Alla Ayten

rheumatologist #psoriaticarthritis #spa , PhD fellow @kuleuven, @EMEUNET education WG #medicine

[Alla Ayten @alla_ajten]

https://t.co/soMc2O9Az0

[Alla Ayten @alla_ajten]

45y.o. man with purpura lesions after pharyngitis. What is the most likely diagnosis and how would you treat?

[Alla Ayten @alla_ajten]

@YassirDa HZV!

[Alla Ayten @alla_ajten]

Image Challenge | The New England Journal of Medicine https://t.co/8Zwqta9rQb
Difficult to identify this worm 🤔This one I really didn’t figure out!

[Alla Ayten @alla_ajten]

Yes, and I was surprised!

[Alla Ayten @alla_ajten]

#medtwitter #quizz 25yo patient with RA treated with adalimumab for 2y, in remission had an itchy rash on the hands. Hint: father had it first, much more diffuse..Your guess?

[Alla Ayten @alla_ajten]

How sensitive is MRI to detect inflammation?
#MedTwitter #rheumatology
46yo male patient with HLA-B27+ SPA, compete ankylosis of spine and complete ankylosis of SIJ, still had IBP and CRP 20-23mg/L. STIR T2 MRI spine-no BMO. Spectacular improvement with TNFi!

[Alla Ayten @alla_ajten]

The patient has indeed what looks like a Jaccouds arrhropathy and if you look carefully chondrolysis of the wrists.BUT! She has high positive anti-CCP and ANF 1/320 with no specificity. Clinically, no other signs of SLE. Overlap?

[Alla Ayten @alla_ajten]

#MedTwitter #RheumTwitter
RA or SLE?

[Alla Ayten @alla_ajten]

The itchy adherant scaly rash was quickly progressive and cultures for Staph aureus and Staph agalactiae were positive. There was spectacular improvement with Staphicid. It was an infection!

[Alla Ayten @alla_ajten]

#dermtwitter #MedTwitter
This 41 yo female under TNFi for RA presented with quickly progressive rash with adherent scales, itchy, progressive despite 1w terbinafine PO and topical GC.

[Alla Ayten @alla_ajten]

@DBogdanos Well, this includes the assumption that what she has on the head is psoriasis..

[Alla Ayten @alla_ajten]

@Drpvc Correct, paradoxal pso is a part od differential,usually not itchy, did not improve with topical GCs

[Alla Ayten @alla_ajten]

@BhattArshad Indeed, doesn’t look like acute SLE rash..

[Alla Ayten @alla_ajten]

#rheumtwitter
#MedTwitter
👉rare causes of inflammatory hand pain
25yo male pain right wrist, sensitive complaints in n.ulnaris area, no arthritis. ANF, RF, anti-CCP neg.
👉Vascular malformation-aneurysm of a.ulnaris

[Alla Ayten @alla_ajten]

@Radhkrishna Thumb! ☺️

[Alla Ayten @alla_ajten]

#medtwitter nail #psoriasis
Which finger is swollen?
Severe nail psoriasis- sometimes difficult to treat due to limitation in reimbursement criteria of biologicals

[Alla Ayten @alla_ajten]

@Drpvc Yes!!

[Alla Ayten @alla_ajten]

#ACR22 circadian rhythm of neuromediators and cytokines

[Alla Ayten @alla_ajten]

#ACR22 did you know histologic features of TNFi induced psoriasis?

[Alla Ayten @alla_ajten]

#ACR22 treatment of patients with connective tissue disease-ILD with rituximab or cyclophosphomide: similar results but less toxicity of rituximab