Thread by @ERheumat

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
Jason Kolfenbach, with his wonderful pearls
1. Vasculitis Pearls
🦪For Steroids ➡️ Less is more
🦪Be very careful in stopping Rx in AAV pts
🦪Don't give up on PLEX in suspected AAV Anti-GBM may have ANCA positivity.

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12S130. Rheumatology Secrets and Pearls
🦪Not all Skin thickening = SSc
🦪Lipodermatosclerosis (with inverse 🍾 sign)
🦪Thyroid disease important mimics
🦪PPI can cause diarrhoea
🦪FVC/DLCO ratio can help diagnose ILD/PAH

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
🦪30% SLE pts have APS
🦪DLE uncommonly progresses to SLE
🦪PPIs, NSAIDs, Anti-HTN meds commonly cause SCLE

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12S130. Rheumatology Secrets and Pearls
The most stressed Pearl
🦪Anterior uveitis is just a symptom
🦪Igg4, GPA , Sarcoid can affect the orbit
🦪Scleritis may not always be painful
🦪IBD/PsA Uveitis is diff from AS

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
🦪Gout is unlikely in the absence of a history of foot involvement
🦪In suspected FM always rule out OSA
🦪Pistol grip deformity and Cam deformity can be seen in early OA