Leviton

[Leviton @Lev2030]

@Rheumatology Get well soon Giorgio!

[Leviton @Lev2030]

@Rheumatology Synovial chondromatosis?

[Leviton @Lev2030]

@DrJN_SportsMed Interesting, I didn't know there is a sheath down there. Where is it expected to be seen in relation to the bursa?

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

If we see a subcoracoid bursa, we must differentiate sonographically or exceptionally on MRI between a real isolated subcoracoid bursa, a subcoracoid extension of the subdeltoid bursa, a coracobrachial bursa and a subcoracoid extension of the recess under the subscapularis (anatomically correct, this does not actually correspond to a bursa, as up to 98% of it communicates with the joint).

https://t.co/msQ3frOdET

https://t.co/rfC7tIsV4z

[Leviton @Lev2030]

@Rheumatology

[Leviton @Lev2030]

@Rheumatology Difficult one. I would say A is transverse view of pectoralis major tendon and B no idea, torn long biceps tendon?

[Leviton @Lev2030]

@LastManStand85 Why NOT LA? Provide reference please

[Leviton @Lev2030]

@GSERRANOB_MSK Can't wait to test it

[Leviton @Lev2030]

@Rheumatology Geyser? ACJ ganglion?

[Leviton @Lev2030]

@pompermarioMD @Rheumatology Agree except for the anisotropy part, I think it's the myotendinous junction of the SSp muscle, probably in a hypermobile patient?

[Leviton @Lev2030]

@Rheumatology No, don't worry, AI cannot hold the needle (yet)

[Leviton @Lev2030]

@Rheumatology Where do you measure the thickness of the CHL?

[Leviton @Lev2030]

@Rheumatology Very satisfying to perform and also to watch

[Leviton @Lev2030]

@Janetbirdope Do you have to touch again? It's a joint, not a vein.

[Leviton @Lev2030]

@KDAO2011 @maferradastrong @NIH @petercgrayson How do you treat?

[Leviton @Lev2030]

@sportsraddoc Lipton?

[Leviton @Lev2030]

@drdpshenoy @PanktiMehta24 @sakir_rheum @Amansharmapgi @abledoc @Janetbirdope @MithuRheum Anifrolumab

[Uriel Suárez @UsuarezMD]

Lupic anticoagulant (LA):

• acute phase reactants (FVIII and CRP) may give false-negative and false-positive LA results, respectively (raised levels of FVIII shortening the aPTT).
• anticoagulant treatment: Without > LMWH > DOAC
👇🏻

[Leviton @Lev2030]

@DandaDebashish ...but we know that inflammation in PsA begins from the enthesis and then can affect the whole joint. Also periarticular inflammation is more common in PsA than RA, as described in the first paper with the MRI images and in other recent studies.

[Leviton @Lev2030]

@DandaDebashish Thank you for the papers, I find your observation very interesting, but I disagree with your statement that this is not a dactylitis. Every one of those images shows diffuse soft tissue swelling. It is indeed more prominent in the IP-joint...