Dr. John Cush
@rheumnow.bsky.social
370 followers 10 following 1.4K posts
Know-it-Now. Info on RA, Stills disease, Lupus, Gout, Pregnancy, Spondylitis, Psoriasis, Drug Safety, Rheumatology Research, Medical Education & Drug Evaluation Rheumnow.com
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From the plenary to posters, RheumNow is your companion for ACR Convergence 2025. Expect:
• KOL videos
• Clinical trial highlights
• Daily faculty recaps
• Live streaming
#ACR25 #Rheumatology #ClinicalTrials
“Never in the field of human conflict was so much owed by so many to so few.” –
Winston Churchill
Fibromyalgia in PsO & PsA is linked to greater treatment complexity and shorter biologic therapy survival. Retro matched 1:4 cohort study 61K PsO& 244K controls. FM prevalence 3.3% (OR 1.45). In PsA decr biologic survival (6 vs 10yrs) w/ incr switching (HR 1.82)
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Skin Biopsies to Predict Scleroderma Outcomes?

Researchers have shown that skin biopsies in patients with SSc can define a fibroblast immunophenotype that may have prognostic and early treatment decision impact.

rheumnow.com/news/skin-bi...
Arthritis Pain and Education Gaps Linked Save

New research from The University of Texas at Arlington shows that differences in state welfare policies are linked to rising arthritis-related joint pain across much of the U.S.

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JAMA Pediatrics study of 1,473 young US adult, finds 1/4 use cannabis or alcohol for sleep (18% cannabis; 7% EtOH), even though these may interfere with quality or ability to stay asleep. In those using cannabis in the last yr, 41 reported using cannabis to sleep. jamanetwork.com/journals/jam...
Cannabis and Alcohol Use to Initiate Sleep Among Young Adults
This survey study identifies the prevalence of and demographic characteristics associated with use of substances for sleep purposes in US adults aged 19 to 30 years.
jamanetwork.com
Why Brittle Bones Aren't Just a Woman's Problem

Osteoporosis is more common in women, prompting routine screenings for them at 65. However, about 20% of men over 50 will have an osteoporotic fracture, and older men make up about one-fourth of hip fracture cases.

rheumnow.com/news/why-bri...
Pregnancy Management in Inflammatory Bowel Disease: A Global Consensus

Consensus guidance on the management of pregnancy in patients with IBD was simultaneously published in six international journals, including The American Journal of Gastroenterology.

rheumnow.com/news/pregnan...
BMJ Systematic review of 217 RCTs w/ 15 684 pts shows beneficial exercises for Knee Osteoarthritis are aerobic activities such as walking, cycling, or swimming significantly mitigated pain during both short and mid-term follow-up periods bioengineer.org/walking-cycl... www.bmj.com/content/391/...
www.bmj.com
Osteonecrosis: suspect with trauma, high-dose steroids, alcoholism, renal failure, transplantation, SLE, thrombotic states (e.g., sickle cell anemia, hemoglobinopathies), radiation injury, pancreatitis, gout, pregnancy, hyperlipidemia, & caisson disease www.rheumaknowledgy.com/osteonecrosis/
RheumaKnowledgy » Osteonecrosis
Last updated: November 4, 2014
www.rheumaknowledgy.com
A cohort study of 1 548 538 mother-child pairs with antenatal exposure to steroids (ACS) found a significantly increased risk of res v nonrespiratory infections in preterm & full-term children up to 21 years. (65 vs 40 & 30 vs 18 per 1000 person-Yrs, respectively) jamanetwork.com/journals/jam...
Antenatal Corticosteroids and Infectious Diseases Throughout Childhood
This cohort study assesses the association between maternal antenatal corticosteroid treatment and the development of infections in offspring from childhood to adulthood.
jamanetwork.com
MSK Manifestations in Pediatric IBD

Arthritis and musculoskeletal (MSK) symptoms may accompany pediatric-onset inflammatory bowel diseases (pIBD) as an extra-articular intestinal manifestation, but may vary in presentation and clinical course.

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Mediterranean Diet Efficacy in Psoriasis

A small clinical trial published in JAMA Dermatology found that a 16-week Mediterranean diet reduced psoriasis severity.

rheumnow.com/news/mediter...
~1/3 IPF ILD progresses over time. Retro study of 10 European centers, 303 pts - 37% progressed (⩾10% FVC decline) after 1yr. 5 predictors of progression: age, gender, BMI, FVC, KL-6. (superior to KL-6 alone) w/ 55% sensitivity, 73% specificity 67% accuracy www.nature.com/articles/s41...
Serum KL-6 as a biomarker to predict progression at one year in interstitial lung disease - Scientific Reports
Scientific Reports - Serum KL-6 as a biomarker to predict progression at one year in interstitial lung disease
www.nature.com
Tertiary center study of 147 GPA pts (age ~45, 18 mos F/U) - total of 55 deaths& 179 relapses (in 117 pts;1.53/pt). Predictors of relapse (~2 fold incr) = Age > 55, male, ^^creatinine & CNS dz. Mortality assoc w/ ≥ 55 yrs, male, creatinine >1.3, CNS @baseline onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
Rheumatic and musculoskeletal disorders in musicians: Famous musicians/performers with Rheumatic dz and the most common disorders reviewed. rmdopen.bmj.com/content/11/4...
rmdopen.bmj.com
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Every week, RheumIQ challenges you with a quick quiz on current rheumatology updates.
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Eating Crow (10.10.2025)

Dr. Jack Cush reviews the news, FDA approvals, and journal articles. In this episode: HMGCR Abs, FDA approvals and Cush eats crow.

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Eating Crow (10.10.2025) | RheumNow
Dr. Jack Cush reviews the news, FDA approvals, and journal articles. In this episode: HMGCR Abs, FDA approvals and Cush eats crow.
rheumnow.com
Review: Monoclonal Gammopathy of Undetermined Significance

NEJM has reviewed the common hematologic/immunologic finding of MGUS - a common premalignant plasma-cell proliferative disorder found in approximately 5% of those over the age of 50 years.

rheumnow.com/news/review-...