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CMcG Rheum

@medicastra.medsky.social
3.1K followers 15K following 108 posts

#Hospital, #MD, #Rheumatology, UK based. A chemistry PhD & pharma bg, came to medicine late Scrolling is a distraction from taking action. Pick some concrete way to help & get to it. @twofishnocat.bsky.social for the likes/hobbies stuff

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CMcG Rheum @medicastra.medsky.social · 06/06/2026
Helga Lechner Radner, Abstract Chair tells us that there was a record breaking just over 5700 abstracts at this year's #Eular2026. Now the baton goes to Berlin for 2027.
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CMcG Rheum @medicastra.medsky.social · 06/06/2026
#EULAR2026, Professor Victoria Werth highlighting how interface dermatitis is indistinguishable between SLE and dermatomyositis. Thus both should be in the differential diagnosis even if not mentioned in the pathology report.
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CMcG Rheum @medicastra.medsky.social · 05/06/2026
Hector Chinoy warns to be aware of false negative myositis specific antibodies at #Eular2026. Are there technical considerations? Despite this about 20 % true seronegative.
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CMcG Rheum @medicastra.medsky.social · 04/06/2026
#Eular2026 Audience question in session Drawn by immunology - if we follow the mechanisms, this drug shouldn't work but yet it does. I think the principle is important, there are a lot of known unknowns in the drugs we use. We need to keep asking and challenge what we think we know.
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CMcG Rheum @medicastra.medsky.social · 04/06/2026
#Eular2026 Hendrk Schulze-Koops driving home the Adverse Effects (irae) of immune checkpoint inhibitors. Throw out the textbooks and help the patients manage the symptoms.
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CMcG Rheum @medicastra.medsky.social · 04/06/2026
#Eular2026, fascinating talk by Wolfgang Merkt on the BiTE approach. Examples of Autoimmune reset and limitations. Get the feeling that this approach will lead to far deeper understanding of disease pathophysiology. So excited!!!!
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CMcG Rheum @medicastra.medsky.social · 03/06/2026
Almost no room in the inn for #Eular2026 Chest HRCT in SARD-ILD. Learning loads from radiologist Gerlig Widmann. Great build up of pattern recognition.
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CMcG Rheum @medicastra.medsky.social · 03/06/2026
#Eular2026 and it begins.
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CMcG Rheum @medicastra.medsky.social · 15/04/2026
Why is seeing a cutting (Jade plant) take root so satisfying?
A spherical clear glass container with multiple new white roots visible
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CMcG Rheum @medicastra.medsky.social · 24/02/2026
Excellent GCA (and PMR) overview of direction of travel in pinning down diagnosis from Dr Monti. Grazie.
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CMcG Rheum @medicastra.medsky.social · 16/12/2025
Is IgG4 related disease really that rare? Don't think so...
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Haus Health Rheumatology @haus.health · 12/11/2025
🧵 The ANA Test — Medicine’s Most Misinterpreted Marker Up to 1 in 7 healthy adults test positive and never develop autoimmune disease. Read the full post here: 🔗 haus.health/blog/ana-tes... #Rheumatology #Autoimmune #Lupus #Medicine
haus.health
The ANA Test Explained: What a Positive Result Really Means — Haus Health Rheumatology
A rheumatologist explains why the ANA test is often misinterpreted—and what a positive result does (and doesn’t) mean for autoimmune disease.
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CreakyJoints® @creakyjoints.bsky.social · 23/10/2025
GCA is a rare autoimmune disease that causes inflammation in the blood vessels — often leading to headaches, scalp tenderness, jaw pain when chewing, and in some cases, vision loss. Awareness saves sight. #GCAAwarenessDay #ChronicIllnessCommunity #InvisibleIllness #AutoimmuneWarrior #CreakyJoints
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CMcG Rheum @medicastra.medsky.social · 27/07/2025
Random. Have you ever seen someone demoing a rowing machine with good form, without knees coming up before hands pass etc.
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CMcG Rheum @medicastra.medsky.social · 15/02/2025
Someone posted about their tachycardia moment. Is anti-MDA5 associated ILD etc the ANCA positive ILD etc of this century?
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Shingo Omata @shingoomata.bsky.social · 15/02/2025
CIPS (Calcineurin Inhibitor-induced Pain Syndrome) ✅ Acute symmetric pain in transplant pts on CNI ✅ distal → proximal joints ✅ MRI: subchondral/periarticular edema; T1↓, T2↑ ✅ Bone scan: calcaneal uptake↑ ✅ Treatment: Ca channel blockers #Rdiag #MSKRad #RadSky #MedSky PMID: 23615775
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Cristina Popa @nephroseeker.medsky.social · 08/02/2025
In case you missed the poster session this morning #ISNWCN APPEAR -C3G trial results showing promising at 12 months ✨Nice seeing @profnickwebb.bsky.social
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Paresh Malhotra @pareshmalhotra.bsky.social · 10/01/2025
JOB ALERT FOR NEUROLOGY TRAINEES. On www.oriel.nhs.uk now. Academic Clinical Lecturer post in Dementia & Neurodegeneration @imperialbrains.bsky.social. Research can cover any aspect of the above. Please repost and feel free to contact me if interested (am at ABN SIG meeting today).
