RheuMD

A community dedicated to rheumatology science and practice.

[The Lancet @TheLancet]

1-month versus 12-month dual antithrombotic therapy after percutaneous coronary intervention in patients with atrial fibrillation (OPTIMA-AF): a multicentre, open-label, hybrid non-inferiority and superiority, randomised, controlled trial https://t.co/iSNUaNZ03W

[Armen Yuri Gasparyan @ArmenYuri]

AI-generated patient education for ankylosing spondylitis: a comparative study of readability and quality
https://t.co/23vJ0mylCn

[Tsvetoslav Georgiev @GeorgievMD]

A disappointing result for those of us who hoped genicular artery embolization will fill the treatment gap in knee #osteoarthritis. Neg trials are just as important for our understanding & #evidencebased care. #Rheumatology
https://t.co/coomtHcgpt
@GerganovGeorgi @stoimendim

[Tsvetoslav Georgiev @GeorgievMD]

Proud to share our latest original research! Reduced IL-15 is a potential mediator of metabolic dysfunction in PCOS, linking visceral obesity with impaired glucose regulation. #myokines #PCOS
Fulltext article at:
https://t.co/Tk0doRwdcr

[Rheumatology (Bulgaria) @BulgarianR]

Crystals in Synovial Fluid: A diagnostic gold standard. 🔬
This review synthesizes modern methods—from polarized microscopy to emerging Raman spectroscopy—for identifying MSU, CPP, and uncommon intra-articular crystals.
🔗 Full text: https://t.co/bdPLp7xLbm
#Gout #CPPD

[Tsvetoslav Georgiev @GeorgievMD]

EULAR 2026: Suspected spinal fracture in axial SpA? Think beyond X-rays. CT and/or MRI now take center stage, especially in #axSpA.

[NatRevRheumatol @NatRevRheumatol]

New content online: 20 years of progress in the classification of immune-mediated diseases https://t.co/fQzKigp1dS

[Rheumatology (Bulgaria) @BulgarianR]

How do COVID-19 vaccines impact disease activity in systemic lupus erythematosus? 🦠💉
A real-life, multicenter study evaluates the safety, tolerability, and risk of incident flares in a cohort of Egyptian SLE patients. Full text: https://t.co/pQLcx04urR
#Lupus #SLE #COVID19

[Tsvetoslav Georgiev @GeorgievMD]

One of the most discussed updates at #EULAR2026: vaccination strategies for infants exposed to biologics during pregnancy. Live vaccines deferred until 6 months, while rotavirus vaccination remains a notable exception after TNFi exposure. #RheumTwitter

[Tsvetoslav Georgiev @GeorgievMD]

A notable shift in the new EULAR recommendations: imaging SpA is no longer just diagnostic.
MRI and ultrasound can help monitor activity, predict outcomes and guide treatment in SpA. #Rheumatology #EULAR2026

[Miguel Vicente Pérez @Migvicente19f]

!

[JAMA @JAMA_current]

Brief, positionally triggered vertigo with transient nystagmus on the Dix-Hallpike test is characteristic of #BPPV, a common and treatable cause of dizziness.

📊 Learn more in this JAMA Insights. https://t.co/3eokmi6hix

[Rheumatology (Bulgaria) @BulgarianR]

Upadacitinib in Axial Spondyloarthritis: New horizons for clinical practice. Mean ASDAS values improved significantly from 3.5 to 1.9 at 6 months. Efficacy was consistent across both biologic-naive and biofailure subgroups. Full text: https://t.co/zE5DjA1oSh
#Rheumatology #axSpA

[Rheumatology (Bulgaria) @BulgarianR]

Historically considered mutually exclusive, the overlap of Rheumatoid Arthritis and Axial Spondyloarthritis presents rare diagnostic hurdles. This case report examines the clinical intersection and management of this condition. 🔍
Full text: https://t.co/5dNWz6us3q

[Aravind Palraj @Rheumat_Aravind]

Mononeuritis multiplex is not just neuropathy.
It is a red flag.

⚠️ Painful
⚠️ Asymmetric
⚠️ Stepwise nerve involvement

Think vasculitis until proven otherwise.

This is a neurological emergency—delay can mean irreversible nerve damage.

Common culprits:
• ANCA-associated vasculitis
• Polyarteritis nodosa
• SLE
• Cryoglobulinemia
• Rheumatoid vasculitis

Key clinical clue:
➡️ Sudden wrist drop / foot drop in different limbs, at different times

What to do:
✔️ Act early
✔️ Confirm with NCS + biopsy (when needed)
✔️ Start immunosuppression promptly

Miss it → disability
Catch it → salvageable

#Rheumatology #Neurology #Vasculitis #MononeuritisMultiplex @docakx @IhabFathiSulima #MedicalEducation #ClinicalPearls #AutoimmuneDisease #EarlyDiagnosis

[JAMA @JAMA_current]

#ResistantHypertension affects approximately 10% of patients treated for #hypertension and is associated with increased #cardiovascular mortality compared with controlled blood pressure.

📄 Learn more in this Review: https://t.co/WKQnGZlpIT

[Donald Thomas, MD @lupuscyclopedia]

There is a strong link between poor sleep and lupus. If you have an autoimmune disease like #SLE, #lupus, or #Sjogrens, getting enough good-quality sleep is really important. Learn more here: https://t.co/SXBznumCMI
Thanks to @Kaleidoscope_FL

[Rheumatology (Bulgaria) @BulgarianR]

How has the history of cytokines shaped the trajectory of modern precision medicine in rheumatic diseases? This comprehensive review traces the evolution from early "pyrogens" to the revolution of targeted biologics and oral JAK inhibitors.
Full text: https://t.co/Gn6rOO13aQ

[Tsvetoslav Georgiev @GeorgievMD]

How did I almost miss the new EULAR recommendations for Behçet’s syndrome? A major 2025 update, from colchicine/apremilast to TNF inhibitors in severe organ disease and, tellingly, TNF is mentioned 79 times! https://t.co/9xNws7tC4M

[TheDaoIndex @KDAO2011]

Attn: Residents & fellows - purchase disability insurance now as it’s cheaper now and keep the policy. I bought my policy during residency and the rates stayed the same even now. For women, buy gender neutral policy (it cost less) -Dr Dahle #CSR02026 @WCInvestor