David Liew
drdavidliew.bsky.social
David Liew
@drdavidliew.bsky.social
Rheumatologist and clinical pharmacologist, world traveller pretences back on track, and even sometimes journal podcast host. All opinions my own. https://linktr.ee/drdavidliew
Latest atlas article out
@rheumjnl.bsky.social Rheumatology Advances in Practice:

Imaging of gout
(an area with lots of nuance)
very pretty images but also lots of great practical hints from Luqman Wali & Emma Rowbotham

Well worth checking out & it's open access: academic.oup.com/rheumap/arti...
June 30, 2025 at 12:43 PM
The gist:
PMR underserved by Rx, somehow steroid monotherapy accepted as okay

Why? We feel four main reasons:
- myth of self-resolution
- seemingly nebulous presentation
- inadequate pathophys insights
- societal inattention (esp ageism)

snips below but check out full article⬆️
June 23, 2025 at 1:31 PM
Why does it seem like PMR patients get stuck in situations we would never tolerate for other patients?

@drceowen.bsky.social and I call out many reasons.
PMR is killing them softly, and will continue to do so if collectively we neglect it.

now out @thelancetrheum.bsky.social:
t.co/wMOy9ZEzw4
June 23, 2025 at 1:31 PM
Sometimes you hear:
“PMR dose steroids don’t really matter”

Errrrr…
(You wouldn’t accept this steroid exposure in any other disease. Never)

#EULAR2025 POS0139 @rheumnow.bsky.social
June 12, 2025 at 8:22 AM
Fast track PMR clinics in Denmark led to more patients seen, and time to referral went down.

If we don’t get in early with a right diagnosis (and maybe early steroid-sparing) then PMR patients deteriorate.
We shouldn’t let PMR be an end stage disease #EULAR2025 POS0136 @rheumnow.bsky.social
June 12, 2025 at 8:10 AM
Oh and in case you’re forward planning to #EULAR2026 - it’s London, 3-6 June. Right now it might be just the start of #EULAR2025, but start your trip planning now! @RheumNow
June 11, 2025 at 4:22 PM
IL-17 inhibition for PMR?

In the secukinumab ph2 in GCA (TitAIN), patients with PMR did really well, seemingly outperforming steroid taper in the placebo arm. Real promise, will be great to see how the ph3 in PMR (REPLENISH) goes

OP0062 #EULAR2025 @rheumnow.bsky.social
June 11, 2025 at 3:31 PM
What’s worse for infection in GCA: tail end steroid taper, or a JAK inhibitor?

This is exactly SELECT-GCA in the second 6mo. What happened?
upa skews better on serious infection, worse on HZ

JAKi might have infection risk, but not like steroids. OP0057 #EULAR2025 @rheumnow.bsky.social
June 11, 2025 at 2:53 PM
Here in Barcelona, and back at it for the @RheumNow team! Bring on #EULAR2025 and all the great rheumatology here

Of course with the dynamic team of @synovialjoints @Yuz6Yusof @DrMiniDey @AurelieRheumo @AdelaCastro222 @JihaRheum @Nellziade and the one and only @Janetbirdope
June 11, 2025 at 12:55 PM