Reumatóloga. Ecografía MSK. Maestría en Didáctica en Ciencias de la Salud. 👩🏼⚕️👩🏼💻
Colima, México
Joined March 2010
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mariaamparo enriquez retweeted
Una referencia anatómica clave en la ecografía del codo.
El supinador rodea el radio como un donut. Por delante identificamos el tendón del extensor radial corto del carpo, con su característica forma de bumerán.
#EcografíaMusculoesquelética #Epicondilitis#Mskfreak
mariaamparo enriquez retweeted
🔥Hot off the press for #ACR26 🔥
The @IgG4ward foundation guidelines on the treatment of IgG4-related disease
thelancet.com/journals/lanrh…
Free to read on lancet.com
mariaamparo enriquez retweeted
#100DaysOfRheum Day 38 💊
Folic acid with methotrexate: daily or weekly?
Placebo vs folic acid: 38% vs 17% stopped MTX for toxicity
10 vs 30 mg/week (PGIMER): no difference
Daily vs weekly: no large RCT
At least 5 mg/week, not on the MTX day. More than 10 adds nothing.
mariaamparo enriquez retweeted
Medscape overview of Fibromyalgia Therapies. Only four FDA approved FM drugs in the USA - pregabalin (2007), duloxetine (2008), milnacipran (2009) & sublingual cyclobenzaprine (2025) but none approved by the EMA in Europe. buff.ly/w8Wruvh
mariaamparo enriquez retweeted
ROTATOR CABLE: A key landmark in rotator cuff ultrasound
On short-axis ultrasound, it can be identified as a hyperechoic reinforcement along the deep surface of the supraspinatus tendon.
#MSKUltrasound #RotatorCuff#Mskfreak
mariaamparo enriquez retweeted
Beyond Chondrocalcinosis - What’s New in CPPD Disease
An overview of calcium pyrophosphate deposition (CPPD) disease by Sara Tedeschi presents our evolving understanding of CPPD with advances affecting nomenclature, classification, imaging, genetics, long-term outcomes and potential future targeted therapies.
buff.ly/N3KKqJV
mariaamparo enriquez retweeted
¿Mochila o bolso? Llevas años haciéndolo mal f.mtr.cool/po8qw3f2se
mariaamparo enriquez retweeted
Is an HLA-B27 positive test enough to diagnose Spondyloarthritis? Short answer: No.
Clinical features, inflammatory markers, and imaging must align. Positivity alone does not equal disease, and negativity does not rule it out.
Refer to this clinical algorithm to navigate the diagnosis, from spotting inflammatory clues to interpreting MRI findings.
#Rheumatology #InternalMedicine #MedEd #MedTwitter @IhabFathiSulima @docakx
mariaamparo enriquez retweeted
Orgullosos de nuestro @ColMexReuma y de su historia 🙌🏻🇲🇽@El_Universal_Mx
mariaamparo enriquez retweeted
🩸 El síndrome de Cushing es un estado protrombótico y el riesgo de ETV no termina tras cirugía ni con normalización del cortisol.
Nueva revisión en @FrontEndocrinol que analiza la evidencia y propone un algoritmo práctico de tromboprofilaxis.
🔗 doi.org/10.3389/fendo.2026.1…
mariaamparo enriquez retweeted
FDA has approved the IL-23 inhibitor tildrakizumab (Ilumya) use in adults with active psoriatic arthritis (PsA), expanding the interleukin indications beyond moderate-to-severe plaque psoriasis. (Based on INSPIRE-1/2; >800 adults, 52-week RCTs) buff.ly/xz2D3mc
mariaamparo enriquez retweeted
JAMA Uveitis review: Uveitis peaks at 20–50 yrs; 41–60% is anterior. ~40 linked to systemic disease (HLA-B27=axSpA). 1st exclude infection (TB, toxo, herpes). Anterior UV: topical steroids. Posterior/pan UV: DMARDs first (MTX remission 52%, MMF 71%); adalimumab if refractory (failure 54.5% vs 78.5% placebo). Goal: remission with minimal steroids. buff.ly/u5R22zG
mariaamparo enriquez retweeted
Prof. Sandra Navarra on GCs in #lupus : “There is NO safe threshold for Prednisone”
Pred use follows a linear risk: As the dose of prednisone increases, damage risk doubles - - - > higher cataract, fracture and CV risks!
