WidedLahmar

Tunisian 🇹🇳 rheumatologist || MD || RMDs passionate || Evidence-based insights || MSUS

[WidedLahmar @lahmar_wided]

🎤 Presented at the 38th French Society of Rheumatology Congress

Subclinical synovitis is frequent in JIA patients in clinical remission.

🔎 ~56% had US abnormalities, mainly in wrists and knees, despite minimal clinical findings.
#MSUS #PediatricRheumatology #Rheumatology

[EMEUNET @EMEUNET]

Only one day remaining until #Rheumavision finals begin ! 🎤

Until then make sure to stop by the Eular village where you can have your printed picture with #eularEmeunet & #Rheumavision signs 📸

[WidedLahmar @lahmar_wided]

🚨#EULAR2026: New classification criteria for Antisynthetase Syndrome:
.Weighted clinical + serological domains
.Anti-ARS positivity carries the highest weight.
.Clinical domains: myositis, ILD, arthritis, Raynaud's, inflammatory rashes, fever, and mechanic's hands #Rheumatology

[WidedLahmar @lahmar_wided]

Case: Women in her 20's presenting with chronic walking difficulties and pelvic pain evolving over several weeks.Pelvic X-ray shows abnormalities that warrant careful analysis.
✍️What would be your diagnosis?
#Rheumatology #MedEd @IhabFathiSulima @DrAyubaD @Rheumat_Aravind

[WidedLahmar @lahmar_wided]

Case: Women in her 20's presenting with chronic walking difficulties and pelvic pain evolving over several weeks.Pelvic X-ray shows abnormalities that warrant careful analysis.
✍️What would be your diagnosis?
#Rheumatology #MedEd @IhabFathiSulima @DrAyubaD @Rheumat_Aravind

[RMD Open @bmj_rmdopen]

🆕 Development and validation of SONAR-7: a novel ultrasound score for synovitis

Ultrasound is increasingly central to the evaluation of inflammatory arthritis, but feasibility and standardisation remain key challenges. This study introduces SONAR-7, a concise composite score designed for patients with psoriatic arthritis (PsA) and axial spondyloarthritis (axSpA).

🔍 What stands out:

Integrates greyscale and power Doppler findings across 14 joints
Demonstrates high specificity (95.1%) with good overall discrimination (AUC 0.83)
Shows consistent associations with:
Clinical disease activity (e.g. swollen joint count, DAPSA)
Enthesitis burden
Functional outcomes (HAQ, BASMI)

💡 Beyond inflammation, the inclusion of structural changes strengthens its clinical relevance, linking imaging findings with patient-reported and functional measures.

📊 Overall, SONAR-7 emerges as a pragmatic and time-efficient tool, with potential utility in both routine practice and research settings across the spondyloarthritis spectrum.

📎 https://t.co/Bxivpgjvkt

[Janet Pope @Janetbirdope]

We’ve got it wrong!

ORder of #osteoporosis should be
Better drug 1st
#anabolic ➡️ then ➡️ #antiresorptive

Michael McClung #CCREast

#romosozumab or #PTH
Then
#denosumab in high risk pts

[WidedLahmar @lahmar_wided]

@Doctors__squad Rheumatologist 🤍

[WidedLahmar @lahmar_wided]

@daoo100 Hyperparathyroidism as we see subperiosteal bone resorption and a brown tumor (cystic lesion).

[WidedLahmar @lahmar_wided]

@DrAyubaD CPPD.

[WidedLahmar @lahmar_wided]

@IhabFathiSulima Osgood schlatter

[Rheumatology US Case-based Learning @RheumMSKUS]

Chondrocalcinosis of the knee 👇

Pearls:
- Fibrocartilage CPPD (in the meniscus) occurs at a younger age and is more prevalent than femoral hyaline cartilage CPPD.
- Chondrocalcinosis in both the fibrocartilage and hyaline cartilage is frequent in patients > 80 years old (47% and 23%, respectively).

What is your age cutoff to screen for secondary causes of CPPD?! --> hypophasatesia, hypomagnesemia, hyperparathyroidism and hemochromatosis

Reference for a deeper dive: Cipolletta E, Francioso F, Smerilli G, Di Battista J, Filippucci E. Ultrasound reveals a high prevalence of CPPD in consecutive patients with knee pain. Clin Rheumatol. 2024 Jan;43(1):435-441. doi: 10.1007/s10067-023-06805-3. Epub 2023 Nov 17. PMID: 37975949.

#MSKUS #RheumUS

[WidedLahmar @lahmar_wided]

@ChShafiullah15 Its C : Infective endocarditis.
1: retina : roth spots.
2: Janeway lesions
3: osler nodes ( painful)
4:splinter haemorrhages

[WidedLahmar @lahmar_wided]

@Omar_Vsc Thanks 🤩 !

[WidedLahmar @lahmar_wided]

🎤 Presented at the 38th French Society of Rheumatology Congress

Subclinical synovitis is frequent in JIA patients in clinical remission.

🔎 ~56% had US abnormalities, mainly in wrists and knees, despite minimal clinical findings.
#MSUS #PediatricRheumatology #Rheumatology

[WidedLahmar @lahmar_wided]

⏳ Relapse occurred in~18%, ~15 months.

📡 US abnormalities-especially B-mode+ Doppler signal-were associated with relapse.

🧠Take-home: ultrasound helps identify patients at risk after treatment tapering,
but therapeutic decisions should not rely on imaging alone.

[WidedLahmar @lahmar_wided]

@sonalshukla3377 This is a gold mine!

[WidedLahmar @lahmar_wided]

@acagamic Totally agree 🙏 mindset matters just as much as the content 😄

[WidedLahmar @lahmar_wided]

@catshealdeprsn When your audience may not ask questions, but they definitely judge your explanations 🐱 😁

[WidedLahmar @lahmar_wided]

@dr_immuno29 Very pragmatic.What i find it particulary helpful is the emphasis on avoiding unnessecary biologic switches during pregnancy-prioiritizing disease control over theorietical risks.I was wondering whether pre-conception counseling for male patients, was addressed in the guidelines?

[WidedLahmar @lahmar_wided]

@sciqst @dr_immuno29 Very pragmatic.What i find it particulary helpful is the emphasis on avoiding unnessecary biologic switches during pregnancy-prioiritizing disease control over theorietical risks.I was wondering whether pre-conception counseling for male patients, was addressed in the guidelines?