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ACR 2019 - Report from Day 2 (Monday)

Monday was another full day of sessions and studies here in Atlanta. Following is my roundup of day two.

The Safety of Methotrexate

Pegradicase+immTOR SEL-212 Shows Promising Results in Active Gout

Therapies targeting sUA accumulation or improving its excretion are widely used for treatment of symptoms and prevention of progression of gout for decades.

PANLAR Ultrasound Study Group: Recommendations on Imaging Modalities in Gout 

Gout is a systemic inflammatory disease with high potential for joint damage due to erosive changes and MSU deposits resulting in disability and chronic pain. Prompt diagnosis and effective treatment are key to better long term outcomes and decreased disability.

Test on New ACR19 Site

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New EULAR/ACR Classification Criteria for SLE

The European League Against Rheumatism (EULAR) and the American College of Rheumatology (ACR) have jointly developed new classification criteria for systemic lupus erythematosus (SLE); prompted by the need for criteria that were both highly sensitive and specific.

Tweets

Kanika Monga, MD DrKanikaMonga

8 months ago

2020 Gout Clinical Practice Guideline ‼️ For patients with gout where XOI, uricosurics and other interventions have failed to achieve serum urate target/ FREQUENT flares/ NON-RESOLVING tophi, strongly recommend switching to pegloticase over continuing current ULT #ACR19 @RheumNow

Kanika Monga, MD DrKanikaMonga

8 months ago

@RheumNow 2020 Gout Clinical Practice Guideline ‼️ For allopurinol and febuxostat, strongly recommend starting at low dose with subsequent dose titration to target over starting at higher dose ( ≤ 100 mg/d for allopurinol, ≤ 40 mg/d for febuxostat) #ACR19 @RheumNow

Janet Pope Janetbirdope

8 months ago

Gout guidelines make total clinical sense. Congrats ACR and Goit me@bers for a monumental job #ACR @RheumNow https://t.co/A0iwU0WPlZ

Dr Irwin Lim _connectedcare

8 months ago

Ken Cai, Aussie presenting NZ research #ACR19 @earlyara Abst2732 https://t.co/K7mltsR8q3

Philip Robinson philipcrobinson

8 months ago

@_connectedcare @RheumNow @ACRheum My pearls (so far) 1. Use vitamin A to reduce SEs w MTX 2. Try doxycycline for refractory calcinosis in scleroderma 3. Use MTX with pegloticase to reduce infusion reactions 4. Anti-IL17 has activity in nr-axSpA 5.

Jonathan Hausmann MD hausmannMD

8 months ago
38yo F with seroneg RA on 3x therapy with synovitis. What tx do you choose? -Bathon: Confirm dx, use biologic, avoid ritux -Bykerk: Ask about JIA, use TNF, JAK, IL-6 -Emery: Not ritux. Use steroids, consider TNFi, urgent tx is not needed -Mikuls: Agree with above #ACR19 @RheumNow

Philip Robinson philipcrobinson

8 months ago

What do you do when a patient with gout you are treating with allopurinol develops a typical allopurinol rash? #ACR19 @RheumNow

Maeve Gamble MaeveGamble

8 months ago

Gout tip: If you have a “failed” MTP aspirate, blow out end of needle onto a slide and examine it. #ACR19 @RheumNow #gout

k dao KDAO2011

8 months ago

#acr19 @RheumNow Pearls by Dr Sterling West 1. For pts with gout: as about energy drink consumption 2. Dry joint tap- blow out needle onto the slide 3. Consider CPPD in pts with “seroneg RA”- May not have typical acute flare

Dr Irwin Lim _connectedcare

8 months ago

Wow. When can we have the mouthguard to measure uric acid levels? #ACR19 @rheumnow 5T027 https://t.co/L5ytR1jxJT

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