Mira Merashli, MD, FRCP 👀👩🏻⚕️
@mmerashli
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Rheumatologist at the American University Hospital, Beirut, Lebanon 🇱🇧
Lebanon, Beirut
Joined August 2012
When ESR and CRP disagree, your job isn’t just to record numbers — it’s to interpret what the body’s really saying. 🧪 ESR ↑ + CRP ↓ → SLE, APLA 🧪 ESR ↓ + CRP ↑ → Infection, Vasculitis 🧪 Both ↑ → Flare 🧪 Both ↓ → Remission They don’t lie — they whisper clues. 👇
🧵 Thread: ESR vs CRP – Friends? Foes? Or Just… Different? They’re both inflammatory markers—but they don’t always agree. Let’s break down how they differ, overlap, and mislead. #MedTwitter @IhabFathiSulima @DrAkhilX @CelestinoGutirr
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🌍 How do global guidelines tackle PsA? New review compares ACR, EULAR, BSR, GRAPPA & PANLAR: 📌 All agree: Treat-to-target 🔄 Differences in: • Biologic/tsDMARD sequencing • Enthesitis & dactylitis management • Comorbidity integration 🔍 Read&RT https://t.co/QcqH9jGrd8
journals.lww.com
the contrast in their approach to treat different PsA domains. Methods: Major global guidelines for PsA management were reviewed, including American College of Rheumatology 2018 update, European...
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Check out these #heartrate! How do we compare? 🫀The smaller, the faster!🩺 https://t.co/WRMiJHRYyU
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#Sjogrens Sensory Neuropathy Presentation, Differential Diagnosis & Treatment Options for SN👇 [Pure sensory & Sensorimotor neuropathy are the most common form in SjD] Often lack Sicca Sx Don’t forget Trigeminal Neuralgia (most common CN abnormality) [Dr B Fisher] #Medtwitter
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Albert Einstein once said... "Weak people take revenge, strong people forgive, intelligent people ignore" Here are 9 things I learned from him:
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#ILD ➡️different patterns on histology / CT #NSIP #UIP #OP #Fibrosis #FVC #rheumatology #RheumTwitter #RA #CTD #IIM #Vasculitis
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PALM RASHES Common features & patterns : 🔹Color: 👉Red or erythematous: Inflammatory or allergic. 👉Purple or purpuric: Vascular or hematologic issues (vasculitis). 👉White or hypopigmented: Fungal infections or depigmentation disorders. 👉Brown or hyperpigmented: Chronic skin
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#TriviaThursday 🔎 Who was Gottron? 🤷 Dr. Heinrich Gottron : German Dermatologist (1890–1974) Name lives on in multiple rheum-derm conditions! The eponymous names⬇️ #DermRheum #Rheumtwitter #medtwitter #Myositis
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New research has challenged “normal” B12 levels. Even within the “normal” range, lower B12 was linked to: ⚡ Slower cognitive processing 🧠 Delayed brain signal transmission (visual evoked potential latency) 🔬 Structural brain changes Let’s break it down 🧵1/10
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A Thread of the work of Japanese artist Lito, known otherwise by his moniker Lito Leaf🧵
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