Victor Pimentel-Quiroz
@VictorioPQ
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👨🔬 Rheumatologist in Hospital Nacional Guillermo Almenara Irigoyen - Peru 📌 Interested in Vasculitis, IgG4-RD, SLE 🩻 Head of the Almenara Vasculitis Cohort
Lima, Peru
Joined December 2013
👇👇👇👇👇👇👇👇👇👇👇👇
What do we know about prognostic kidney lesions in #ANCA #vasculitis ? A thread. 🧵1/x
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Niclosamide, a medication for tapeworm infections, may help reduce nasal symptoms in ANCA-associated vasculitis patients, an analysis found. https://t.co/psYE918RFP
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Day 2 Breakfast Session #vasculitis26 Prof John Stone - lots of B cells in IgG4-RD. He's posing the question: How much does IgG4-RD resemble AAV?
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Susac syndrome 📝 An autoimmune microangiopathy mimicking a CNS vasculitis. 🔺Triad: encephalopathy, hearing loss, & retinal artery occlusion 🧠 MRI: shows corpus callosum lesions: ice pick/snowball ➡️ Mimic & not a vasculitis 💊 GC, IVIg, MMF, RTX #MedTwitter #Rheumatology
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🩸🔥 JAK inhibitors as salvage therapy in refractory #TakayasuArteritis Multicentre BIOTAK registry (n=20): ✅ 50% achieved complete response at 6 months ⬇️ NIH score, CRP & steroid dose significantly reduced 🔁 24-month relapse rate: 18% ⚠️ Acceptable safety in heavily
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Early combination therapy with tacrolimus, prednisolone and nintedanib significantly improves pulmonary function in previously untreated patients with progressive pulmonary fibrosis. The regimen was well tolerated, with manageable adverse effects. https://t.co/bTmb6oYsYg
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A recent European multicentre study on interstitial lung disease in #ANCA-associated #vasculitis (AAV-ILD) and isolated ANCA-positive ILD (ANCA-ILD) underscores that #lung #fibrosis severity is a dominant driver of poor prognosis (including respiratory failure and #mortality) in
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🔬 New post-hoc analysis from the REALISTIC trial (n=930) examines whether high rheumatoid factor levels affect certolizumab pegol response in RA patients 📊 Patients with high and low RF levels showed similar clinical responses to CZP treatment, regardless of prior TNFi failure
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VEXAS syndrome is a newly discovered multisystemic disease affecting most organs. A new Review provides a comprehensive overview of VEXAS syndrome, including the disease's discovery, diagnosis, and treatment: https://t.co/pZSkkGPbGJ
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🩸 HES (Hypereosinophilic Syndrome) — Must-Know Points • Define: AEC ≥1.5×10⁹/L (×2) + organ damage • Biggest gap → Delayed diagnosis = preventable morbidity • First rule: Exclude secondary causes (parasites, drugs/DRESS, allergy, cancer) • Classify fast: 👉 Reactive 👉
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En 2021, @EsSalud inauguró tomógrafos presentados como modernos, para 11 mil pruebas al mes. Hoy la Contraloría detecta que el del Hospital Almenara no opera como debería: elevó el riesgo de errores y generó S/ 6,1 millones de perjuicio. 5 funcionarios con responsabilidad penal🧵
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🧪 Valganciclovir in anti-MDA5+ DM 👉🏼CMV infection is common in MDA5+ DM and affects outcomes 👉🏼Valganciclovir prophylaxis prevented CMV infections in treated patients vs controls (p=0.032) 👉🏼No major valganciclovir-related lab abnormalities observed https://t.co/ekKVLcwZB7
journals.lww.com
ethods: Adult patients with active MDA5+DM were consecutively recruited from May 1, 2023 to December 31, 2023, and followed up for 6 months. Participants were categorized into 2 groups based on...
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Our group has its own X account @GEAS_Peru, please, follow us! #AlmenaraLupusCohort #AlmenaraVasculitisCohort #AlmenaraRACohort
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🆕paper: ⬆️prednisone dose is associated with ⬇️ HRQoL ⬆️ fatigue & ⬆️ patient-reported disease activity. Project lead by @Asinghrheum #AlmenaraLupusCohort published in @jrheum
https://t.co/jeUOu2P3u0
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🔬 A study of 402 patients with ANCA-associated vasculitis examined whether ANCA antibody type (anti-PR3 vs anti-MPO) influences major adverse cardiovascular event (MACE) risk. 📊 Anti-MPO patients had higher MACE rates (33.1 vs 21.4 per 1,000 patient-years). Anti-PR3 specificity
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🔬 Nuevo estudio multicéntrico en aortitis asociada a ACG🕵🏻TCZ SC 💉vs IV🩸 📈La vía sc mostró una ligera mayor tasa de remisión EULAR a los 24 meses. 🩻Remisión por imagen y control inflamatorio similares. 📉Importante efecto ahorrador de glucocorticoides en ambos grupos.
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Rituximab is at least as effective as cyclophosphamide in inducing remission in people with ANCA-associated vasculitis (AAV), a study found. https://t.co/8hb6I8dkP6
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🚨Official guidelines for diagnosing and treating short #telomere syndrome, better known as Telomere Biology Disorders (TBDs), in lung disease and transplantation 🚨 International Society for Heart and Lung Transplantation 🫁🧬 #TBD #FPF #ILD #LungTransplantation #EarlyReferral👇
We're excited to share groundbreaking news from the International Society for Heart and Lung Transplantation (ISHLT)! Swipe through our graphic to learn what this means and read a summary of the key recommendations. https://t.co/XmfjxDNWPU
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7 ideas about mycophenolate that every rheumatologist should know.👇 Concept 1: What we prescribe is not the active drug We prescribe MMF MMF → (in stomach) → MPA (active drug) Only MPA suppresses immunity. If this step is inefficient → drug effect falls. Concept 2:
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Diffuse Alveolar Hemorrhage in Rheumatic Disease A retrospective, cross-sectional, single-center study of adult rheumatic disease patients with diffuse alveolar hemorrhage (DAH), demonstrates a high proportion have coexistent pulmonary infection and significant mortality risk.
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