Thread by @ERheumat

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
Dr John Stone, at his best
🎯RA may present with asymmetric arthritis
🎯AAV might present with migratory oligoarthritis, which is steroid responsive
🎯Only a quarter of RA patients go into remission during pregnancy

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
🎯Following trends is more important in pregnancy that stat values (ESR/Complements)
🎯Proteinuria⬆️ creat ⬇️ due to ⬆️ GFR and maternal Blood volume in pregnancy

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
🎯Puffy fingers may be the first sign of SSc in RNApolIII SSc and No Raynaud's - May present with SRC
🎯ACEi are best kept reserved for SRC

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
🎯IgG4 and GPA are doppelgangers
🎯Serology (MPO/PR3) and biopsy (Granulomas) might help in differentiation
🎯IgG4/Sjogren's/Sarcoid/GPA can cause submandibular swelling and Dacryoadenitis

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
🎯Ophthalmological findings can be an harbinger of autoimmune diseases
🎯Adolescent oligo arthritis may be due to JIA-ERA/ Juvenile SpA

#ACR2022 #ACR22
12S130. Rheumatology Secrets and Pearls
👑 Dense syndrome