Deepak Malgutte
@DMalgutte
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Autoimmune Sherlock | Rheumy | Med Educator Busting myths around joint pain, autoimmune disease & steroids.
Mumbai
Joined June 2020
The Man Who Never Got a Nobel, But Gave the World Methotrexate — A story of forgotten genius, cancer, arthritis, psoriasis… and hope. 💊💔🧬
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Great work! 🔴 Importantly, 1/3rd of patients had a catastrophic health expenditure of >20% of family income🔴 #ChronicIllness #Lupus
Happy to share our multi-centre study on financial burden in Indian SLE patients.Thanks to Lupus SIG IRA and Dr.Vineeta Shobha for the opportunity 🌟1/3rd of SLE patients oncurred CHE > 20% annual income 🛑Avg expense Rs 52400/annum 🛑Max expenditure on drugs
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Had one of those exhausting weeks — endless work, stress piling up, and no space to breathe. So I randomly clicked on Re-Tripling again — maybe the 3rd or 4th time. But this time, it hit differently. Chandan’s calm, Chanchal’s courage, and Chitvan’s carefree madness — all just
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💉 I’m pro-vaccine and I don’t want to get into this twitter war… But let’s clear a few things about this “pharma lobby” nonsense. Doctors don’t lose business because of vaccines or medicines. If anything, post-COVID we’re busier and richer because people refuse preventive
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#ACR25 Must-Read 🔥 | “Secrets & Pearls of Rheumatology in CTD” – Janet Pope MD 🔹 SLE Pearls •Not all lupus rashes are equal! • Malar → almost always SLE • Subacute cutaneous → 50% SLE • Discoid → 5–10% risk •Lupus vs DM rash → Between vs on knuckles. •“Lupus pernio”
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Azathioprine in Pregnancy: friend or foe? [Evelyne Vinet] #ACR2025 [Crohn’s Colitis 2024] ➡️ 25% of pregnancies show shunting 🚩Use lowest effective dose 🚩Monitor metabolites if available 🚩Monitor for rising bile acids, pruritus,or ⬆️ LFTs 🚩Switch to tacrolimus if shunting/IC
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🧩 #ACR25 Highlight | Skin in the Game: Cutaneous Clues in Rheumatic Disease By Dr. Katharina S. Shaw, Penn Medicine 🧵 Post 3 | Dermatomyositis & Localized Scleroderma • 💪 IMACS 2023: Cancer screening now risk-tiered (High > Intermediate > Low) • 🎯 Paraneoplastic DM ~5%,
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Thank you for the feature! Honoured to be a part of this brilliant team ❤️ #learnandgrow
@nihardesai89
It's #TraineeTuesday! Meet Dr. Pankti Mehta, Clinical Fellow within the Psoriatic Arthritis Program and Lupus Program @SchroederInst. "The Institute has become my family away from home."
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Tweet 10/10 Here’s the simplest way to understand it 👇 💡 Concept: In absence of obstruction — 👉 RVSP ≈ PASP (Pulmonary Artery Systolic Pressure) 1️⃣ Find RAP from IVC: •≤2.1 cm & collapse > 50% → 3 mmHg •2.1 cm & collapse < 50% → 15 mmHg 2️⃣ Measure TR velocity
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Went with wife for dinner last night. New Bollywood & Punjabi songs were playing — nice, but nothing special. Then the DJ switched to a 90s track… and the whole restaurant transformed. People stood up, shouting lyrics, dancing like nobody was watching. One old song changed the
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❌ If you want to do cutting-edge research in India, just leave the country. Just fu#*ing leave. INDIA DOES NOT DESERVE YOU! I’m an AI researcher, travelling to RSNA (the “A*-star” equivalent conference in Radiology) this year with arguably the highest number of accepted
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🧵 Ever stuck with a patient on anticoagulation, suspected APS, and wondering when and how to send sample for Lupus Anticoagulant? Let’s break down the pre-analytical pitfalls and what to do when you can’t stop anticoagulation 👇 #Rheumatology #Hematology #APS
#Rheumatology
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Difficult to remember interferonopathy? Here’s the mnemonic 👉 INTERFERONS 🔑 I – ILD + Skin • Interstitial lung disease with skin manifestations. N – Neuro + Skin • Neurological involvement with skin disease. T – TORCH-like • Neonatal presentations mimicking congenital
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Arthritis… and still in terrible pain even as medicines keep increasing? Read this. It may be your missing piece. 💜 Mrs X came with a thick file. Every visit to a new clinic = one more tablet. Reports looked “okay.” Joints weren’t very swollen. Yet she hurt everywhere, slept
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FDA Approves 1st new Fibromyalgia drug in 15 yrs - Tonmya (cyclobenzaprine HCl sublingual) as treatment of fibromyalgia in adults. Based on 2 phase 3 trials and 1400+ pts. Dose 2.8 mg tabs 1-2 SL qhs (peak concentration 4.3 hours; t1/2 life = 36 hrs, longer w/ elderly, liver dz)
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“Too many here just copy-paste from books or articles and call it a thread. That’s not learning, that’s laziness. A real thread should shake you, make you think, create awareness, motivate, and add value. This is how a thread should be written 👇”
🧵1/ Everything started with a thought. A simple but revolutionary question by Charles Janeway: 👉 “Before T and B cells respond… how does the body even know it’s been invaded?” That one question ignited an immune revolution. Here’s how it unfolded👇 #Rheumatology #Immunology
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🩸Hematology for The Non-Hematologist🩸 (A practical educational series for internal medicine trainees and physicians) Episode 7: Leukemia and Lymphoma Alphabet Soups: AML, CLL, CML, ALL, acute vs chronic - myeloid vs lymphoid. Let’s decode all this. Listen up - 🧵
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💡 If this thread busted a myth for you, imagine what the next ones will do. Your health deserves truth, not noise. 🔁 Retweet to save a life. 👥 Follow for more eye-opening, no-nonsense health facts — straight from a doctor. #HealthAwareness #DoctorTruths #PatientEducation
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12/ Next time someone says “Doctors only treat numbers,” Ask them: “Do you have proof? Or just a viral post?” Because your life is worth more than their likes. ❤️ #HealthAwareness #DoctorTruths #SocialMediaMyths
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