TheDaoIndex
@thedaoindex.bsky.social
Co-chair for the new ACR Women in Rheumatology Taskforce. Private practice, academics, industry- I’ve experienced it all. Views are my own. #iLOVErheumatology.
Peter’s Pearls in vasculitis - Dr Merkel noted:
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest
September 18, 2025 at 5:38 PM
Peter’s Pearls in vasculitis - Dr Merkel noted:
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest
Thank you for inviting me to lecture #LSUrheum on Practical Applications of the @acr-journals.bsky.social #LupusNephritis guidelines. #Shreveport
August 16, 2025 at 1:13 PM
Thank you for inviting me to lecture #LSUrheum on Practical Applications of the @acr-journals.bsky.social #LupusNephritis guidelines. #Shreveport
May is #LupusAwareness month! @rheumnow is running a campaign: Lupus Unlocked: Keys to Mastery
First blog by Dr Sammaritano rheumnow.com/news/contracep…
@Lupusreference @LupusOrg @EricFMorand @edvital @alhkim @alvinwellsmd @Janetbirdope
First blog by Dr Sammaritano rheumnow.com/news/contracep…
@Lupusreference @LupusOrg @EricFMorand @edvital @alhkim @alvinwellsmd @Janetbirdope
https://rheumnow.com/news/contracep…
May 1, 2025 at 9:03 PM
May is #LupusAwareness month! @rheumnow is running a campaign: Lupus Unlocked: Keys to Mastery
First blog by Dr Sammaritano rheumnow.com/news/contracep…
@Lupusreference @LupusOrg @EricFMorand @edvital @alhkim @alvinwellsmd @Janetbirdope
First blog by Dr Sammaritano rheumnow.com/news/contracep…
@Lupusreference @LupusOrg @EricFMorand @edvital @alhkim @alvinwellsmd @Janetbirdope
Hypogammaglobulinemia is prevalent in our pts exposed to B cell depleting therapy, BiTEs, CAR-T, alkylators. Worse with age and if they have underlying low Ig’s before Rx.
Severe hypoIgG is <200 mg%. High risk patients=AAV & SLE
Dr @LCalabreseDO #CCRE25
Severe hypoIgG is <200 mg%. High risk patients=AAV & SLE
Dr @LCalabreseDO #CCRE25
April 30, 2025 at 9:56 PM
Hypogammaglobulinemia is prevalent in our pts exposed to B cell depleting therapy, BiTEs, CAR-T, alkylators. Worse with age and if they have underlying low Ig’s before Rx.
Severe hypoIgG is <200 mg%. High risk patients=AAV & SLE
Dr @LCalabreseDO #CCRE25
Severe hypoIgG is <200 mg%. High risk patients=AAV & SLE
Dr @LCalabreseDO #CCRE25
Dr M Kahlenberg shares what she does for #SLE patients
1. HCQ for every patient and check HCQ blood levels once a year
2. Sun protection using zinc/ titanium based sunblock
3. Add HCQ for people with incomplete lupus (when you suspect but not enough evidence)
4. Less steroids! #CCREast25
1. HCQ for every patient and check HCQ blood levels once a year
2. Sun protection using zinc/ titanium based sunblock
3. Add HCQ for people with incomplete lupus (when you suspect but not enough evidence)
4. Less steroids! #CCREast25
April 30, 2025 at 9:55 PM
Dr M Kahlenberg shares what she does for #SLE patients
1. HCQ for every patient and check HCQ blood levels once a year
2. Sun protection using zinc/ titanium based sunblock
3. Add HCQ for people with incomplete lupus (when you suspect but not enough evidence)
4. Less steroids! #CCREast25
1. HCQ for every patient and check HCQ blood levels once a year
2. Sun protection using zinc/ titanium based sunblock
3. Add HCQ for people with incomplete lupus (when you suspect but not enough evidence)
4. Less steroids! #CCREast25
This is pretty cool- I tried out Open Evidence (ChatGPT for HCPs). It can generate mock board questions, write discharge planning, help with medical decision making. The last photo is a fictional case to see how it would care for a 78 yo w/RA, recurrent infx & HCV @EvidenceOpen
March 11, 2025 at 4:09 PM
This is pretty cool- I tried out Open Evidence (ChatGPT for HCPs). It can generate mock board questions, write discharge planning, help with medical decision making. The last photo is a fictional case to see how it would care for a 78 yo w/RA, recurrent infx & HCV @EvidenceOpen
CDC guidance: who should & should’t
get MMR (#measles mumps rubella) vaccine. Interestingly, there is data showing if someone get vaccinated within 72 hours of exposure to measles, they may get some protection and have a milder course. www.cdc.gov/vaccines/vpd...
get MMR (#measles mumps rubella) vaccine. Interestingly, there is data showing if someone get vaccinated within 72 hours of exposure to measles, they may get some protection and have a milder course. www.cdc.gov/vaccines/vpd...
