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CatitaFand

@dra_markitty

Médico Internista HJM. Reumatología HCIMP. 🇨🇴🇲🇽. ILD❤️Ana-Alissa🦋 Geek, Friki, Mitad de @PhilPage30 🐭🐻❤️. Amor infinito a los gatos🐱❤️ Antiuribista.

 México
Joined February 2016
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Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)Photo by CatitaFand (@dra_markitty)
This page is dedicated to exposing the lies of the Islamic faith. If you don’t like it, you are free to leave—just don’t bother me.
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Is it the treatment or the disease? -Multiple meds can cause SCLE: more widespread, EM,Bullous features. -Dupilumab can cause enthesitis: if severe needs dc of medication -Anti-CD 20 may cause IBD (Crohn’s-Like) Great lecture from @md_chawla on Drug induced syndromes #ACR26 @RheumNow
Image from Adela Castro (@AdelaCastro222)
Image from Adela Castro (@AdelaCastro222)
Image from Adela Castro (@AdelaCastro222)
Image from Adela Castro (@AdelaCastro222)
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Anime Aesthetics (@anime_) profile picture
Anime Aesthetics
@anime_17h
Gojo killed Hanami using infinity 💀
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Practicon (@moy_qmac) profile picture
Practicon@moy_qmacNov 11
Ahi va un ejemplo de lo subdiagnosticado que esta el Sjogren. Mujer de 70 años lleva 2 años con el diagnóstico de artritis reumatoide, le dan metotrexato a dosis suboptimas y viene conmigo por dolor articular. Trae franca artritis bilateral y estos son sus estudios.
Image from Practicon (@moy_qmac)
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#antiphospholipid #pregnancy #ACR26
Image from Dr hanady manasfi (@hanadymanasfi)
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Animetrends (@AnimetrendsLA) profile picture
Animetrends
@AnimetrendsLA13h
Yuta grado especial desde que entró 😭
Image from Animetrends (@AnimetrendsLA)
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⚠️ 4 high-risk drug combinations clinicians should recognize! 💊 Methotrexate + Co-trimoxazole → Myelosuppression 💊 Azathioprine + Xanthine oxidase inhibitors → Severe myelosuppression 💊 Warfarin + NSAIDs → Major bleeding 💊 NSAID + ACEi/ARB + Diuretic → Acute kidney injury Some combinations are contraindicated; others require specialist management. ⚕️ Educational only. Not individual prescribing advice. #Rheumatology #DrugSafety #PatientSafety #MedicalEducation #MedEd @IhabFathiSulima
Image from Aravind Palraj (@Rheumat_Aravind)
Aravind Palraj (@Rheumat_Aravind) profile pictureAravind Palraj
@Rheumat_Aravind9 Aug 2025
🧵 Drug Combinations That Can Kill — Interactions You Must Never Miss We prescribe these daily. Get the combination wrong → bleeding, rhabdomyolysis, bone marrow suppression, cardiac arrest. Here are the 10 combinations you must always check for 👇 @DrAkhilX @IhabFathiSulima @CelestinoGutirr @Janetbirdope @DurgaPrasannaM1 @SarahSchaferMD @NeuroSjogrens #MedTwitter #RheumTwitter
Image from Aravind Palraj (@Rheumat_Aravind)
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Roxana González (@RoxOsler) profile picture
Roxana González@RoxOslerNov 10
EULAR 2026 vaccination recommendations: Assess vaccine status at diagnosis and annually. Individualize plans and vaccinate early, even with active disease. Prioritize influenza, pneumococcal, recombinant zoster and COVID-19 vaccines; consider live vaccines cautiously. #ACR26
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
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Anime Shots (@anime_shots) profile picture
Anime Shots
@anime_shotsNov 11
Image from Anime Shots (@anime_shots)
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Roxana González (@RoxOsler) profile picture
Roxana González@RoxOslerNov 11
#Sarcoidosis ➡️ Small-fiber neuropathy 🔹Common (33-85%) 🔹Burning pain, paresthesias, fatigue and dysautonomia may occur despite inactive sarcoidosis. 🔹Normal EMG/NCS does not rule it out: consider a 3-mm skin biopsy to assess intraepidermal nerve fiber density. #ACR26
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
