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      #Bestinclass Recurrent #PMR RCT of #sarilumab v placebo. Nearly doubles sustained remission but maybe attenuating effect

      Dr. John Cush RheumNow

      3 years 5 months ago
      #Bestinclass Recurrent #PMR RCT of #sarilumab v placebo. Nearly doubles sustained remission but maybe attenuating effect - flare difference over time? N=118. 🤷‍♀️ Dunno who I would use it in yet. LB0006 @RheumNow @eular_org #EULAR2022 @Janetbirdope
      SELECT-AXIS 1 trial of upadacitinib in active #AS with an inadequate resp to prior biologic - pivotal phase 2/3 RCT of 4

      Dr. John Cush RheumNow

      3 years 5 months ago
      SELECT-AXIS 1 trial of upadacitinib in active #AS with an inadequate resp to prior biologic - pivotal phase 2/3 RCT of 420 AS pts (Dz dur 7.7 yrs; 83% B27+) showed better ASAS40 at wk 14 w/ UPA vs PBO (45% vs 18%; P<0.0001) #EULAR2022 POS0306 https://t.co/JmreAOqnqh https://t.co/pTFeAzWUYU
      Solving Still’s Disease

      Still's disease is the most common rheumatic cause of unknown fever in adults. This series co

      Dr. John Cush RheumNow

      3 years 5 months ago
      Solving Still’s Disease Still's disease is the most common rheumatic cause of unknown fever in adults. This series covers the definition, history, epidemiology, key manifestations and labs, diagnostic criteria, and more. https://t.co/YqpSW6T3El https://t.co/vwehTCm4aN
      Allopurinol Safety in CKD Patients

      A study in the Annals of Internal Medicine reports chronic kidney disease (CKD) pati

      Dr. John Cush RheumNow

      3 years 5 months ago
      Allopurinol Safety in CKD Patients A study in the Annals of Internal Medicine reports chronic kidney disease (CKD) patients can be safely treated with allopurinol without an increased risk of mortality. https://t.co/qUQmuZedJq https://t.co/u2Ntjd1oio
      CDC: Immunocompromised account for 12.2% of all COVID-19 hospitalizations, with an increased risk of ICU (aOR=1.26) and

      Dr. John Cush RheumNow

      3 years 5 months ago
      CDC: Immunocompromised account for 12.2% of all COVID-19 hospitalizations, with an increased risk of ICU (aOR=1.26) and death (aOR = 1.34), even if vaccinated (aOR 1.40; aOR = 1.87). In immunocompromised, death rate was not affected by vaccination. https://t.co/PVRnOPb9gX https://t.co/W2S9eb1cOo
      Here's a reference for the Salmon-pink skin rashes in adult-onset Still's disease; distinctive in color (faint, salmon-p

      Dr. John Cush RheumNow

      3 years 5 months ago
      Here's a reference for the Salmon-pink skin rashes in adult-onset Still's disease; distinctive in color (faint, salmon-pink), distribution (trunk, neck extremities), and evanescence (comes and goes within the same day). These are not static eruptions! https://t.co/BgzyQeiLyW https://t.co/c3aolVfpav
      For 2022, let's look our top 10 list of advances, game-changers, worries and those better medical practices that evolved during 2021.
      An interesting study in Lancet Rheumatology shows that psoriatic arthritis patients not responding to methotrexate alone can respond after adding or escalating adalimumab on top of methotrexate to reach minimal disease activity (MDA) response. 
      Study of 184 #SLE pts shows that major infections in SLE results in a 7 fold increased risk of a major lupus flare. Abst

      Dr. John Cush RheumNow

      3 years 5 months ago
      Study of 184 #SLE pts shows that major infections in SLE results in a 7 fold increased risk of a major lupus flare. Abst# OP0143 #EULAR2022 #MedTwitter https://t.co/xUkQmwoeni
      Single center comparison of MAS (n 18) to malignancy related mHLH (n = 16). Notable differences seen in platelet (lo

      Dr. John Cush RheumNow

      3 years 5 months ago
      Single center comparison of MAS (n 18) to malignancy related mHLH (n = 16). Notable differences seen in platelet (lower in mHLH 29k v 50K), soluble IL-2R (6814 vs 27972), but more hepatomegaly (25% v 0). Less mortality with MAS (22 v 44%, p 0.18) https://t.co/gYdRfxDM2c https://t.co/ekMJfnzElC
      Getting Real on PMR

      Dr. David Liew talks polymyalgia rheumatica and how our understanding has evolved over the years.

      Dr. John Cush RheumNow

      3 years 5 months ago
      Getting Real on PMR Dr. David Liew talks polymyalgia rheumatica and how our understanding has evolved over the years. #EULAR2022 https://t.co/DyVCxDVPE7 https://t.co/PF7zqxX7yk
      IL-18, Iike IL-1, is a produced by activation of the inflammasome. IL-18 is a potential bioimarker for #AOSD, closely li

      Dr. John Cush RheumNow

      3 years 5 months ago
      IL-18, Iike IL-1, is a produced by activation of the inflammasome. IL-18 is a potential bioimarker for #AOSD, closely linked to Dz activity & could be a Tx target, either as IL-18 binding protein (Tadekinig alfa) or mAb against IL-18 (phase 1b) https://t.co/ex231f27rg https://t.co/tjsra4blBi
      Macrophage Activation Syndrome (MAS) is a hyperinflammatory condition that has a significant mortality risk and may arise in patients with rheumatic disease. A single center study evaluated the manifestations and outcomes in patients with MAS with rheumatic disease between 2012 and 2020.  They identifed 20 adult patients diagnosed with MAS based on the HLH-2004 criteria.
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