Measles, Mumps, and Rubella (MMR) Vaccination | CDCMinusSASstats
What Everyone should know about the MMR vaccine. What is the MMRV vaccines? Who should and should not get these vaccines? How well do these vaccines work, and what are the possible side effects?
www.cdc.gov
February 27, 2025 at 10:20 PM
CDC guidance: who should & should’t
get MMR (#measles mumps rubella) vaccine. Interestingly, there is data showing if someone get vaccinated within 72 hours of exposure to measles, they may get some protection and have a milder course. www.cdc.gov/vaccines/vpd...
get MMR (#measles mumps rubella) vaccine. Interestingly, there is data showing if someone get vaccinated within 72 hours of exposure to measles, they may get some protection and have a milder course. www.cdc.gov/vaccines/vpd...
Treat to target goals are near impossible to achieve. Read my conversation with Dr Dzhus on how the war has affected patients and rheumatologic care in #Ukraine. @ashira-md.bsky.social @kristenyoung.bsky.social @ukrainematters.bsky.social
@rheumcat.bsky.social @rheumnow.bsky.social
@rheumcat.bsky.social @rheumnow.bsky.social
The War Rheum | RheumNow
The effects on rheumatologists and their patients living in Ukraine largely have been unseen by the world. At ACR Convergence 2024, I met Dr. Marta Dzhus who practices at St. Michael's Clinical Hospit...
rheumnow.com
February 25, 2025 at 2:21 AM
Treat to target goals are near impossible to achieve. Read my conversation with Dr Dzhus on how the war has affected patients and rheumatologic care in #Ukraine. @ashira-md.bsky.social @kristenyoung.bsky.social @ukrainematters.bsky.social
@rheumcat.bsky.social @rheumnow.bsky.social
@rheumcat.bsky.social @rheumnow.bsky.social
Thanks Alabama Society for the Rheumatic Disease for having me come review the 2024 ACR Lupus Nephritis Guidelines. Lively discussions and great company! #SLE #LupusNephritis
February 21, 2025 at 11:43 AM
Thanks Alabama Society for the Rheumatic Disease for having me come review the 2024 ACR Lupus Nephritis Guidelines. Lively discussions and great company! #SLE #LupusNephritis
Who’s liable for an incorrect #AI diagnosis or medical advice? Is this a reason why physicians are slow to adapt AI in their practice? Interesting law review article on this www.acsh.org/news/2024/03... @rheumnow.bsky.social
February 9, 2025 at 4:04 PM
Who’s liable for an incorrect #AI diagnosis or medical advice? Is this a reason why physicians are slow to adapt AI in their practice? Interesting law review article on this www.acsh.org/news/2024/03... @rheumnow.bsky.social
80% #hydradenitis suppurativa pts are smokers or former smokers, smoking can predate #HS by 4-5 years. Other associations: DM-2, Spa, obesity, SAPHO, PCOS eval for SCC (squ. cell CA) #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
February 9, 2025 at 3:58 PM
80% #hydradenitis suppurativa pts are smokers or former smokers, smoking can predate #HS by 4-5 years. Other associations: DM-2, Spa, obesity, SAPHO, PCOS eval for SCC (squ. cell CA) #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
"Tombstone comedones" (2 comodones together) are pathognomonic of #Hydradenitis - Dr. J Cather #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
February 9, 2025 at 3:57 PM
"Tombstone comedones" (2 comodones together) are pathognomonic of #Hydradenitis - Dr. J Cather #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
"Vinegar water or 1 tbs bleach to 1 gallon water can help with the odor from #Hidadrenitis" - Dr. J Cather reviewed goals of therapies and Rx's (while laser hair removal can help, it also can cause problems; intralesional steroids can cause atrophy)
@rheumnow.bsky.social
#RNL2025
@rheumnow.bsky.social
#RNL2025
February 9, 2025 at 3:56 PM
"Vinegar water or 1 tbs bleach to 1 gallon water can help with the odor from #Hidadrenitis" - Dr. J Cather reviewed goals of therapies and Rx's (while laser hair removal can help, it also can cause problems; intralesional steroids can cause atrophy)
@rheumnow.bsky.social