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Roxana González (@RoxOsler) profile picture
Roxana González@RoxOslerNov 9
#Sjögren ➡️ The sicca trap. In SICCA (n=3,409), dry mouth was equally common in classified and non-classified patients (90% vs 90%). With onset ≤34 years, 67% lacked sicca and diagnosis was delayed (93 vs 45 months). Sicca scores zero in 2016 ACR/EULAR criteria. #ACR26
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
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“There is no Islamic threat to America. It is all fearmongering.” Meanwhile, a senator with ties to the Muslim Brotherhood and a congressman with ties to fucking al-Qaeda have just been elected.
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Chadash (@Chadash22) profile picture
Chadash@Chadash22Nov 10
As someone that was raised in witchcraft/paganism and became Christian, I can tell you demons love messy rooms, and take delight in chaotic spaces.
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#100DaysOfRheum Day 41 💊 JAK inhibitors after ORAL Surveillance: dangerous for all? Trial (age ≥50 + CV risk): MACE HR 1.33, cancer 1.48 Real world, 813,881 pts: MACE 0.91, cancer 1.02; clots 1.26 EULAR 2025: still an option, risk factors first Not banned, but chosen.
Image from @DrParagRheum (@paragvijay95)
Image from @DrParagRheum (@paragvijay95)
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Roxana González (@RoxOsler) profile picture
Roxana González@RoxOslerNov 9
#Sjögren 🔺Missing tests do not exclude Sjögren. 🔬Ro52/Ro60 matter: 58% of 390 patients had both, linked to ⬆️IgG, RF, ESSDAI and IFN-I. Isolated anti-SSB adds little; with anti-SSA, focus score ≥1 was more likely 🔶Isolated Ro52 warrants ILD assessment. #ACR26
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
Image from Roxana González (@RoxOsler)
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Janet Pope (@Janetbirdope) profile picture
Janet Pope@JanetbirdopeNov 9
Giants in #SLE presenting posters w great teaching R van Vollehoven M Petri #ACR26 @RheumNow @ACRheum
Image from Janet Pope (@Janetbirdope)
Image from Janet Pope (@Janetbirdope)
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Lord Pelandrujo (@Myulap) profile picture
Lord Pelandrujo
@MyulapNov 10
Cuando sientas que la estás cagando en la vida, solo recuerda que hay una enfermera especialista siendo llevada al hospital en su propio carro por un wey desempleado.
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Not every purple skin lesion is vasculitis! 🔍 4 vascular skin patterns every clinician should recognize: 🔴 Palpable purpura → Small-vessel vasculitis 🟣 Livedo racemosa → Think APS / Sneddon syndrome 🔴 Retiform purpura → Vascular occlusion or vasculitis ⚫ Digital infarction → Critical ischemia 🚨 New necrosis or critical ischemia demands urgent assessment. Recognize the pattern. Don’t miss the underlying disease! #Rheumatology #Vasculitis #AntiphospholipidSyndrome #Dermatology #MedEd @IhabFathiSulima
🤖 Made with AI
Image from Aravind Palraj (@Rheumat_Aravind)
Aravind Palraj (@Rheumat_Aravind) profile pictureAravind Palraj
@Rheumat_Aravind6 Jul 2025
🧵 “10 Skin Clues That Should Make You Suspect Vasculitis” Skin findings are often the first window into systemic vasculitis. Here are 10 patterns you can’t afford to ignore 👇 #Rheumatology #MedTwitter #ClinicalPearls #Vasculitis @DrAkhilX @IhabFathiSulima @VasculitisFound @vascuk @vasculitides @Janetbirdope
Image from Aravind Palraj (@Rheumat_Aravind)
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Ahora entendí que si mantienes el dedo en el GIF y tocas "copiar enlace del video" se puede copiar muy fácilmente. Me sirve para robar GIF.
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🆕 #ACR26 The Great Debate - Diagnosing Sjogren's Disease: Is Lip Biopsy Really Necessary? 🔹Role of Salivary Gland Bx for Dx 🔹Use in SSA neg patients or ruling out mimics 🔹can see focus score ≥1 in healthy populations! #Sjogrens #SjogrensDisease #RheumX
Image from Mithu Maheswaranathan, MD (@MithuRheum)
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