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Dr. Erin Tree @drtinytree.bsky.social · 2d

It was great seeing so many people in person and learning together at #ACR25!

Time to get back to this view

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Dr. Erin Tree @drtinytree.bsky.social · 5d

I’m looking forward to seeing the pediatric data

Dr. Erin Tree @drtinytree.bsky.social · 5d

I did not turn down puppy time, but I’d support the addition of cats to #ACR26.

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Dr. Erin Tree @drtinytree.bsky.social · 5d

Got to meet the puppies at #ACR25! They are here until 4 today.

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Dr. Erin Tree @drtinytree.bsky.social · 5d

Dr. Bas Vastert, Care Transformation in Childhood Arthritis via Precision Medicine: sJIA treatment

⭐️cytokine monitoring, especially IL-18

⭐️T2T with biologic first approach in Netherlands- most patients don’t receive any GCs

#ACR25 #ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 5d

Dr. Bas Vastert, Care Transformation in Childhood Arthritis via Precision Medicine: Window of opportunity

⭐️in non-systemic #JIA: ⬆️ inactive disease with earlier biologic start (<6mo)

⭐️in sJIA: integrating biomarkers in clinical care, early targeted tx

#ACR25 #ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 5d

Dr. Rae Yeung, Understanding and Harnessing the Biology of Arthritis

4. Naming is important because guides therapy

#ACR25 #ACRambassador #kidsgetarthritistoo

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Dr. Erin Tree @drtinytree.bsky.social · 5d

Dr. Rae Yeung, Understanding and Harnessing the Biology of Arthritis

3. UCAN Biologic Classification: lots of patients and large amount of data yielded 5 clusters with clinical and biologic characteristics and distinct patterns of joint involvement

#ACR25 #ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 5d

Dr. Rae Yeung, Understanding and Harnessing the Biology of Arthritis

2. Clinical exam doesn’t tell the whole story. Concern= patients with subclinical disease but high cytokine levels.

#ACR25 #ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 5d

Dr. Rae Yeung, Understanding and Harnessing the Biology of Arthritis

1. JIA classification has been a journey. Not every patient finds a home, & peds doesn’t consistently translate to adult classification. Is there a way to do this from a biologic basis?

#ACR25 #ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 5d

Looking forward to starting my day off in the Networking Lounges for the AMIGO event at 8:20 AM. Hope to see many fellow #pedsrheum there!

#ACR25 #ACRambassador #pedsrheumsky

Dr. Erin Tree @drtinytree.bsky.social · 6d

She is amazing! Glad you were able to make her talk!

Reposted by Dr. Erin Tree

Rheum Cat @rheumcat.bsky.social · 6d

We cannot just screen for SDOH needs and do nothing about it. Then it's just more clicking and checkboxes in the EMR. There need to be resources. Or someone knowledgeable about the resources.

#ACR25

Alison Bays, MD (she/her) @alisonbays.bsky.social · 6d

We have to remember to close the loop.

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Looks delicious!

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Dr. Karen Onel presents #ACR25 #pedsrheum Clinical Year in Review: Social Media

🚨 opportunity for increased healthcare provider engagement

#ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Dr. Karen Onel presents #ACR25 #pedsrheum Clinical Year in Review: Understanding Disease

-ANA positive ITP patients have higher rates of SLE and Sjogren
-Specific inborn errors of immunity are at increased risk of ANCA and AAV features

#ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Dr. Karen Onel presents #ACR25 #pedsrheum Clinical Year in Review: Guidelines

-EULAR/PReS Still’s Guidelines
-French protocol for treatment of #JIA
-ACR Guidance for Mental Health

#ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Dr. Karen Onel presents #ACR25 #pedsrheum Clinical Year in Review: Medications

-New FDA approvals: emapalumab, guselkumab
-CAR-T cells in #JDM: a child with aggressive JDM achieved remission
-Stem cell transplant: high morbidity, those who survive do well

#ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Dr. Karen Onel presents #ACR25 #pedsrheum Clinical Year in Review: Deprescribing

-a large number of patients JIA flare off therapy
-lower uveitis recurrence with slower ADA tapering schedule

#ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Dr. Nigrovic presents #pedsrheum Basic & Translational Year in Review at #ACR25:

1. JIA
2. MAS
3. JDM
4. SLE
5. Monogenic diseases

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Calling all #pedsrheum researchers at #ACR25!

Hope you can attend this evening's networking event from 4-5 PM. This event is particularly geared for early career investigators and fellows in training.

#pedsrheumsky

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Love seeing the ACR Mental Health Guidelines highlighted!

Dr. Erin Tree @drtinytree.bsky.social · 6d

Drs. Linda Hiraki and Bonnie Bermas discuss applying 2025 SLE Guidelines to #cSLE

⭐️Peds specific GC dosing: GCs impact physical appearance ➡️ self-identity, mood
⭐️ Mental health screening is 🔑
⭐️Impact on growth
⭐️Monitor school attendance/performance
⭐️Transition

#ACR25 #ACRambassador #pedsrheumsky

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Dr. Erin Tree @drtinytree.bsky.social · 6d

Drs. Linda Hiraki and Bonnie Bermas discuss applying 2025 SLE Guidelines to #cSLE

⭐️Peds specific GC dosing: GCs impact physical appearance ➡️ self-identity, mood
⭐️ Mental health screening is 🔑
⭐️Impact on growth
⭐️Monitor school attendance/performance
⭐️Transition

#ACR25 #ACRambassador #pedsrheumsky

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Dr. Erin Tree @drtinytree.bsky.social · 6d

The 2025 ACR extrarenal SLE guideline includes 36 graded recommendations

🔑HCQ= standard therapy
🔑GCs to control initial inflammation/flare; taper ASAP
🔑Early use of immunosuppressive therapies
🔑Shared decision making

#ACR25 #ACRambassador

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Dr. Erin Tree @drtinytree.bsky.social · 6d

#ACR25 Clinical Year in Review by Dr. Bryant England (2/2): #Lupus

⭐️ 2024 lupus nephritis guidelines recommend triple therapy
⭐️ New option for 3rd therapy to treat lupus nephritis: obinutuzumab

#ACRambassador

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