Meera Shah

@AbhibrotoKarma1 Thank you!

@27Meera Congrats

#EULAR2026 it is! 🥳

When ESR and CRP disagree, your job isn’t just to record numbers — it’s to interpret what the body’s really saying. 🧪 ESR ↑ + CRP ↓ → SLE, APLA 🧪 ESR ↓ + CRP ↑ → Infection, Vasculitis 🧪 Both ↑ → Flare 🧪 Both ↓ → Remission They don’t lie — they whisper clues. 👇 Save this infographic. #Rheumatology #MedTwitter #FOAMed #ClinicalPearls #MedEd @DrAkhilX @IhabFathiSulima @CelestinoGutirr @ArunInamadar @Janetbirdope

@DurgaPrasannaM1 @NatRevRheumatol @HanerDireskenel @drfatmaalibaz @petercgrayson @DandaDebashish Heartiest congratulations sir! 💐

Delighted to be a part of this review on #Takayasu Arteritis in @NatRevRheumatol with @asawalhamd Ruchika Goel @HanerDireskenel @drfatmaalibaz @petercgrayson Kaitlin Quinn. What was special about this article was a dedication to the Late Professor @DandaDebashish, a pioneer in #Takayasu Arteritis. @IJRheum @IndianRheum @Rheumat_Aravind @IlliasulK @abledoc @Amansharmapgi @reallyrudi91 @DrPradeepta @RheumattDoc @dr_immuno29 @kunalchandwar @APLAR_org @eular_org @ACRheum @drssjagtap @DrMiniDey @ElenaNikiUK @Kanjivellam @sakir_rheum @chengappa_kg @vascuk @vascuk @anzvasc . I shall be separately posting a summary of this article

#Lupus The ACR25 organ specific treatment guidelines 👇

🆕 2025 ACR Guideline for Treatment of Systemic #Lupus Erythematosus 🦋 Just Released: Nov 3 #ACR25 🔥 🔸Review organ-specific treatment recommendations 🔸Steroid & HCQ Use Guidance ➠ Read the Full Guideline: acr.tw/47mkegj #RheumX #RheumTwitter #Rheum @RheumNow

Digital Rheumatology Radar Survey - An international research project by the @DigitalRheumatology @JK77775 See how your country performs compared to others in adopting and implementing digital tools in rheumatology practice! redcap.kks.uni-marburg.de/surveys/?s=9PR…

@US_FDA rheumatology approvals, 2025 #ACR25 @RheumNow

Management of cardiac and joint sarcoidosis. Use of TNFi in treatment refractory cases. Alana Nevares-Berrios @RheumNow #ACR25

🥁🥁🥁And the winner is...CAR-Titans from India!🇮🇳 Huge round of applause to Team members : 🌟🌟Dr.Mohith,Dr.Ritesh , ably led by Dr.Sarath !🌟🌟 🪄💫Congratulations on winning the #ACR Knowledge Bowl at ACR Convergence 2025! 🏆🎉 🇮🇳🌍 #ACR25 #ACRambassador

⚠️Think about X-linked #hypophosphataemia Early onset pseudofractures and dental loss, enthesopathy and pain ⭕️**Low** phosphate ⭕️High ALP ⭕️High FGF23 #ACR2025

Plenary session at #ACR2025 by Michelle Petri 📣Important insight on early LN detection: ‼️UPCR (0.25-0.499) + predictor of LN (non white/ serology/ active urine sediment) ➡️ 71% LN; 55% requiring treatment ❗️Low C3/C4- most important 🧐probably time to reconsider cut off!

For serositis- ▪️NSAIDs/colchine or combo > GC alone ▪️MMF > AZA (numerical benefit) ▪️Belimumab, Anifrolumab- showed benefit (however study underpowered)

#ACR2025 SLE guidelines ▪️Initiate steroid (GC)- control inflammation. LOWEST DOSE FOR SHORTEST DURATION ▪️Pulse GC f/b oral taper > high dose taper w/o pulse ▪️unable to taper GC <5mg/d- initiate/escalate IS ▪️HCQ- continue indefinitely, even if remission #ACRambassador

Take-home points Summary from Dr Nigrovic's talk on Still's Disease #ACR25 #GlobalSummit

📢 Calling all #ACR25 attendees! 📢 To help you prepare for your time in the Windy City, this year we’ve created a webpage that's PACKED with essential information & organized by what you need to know before you arrive, while you’re there, & even after the event. Take a look & bookmark it NOW 👀 → acr.tw/4qhTXHq

🧩Understanding “Psout” — when #PsA meets #gout 👉doi.org/10.1007/s00296… ✅Shared pathophysiology: uric acid–driven inflammation via IL-23/IL-17 axis ✅“Psout” = more peripheral, destructive, and treatment-resistant phenotype ✅Early recognition essential

Lupus Nephritis updates

How to differentiate Enthesitis versus tendinopathy ? #Iracon2025 Simple clear messages

Pain is one of the most common challenges in rheumatology practice. Learn practical, case-based strategies to manage it better at the Pain Management Workshop #IRACON2025. 📅 9 Oct 🕑2pm-6:15pm| New Delhi Register Now! 👉 iracon2025.com