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      Does Sunlight Trigger Lupus?

      Whether exposure to ultraviolet (UV) radiation from the sun can cause new-onset systemic l

      Dr. John Cush RheumNow

      3 years 5 months ago
      Does Sunlight Trigger Lupus? Whether exposure to ultraviolet (UV) radiation from the sun can cause new-onset systemic lupus erythematosus (SLE) wasn't settled by data from a large, long-running epidemiologic study, but the trends indicated that it could. https://t.co/IYhPv0dB9Z https://t.co/cza7qGSCbu
      Military biobank of serial serum samples was used to identify biomarkers of imminent RA (vs reactive arthritis or health

      Dr. John Cush RheumNow

      3 years 5 months ago
      Military biobank of serial serum samples was used to identify biomarkers of imminent RA (vs reactive arthritis or healthy controls). Soluble programmed cell death receptor-1 (sPD-1) best predicted seropos. RA w/in 6mos of Dx. Specif >89%; sensitivity 48% https://t.co/djOGhLeCIi https://t.co/DzKqwteQku
      Axial PsA: Is it for Real?
      A pooled analyses of data from eight, phase 2 and 3 randomized clinical trials shows bimekizumab, a dual IL-17A/F inhibitor, to be effective in plaque psoriasis and was well tolerated aside from an increased incidence of mild to moderate oral candidiasis. 
      Aside from cost, there are significant concerns regarding efficacy and safety outcomes and recovery time. These issues are compounded with the need for bilateral TKR, wherein the patient and surgeon need to decide whether to have both TKRs done simultaneously or staged (single TKR one after another with a recovery period in between).
      CC Genotype and Thiopurine Toxicity

      Annals of Internal Medicine reports that thiopurine toxcicity risk is associated wi

      Dr. John Cush RheumNow

      3 years 6 months ago
      CC Genotype and Thiopurine Toxicity Annals of Internal Medicine reports that thiopurine toxcicity risk is associated with the "CC" genotype and that azathioprine discontinuation was associated with hematopoietic toxicity and lower thiopurine doses. https://t.co/4dUi2BiWBB https://t.co/7q9xWUOhqz
      A study in PNAS of has shown that autoantibodies against type I interferons (IFNs) are strong predictors of death from COVID-19. This adds to the evidence that evidence preexisting autoantibodies neutralizing IFNs are strong determinants of life-threatening COVID-19 pneumonia.
      Does Sunlight Trigger Lupus?
      • MedPage Today
      Whether exposure to ultraviolet (UV) radiation from the sun can cause new-onset systemic lupus erythematosus (SLE) wasn't settled by data from a large, long-running epidemiologic study, but the trends indicated that it could.
      Treatment of pyoderma gangrenosum is clinically empiric. Full read ref w/ Graded Rx Recommendations:
      - 1st line: Steriod

      Dr. John Cush RheumNow

      3 years 6 months ago
      Treatment of pyoderma gangrenosum is clinically empiric. Full read ref w/ Graded Rx Recommendations: - 1st line: Steriods or Cyclosporin - Consider biologics: TNFi, IL-1, IL-12/23, IL-17, IL-23 - Others: MTX, MMF, AZA, Dap, colchic, thalidomide, IVIG https://t.co/Iuj2LEmcEJ https://t.co/7woPg1dfWC
      RWE & Registries in Psoriatic Arthritis
      • Alexis Ogdie, MD
      A EULAR taskforce systematically reviewd the literature on the effects of diet and lifestyle behaviors in rheumatic and musculoskeletal diseases (RMDs), and found little evidence suggesting dietary factors can substantially affect the outcomes in people with RMDs.
      There is a shortage of rheumatologists in Canada and the recent 2020 Canadian Rheumatology Association (CRA) Workforce and Wellness study shows that the shortage may be compounded by rheumatologist burnout, especially among young and female physicians. 
      Multinational recs. on Rx of JIA assoc. Uveitis:
      - Topical steroids are 1st line Rx
      - Systemic Rx if above fails or w/ p

      Dr. John Cush RheumNow

      3 years 6 months ago
      Multinational recs. on Rx of JIA assoc. Uveitis: - Topical steroids are 1st line Rx - Systemic Rx if above fails or w/ poor prognosis or persistence - Options MTX, MMF then Humira EOW, then weekly ADA - Consider non-ETN TNFi's, then TCZ, ABA, JAKi or RTX https://t.co/76DcbeYj8a https://t.co/eliGhHLlwc
      PsA UPLIFT survey: do rheumatologists and patients agree on treatment goals?

      POS0309 at EULAR 2022 highlighted both sim

      Dr. John Cush RheumNow

      3 years 6 months ago
      PsA UPLIFT survey: do rheumatologists and patients agree on treatment goals? POS0309 at EULAR 2022 highlighted both similarities and differences between our patients and ourselves when it comes to PsA disease and treatment strategies. https://t.co/vXsT8XBnAd https://t.co/GviE8EKvoO
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