Rheumatologist at Allegheny Health Network. Interested in Med Ed, autoimmune lung disease, and helping sick people feel better.
Nov 8, 2020 • 11 tweets • 3 min read
Some highlights from #Sjogrens Syndrome: Dental and Ocular Perspectives (a thread)
With Dr. Athena Papas and Dr. Esen Akpak
#ACR20 #ACRambassador @SjogrenpowerAna@SjogrensCa
Reduced salivary production leads to more than just the symptom of dry mouth!
💠Decreased lubrication ➡️ difficulty speaking and swallowing
💠Loss of remineralizing saliva ➡️ cavities and tooth decay
💠Increased infections, including candidiasis and periodontal disease
Nov 6, 2020 • 10 tweets • 4 min read
Related to my last live tweet: Lung Disease Challenges in Myositis: Diagnosis, Treatment, and Screening
HRCT is incredibly important!
-Different ILD patterns predict outcomes and response to therapy
-Look for non-ILD findings that impact diagnosis and treatment: esophageal dilation, pulmonary artery dilation, pleuritis, tumors
Nov 6, 2020 • 14 tweets • 5 min read
#ACR20 Evaluation and Treatment of Systemic Sclerosis-ILD in the New Decade with Dr. Anna Hoffmann-Vold
(a live-tweet)
Some background facts all rheumatologists need to know:
👉ILD often arises early in the course of SSc
👉Not just in dcSSc, or just with Scl70 Ab
👉MAJOR cause of morbidity and mortality, even when degree of fibrosis is not severe
Sep 27, 2020 • 18 tweets • 4 min read
T-5 days until rheum boards! 🙃 Today, let’s review MSK manifestations of endocrine disease. We’ve got it all: diabetes, hypothyroid, hyperthyroid, parathyroid...ready? #rheumtwitter #medtwitter #tweetorial #FOAMed
Let’s start with diabetes. People with diabetes tend to produce more “advanced glycation end products,” which are metabolic byproducts that get deposited into tissues and make tissues thicker, stiffer, and weaker.
