Pulmonology

Rheumatology   

Questions discussed in this category



Pre-treatment troponin was mildly elevated, while ILR2 receptor, ACE, CRP, ESR were normal. 

Is a biopsy or EMG helpful in confirming the etiology? What is the best treatment for sarcoid neuropathy?

Specifically, do you check for any of these: ACE, Vitamin D 1,25, serum lysozyme, soluble IL2 or Adenosine deaminase levels?

Given poor pulmonary outcomes in people with anti-PL12 antibodies, would you recommend more aggressive therapy? The patient was diagnosed with onset o...

Do you use biomarkers or PET scanning to stratify patients who may benefit most from therapy?

This question is part of a collaboration with RheumMadness and is in reference to Pathogenic ANCA (RAVE Trial).

Patient became acutely flushed, developed severe and prolonged hypotension with brief loss of consciousness, dizziness, nausea, dry heaves and headach...

While classically described as seen in seropositive patients, have they been reported in seronegative RA?

Patients on baseline mycophenolate and azathioprine were excluded from the INBUILD trial however many patients with CTD-ILD will be on some form of im...

Do you base the decision on FEV1, 6MWD or symptoms at initial evaluation, or progression over time?

When adding nintedanib what sort of treatment course do you counsel the patient on? Do you plan to continue it indefinitely as long as the patient tol...

Do you prefer to start with nintedanib and then add immunosuppressive agents, or give a trial of immunosuppressive medication first, then add nintedan...

Any indications for triple therapy in the patients with subclinical ILD associated with MDA-5 dermatomyositis?

Would you discontinue Methotrexate and TNF inhibitors even if previously no side effects from these medications, and would you consider Cyclophosphami...

Would you have a different opinion based on whether it is a new therapy or an existing and previously well-tolerated therapy for the patient?

How is your approach to treatment different than other ILD patterns such as NSIP? Does treatment response vary based on underlying CTD?

Cyclophosphamide/tacrolimus and Rituximab have been used in conjunction with steroids in case series.

The SENSCIS trial was published in 2019 on efficacy of this agent. However, it's not clear where this should be in the treatment algorithm: Monot...


Papers discussed in this category


Radiographics : a review publication of the Radiological Society of North America, Inc, 2004

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2017-03

The New England journal of medicine, 2015-07-16

N Engl J Med, 2020 Feb 13

The New England journal of medicine, 2010-07-15

Medicine (Baltimore),

The New England journal of medicine, 2010-07-15

N. Engl. J. Med., 2019 May 20

The Lancet. Respiratory medicine, 2016-09

The New England journal of medicine, 2006-06-22

Archives of internal medicine, 2008-09-22

Arthritis and rheumatism, 2010-06

Ann. Rheum. Dis., 2018 Apr 25

Ann. Rheum. Dis., 2017 May 25

Ann. Rheum. Dis., 2018 May 03

Semin Arthritis Rheum, 2020 Jun

Intern Med, 2014 Dec 01

J Am Heart Assoc, 2019 Sep 06

Clin Rheumatol, 2007 Mar 30

The New England journal of medicine, 2017-05-18

Kidney international reports, 2018-03

Rheumatology (Oxford),

Lancet Respir Med, 2020 Aug 28

N Engl J Med,

Nature reviews. Rheumatology, 2018-05

Trials, 2017 Jun 15

N Engl J Med, 2019 Sep 29

Arthritis Rheumatol, 2021 Feb 03

N Engl J Med, 2012 May 20

J Heart Lung Transplant, 2021 Nov

Interact Cardiovasc Thorac Surg, 2015 Jan 07

Rheumatology (Oxford, England), 2011 Dec 30

Annals of the rheumatic diseases, 2022 Nov 03

Frontiers in immunology, 2021 Apr 12

Journal for immunotherapy of cancer, 2017-11-21

J Immunother Cancer, 2021 Feb

J Natl Compr Canc Netw,

Ann Oncol,

J Immunother Cancer,

J Immunother Cancer,

J Clin Oncol, 2021 Dec 20

J Natl Compr Canc Netw,

Ann Intern Med,

Ann Rheum Dis, 2011 Nov 29

Respir Med, 2012 Apr 09

Am J Respir Crit Care Med,

Arthritis Rheum,

Eur Heart J, 2015 Aug 29

Eur Respir J, 2019 Jan 24

BMJ Open, 2019 May 05

Rheumatol Int, 2021 Jan 29

The European respiratory journal, 2014-11

Clin Exp Rheumatol, 2019 Nov 20

N Engl J Med,

Lung, 2021 Apr 07

RMD Open, 2021 Sep

Drugs,

Eur Respir J, 2021 Dec 16

The European respiratory journal, 2015-10

Scientific reports, 2017 Aug 10

The European respiratory journal, 2019-01

Eur Respir J, 2019 Jan 24

Chest, 2021 Feb

Medical sciences (Basel, Switzerland), 2018-09-21

The Journal of clinical investigation, 2021 Dec 15

Molecular systems biology, 2023 Mar 15

BMJ open, 2024 May 13

Rheumatology (Oxford, England), 2017-06-01

Autoimmun Rev, 2012 Jul 05

Arthritis & rheumatology (Hoboken, N.J.), 2017-03

Lancet Respir Med, 2021 Jan

Lupus, 2020 Feb 09

Future Sci OA, 2020 Aug 03

Cancer Treat Res Commun, 2022 Jul 01

Trends Immunol, 2021 Mar 10

Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2022 Jun 11

European respiratory review : an official journal of the European Respiratory Society, 2021 Dec 22

Respirology, 2013 Nov 29

Respir Res, 2022 Jun 21

AACE Clin Case Rep, 2020 Aug 06

Am J Med, 1987 Jun

Sarcoidosis Vasc Diffuse Lung Dis, 2012 Mar

Arch Osteoporos, 2017 Jul 19

BMJ Case Rep, 2022 Jul 08

Arthritis Res Ther, 2014 Mar 24

European journal of internal medicine, 2023 Sep 04

Autoimmunity reviews, 2021 Apr 19

Clin Med Insights Circ Respir Pulm Med, 2021 Mar 30

Cureus, 2022 Sep 06

Respir Res, 2023 Jan 9

Respiratory medicine, 2016-12

Arthritis Care Res (Hoboken), 2016 Jan

Alimentary pharmacology & therapeutics, 2022 May 20

Arthritis & rheumatology (Hoboken, N.J.), 2015-05

International journal of rheumatic diseases, 2014-02

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2014-04-18

Clinical nuclear medicine, 2016-05

J Investig Med High Impact Case Rep, 2021 Jan-Dec

Clinical therapeutics, 2018 Feb

The American journal of gastroenterology, 2003 Jun

The Journal of rheumatology, 2015 Jun 15

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2014-04-18

Heart rhythm, 2014-07

Circulation journal : official journal of the Japanese Circulation Society, 2019 Oct 09

Arrhythmia & electrophysiology review, 2020 Dec

Arthritis Rheumatol, 2021 Jul

Amyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis, 2021 Nov 12

Radiographics : a review publication of the Radiological Society of North America, Inc, 2013 Nov-Dec

European respiratory review : an official journal of the European Respiratory Society, 2021 Nov 08

Lancet Respir Med, 2023 Jan

JAMA neurology, 2018-12-01

Journal of neuroimmunology, 2022 Apr 09

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015-08-01

Arthritis & rheumatology (Hoboken, N.J.), 2023 Jul 24

Expert review of respiratory medicine, 2023 Jun 23

Current opinion in pulmonary medicine, 2013 Sep

Annals of the rheumatic diseases, 2024 Jan 11

Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2012-08

Current medical research and opinion, 2016-12

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2015-05

J Immunother Cancer, 2021 Jul

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2016 Jul 07

Arthritis & rheumatology (Hoboken, N.J.), 2019 Oct 21

European journal of cancer (Oxford, England : 1990), 2023 Dec 28

Arthritis and rheumatism, 2006 Mar

Rheumatology (Oxford, England), 2021 Dec 24

Current opinion in pulmonary medicine, 2023 Jun 30

Rheumatology (Oxford, England), 2023 Feb 01

International journal of cardiology. Heart & vasculature, 2021 Apr 29

Lupus, 2014 Jul 30

MMWR. Morbidity and mortality weekly report, 2024 Sep 12

Journal of the Endocrine Society, 2022 Dec 02

Diagnostics (Basel, Switzerland), 2021 Apr 20

JAMA otolaryngology-- head & neck surgery, 2020 Jan 01

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2024 Mar 14

The European respiratory journal, 2014 Aug 07

Journal of clinical medicine, 2024 Jan 07

Rheumatology (Oxford),

Rheumatology (Oxford, England), 2023 Dec 01

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2004-03

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2000-03

Chest, 2003-07

American journal of respiratory and critical care medicine, 2006-10-01

Diagnostics (Basel, Switzerland), 2024 Jan 23

Chest, 1999 Aug

Respiration; international review of thoracic diseases, 2012 Dec 29