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      Arthritis - a Leading Chronic Condition Among Young Adults (18─34 Yrs)

      MMWR from last week focused on chronic condit

      Dr. John Cush RheumNow

      3 years 4 months ago
      Arthritis - a Leading Chronic Condition Among Young Adults (18─34 Yrs) MMWR from last week focused on chronic conditions in young adults showing they are common, costly, and major causes of death and disability. https://t.co/cIxmMqUrqK https://t.co/TbVpLXd7Zw
      CMV Increases Thromboembolism Risk in ANCA-associated Vasculitis

      Infection may play an important role in the genesis o

      Dr. John Cush RheumNow

      3 years 4 months ago
      CMV Increases Thromboembolism Risk in ANCA-associated Vasculitis Infection may play an important role in the genesis of vasculitis and ANCA seropositivity; this report suggests that past CMV infection may be a risk. https://t.co/K8HzolqLJ9 https://t.co/2VUasoinnL
      Cochrane review of Stem cell transplantation in systemic sclerosis (3RCTs w/ 125 pts). Non‐myeloablative & myeloab

      Dr. John Cush RheumNow

      3 years 4 months ago
      Cochrane review of Stem cell transplantation in systemic sclerosis (3RCTs w/ 125 pts). Non‐myeloablative & myeloablative selective HSCT had moderate evidence for improved survival, skin thickness & function. But these had high Serious AE rates. https://t.co/qUOfMVSxGZ https://t.co/4icaRdC2EI
      Of 38 childhood SLE (12-25yrs) pts, 65% were non-adherent to meds. Those taking MMF, 33% had MPA drug level < 1 (non

      Dr. John Cush RheumNow

      3 years 4 months ago
      Of 38 childhood SLE (12-25yrs) pts, 65% were non-adherent to meds. Those taking MMF, 33% had MPA drug level < 1 (nonadherent). 17% non-adherent by pharmacy refills rate. 46% pts c/o side effects; 33% remembering & 25% could not afford. https://t.co/vL6LtYzJWe https://t.co/RAwwg40Lfz
      Cogan's syndr is a rare autoimmune dz, all ages (20-30s) &amp; races (whites) w/ ocular (interstitial keratitis) &amp; a

      Dr. John Cush RheumNow

      3 years 4 months ago

      Cogan's syndr is a rare autoimmune dz, all ages (20-30s) & races (whites) w/ ocular (interstitial keratitis) & audio/vestibular Sx (deafness, vertigo). Less: HA, fever, myalgias, aortitis, heart. No Dx test; 1/3 have another systemic dz. Rx: steroids https://t.co/e3sstsxO5R https://t.co/CQ3UfBqO0e

      Study of &gt;1million people/17 countries shows prevalence of NAFLD (fatty liver) to be 32·4% - higher than prev estima

      Dr. John Cush RheumNow

      3 years 4 months ago
      Study of >1million people/17 countries shows prevalence of NAFLD (fatty liver) to be 32·4% - higher than prev estimates & growing fast rate. Prevalence increased from 25·5% (2005) to 37·8% (2016); NAFLD incidence is 46·9 cases per 1000 person-years https://t.co/npESZ2YWgd https://t.co/podfxma5vo
      Network metanalysis &amp; review looked at Biologics &amp; remission in Crohns disease (25 RCTs; 8720 pts). -Compared to

      Dr. John Cush RheumNow

      3 years 4 months ago
      Network metanalysis & review looked at Biologics & remission in Crohns disease (25 RCTs; 8720 pts). -Compared to PBO Rankings were #1) infliximab 5 mg/kg (RR=0.67), #2) risankizumab 600 mg, #3) upadacitinib 45 mg. RIZ was 1st in biologic-naïve pts https://t.co/JFTEpqSJ6c https://t.co/65vbZkLmpC
      Global age-standardized mortality rate (ASMR) for 1000000 was for 0.13 for AS, 0.04 for PsA, 0.86 for CD and 0.76 for UC. Using mortality data from the World Health Organisation (WHO), researchers showed that over time, while there has been no change in age-standardized mortality rates (ASMR) for patients with ankylosing spondylitis (AS), ASMR were decreased for IBD patients (Crohn's disease [CD] and ulcerative colitis [UC]).
      We've got a lot to discuss this week: psoriasis; fatigue; sleep; sural nerve biopsies; uveitis and SpA; diet and RA; tofacitinib and the ORAL surveillance study; what not to take with mycophenolate - and more. In what order should these items be discussed? This week the run down is based on popularity, measured by rheumatologist engagements on the website and social media.
      Hit Parade Review (8.12.2022)
      MMWR from last week focused on chronic conditions in young adults showing they are common, costly, and major causes of death and disability. Overall arthritis ranks behind five more common chronic condition in young adults - obesity, depression, hypertension, hypercholesterolemia and asthma.
      Infection may play an important role in the genesis of vasculitis and ANCA seropositivity; this report suggests that past cytomegalovirus infection may be a risk in the occurrence of venous thromboembolism (VTE) in patients with anti-neutrophil cytoplasm antibody (ANCA)-associated vasculitis. 
      CDC has updated COVID-19 guidelines
      - People COVID exposed: no need to quarantine, regardless of Vax status, but use ma

      Dr. John Cush RheumNow

      3 years 4 months ago
      CDC has updated COVID-19 guidelines - People COVID exposed: no need to quarantine, regardless of Vax status, but use mask x10 d & get tested day 5 - Surveillance testing without Sxs not recommended - if COVID test +, should isolate at home x 5d https://t.co/whVQShsSJR? https://t.co/KnYtJ7BfOO
      Fatigue is Under-Appreciated in Psoriatic Arthritis

      Patient-reported fatigue is high in patients with psoriatic arthri

      Dr. John Cush RheumNow

      3 years 4 months ago
      Fatigue is Under-Appreciated in Psoriatic Arthritis Patient-reported fatigue is high in patients with psoriatic arthritis (PsA) and often goes under-recognized by physicians. https://t.co/mb80NHH0dr https://t.co/an4rq1BPut
      NEJM - Lupus Pernio in Sarcoidosis - 71 yoM w/ red nodules on his nose, ears, fingers, and toes. The lungs were clear o

      Dr. John Cush RheumNow

      3 years 4 months ago
      NEJM - Lupus Pernio in Sarcoidosis - 71 yoM w/ red nodules on his nose, ears, fingers, and toes. The lungs were clear on auscultation. Angiotensin-converting enzyme level of 102. https://t.co/BUvO9Y0rzs https://t.co/AhK6VMVBlD
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