RheumQ8

Husain Bahbahani
In ❤️ with Rheumatology

[Ian Mitchell @IanMitchellMD]

I am trying not to cry on the plane. I am failing. 14 kids…

[Mithu Maheswaranathan, MD @MithuRheum]

🆕 2022 ACR/AAHKS Guidelines for Perioperative Management of Antirheumatic Medication in Patients with Rheumatic Diseases Undergoing Elective THA/TKA 🦴💊

#RheumTwitter #OrthoTwitter @ACRheum @AAHKS

[RheumQ8 @Q8Rheum]

@RheumNow I'm wondering why MTX over other DMARDs!!

[RheumQ8 @Q8Rheum]

@RheumNow Does that mean we have to hit with cDMARDs + bDMARDs from the start!!

🤔

[RheumQ8 @Q8Rheum]

@KDAO2011 Good to know

Thanks

[RheumQ8 @Q8Rheum]

#NewProfilePic

[RheumQ8 @Q8Rheum]

@AshimaMakol @NEJM 👌

[RheumQ8 @Q8Rheum]

Differences between ANCA +ve and -ve EGPA

MPO +ve EGPA
⬆️GN
⬆️Neuropathy
⬆️Ritux response

ANCA -ve EGPA
⬆️Cardiac
⬆️Lung infiltrates
⬇️Ritux response

[Vasculitis 2022 @Vasculitis2022]

Can be a challenge in diagnosis - evolving over time, many ANCA negative.

https://t.co/otPnWzKqNG

#Vasculitis22

[RheumQ8 @Q8Rheum]

@gurdeep_dulay @RichardPAConway @cmukhtyar @DrPujaMehta1 @Amansharmapgi @profbdasgupta @PMRGCAuk Yes, it's rare in our area. I'm practising since 2006 in Kuwait and KSA and haven't seen a case yet!! We think about it all the time in ppl of old age with typical symptoms but we end with a different Dx!!!

[RheumQ8 @Q8Rheum]

@roberto_padoan @zach_wallace_md However, no benefit on Mortality or ESRD

[RheumQ8 @Q8Rheum]

@Dr_destinat Yes related

[RheumQ8 @Q8Rheum]

What's the abnormality on CXR?

[RheumQ8 @Q8Rheum]

@fatimamhd_ Yes it's Tin Man syndrome

[RheumQ8 @Q8Rheum]

@zashraf06 No

[RheumQ8 @Q8Rheum]

@LadyDoctorSays 😅🤣

[RheumQ8 @Q8Rheum]

@Janetbirdope And what about MTX?

[RheumQ8 @Q8Rheum]

@NoufAhmedAlham2 Allopurinol!! It would be nice to know whether patients were symptomatic or not!

[RheumQ8 @Q8Rheum]

@NoufAhmedAlham2 So what to use?!

[RheumQ8 @Q8Rheum]

@DamanLangguth When we say regular, how frequent would it be? And the dose?!

[RheumQ8 @Q8Rheum]

@Janetbirdope So 500 mg every 4 or 6 months ?!