Johareumaped

[Johareumaped @Johaher1508]

#losniñostambien #lupus #artritisjuvenil #vasculitis #dermatomiositis

[Álvaro González-Uribe @alvarogonzalezu]

Yo sé que sucede a menudo, que hubo muchos muertos por el terremoto que dolieron, pero estas muertes me han conmovido profundamente, quizás por esa su labor humanitaria especial de donde venían, quizás por esa alegría en las fotos. Queda admirarlas y agradecerles la vida.

[Anish Moonka @anishmoonka]

Scientists have named the first cat species completely new to science in over 100 years. It weighs three pounds, lives in Bolivia's cloud forest, and the first one anyone examined spent a year living in a stranger's house.

A man found it as a spotted kitten on a forest road and took it home, thinking it was a lost pet. After a year he decided it was too wild to live with and handed it to a sanctuary. The sanctuary called Paola Nogales-Ascarrunz, a Bolivian biologist who runs the country's wild cat research program, to say they had a weird cat.

She drove out, took a hundred photos, and logged it as a little spotted cat, the species thought to range from Costa Rica to Brazil. In 2019, making a booklet on Bolivia's cats, she set her photos beside a Brazilian reference image. The ring-shaped markings on her animal were far too big.

DNA settled it. With geneticists at the University of Antwerp and the Pontifical Catholic University of Rio Grande do Sul, the team read the full DNA of 38 cats from the same group. Eight of them were skins in museum drawers. The Bolivian cat branched off from its nearest relatives 1.4 million years ago, about the gap between a lion today and the cave lions that died out with the Ice Age.

They named it Leopardus tilcayo, after the word people in the Yungas cloud forest already used for it. Nobody there could say what it means. One man said his grandfather called it tilcayo, so he does too.

Wild cats do get added to the list. The tiger cat was split into two species in 2013, and a third in 2024. The Sunda clouded leopard was recognized in 2006 from specimens already in museums. Those were animals science already had, filed under a different name. This one was not, so the team calls it the first completely new cat since the pampas cat in 1923.

Scientists add roughly 65 new mammal species a year, and the global count reached 6,759 last year, up almost 70 percent since 1980. The cat family has stayed at about 40 species since the 1700s.

The same paper turns three tiger cat species into five. The IUCN, which keeps the global endangered species list, has been treating tiger cats as two vulnerable species and will now assess all five separately. The range and the numbers that once belonged to one species now split five ways, into smaller pieces of map and smaller counts of cats. The DNA also shows several of them, tilcayo included, have already lost 60 percent or more of their population.

Only two tilcayos have ever been examined. One is a ten-year-old male at the sanctuary, 18 inches long. The other was a female that locals attacked, let back into the forest once she recovered. Two animals are all the evidence science has for a cat that has bred apart from every other cat since long before humans existed.

[JCR: Journal of Clinical Rheumatology @JRheumatology]

Pan American League of Associations for Rheumatology: Recommendations for the Treatment of Oligoarticular Juvenile Idiopathic Arthritis https://t.co/SFsjJYPExL

[SEIP @seipweb]

🧵 ¿Profilaxis antibiótica quirúrgica en pediatría? Menos puede ser más.
Las 6 S ofrecen un marco sencillo para hacerlo bien:
🎯 Procedimiento adecuado
💊 Antibiótico adecuado
⏱️ Momento óptimo
⚠️ Alergia grave
1️⃣ Dosis única
🛑STOP
Léelo 👉 https://t.co/adladHl1KI

[Aravind Palraj @Rheumat_Aravind]

🚨 2026 ACR JIA guideline update - 5 points worth remembering

A few practical messages stand out:

• Systemic JIA: IL-1 or IL-6 inhibition is strongly recommended early, rather than relying on NSAID or csDMARD monotherapy.

• sJIA with MAS: biologic therapy plus systemic glucocorticoids forms the initial treatment approach.

• Oligoarthritis: intra-articular glucocorticoids remain first-line, with triamcinolone hexacetonide preferred.

• Polyarthritis: start DMARD therapy early; methotrexate remains the preferred csDMARD, and TNFi the preferred first biologic when a bDMARD is chosen.

• Uveitis: high-risk children need ophthalmic screening every 3 months; methotrexate and adalimumab remain key treatment options when chronic anterior uveitis requires systemic therapy.