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CMcG Rheum @medicastra.medsky.social · 06/02/2025
Have definitely seen a few of these in #rheumatology as one of the painless lumpy bumpy things that we are asked about. There was a painful one though that spread under the hand flexor retinaculum. Pleased with the name change as the old one just never quite rolled off the tongue.
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CMcG Rheum @medicastra.medsky.social · 05/02/2025
From 2023, a nice discussion of retinal vein occlusions. I might always be on the lookout for #GCA but being clearer on the other options for painless vision loss is valuable. lrn.peerview.com/150209033_1_...
lrn.peerview.com
MDADI
MDADI
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CMcG Rheum @medicastra.medsky.social · 04/02/2025
Holey monstera!!
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CMcG Rheum @medicastra.medsky.social · 03/02/2025
That is very thought provoking. An #INR of 20.5, and such a high anti-TTG!!!
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CMcG Rheum @medicastra.medsky.social · 03/02/2025
Please, por favor, s'il vous plait, put something, anything in the profile spiel to catch the moucha.
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CMcG Rheum @medicastra.medsky.social · 03/02/2025
Please @bluesky, come up with a #bookmark tab. Screenshots are tedious.
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CMcG Rheum @medicastra.medsky.social · 03/02/2025
@benoitbrilland.bsky.social Could you add me to your starter list please
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CMcG Rheum @medicastra.medsky.social · 03/02/2025
Thanks, added this to my profile.
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Kazuki Yoshida @kaz-yos.bsky.social · 02/02/2025
Urine Protein Tests in Lupus: What do They Mean? | The Journal of Rheumatology buff.ly/3EhcTTl
buff.ly
Urine Protein Tests in Lupus: What do They Mean?
The development of nephritis in patients with lupus is associated with increased morbidity and mortality. Proteinuria is a key indicator of kidney involvement detecting and monitoring proteinuria is…
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May Kazem MD MHA FRCPC @drmkazem.bsky.social · 02/02/2025
Bosentan protective in development of PAH in SSc patients?? #systemicsclerosis #scleroderma #rheumsky www.jrheum.org/content/earl...
jrheum.org
Pulmonary Arterial Hypertension Incidence in Patients With Systemic Sclerosis Treated With Bosentan for Digital Ulcers: Evidence From the SPRING-SIR Registry
Objective Bosentan (BOS) is approved for treating pulmonary arterial hypertension (PAH) and preventing digital ulcers (DU) in systemic sclerosis (SSc). Our study aimed to evaluate whether BOS prescrib...
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CMcG Rheum @medicastra.medsky.social · 31/01/2025
I would always suggest that you bring in a urine sample for your SLE consultations. Lupus nephritis doesn't have to be specifically symptomatic and a urine dip result can highlight if your kidney is unhappy (blood, protein). Of course there are other tests but this is a simple one.
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CMcG Rheum @medicastra.medsky.social · 31/01/2025
Good article. Thanks for sharing. Interesting to see a target for novel pain pathways. The difference with the sciatica pain also intriguing. Something to follow.
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CMcG Rheum @medicastra.medsky.social · 26/01/2025
I read once, that a sign of a civilised society was finding evidence of bone growth in someone with a broken thigh. Here's to new bone growth in our society. whofoundation.donorsupport.co/page/FUNEKRB... #1dollar1world #HealthForAll whofoundation.donorsupport.co/page/FUNEKRB...
whofoundation.donorsupport.co
1 Dollar, 1 World
I have been at WHO for over 10 years. Like my colleagues, I have worked my butt off day and night to fight Covid and work towards universal access to health care. This place frustrates me every day.
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Scott McGrath @smcgrath.phd · 22/01/2025
🧪 Modern menopausal hormone therapy, using safer options like transdermal patches and bioidentical hormones, may lower risks of heart disease and osteoporosis if started within 10 years of menopause or before age 60. 🩺 🛟
nature.com
The new science of menopause: these emerging therapies could change women’s health
Researchers are exploring how to prolong ovarian life and revisiting hormone replacement therapy — a once routine treatment that has fallen out of favour.
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Richard Ferro, MD MSc @richferro.com · 18/01/2025
Attention #Medsky! We’re slowly rolling out the new .medsky.social handle. Like the labeler this is another way to show your colleagues you’re a part of the Medsky network, and what’s great is you don’t have to be subscribed to the labeler for people to see it! DM me to get your invite link!
