Axi Patel, MD

Rheumatology Fellow at University of Illinois, Chicago Cofounder @alwaysraas @officialgyfr

[Mithu Maheswaranathan, MD @MithuRheum]

🆕 Secrets & Pearls of Rheumatology at #ACR25 | Part 1 by @Janetbirdope

🖐️ Cutaneous Pathology SLE/DM
🧴 Tips for SLE 
💪 Cancer Screening in Myositis
🩸 Laboratory Testing
🥶 Raynaud's / Scleroderma
👀 Sjogrens Disease

#RheumX  #Lupus #Myositis 
#Scleroderma #Sjogrens

[American College of Rheumatology @ACRheum]

Panelists will examine how to best deliver rheumatology care in the face of workforce challenges during an #ACR25 session.

🔗 Learn more → https://t.co/e14c3xBJZm

[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

[Axi Patel, MD @DoctorAxi]

HCQ levels matter more than the dose. Let’s individualize, not generalize!
#ACR25 #ACRambassador @ACRheum

[Mike Putman @EBRheum]

Plenary 3, HCQ blood levels in SLE

HCQ level > 1150: 1.9x risk of HCQ toxicity
HCQ level < 750: 1.4x risk of active SLE
HCQ dose < 5mg/kg: 1.9x risk active SLE

My take home? Blindly reducing dose to <5mg/kg is BAD; use levels instead!

@RheumNow #ACRBest #ACR25 Abstr1722

[Axi Patel, MD @DoctorAxi]

🩺 Empowering Patients Through Health Literacy
• Poor literacy fuels fear & misinformation
• Education builds trust & better outcomes
• Meet patients where they are
• Stories > stats: narratives change beliefs
• Clinicians online can counter myths

#ACR25 #ACRambassador

[American College of Rheumatology @ACRheum]

And the winner is...CAR-Titans @kimshospitals! Congratulations on dominating the #ACR25 #ACRKnowledgeBowl this year + taking home the Team Spirit Award too! 🏆📣🎉

[American College of Rheumatology @ACRheum]

The exciting final round of the #ACRKnowledgeBowl takes place TODAY at 1:00 PM CT in W375C! #ACR25 in-person attendees—join us to see which team will be crowned the 2025 ACR Knowledge Bowl Champion. 🏆 🏆 🏆

Will it be Metrotrexate @metrohealthCLE, CAR-Titans @kimshospitals, Stiff Competition @UMNews, or The ANCA-Teers @GeisingerHealth? 🤔Don’t miss it!

[ACR_Journals @ACR_Journals]

Journal Club with the editors of A&R and ARD at #ACR25
📅 Today! Monday, Oct 27, 1:00-2:00 PM, Room W185A-D

Hear from Dr. Lakin about her recent study published in A&R:
👉 Skin Biopsies Enhance Prediction of Clinical Trajectory in Diffuse Cutaneous Systemic Sclerosis

[American College of Rheumatology @ACRheum]

⭐ #ACR25 poster spotlight: Allyson Covello, MD, shares insight into the poster Patient Portal Awareness and Utilization Across Diverse Rheumatology Populations.

🔗 Learn more → https://t.co/AG6llspL7R

[Dr.Mukesh , MD , DM @dr_immuno29]

🧩 #ACR25 CPPD & Crowned Dens Syndrome – Quick Read

🔹 CPPD (Calcium Pyrophosphate Deposition Disease) = “Pseudogout”
• 💎 Deposition of CPP crystals → Chondrocalcinosis (esp. TFCC, menisci)
• 🖼️ X-ray: Hooklike osteophytes at MCPs, meniscocalcinosis in knees
• 🧠 CT/MRI: Calcium deposits; no urate on DECT
• 💡 Common mimicker of OA & RA

👑 Crowned Dens Syndrome
• Acute neck pain + ↑ inflammatory markers
• Crystal deposition around dens (C1–C2) → “radiopaque crown” sign
• 🧩 Due to CPPD (rarely BCP)
• Chronic phase → retro-odontoid pseudotumor

#CPPD #Pseudogout #CrownedDens #RheumTwitter #Radiology

[Nelly ZIADE 🍀 @Nellziade]

Take-home points
Summary from Dr Nigrovic's talk on Still's Disease
#ACR25
#GlobalSummit

[Meera Shah @27Meera]

Plenary session at #ACR2025 by Michelle Petri

📣Important insight on early LN detection:

‼️UPCR (0.25-0.499) + predictor of LN (non white/ serology/ active urine sediment) ➡️ 71% LN; 55% requiring treatment

❗️Low C3/C4- most important

🧐probably time to reconsider cut off!

[Axi Patel, MD @DoctorAxi]

One of the most awaited sessions at #ACR25 ! 💜 Dr. Lisa Sammaritano unveiled key #Lupus updates 👇
✨ HCQ for all
💪 Taper steroids early
🧠 Early IS — control inflammation, minimize GC toxicity
🤝 Shared decisions matter
#ACRambassador @ACRheum

[Axi Patel, MD @DoctorAxi]

Don’t miss the ACR Booklet!
Your must-have guide for everything #ACR25 — sessions, abstracts & key highlights. Did you grab yours yet? 👇
#ACRambassador

[Axi Patel, MD @DoctorAxi]

It’s #ACRConvergence week in Chicago! I’ll be sharing fast takeaways, pearls & inside moments from #ACR25—follow along and share which topics you’re most excited to see!
#Rheumatology #ACRambassador

[Axi Patel, MD @DoctorAxi]

It’s that time of the year again! 🌟
Get ready for #ACR25 with the ACR Convergence app — your go-to guide for:
📅 Building your schedule
🎤 Exploring sessions & abstracts
📍 Navigating the meeting
🔔 Getting real-time updates

📲 https://t.co/9aKUUClsTY

#ACRambassador

[Axi Patel, MD @DoctorAxi]

ACR Convergence 2025! 🌎 Join rheumatologists from around the world in Chicago for cutting-edge research, networking, and insights. Check out more at https://t.co/HZPh9b1fVN
#ACR25 #ACRambassador

[American College of Rheumatology @ACRheum]

🌎 Find out why rheumatologists from across the globe appreciate ACR Convergence. Learn more in ACR Convergence Today → https://t.co/YrR4VILiFp #ACR25

[American College of Rheumatology @ACRheum]

📢 Calling all #ACR25 attendees! 📢

To help you prepare for your time in the Windy City, this year we’ve created a webpage that's PACKED with essential information & organized by what you need to know before you arrive, while you’re there, & even after the event.

Take a look & bookmark it NOW 👀 → https://t.co/emMcI4aG0o

[Axi Patel, MD @DoctorAxi]

Grateful to @ACRheum for the opportunity to be this year’s #ACRambassador. Follow the crew for all things #ACR25!

[American College of Rheumatology @ACRheum]

Rheum influencers, assemble! 🌎 ✨ Follow the #ACRambassador team as they bring #ACR25 to life—sessions, speakers, networking, & more. Don’t forget to tag #ACR25! Meet the MVPs → https://t.co/BtMZWSZFQ3

[Axi Patel, MD @DoctorAxi]

Traditional CVD risk tools underestimate risk in SLE.
This new model personalizes CV risk prediction using SLE-specific features. A step forward in lupus care.
Read: https://t.co/0nR8k6adFh
#Lupus #CardioRheum #CVRisk #MedTwitter #Rheumatology