@drkeithsiau Lips, perioral region, and nasal folds all show hyperpigmented, yellow, papillomatous papules and plaques 👇
▶️A paraneoplastic dermopathy k/a malignant acanthosis nigricans causes such velvety plaques to appear suddenly on the cutaneous and mucosal surfaces.
🧪 RF vs Anti-CCP
🚨 Positive RF ≠ RA
🚨 Anti-CCP is more specific than RF
🚨 Anti-CCP may precede clinical RA
🚨 RF + Anti-CCP positivity predicts more erosive disease
🚬 Smoking is strongly linked to Anti-CCP–positive RA
#RheumatoidArthritis#AntiCCP@IhabFathiSulima@docakx #Rheumatology #MedTwitter #MedicalEducation
🚨 Rodri: “Do I have an agreement with Enrique Riquelme to join Real Madrid? I'm here to speak about the World Cup”.
“Everything related to my future, will have to wait until after the World Cup”.
🚨 BREAKING: Manchester City consider LEGAL ACTION after Enrique Riquelme claims of Erling Haaland joining Real Madrid if he wins the elections.
The club has denied the information and exploring legal action for using their player’s image on purpose.
🥺🏆 Mikel Arteta: “It’s one of the best feelings I’ve ever had. I couldn’t watch City game. I could hear noises from inside, then my son opened the door, ran towards me…
…he was crying and he said ‘we are champions daddy!”.
@BeanymanSports 🎥
🚨 Pep Guardiola, expected to leave Man City THIS summer with Enzo Maresca always been as the ONLY replacement wanted.
Pep ready to say goodbye in the next days, while Maresca said yes to Manchester City months ago.
🚨 BREAKING: José Mourinho back to Real Madrid, HERE WE GO! 💣🤍
All terms have been verbally agreed between José Mourinho and Real Madrid, waiting to sign all documents.
Plan for initial two year deal, JM to travel to Madrid after Real-Bilbao game.
The Special One is back.