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Andrea Chittle MD MPH CCFP @andreachittle.medsky.social · 19/01/2025
Thanks @richard.medsky.social for organizing & adding me to the .medsky.social.handle! DM Richard for an invite link to the labeler 👇 #medsky
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Hellen C. Greenblatt @hellengreenblat.bsky.social · 22/11/2024
“...electrical stimulation of the vagus nerve—a major nerve connecting the brain and gut—may combat the #stress-related #inflammation that worsens #IBD symptoms.” bit.ly/3OjM8iG bit.ly/3YZYqBW
bit.ly
Vagal stimulation ameliorates murine colitis by regulating SUMOylation
Vagal stimulation or inhibition of SUMOylation with TAK-981 ameliorates colitis in mouse models.
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CMcG Rheum @medicastra.medsky.social · 18/01/2025
Myositis specific antibodies. #Medsky x.com/Dr_Aravind_P...
x.com
x.com
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Luke Austen @lukeausten.bsky.social · 18/01/2025
Tues 28 Jan I'm going to be doing a webinar for the MindTheBleep FY1 series on wellbeing working night shifts - planning to discuss sleep cycles, decision fatigue and strategies to minimise risks for our patients and ourselves. Hope you can join! #MedSky app.medall.org/event-listin...
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ACR Journals @acr-journals.bsky.social · 17/01/2025
A 71-year-old woman presented with a 5-month history of progressively worsening painful skin tightening and swelling of her extremities. Physical exam revealed bilateral edema in the forearms and legs, with erythema and skin induration #Medsky
Both forearms showed a linear depression in the skin parallel to the course of the superficial veins, more obvious on raising the arm, which was consistent with the “groove sign” (Figures A–B, arrows). The “groove sign” was also observed on the thighs (Figure C, arrow). MRI of the lower limbs showed enhancement of superficial (D, asterisk) and deep (D, arrow) fasciitis.
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CMcG Rheum @medicastra.medsky.social · 18/01/2025
A bit more about #dermatomyositis www.ncbi.nlm.nih.gov/books/NBK558...
ncbi.nlm.nih.gov
Dermatomyositis
Dermatomyositis is a rare acquired immune-mediated muscle disease characterized by muscle weakness and skin rash. It is classified as one of the idiopathic inflammatory myopathies (IIM). Although all ...
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CMcG Rheum @medicastra.medsky.social · 18/01/2025
"#Dermatomyositis is a chronic autoimmune disease with distinctive cutaneous eruptions and muscle weakness, and the pathophysiology is characterised by type I interferon (IFN) dysregulation. ...."https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02071-3/abstract
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CMcG Rheum @medicastra.medsky.social · 18/01/2025
Or were you thinking along these lines.... @msugrad70.bsky.social
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Peas & Potatoes Or Pills & Procedures? @peasorpills.bsky.social · 18/01/2025
New: "In summary, a higher consumption of fiber and fructose but a lower consumption of glucose was associated with a lower risk of diabetes." #diabetes #type2diabetes #medsky #fiber #fructose #fruit nutritionj.biomedcentral.com/articles/10....
nutritionj.biomedcentral.com
Types of dietary sugars and carbohydrates, cardiometabolic risk factors, and risk of diabetes: a cohort study from the general Danish population - Nutrition Journal
Background The role of carbohydrates in diabetes risk is of particular interest due to conflicting results. This study aims to examine the prospective association between types of dietary carbohydrate...
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Rheum Cat @rheumcat.bsky.social · 17/01/2025
MedSky Consider bringing friends and colleagues onto this platform by including quick intro slides in your talks, if relevant
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CMcG Rheum @medicastra.medsky.social · 13/01/2025
Great article. I try and get the patient to own it. They need to know their uric acid target, they need to adjust their (usually) allopurinol in 100 mg increments. Give them the tools!!!
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CMcG Rheum @medicastra.medsky.social · 13/01/2025
Have you seen this @drnicolec.bsky.social I saw your post today and thought this is a bit of news.
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CMcG Rheum @medicastra.medsky.social · 12/01/2025
Books by Frank Herbert www.addall.com/books-in-ord...
addall.com
Frank Herbert Books In Order - Books In Order
With millions of copies sold worldwide, Frank Herbert's magnificent Dune novels stand among the major achievements of the human imagination as one of the most
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CMcG Rheum @medicastra.medsky.social · 12/01/2025
Books by Elizabeth Moon www.addall.com/books-in-ord...
addall.com
Elizabeth Moon Books In Order - Books In Order
Refusing to marry a pig farmer and joining the army even if it means never seeing her family again, Paksenarrion begins an adventure that enables her to
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CMcG Rheum @medicastra.medsky.social · 12/01/2025
Books by Adrian Tchaikovsky www.addall.com/books-in-ord...
addall.com
Adrian Tchaikovsky Books In Order - Books In Order
Seventeen years ago Stenwold witnessed the Wasp Empire storming the city of Myna in a brutal war of conquest. Since then he has preached vainly against this
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CMcG Rheum @medicastra.medsky.social · 12/01/2025
Books by Orson Scott Card www.addall.com/books-in-ord...
addall.com
Orson Scott Card Books In Order - Books In Order
Winner of the Hugo and Nebula AwardsIn order to develop a secure defense against a hostile alien race's next attack, government agencies breed child geniuses
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