CMcG Rheum

@medicastra.medsky.social

#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

#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.

#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!!!!

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

Shingo Omata@shingoomata.bsky.social · 2y ago

<What's your diagnosis?> Pt: 41 y/o Male HPI:POD 73 of cadaveric renal transplant: New onset bilateral pain in feet and ankles, ascending to knees. PMH: IgA nephropathy, HTN #Rdiag #RadEd #MedEd #MSKRad

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.

MDSpire News@mdspirenews.bsky.social · 2y ago

A right-handed man in his 50s presented with a painless, enlarging nodule destroying his nail. Biopsy confirmed a rare but locally aggressive tumor. What’s your diagnosis? #Dermatology #MedSky

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.

Lupus Foundation of America@lupus.org · 2y ago

💜 #FactFriday: Lupus nephritis can lead to kidney failure, but better access to treatments is saving lives. Staying informed about the risks and complications of lupus is an important step toward protecting your health. Learn more about lupus-related causes of death: https://buff.ly/3PXMmgd