@RheumNow #APLAR2026
mariaamparo enriquez retweeted
🧵 “Unmasking the ANA: 10 Patterns and What They Really Mean”
ANA positive? Don’t stop there.
The pattern on IIF (immunofluorescence) often gives the best diagnostic clue.
Here are 10 ANA patterns you must know — and how to interpret them 👇
#Rheumatology #ANA #Autoimmune #MedTwitter #LabMedicine @DrAkhilX @IhabFathiSulima @LastManStand85 @Janetbirdope @Lupusreference
mariaamparo enriquez retweeted
Optimizing GC use in SLE:
In arthritis, avoid oral GC - consider NSAIDS, csDMARDs, small molecules or biologics
On GC initiation, hit hard w/pulse MP then taper early and rapidly
In LN, treat aggressively bec damage is driven by dse activity, not meds
@RheumNow #APLAR2026
mariaamparo enriquez retweeted
Can ultrasound improve the early diagnosis of psoriatic arthritis? Results from the international GRAPPA DUET study now published in A&R!
@lihi_eder et al developed and externally validated a novel ultrasound enthesitis score incorporating 6 entheseal sites, weighted inflammatory and structural lesions, and age-specific cut-offs.
🎯 DUET may help support PsA diagnosis, particularly in patients with musculoskeletal pain
doi.org/10.1002/art.70384
ALT A summary of the DUET score. 1A. The DUET score formula is calculated based on a three bilateral entheseal locations, for a total of six sites: the Achilles and triceps insertions, and the patellar ligament insertion to the inferior pole of the patella. 1B-E. Depiction of selected elementary lesions and their corresponding DUET scores: 1B. Achilles tendon insertion showing thickening (1 point, vertical orange line) and enthesophyte (3 points, blue arrow); 1C. Achilles tendon insertion with erosion (1 point × 3, white arrow); 1D. Triceps tendon insertion with hypoechogenicity (1 point, yellow arrow) and enthesophyte (3 points, blue arrow); 1E. Patellar ligament insertion to the patella showing positive power Doppler signal. The power Doppler signal involves the area close to the bone (indicated by the orange marking), but the grading also accounts for Doppler intensity extending beyond this marking (3 points × 2)
mariaamparo enriquez retweeted
Are axial spondyloarthritis and psoriatic arthritis immunologically distinct? New study used deep immunophenotyping to identify disease-specific immune signatures, revealing differences in innate/inflammatory and adaptive immune pathways
A&R
doi.org/10.1002/art.70269
ALT Deep Immunophenotyping Reveals Distinct Immune Signatures in Axial Spondyloarthritis and Psoriatic Arthritis. Graphical abstract created using BioRender
mariaamparo enriquez retweeted
Review @Nature @GerhardKronke
Molecular underpinnings of rheumatic diseases and emerging therapeutic concepts
nature.com/articles/s41586-0…
mariaamparo enriquez retweeted
Esclerosis sistémica, "lo nuevo de este año", en Clinical Rheumatology (2026). Sintetizado:
🟡 En afectación a Pulmón: tocilizumab el de elección. Considera: Micofenolato, rituximab o ciclofosfamida. Nintedanib si hay fibrosis >10% en la TAC.
🟡 Los esteroides no beneficiaron lo dermatológico en ES temprana. 1 de 4 crisis renales ocurren >5 años después del diagnóstico, más con uso de esteroides previos.
🟡 Hipertensión pulmonar: el algoritmo DETECT detecta 96% de los casos (VPN 99%), frente a 75% del ecocardiograma solo.
🟡 Si el paciente refiere disnea que empeora, eso predice mortalidad (aun con espirometría igual)
🟡 Más de 1/3 debutan sin Raynaud. Las manos edematosas sugieren la forma difusa: pedir ANA y anticuerpos de ES.
mariaamparo enriquez retweeted
JAMA Uveitis review: Uveitis peaks at 20–50 yrs; 41–60% is anterior. ~40 linked to systemic disease (HLA-B27=axSpA). 1st exclude infection (TB, toxo, herpes). Anterior UV: topical steroids. Posterior/pan UV: DMARDs first (MTX remission 52%, MMF 71%); adalimumab if refractory (failure 54.5% vs 78.5% placebo). Goal: remission with minimal steroids. buff.ly/u5R22zG
