Discover and read the best of Twitter Threads about #ctcl

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It's overdue. Time for a #dermtwitter #tweetorial on...

SEZARY SYNDROME!

We're going to focus on presentation and work up!

#sezary #ctcl #medtwitter #onctwitter #meded #FOAMEd
1/
Just a few years ago, Sezary Syndrome (SS) was thought to be the leukemic variant of Mycosis Fungoides (MF). We basically thought people had MF, it would keep getting worse, and then it would turn into SS.

Check out my old #tweetorial on MF hereπŸ‘‡
2/
But patients often present with either the classic SS exam (red all over, super itchy), or with MF. Some patients would progress from MF--> SS, but it's the minority. So it became clear these are two different processes.

For that reason, we've changed how we think about it...
3/
Read 17 tweets
1. How the electi0n was st0len in '17' easy pages from #SidneyPowell filing in Michigan.
#Exhibit105 pages 1-4
Direct connection to #Serbia #Iran #BMACapitalManagement #DominionVotingSystems #EdisonResearch #DecisionHQ #Spiderfoot #Robtex @POTUS ImageImageImageImage
2. And now here comes #China
Records of #IPAddresses accessing server #ChinaUnicom even the Dominion domain was registered thru Godaddy to #Hunan China #BMACapitalManagement provides #Iran access to money averting US #sanctions and here is #Scorecard #ACORN #obama #Robtex @POTUS ImageImageImageImage
3. In pages 9-12 of #Exhibit105 enter #Canada with alternate domain #DVScorp redirected to #Beanfield
For those with fatfingers domains like #DVScopr were also used thru #China Dominion "loaned" their intellectual property patents to #HSBCbank in #China selling out USA. @POTUS ImageImageImageImage
Read 5 tweets
Hello new followers!πŸ‘‹ In honor of your joining me on Twitter, I thought I'd put together a new #dermatology #tweetorial/#medthread. This time, on a topic near and dear to my own clinical practice:

MYCOSIS FUNGOIDES!

#MedEd #FOAMEd #Dermtwitter #Medtwitter pc: @dermnetnz
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Let's start w/ caveats:
1-#MycosisFungoides (MF) isn't the same as Cutaneous T-cell Lymphoma. MF is a subtype of #CTCL; there are many other types of CTCL that aren't MF.
2-I co-direct the Skin Lymphoma Program @MGHCancerCenter, so some of this is institutional preference.
2/
There are roughly 80,000 new cases of #lymphoma a year in the US, and only 3% are primary cutaneous. Within that ~2500 cases, MF makes up almost half (~44%)! The overall classification schema for these diseases was recently updated by the WHO:
bloodjournal.org/content/133/16…
3/
Read 15 tweets

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