Also worth remembering: in remission, taper rather than abruptly stop biologic therapy.

Source: 2026 American College of Rheumatology Juvenile Idiopathic Arthritis Guidelines Summary.

#Rheumatology @DurgaPrasannaM1 @IhabFathiSulima #JuvenileIdiopathicArthritis #PediatricRheumatology #JIA #ACR

[JULIAN DE ZUBIRIA @juliandezubiria]

Un grano de arena para promover la esperanza en algunas de las comunidades educativas afectadas por el terremoto del 10 de agosto. Mañana reflexionaré con mil docentes del Eje Cafetero sobre convivencia, lectura y pensamiento: ¿A qué deberían ir niñas y niños a la escuela?

[El Club del Arte 🎨📷📚🖼🕍🎼 @Arteymas_]

Noctámbulos es una obra al óleo sobre lienzo pintada en 1942 por el renombrado artista estadounidense Edward Hopper.

Es considerada la obra maestra de su carrera y uno de los cuadros más icónicos y reconocibles del arte estadounidense del siglo XX.

Actualmente, la pieza se conserva y exhibe en el Instituto de Arte de Chicago.

El cuadro retrata una escena nocturna urbana donde cuatro personas se encuentran en el interior de un diner (cafetería típica estadounidense) de Manhattan.

Se observa a un camarero atendiendo detrás de la barra y a tres clientes (una pareja sentada junta y un hombre solo de espaldas).

A pesar de compartir un espacio reducido, los personajes no interactúan entre sí. Cada uno parece sumergido en sus propios pensamientos, encapsulando la alienación y la soledad de la vida en las grandes metrópolis.

Hopper aprovechó la entonces novedosa iluminación fluorescente para bañar el interior con una luz blanca y fría. Esta claridad interior contrasta radicalmente con las calles oscuras, vacías y silenciosas de afuera.

La escena se observa desde el exterior a través de un enorme ventanal de cristal curvo. Un detalle clave de la composición es que no hay ninguna puerta visible que conecte el bar con la calle, lo que acentúa la sensación de que los personajes están atrapados en una burbuja o escaparate humano.

La pintura fue completada en enero de 1942, apenas unas semanas después del ataque a Pearl Harbor.

Por ello, muchos críticos asocian esa atmósfera de quietud tensa, misterio y calles desiertas con la incertidumbre, el miedo y los apagones nocturnos que se vivían en los Estados Unidos durante la Segunda Guerra Mundial.

Aunque Hopper declaró que su intención no era pintar explícitamente la soledad, admitió que probablemente, de forma inconsciente, terminó retratando el aislamiento de la gran ciudad.

[Julián A. Fernández-Niño MD, MPH, DSc. @JFernandeznino]

Entiendes el tipo real de relación que tienes con una persona, por la manera que te trata cuando ya no tienes nada que ofrecerles

[Marc.o @Blaze2Bulls]

Unsere Nachbarin ist 85. Ihr Mann ist vor 10 Jahren verstorben, Kinder hat sie keine, Auto auch nicht. Also helfen wir hin und wieder beim Einkaufen oder wenn etwas nicht funktioniert.

Wenn man dann mal länger mit ihr spricht, merkt man erst, wie der Alltag für viele alte Menschen heute wirklich aussieht.

Der nächste Geldautomat? 10 km entfernt.
Die nächste Bankfiliale? 15 km.
Das nächste Geschäft? 3 km.
Die nächste Bushaltestelle? 1 km.

Und gleichzeitig setzen wir Dinge voraus, die für uns völlig normal sind.

Online-Banking? Hat sie nicht.
Smartphone? Noch nie besessen.
E-Mail-Adresse? Keine.
Internet? Hat sie. Weil man ihr irgendwann einen Anschluss verkauft hat.

Wir bauen Bankfilialen, Schalter und persönliche Ansprechpartner ab und ersetzen sie durch Apps, Portale und QR-Codes.

Und nennen das dann Fortschritt.

Für uns vielleicht.
Für sie wird die Welt dadurch jeden Tag ein Stück kleiner.

