Discover and read the best of Twitter Threads about #rheum
Most recents (3)
The ACR is aware of the emerging concerns surrounding access to needed treatments such as #MTX after the recent decision in Dobbs v. Jackson Women’s Health Organization. 
We are following this issue closely to determine if #rheum providers & patients are experiencing any widespread difficulty accessing #MTX
or if any initial disruptions are potentially temporary & due to the independent actions of pharmacists trying to figure out what is & isn’t allowed where they practice.
1/ A 46-year-old man with a history of #malaria presented to the @JohnsHopkinsDOM on 8/12/1923 with
-- 3 years of generalized arthralgia
-- intermittent joint swelling
-- 40 lbs weight loss
@CPSolvers @DxRxEdu #medtwitter #MedEd
-- 3 years of generalized arthralgia
-- intermittent joint swelling
-- 40 lbs weight loss
@CPSolvers @DxRxEdu #medtwitter #MedEd
2/ Exam
-- synovitis of the 2nd and 3rd MCPs
-- diffuse joint tenderness
-- lymphadenopathy
-- pyorrhea alveolaris* of the few remaining teeth.
What do you want to do next? What's your #DDX?
Remember: Sir William Osler died in 1919, so it's all you...
-- synovitis of the 2nd and 3rd MCPs
-- diffuse joint tenderness
-- lymphadenopathy
-- pyorrhea alveolaris* of the few remaining teeth.
What do you want to do next? What's your #DDX?
Remember: Sir William Osler died in 1919, so it's all you...
So far, we have #tuberculosis on the differential. “Consumption” or “#phthisis”, wasting away, as #Tb was often referred to, certainly could explain this patients weight loss and adenopathy.
But does it explain the rest?
But does it explain the rest?
CUTANEOUS LUPUS – a #tweetorial/#medthread!!
We all learn about Systemic Lupus Erythematosus (SLE) in medical school, but did you know there are multiple forms #lupus can take in the #skin?
#Meded #FOAMed #dermtwitter #medtwitter #rheumtwitter #dermatologia pc: @dermnetnz
1/
We all learn about Systemic Lupus Erythematosus (SLE) in medical school, but did you know there are multiple forms #lupus can take in the #skin?
#Meded #FOAMed #dermtwitter #medtwitter #rheumtwitter #dermatologia pc: @dermnetnz
1/
It wasn’t until #dermatology residency I learned about all the subtypes of cutaneous lupus (CLE)! I thought it was all just one disease: SLE. But in reality there are many forms of CLE, each with its own implications on systemic involvement and effect on the patient.
2/
2/
Let’s start with the 3 subtypes:
Acute, Subacute, and Chronic Cutaneous Lupus Erythematosus (ACLE, SCLE, CCLE). CCLE is aka Discoid.
Each subtype "overlaps" with SLE in a different way.
Eg: ACLE overlaps completely with SLE, so they all have SLE! 👇
onlinelibrary.wiley.com/doi/abs/10.111…
3/
Acute, Subacute, and Chronic Cutaneous Lupus Erythematosus (ACLE, SCLE, CCLE). CCLE is aka Discoid.
Each subtype "overlaps" with SLE in a different way.
Eg: ACLE overlaps completely with SLE, so they all have SLE! 👇
onlinelibrary.wiley.com/doi/abs/10.111…
3/
