Twitter Threads about #Reviewcourse

Most recents (8)

Smart move: Having Dan Kastner give the last talk of the #ACR22 #ReviewCourse

I look forward to exciting onomatopoeia
Remind yourself of the features of the innate immune system #ACR22 #ReviewCourse
FMF 101, all on one slide

🧬Mutation: MEFV which encodes the protein pyrin
(#ACRKnowledgeBowl stuff!)

💊colchicine or 💉canakinumab if intolerant/refractory

#ACR22 #ReviewCourse
Read 13 tweets
Dr John Pauling on Raynaud's

🔑Age of onset a major factor to differentiate primary vs secondary

Other etiologies to consider other than rheum conditions

#ACR22 #ReviewCourse Image
1* Raynaud's as a dx of exclusion (I know some people do not like this term), at least based on the criteria of LeRoy & Medsger (1992)

#ACR22 #ReviewCourse Image
🥶Studies about prevalence of RP & January temps

Studies showing a link between low BMI (in women) and RP

Perhaps I should be glad I don't have RP!

#ACR22
Read 10 tweets
#ACR22 #ReviewCourse resuming with paraneoplastic syndromes in rheumatology
This is not an iRAE talk but the main points at the outset highlight the need to understand how to talk with our oncology colleagues to best treat patients with malignancy and rheumatic disease

#ACR22 #ReviewCourse
RS3PE:

If no pitting edema of the hands, think if this is the right dx!

#ACR22 #CourseReview
Read 10 tweets
.@DrLisaCS on statin myopathy

autoimmune necrotizing myopathy vs self limited toxic myopathy -- learn this table!

#ACR22 #ReviewCourse
@DrLisaCS 🔑 difficulty swallowing seen in autoimmune myopathy
🔑 autoimmune version can occur years after statin start

🔑 the Ab is important and helpful for dx

🔑 If you stop the statin and CK still ⬆️⬆️it's almost always the autoimmune version

#ACR22 #ReviewCourse
Consensus for statin associated muscle sxs (SAMS)?? #ACR22 #Reviewcourse
Read 14 tweets
Dr Carla Scanzello on OA #ACR22 #ReviewCourse

A review of the radiographic features that show us the extent of damage that's accrued over time

BUT they don't tell us anything about the pt's experience with the OA illness ImageImage
There's only one slide on an important and big concept: pain sensitization and its impact on the OA pain experience

See pioneering work in humans by @Tuhina_Neogi & colleagues

#ACR22 #ReviewCourse Image
What has MRI taught us about OA?

🦴What OA isn't: a disease of solely cartilage

🔍Important in identifying potential tissue sources of pain, e.g., synovitis, bone marrow lesions

#ACR22 #ReviewCourse Image
Read 17 tweets
#ACR22 #ReviewCourse

Dr Bobo Tanner - Osteoporosis

🦴 Image
Trying to think of the last time I tweeted this topic. 2018?

#ACR22
When to order DXA? The old, standard rules per Medicare

3 & 5 are particularly pertinent to us in rheum

#ACR22 #ReviewCourse Image
Read 11 tweets
Getting on the same page: our current understanding of pathogenesis

#ACR22 #ReviewCourse Image
And here are the CLASSIFICATION criteria for spondyloarthritis (which are NOT diagnostic criteria)

❗️Gaps in knowledge remain:
-lack of biomarkers
-expert rheumatologist opinion as gold std
-MRI findings have low Sp

#ACR22 #ReviewCourse Image
Read 19 tweets
#ACR22 #ReviewCourse
Dr Sara McCoy on #Sjogrens & mimics

Nomenclature: Sjogren's disease Image
Tear films are complex, with 3 layers

Comorbidities & meds can deplete the tear film too

#ACR22 #ReviewCourse Image
Oral exam:

👄r/o other causes of dry mouth, e.g. angular cheilitis
👅check under tongue for salivary pooling
👅do a thorough tongue exam (lack of papillae)
🦷eval the dentition

#ACR22 #ReviewCourse
Read 13 tweets

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