Hey @UpToDate,

As someone not from this community, I don't wanna step on toes, but do want to ask a question.

Is this language on HIV associated HHV8 risk factors stigmatizing those identifying as homosexual or bisexual men, and a bit simplistic? no real discussion here.
Instead of comparing sexual orientation, sexual activtiy involving saliva among those with HIV (which yes is higher in MSM) is the proposed transmitting risk factor you might mean. "IV drug use" is an action that irrespective of sexual orientation.
The sources for why sexual activity with saliva is the risk factor for HHV-8 transmission and how # of sexual partners correlates.

pubmed.ncbi.nlm.nih.gov/9521982/

ncbi.nlm.nih.gov/pmc/articles/P…
These are cited in nature disease primers who go a bit more in depth into why it is the sexual activity, not the sexual orientation, that is at play.
It seems there a better way to phrase this language that explains this risk factor in a more nuanced and transmission related way.

Wondering what more knowledgeable people of med twitter think- how can we improve this?

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More from @nsrosenberg

12 Nov
Another new diagnosis I had never heard of until this pulm rotation: Ulcerative Bronchiolitis (yup, you saw that right). 🧵of an illness script of a rare condition!

Inspired by @EmmGeezee's comments here


#MedTwitter #tweetorial
Background: although called "Inflammatory Bowel Diseases", Ulcerative Colitis and Crohn's Disease do not spare other organs. Some examples:
▶️Rheum: Vasculitis, Arthritis
▶️Skin: Psoriasis, Erythema Nodosum...
▶️Neuro: Encephalitis
▶️Optho: Uveitis

and many more!
Lets focus on the Lung: UC in particular can affect a bunch of "aireas" (🥁):

▶️Upper Airway: Tracheal Stenosis (subglottic)
▶️Lower Airways: Most common = Bronchitis and Bronchiectasis, then rarely Bronchiolitis, Bullous Disease, OP, Vasculitis, and Eosinophilic Disease.
Read 16 tweets
10 Nov
Learned about Paradoxical Vocal Fold Dysfunction for the first time today, figured I'd share a few pearls!

#MedTwitter #MedStudentTwitter #pulmonary
PVFM is defined by recurrent closure of the vocal folds during inspiration. Remember to accurately breath, we need to normally have abducted vocal folds, cause otherwise there is no air passing distally. Image
Its etiology is not specifically known as a functional disorder, but some triggers are:
▶️Exercise
▶️Stress
▶️Airway Irritation via Trauma or Asthma
▶️Neurologic Disease
▶️GERD or Larygnopharyngeal Reflux
▶️Medications: EPS are associated (acute dystonia being a common link)
Read 11 tweets

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