Giacomo M. Guidelli
@docGmGMD, Rheumatologist, SIR & EMEUNET & SIRyoung member | @SIRyoung_IT | @reumahumanitas | Assistant of Rheumatology, Humanitas Research Hospital (Rozzano, Milan)
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Great summary of treatment choices in PsA: 1. Identify domain involved 2. Identify comorbidities/pt preferences 3. Still unmet needs for ttx in inflammatory eye disease #ACR24 @rheumnow
“Small fiber neuropathy is an extremely common finding in hundreds of medical conditions-most of which are not involving pain” -Dr Daniel Claw Should we stop pursuing biopsies? Should we redefine this disease? #ReviewCourse #ACR24
As you get older, you’ll realize that a $30,000 watch and a $30 watch both tell the same time. A Gucci wallet and a Target wallet hold the same amount of money. A $10,000,000 house and a $100,000 house host the same loneliness. A Ford will also drive you as far as a Bentley.…
Here you are, @openreuma a clinical practice guideline for the management of the foot and ankle in #RheumatoidArthritis link.springer.com/article/10.100…
Rheumatoid associated lung disease ILD but don’t forget Airway & Pleural disease [Dr Sophie Fletcher] #10topics24 #Rheumatology #Medtwitter
Review of Amyloidosis The New England Journal of Medicine has published a review of systemic amyloidosis. buff.ly/3L4sK7V
🌟 DEADLY DRUG RASHES - Must know cutaneous drug reactions. 🔸️Potentially deadly drug rashes are 4 of these 👇 - Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) -Drug reaction with eosinophilia and systemic symptoms (DRESS) -Acute generalized exanthematous…
No Risk of Interstitial Lung Disease with Methotrexate Use JAMA reports a cohort study that investigated the association between methotrexate (MTX) use and Interstitial lung disease (ILD) in patients with dermatomyositis (DM). buff.ly/3zh6nJy
Oral Surveillance study revisited: the risk of Venous thromboembolism & Pulmonary emboli were higher with tofacitinib (10>5 mg BID) versus TNFi and were generally consistent over time. VTE & PE risk incr by age, BMI, and VTE Hx buff.ly/3vvQVYJ
Lele Adani elenca le differenze tra Juve e Inter, che in difesa ha preso a zero Darmian e Acerbi e li ha resi di grande livello mentre la Juve ha Danilo e Bremer, tra il lavoro di Inzaghi su Calhanoglu e quello di Allegri su Locatelli (40mln)
Interesting topic: should we stop NSAIDs before MRI in order to avoid a misdiagnosis of sacroilitis? ard.bmj.com/content/82/Sup…
Artrite psoriasica, risankizumab migliora qualità della vita e alcuni ou... youtu.be/7ubuOZLIvWw via @YouTube
#EULAR2023 2023 Update of EULAR recommendations for the treatment of systemic sclerosis Organ Based Approach
✅ Checklist for the new #EULAR2023 #Recommendations ✍️ for the treatment of systemic #Lupus, as presented by Boumpas 📺 last week for the taskforce 💪 We have been working VERY HARD to update & improve these reco compared to the previous ones (2019) 👍 #RheumTwitter #MedTwitter
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
Which bDMARD first in PsA? 2023 @eular_org recommendation: no preferred order. All are equal in its eyes #EULAR2023 @RheumNow
Scleroderma therapeutics: we’re actually getting some choices! Christian Dejaco #EULAR2023 @RheumNow
New 2023 @eular_org SLE recommendations Key changes, in response to evidence: - more caution re: steroids - biologics earlier - combo therapy (BEL or CNI/VCS) considered for lupus nephritis #EULAR2023 @RheumNow
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