[Museo del Prado @museodelprado]

La que lleva la luz. El significado del oro en un retablo del siglo XIV

Con Joan Molina, jefe de colección de pintura gótica europea en el Museo del Prado y comisario de la exposición “A la manera de Italia. España y el gótico mediterráneo (1320-1420)”

[ACR_Journals @ACR_Journals]

September A&R Clinical Connections (2 of 2):

Somatic Mutations in a Large Cohort of Chinese Patients With Immune Dysregulation

Key Points:
• This study delineated the genetic landscape of pathogenic somatic mutations underlying immune dysregulation diseases.
• Findings expand the genetic diagnostic landscape and highlight the importance of considering somatic mutations in germline-negative patients.
• Novel somatic pathogenic genes and variants add to the diagnostic spectrum and support improved diagnosis and targeted treatment.
• Longitudinal monitoring of somatic mutation ratio may improve precision medicine.

[S Blitshteyn MD, FAAN, FANA, Dysautonomia Clinic @dysclinic]

🚨 I am excited to share the very first Delphi consensus paper on #POTS and #dysautonomia! I am honored to serve as a co-Chair on this clinician-led, Multidisciplinary International POTS and Dysautonomia Expert Panel! We achieved unanimous consensus on 24 of 31 statements and very strong consensus on the remaining 7 statements. The goal of this initiative was to improve clinical care of patients with POTS and dysautonomia and to provide clinician education.

‼️Key points:
✔️POTS represents a subset of patients with dysautonomia.
✔️Patients who do not fulfill the diagnostic criteria for POTS may have dysautonomia that is not POTS (non-POTS dysautonomia).
✔️Both POTS and dysautonomia need to be diagnosed and treated correctly - not with psychotherapy or antidepressants.
✔️Patients with POTS and patients with non-POTS dysautonomia need to have access to care, work and school accommodations and disability benefits if necessary.
✔️Therapeutic trials, multidisciplinary patient care and physician education/training are needed to advance the field and improve the lives of patients with POTS and patients with non-POTS dysautonomia.

Read full (pre-proof) paper here: 👇
https://t.co/Yvwpq8tWrm

[Lupus Hub @lupus_hub]

New publication 📝 Results from a retrospective cohort study, published in @Lupus_SM, show adults with childhood-onset SLE have significantly higher disease activity vs adult-onset SLE (p < 0.001).

Learn more about SLE: https://t.co/QjPh5aAAOD

#Lupus #RheumTwitter #MedNews #MedEd

[Lupus Forum @TheLupusForum]

Yusof et al. present the 2026 British Society for Rheumatology guideline for the management of children, young people, and adults with SLE.

Read more on the #LupusForum: https://t.co/BWf5rqCsMl

[Dr. John Cush @RheumNow]

JAMA Review: Postural Orthostatic Tachycardia Syndrome (POTS)

POTS is a chronic autonomic disorder affecting an estimated 0.1%–1% of the US population, with peak incidence at ages 13–29 and a striking 90% female predominance.

https://t.co/dAKlTp4VK3

[ACR_Journals @ACR_Journals]

Characterizing the disease phenotype in HLA-B*27+ children with juvenile spondyloarthritis:
Among 150 children, HLA-B*27 antigen was present in 28%. HLA-B*35:02 was enriched in children with IBD-associated arthritis, and HLA-B*57:01 was enriched in children with PsA

ACROR
https://t.co/EHAR5egMez

[Mithu Maheswaranathan, MD @MithuRheum]

🆕 #AutoInflammatory / Periodic Fever Syndromes

In Memory of Dr. Dan Kastner🕊️
So grateful Dr. Kastner agreed to review this graphic &gt;1 year ago, providing thoughtful input and suggestions to improve the final version 🙏

New Board Review Series for Rheum OnePagers 📟
#RheumX

[Berta @BMagallares]

A puertas de finalizar el mes de agosto, recordar pensar en las enfermedades #Autoinflamatorias:
- Fiebres recurrentes de causa no filiada
- Estados hiperinflamatorios/ síntomas cutáneos
- NO exclusivos de la infancia
🌍 Un mundo en expansión
#DesenmascaraLasAutoinflamatorias26

[Bukowski Quotes @BukowskiQuotess]

#bukowski 🔥

[literland @literlandweb1]

"Madurar es aprender a querer bonito, extrañar en silencio, recordar sin rencores y olvidar despacito".
Frida Kahlo