Wil Liam

Colombia | Rheumatology | MD ⚕ #ReumaTips

[Wil Liam @William_Rodas]

Mi hermanito lleva 3 dias sin ir al jardin porque esta enfermo y las niñas del curso le mandaron una carta. Wow.

[Aravind Palraj @Rheumat_Aravind]

Not all CTD-ILD is the same.

NSIP ≠ UIP ≠ OP.

HRCT pattern predicts association, treatment response, and prognosis.

Read the CT first.
Treat the phenotype.

#Rheumatology #Pulmonology #ILD @DrAkhilX @IhabFathiSulima #InternalMedicine #MedicalEducation

[Aravind Palraj @Rheumat_Aravind]

ANA positivity ≠ autoimmune disease.

Low titre? Elderly? Isolated DFS70 pattern?
Often incidental.

Pattern + clinical phenotype > titre alone.

Treat the patient, not the ANA report.

#Rheumatology #InternalMedicine @DrAkhilX @IhabFathiSulima @Janetbirdope #MedicalEducation #Autoimmune #BedsideMedicine

[Aravind Palraj @Rheumat_Aravind]

Psoriatic Arthritis: Classic Clinical Clues 🧩
• Asymmetric oligoarthritis
• Distal joint involvement
• Dactylitis (“sausage digits”)
• Enthesitis (Achilles, plantar fascia)
• Nail changes — pitting, onycholysis
• Axial disease in a subset
• Skin psoriasis may be minimal or even absent

#MedTwitter #RheumTwitter #PsoriaticArthritis @DrAkhilX @IhabFathiSulima @ArunInamadar @Drkhenaizan @psoriasis_hub

[Aravind Palraj @Rheumat_Aravind]

🧵 Antibodies in SLE: Beyond ANA:

Tweet 1:
ANA is the entry point into lupus.
But lupus is not defined by ANA alone.
👉 Specific autoantibodies confirm diagnosis, predict organ involvement, track activity & guide prognosis.
Let’s decode them ⬇️
@IhabFathiSulima @DrAkhilX @CelestinoGutirr @Janetbirdope @ACRheum #MedTwitter #RheumTwitter

[Aravind Palraj @Rheumat_Aravind]

🧬 Some autoantibodies are harmless alone — but when they pair up, they redefine the disease.

These are the autoantibody pairs you must never miss.

#RheumRounds #RheumTwitter #Immunology #Rheumatology #ClinicalPearls #Autoimmunity #MedTwitter @DrAkhilX @IhabFathiSulima @Janetbirdope @DrOribaDan @lupuscyclopedia

[Prof. Dr. Nurullah Akkoç | Romatolog @Nurullah_Akkoc]

#ACR25 Abstract 1526
“Guidance for #Steroid Tapering in Systemic Lupus Erythematosus”
101 international experts reached Delphi consensus on CS tapering strategies in #SLE.
🔹 Practical guidance for real-world tapering across disease activity levels and organ involvement.

[ACR_Journals @ACR_Journals]

Now published: The 2025 ACR Guideline for the Treatment of Systemic Lupus Erythematosus

📄 Read the paper: https://t.co/56eOK86lmn

ℹ️ See additional content and resources on this guideline at https://t.co/PVEyOkY14w

[Prof. Dr. Nurullah Akkoç | Romatolog @Nurullah_Akkoc]

@Janetbirdope’s #ACR25 pearls remind us:
Order ANA only when clinical suspicion exists
Never repeat a positive ANA
ENA only if ANA+
❌ Ignore dsDNA if ANA– (except anti-Ro52)
Stop serial dsDNA/C3/C4 if stable

Smart lab use saves patients anxiety and systems money.

#SLE

[Keith Siau @drkeithsiau]

Steroids 😅

[Nutrition Science @NutrioSci]

Fluid & electrolytes cheat sheet

#MedEd #MedX

[Oren Gottfried, MD @OGdukeneurosurg]

Makes EKG waves, durations, and intervals make sense

[Oren Gottfried, MD @OGdukeneurosurg]

Heart box

[Adam J Brown @AdamJBrownMD]

Second edition of Rheumatology Made Ridiculously Simple is out now! This edition we actually have a professional artist and are no longer relying on my own bad drawings! #meded #rheumatology

[Dr. John Cush @RheumNow]

Heritability of asymptomatic ANA positivity is 25%. Asymptomatic ANA positive individuals did not exhibit increased cumulative genetic risk for lupus compared to ANA negative individuals. Genetic study of 1,955 asymptomatic ANA+ v 3,634 asymptomatic ANAnegs. https://t.co/cdYjDQCFQF

[Dr. John Cush @RheumNow]

JAMA Patient Education Page - Plantar Fasciitis
Plantar Fasciitis accounts for more than 1 million US clinic visits per year. People at risk include obesity, jobs w/ prolonged standing https://t.co/uijbcbQ0sz

[Comunidad Biológica @Bio_comunidad]

La mejor posición para dormir ❤️

[Laurent ARNAUD @Lupusreference]

✅ VERY VISUAL consensus schematic for #LUPUS #NEPHRITIS diagnosis and treatment by the Brazilian Society of Rheumatology @rheuma_brazil 👍 Congrats to all authors, including dos Reis Neto & Monticielo👏
Full Download link: https://t.co/lgXlj0U0Xo

[Cristina Macía @reumacia]

“Qué va, si la inmunología es sencilla”

La inmunología: