@KDAO2011

Private practice, academics, industry-- I did it all. Views are my own. I tweet what I find interesting, board worthy, and fun. #iLOVErheumatology.

Joined November 2011
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Serous retinopathy is a complication of lupus nephritis and may mimic HCQ retinopathy. - Dr M Petri on ophthalmology may be too quick to blame eye diseases on HCQ. #CCRW26
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1 point increase in the SLICC damage index increases mortality by 34% - Petri #CCRW26
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aPLs and HTN drive most of the strokes in SLE morbidity/mortality. - Petri #CCRW26
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Petri recc that we pay attention to the 3 things that increases organ same and SLE death: 1. Disease activity 2. Steroids 3. Comordities #CCRW26
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Protocol kidney biopsy at 1 year may be helpful to see if pts are in remission. As pts in complete renal response (CRR) may have active LN - M Petri #CCRW26
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Non LN on renal biopsies will show CKD. Modify risks with RAASi, SGLT2i/GLP1i - M Petri #CCRW26
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From AMP study, 71% SLE pts with microalbuminuria had LN, almost half of these have “actionable” LN… meaning you should treat. - M Petri #CCRW26
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“Microalbuminuria is bad.” It increases mortality, esp for men and increases MACE. Lupus nephritis doubles the risk of mortality. - M Petri #CCRW26
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Hippocrates …
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Remember these biases in your practice - @LCalabreseDO #CCRW26
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If a patient’s HCQ level is persistently low despite adherence verification, see if it is taking the med with a binder (eg magnesium, antacids)- have them take HCQ separate from other med/supplements - M Petri Pearls #CCRW26
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✅ DO YOU COLLABORATE with OTHERS for your #LUPUS #RESEARCH? -We analyzed 22813 publications from 76 536 authors, from 142 countries 🌏🌎🌍 to perform a network analysis of relationships between international lupus authors 👉 Openaccess link: doi.org/10.1136/lupus-2026-0…
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Petri Pearls Part 3 1. “Lupus nephritis is like voting in Chicago” Treat it early and often. 2. 3rd leading cause of deaths is Infection. Pls #vaccinate. Vaccines do not cause SLE or Lupus flares. #CCRW26 @RheumNow
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“Pearls are a beautiful thing, but they were produced by an injured life.”
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Petri’s Pearls Part 2 1. HCQ and hyperpigmentation is usually in those who are anticoagulants or antimatter agents.
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12. ACEi/ARBs are protective against venous thrombosis (low dose ASA does not reduce risk for thrombosis)
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13. CV events occur in the first 2 years of diagnosis 14. ILD in SLE is rare (no need to screen, can wait until they have symptoms) 15. “Even first month matters” when it comes to prednisone. 20 mg/d for more than 1 month increase risk of AVN. Risk of depression later
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