Carla Dionello

Rheumatologist • PhD • Twin mom • Gender equity enthusiast • Passionate about digital innovation in medicine, specially in rheumatology

[Carla Dionello @CarlaDionello]

So happy for this invitation! Gonna have some fun discussing one my dearest topics with a friend! #spondyloarthritis @PanlarLeague @PanlarJ @ResendeReumato

[Carla Dionello @CarlaDionello]

@zebrahoofbeat @albertoortegana @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX Exactly!

[Carla Dionello @CarlaDionello]

@ohhanxiety Hope

[Carla Dionello @CarlaDionello]

🩸 Refractory skin ulcer? Think broader!
It may not be only systemic sclerosis — consider cryoglobulinemia and antiphospholipid syndrome (APS) in the differential diagnosis.
Ulcers tell stories beyond fibrosis! ⚠️
#ACR25 #ACR25ambassador @ACRheum

[Carla Dionello @CarlaDionello]

🧠 Elderly patient with dizziness or falls? Think beyond POTS!
Neurogenic orthostatic hypotension (nOH) is more common in older adults — think of Parkinson’s, SjD, lupus, amyloidosis or diabetes.BP drops, HR doesn’t rise. Subtle, but serious. ⚠️
#ACR25 #ACR25ambassador @ACRheum

[Carla Dionello @CarlaDionello]

🇧🇷 Inspiring exchange! Brazilians bringing fresh perspectives to rheumatology innovation with Dr. Jack Cush (@RheumNow) at #ACR25 💬✨
#ACR25 #ACR25ambassador @ACRheum

[Carla Dionello @CarlaDionello]

⏳ Time is damage!
Still challenging in 2025 to reach MDA in PsA — wrong targets, late treatment, and missed pathways remind us how complex this disease truly is.
A lot more to uncover… 💥🧩
#ACR25 #ACR25ambassador #psoriaticarthritis
@ACRheum

[Dr.Mukesh , MD , DM @dr_immuno29]

🧠 Blast from the Past | #ACR25
Laura J. Kopplin, MD, PhD | Univ of Wisconsin–Madison
“Inflammatory Eye Disease: Diagnosis & Treatment Strategies”

👁️ When the eye tells the story of systemic inflammation…

→ Anterior: SpA, JIA, TINU
→ Intermediate: MS, Sarcoid
→ Posterior/Panuveitis: SLE, Behçet, VKH

💊 Advance beyond drops when:
• Bilateral / recurrent disease
• CME / posterior synechiae
• Steroid responder or >2× drops daily
• Pediatric cases

💉 Therapy pearls:
MTX ≈ MMF (FAST Trial)
Adalimumab = only FDA-approved non-steroid (VISUAL I–III)
Tocilizumab → refractory CME
Rituximab → scleritis/orbital inflammation

👁️ Think beyond topical—control inflammation, preserve vision.

#ACR25 #RheumTwitter #ACRambassador #Uveitis #Scleritis #InflammatoryEyeDisease #BlastFromThePast

[Carla Dionello @CarlaDionello]

SLE 2025⬇️
#ACR2025 #ACR25ambassador #ACR25 #MedTwitter

[Carla Dionello @CarlaDionello]

GOUT
🎯uric acid ⬇️ !
XO inhibitors (allopurinol, febuxostat- similar ⬇️flares CKD or not
Uricases
IL-1 bl& colchicine for 🔥
⚠️ comorbidity:
-CKD → avoid NSAIDs, ⬇️colchicine
-Liver 🚨colchicine
-CV ❤️colchicine
#ACR25 #ACR25ambassador @ACRheum

[Carla Dionello @CarlaDionello]

⚠️ Drug–Drug Interactions Alert! And renal remarks!
💊 Key warnings:
Tizanidine + CYP1A2 inhibitors ❌ Avoid
Voclosporin + CYP3A inhibitors ❌ Avoid
Tofacitinib/CyA/Tacrolimus + CYP3A inhibitors → ⚙️ Adjust
🕵🏻‍♀️vigilance prevents toxicity!
#ACR25 #ACR25ambassador @ACRheum

[Carla Dionello @CarlaDionello]

We’re On!
Brain Disease — 🧠
•rheum, neuro, image& pathology 💡
•Story + imaging + biopsy (?) = accurate diagnosis 🔬
•CNS vasculitis, sarcoid, lupus, autoimune encephalitis!
•Interdisciplinary teamwork drives discovery 🤝
#ACR25 #ACR25ambassador @ACRheum

[American College of Rheumatology @ACRheum]

We’ve recruited #rheum’s social media MVPs to spread the word on #ACR25! 🏆 Follow the #ACRambassador team for insider takes, hot sessions, & can’t-miss moments → https://t.co/BtMZWSZFQ3

[American College of Rheumatology @ACRheum]

Don't miss the world's premier rheumatology meeting! Join us at ACR Convergence 2025—Oct. 24-29, in Chicago. Become a member for the best registration rates & unlock the full experience at the LOWEST cost. JOIN US → https://t.co/h9k99luvAb #ACR25

[Carla Dionello @CarlaDionello]

✨ Feliz demais por ser Embaixadora do ACR este ano! Uma honra representar e compartilhar conhecimento em reumatologia!🇧🇷
✨ So thrilled to be an ACR Ambassador this year! An honor to represent and share knowledge in rheumatology!
@ACRheum #ACRambassador

[Carla Dionello @CarlaDionello]

#NovaFotoDePerfil

[Laurent ARNAUD @Lupusreference]

✅ Today is the world #LUPUS #DAY 🌍🌎🌏 Let's raise AWARENESS about this rare #autoimmune disease impacting ~3.4 million persons worldwide. Lupus is a multifaceted disease, it can be very VISIBLE👀 life-threatening 🔥or on the contrary INVISIBLE with #fatigue or even minimal🦋

[Carla Dionello @CarlaDionello]

Brazil 🇧🇷 is in the #ASAScorecourse ✅ @Official_ASAS

[Carla Dionello @CarlaDionello]

😳🫥😶

[Carla Dionello @CarlaDionello]

@ElonMNews A

[Lupus Europe @LupusEurope]

🚀Breaking news from #EULAR2024!

🦋 #LupusGPT has just been released!

Prf @lupusreference unveiled this innovative multilingual AI tool developed by Lupus Europe & powered by🔝sources, including #Lupus100 website.

A reliable resource for lupus patients! https://t.co/CVWJbrfHZR