I did not know this!
The pt has sarcoidosis w/ESRD; her SI joint erosions were related to hyperPTH #RheumGR @UTSWInternalMed@twitter.com
RT @UTSWRheum@twitter.com
When there is bilateral sacroiliitis with erosions, DDx include:
1.hyperPTH in setting ESRD
2.ankylosing spondylitis
3.IBD
4.RA
In this case, look at the cortical resorption and the osteopenia in other areas. The pt has hyperPTH related to ESRD- Dr. Avneesh Chhabra
๐ฆ๐: https://twitter.com/UTSWRheum/status/1613550581334908928
Good to know! #RheumGR @UTSWInternalMed@twitter.com
RT @UTSWRheum@twitter.com
Anasarca vs myositis?
DIFFUSE edema is seen in anasarca and PATCHY edema is in myositis. In this case, the patient has both. On MRI with fat suppression, you can see the fluid as bright. โ Dr. A Chhabra
๐ฆ๐: https://twitter.com/UTSWRheum/status/1613551926888505344
RT @UTSWRheum@twitter.com
โWe need to consider inflammation as a cause of hypertension.โ - Dr. Keisa Mathis reviews her research on autoimmune induced #HTN using #lupus mouse models. @FizzyDoc@twitter.com #RheumGR #SLE
๐ฆ๐: https://twitter.com/UTSWRheum/status/1611012401310191616
RT @UTSWRheum@twitter.com
16% of Medicaid #SLE pts receive any form of contraception, 4% received highly effective contraception. Asians and black patients are less likely to use contraception, even when they are on teratogens. - Dr. C Feldman #RheumGR #HealthEquity #DEI
๐ฆ๐: https://twitter.com/UTSWRheum/status/1603410302179184644
#SLE #rheumgr #HealthEquity #DEI
The majority of pregnancies are accidental- not good if pts are on teratogens!
RT @UTSWRheum@twitter.com
16% of Medicaid #SLE pts receive any form of contraception, 4% received highly effective contraception. Asians and black patients are less likely to use contraception, even when they are on teratogens. - Dr. C Feldman #RheumGR #HealthEquity #DEI
๐ฆ๐: https://twitter.com/UTSWRheum/status/1603410302179184644
#SLE #rheumgr #HealthEquity #DEI
We need to address the SDOH. These are what matters to patients.
RT @UTSWRheum@twitter.com
Dr. C Feldman discusses the social determinants of health (access to food, mental health, employment, housing, etc) in high risk #SLE patients; these can be addressed by an integrated care management program and can improve no-show rates and ED visits #RheumGR #HealthEquity #DEI
๐ฆ๐: https://twitter.com/UTSWRheum/status/1603414154425106434
#SLE #rheumgr #HealthEquity #DEI
We need to do better!
RT @UTSWRheum@twitter.com
Top #SLE specific AVOIDABLE acute care conditions if high quality ambulatory care is received:
๐Vaccine preventable illnesses
๐Medication related complications
๐Reproductive health complications
๐SLE related comorbidities
Dr. C Feldman #RheumGR #HealthEquity #DEI
๐ฆ๐: https://twitter.com/UTSWRheum/status/1603402026615971840
#SLE #rheumgr #HealthEquity #DEI