I'm a Rheumatologist, Allergist, and Immunologist interested in medical education, addressing health disparities, and advancing medical communication.
Nov 10, 2022 • 7 tweets • 2 min read
Dr. Ramya Puligari presents the third case of myositis at #ACR22 Global Meet the Experts for Myositis
What to do next?
According to experts:
- No data out there for stopping rapidly progressive ILD in MDA5-Myositis
- Infectious risk must be balanced with enhanced immunomodulation. Combine with IVIg?
- Prednisone (1mg/kg)?
Nov 10, 2022 • 8 tweets • 2 min read
Thanks, Dr. Philippa van Dantzig for such a fascinating case at the Global Meet the Experts (Myositis)!! #ACR - the experts weigh in: "for these cases, evaluation by a muscle pathologist is really important ... what types of inflammatory cells? muscle fibers? invasion by inflammatory T-cells for instance?"
Nov 10, 2022 • 10 tweets • 2 min read
Interesting questions being posed for the Global Meet the Experts Myositis session #ACR22
Regarding Q1 (re: MDA5), according to experts:
- The presence of MDA5 should raise risk of ILD (get HR-CT)
- Careful reevaluation of muscle strength and endurance (repetition tests)
- Keep under tight observation