#RNL2025
@rheumnow.bsky.social
#RNL2025
Dr. C Bakewell's PEARLs on imaging in #ankspond & #PsA:
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social
February 9, 2025 at 3:54 PM
Dr. C Bakewell's PEARLs on imaging in #ankspond & #PsA:
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social
Can NSAIDS reduce the risk for progression in #ankylosingspondylitis? - Dr. Van Der Heidje #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
February 9, 2025 at 3:49 PM
Can NSAIDS reduce the risk for progression in #ankylosingspondylitis? - Dr. Van Der Heidje #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
What are RA flare risks? @rheumnow.bsky.social #RNL2025
February 9, 2025 at 3:47 PM
What are RA flare risks? @rheumnow.bsky.social #RNL2025
February 9, 2025 at 3:46 PM
WWJCD-- what would Jack Cush do? for RA flares #RNL2025 @rheumnow.bsky.social
February 9, 2025 at 3:45 PM
WWJCD-- what would Jack Cush do? for RA flares #RNL2025 @rheumnow.bsky.social
"NO guidelines address RA flares!" - @rheumnow.bsky.social
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025
February 9, 2025 at 3:43 PM
"NO guidelines address RA flares!" - @rheumnow.bsky.social
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025
#RNL2025. RA flare definition differs w/ clinical trial. Pt's flare definition is even more different. Recent study defined flare as sDAI >=4.7 or CDAI > =4.5. a longer flare is worse than a shorter flare. Can't rely on DAS28 & low correl w/VECTRA or biomarkers. @rheumnow.bsky.social
February 9, 2025 at 3:40 PM
#RNL2025. RA flare definition differs w/ clinical trial. Pt's flare definition is even more different. Recent study defined flare as sDAI >=4.7 or CDAI > =4.5. a longer flare is worse than a shorter flare. Can't rely on DAS28 & low correl w/VECTRA or biomarkers. @rheumnow.bsky.social
#RNL2025 @rheumnow.bsky.social on SGLT2/GLP-1 helpful for PsA, PsO... likely Rheums will be more comfortable writing these Rx's given the benefits seen for the inflammatory disease. Make sure you know side effects and how to titrate them.
February 8, 2025 at 6:10 PM
#RNL2025 @rheumnow.bsky.social on SGLT2/GLP-1 helpful for PsA, PsO... likely Rheums will be more comfortable writing these Rx's given the benefits seen for the inflammatory disease. Make sure you know side effects and how to titrate them.
My new blog:
This unique career lifestyle has been embraced by several of our colleagues and is growing… it has filled the void in areas that are rheumatology deserts. @RheumNow @ACRheum @AWIRGROUP @uptoTate @vksandhumd
rheumnow.com/blog/rheum-t...
This unique career lifestyle has been embraced by several of our colleagues and is growing… it has filled the void in areas that are rheumatology deserts. @RheumNow @ACRheum @AWIRGROUP @uptoTate @vksandhumd
rheumnow.com/blog/rheum-t...
Rheum to Travel | RheumNow
One of the benefits of attending conferences aside from scientific exchange is meeting new people. At one symposium, I met a unique rheumatologist. This chance meeting turned into an interview, that t...
rheumnow.com
January 22, 2025 at 12:57 PM
My new blog:
This unique career lifestyle has been embraced by several of our colleagues and is growing… it has filled the void in areas that are rheumatology deserts. @RheumNow @ACRheum @AWIRGROUP @uptoTate @vksandhumd
rheumnow.com/blog/rheum-t...
This unique career lifestyle has been embraced by several of our colleagues and is growing… it has filled the void in areas that are rheumatology deserts. @RheumNow @ACRheum @AWIRGROUP @uptoTate @vksandhumd
rheumnow.com/blog/rheum-t...
BTW, abstracts are due today for #EULAR25 congress.eular.org/abstractsgen...
EULAR 2025 - Abstracts
EULAR invites you to submit an abstract to EULAR 2025, the European Congress of Rheumatology.
Every year EULAR invites abstract submitters from all over the globe to present their work at the Europea...
congress.eular.org
January 15, 2025 at 8:15 PM
BTW, abstracts are due today for #EULAR25 congress.eular.org/abstractsgen...