NEW REVIEW—Identification of red flags for IgG4-related disease: an international @ern_reconnet framework https://t.co/RWon1HZxVB
Free to read with registration on https://t.co/28wkm5ab69
2023 SLE Recommendations
🔹Lower GC dose (5 mg instead of 7.5)
🔹 Early use of biologics for corticosparing
🔹 Cyclophosphamide if life-threatening
🔹 MMF: new in hemato manif
🔹Lupus nephritis: VCL vs BEL???
🔹Maintain trt for 3 years then taper, except HCQ
#EULAR2023
NZ
Take home messages.
Most important changes, according to Dimitrios Boumpas:
♦️ Threshold in GC below 5mg/day and try to avoid them completely
♦️ Possibility of using biologics as fist line in order to ⬇️ GC and achieve early remission or low disease activity.
#EULAR2023
Active lupus nephritis:
♦️IV-CY or MMF & GC as inicial therapy. Combination therapy with BEL/CNIs should be considered
♦️BEL may be used at the beginning- good evidence
♦️Belimumab & VCS should be considered in all patients
♦️ No distinction in class III/IV & V
#EULAR2023