The 45th Annual Pulmonary & Allergy Update is in full swing. Check out these highlights from sessions presenting emerging data in #COPD , #pulmonology , #allergy , and #marijuana . #MedEd #CME Joshua Solomon, MD
1/ 🚨Review article on #RAILD #RheumatoidArthritis associated ILD
Joshua Solomon, MD and Dr Gouri share their expert opinion on subjects where robust evidence is not yet available to support clinicians' decision-making
Highlights: +
pubmed.ncbi.nlm.nih.gov/37395725/
arjunnair Jeffrey Sparks MD MMSc Joanna Porter Janet Pope Naftali Kaminski Kerri Johannson MD MPH Gisli Jenkins Leticia Kawano-Dourado Scott Matson Dr Jo Szram 💙 Joshua Solomon, MD Philippe Dieudé Hi Asthma + Lung UK could we please remove MTX from drug-induced #ILD causes....it really doesn't cause ILD.
Could we change the website please?
asthmaandlung.org.uk/conditions/pul…
Leticia Kawano-Dourado Richard Conway Puja Mehta 🧩 🌻 Joshua Solomon, MD Jeffrey Sparks MD MMSc Gisli Jenkins Jonathan Chung, MD Eirik Klami Kristianslund Siri Lillegraven Massive kudos 👏 to the first authors who reviewed 42814 titles and abstracts and full-text reviewed 6460 papers for this paper! 😵💫 SRs/MAs are a lot of work!
Citations go back as early as 1997.. wonder if there has been change over time accounting for some heterogeneity.
The Pulmonary & Allergy Update is 3 weeks away! #Healthcare providers, join faculty experts for the latest on Management and Tx options for patients w/ #allergic and #pulmonary disease. Register at: fal.cn/3v9a6 Pamela Zeitlin Mike Wechsler Charles Daley Joshua Solomon, MD #medEd #CME
7/ Finally what about management?
RAILD is commonly manifested with UIP, where we learned (from IPF Panther trial) that immunosuppression may be detrimental
We need to generate this evidence. Meanwhile, Joshua Solomon, MD and Dr Gauri give their expert opinion here
PMID: 37395725
End.
Pathomechanisms involved in the development of UIP may promote rheumatoid arthritis? Great work by @Olivia Leavy Leticia Kawano-Dourado Iain Stewart Raphael Borie Joshua Solomon, MD Bruno Crestani Louise V Wain Gisli Jenkins Philippe Dieudé Jennifer K Quint and Cosetta Minelli
ThoraxBMJ Olivia leavy Kudos to Olivia leavy Louise V Wain and #CosettaMinelli for the robust methods:
A small thread on this paper can be found here:
x.com/leticiakawano/…
Gisli Jenkins Philippe Dieudé Bruno Crestani Raphael Borie Joshua Solomon, MD
I had a ton of fun with this discussion here, happy to be invited to join Joshua Solomon, MD to debate screening in RA ILD on Evidence Based Rheum podcast with Mike Putman!!
open.spotify.com/episode/7kjrgt…
Leticia Kawano-Dourado Joshua Solomon, MD Scott Matson Puja Mehta 🧩 🌻 ILD IPF Doc: Nazia Chaudhuri Bibek Gooptu Pilar Rivera-Ortega Kerri Johannson MD MPH Karina R. Bonfiglioli Alisson Pugliesi Iazsmin Bauer Ventura, MD Entendo a dificuldade de atribuir um problema a uma determinada doença qdo há outras doenças envolvidas. Mas, no entanto, não podemos excluir simplesmente porque essas outras doenças existem. Assim, não concordo com essa exclusão para se fazer esse diagnóstico
Puja Mehta 🧩 🌻 Gisli Jenkins arjunnair Jeffrey Sparks MD MMSc Joanna Porter Janet Pope Naftali Kaminski Kerri Johannson MD MPH Leticia Kawano-Dourado Scott Matson Dr Jo Szram 💙 Joshua Solomon, MD Philippe Dieudé Asthma + Lung UK ILD IPF Doc: Nazia Chaudhuri Harsha Gunawardena Dr Clive Kelly Peter George Ian Jarrold Anna Hoffmann-Vold If ILD specialists have the expertise to adjudicate better than others, it’s an ILD. 😉
RA-UIP may be due to a cause–effect relationship between UIP and RA, rather than due to a coincidental occurrence of IPF in patients with RA
Thanks Olivia leavy, Leticia Kawano-Dourado Louise V Wain Gisli Jenkins Bruno Crestani Joshua Solomon, MD Raphael Borie 👇
thorax.bmj.com/content/early/…
Leticia Kawano-Dourado Joshua Solomon, MD Scott Matson Puja Mehta 🧩 🌻 ILD IPF Doc: Nazia Chaudhuri Pilar Rivera-Ortega Kerri Johannson MD MPH Karina R. Bonfiglioli Alisson Pugliesi Iazsmin Bauer Ventura, MD I think these are overlapping and non-exclusive clinical categories to the best of our current knowledge. All confounded by smoking as common cause/risk factor.
Puja Mehta 🧩 🌻 arjunnair Dr Jo Szram 💙 Joshua Solomon, MD Asthma + Lung UK ILD IPF Doc: Nazia Chaudhuri Ian Jarrold .Asthma + Lung UK Research Unhelpful to list, since so many of our patients benefit from it for Rheum disease management & doesn’t cause fibrosis (if found usually associated with their underlying disease). For completeness, does v occasionally seem to cause an acute pneumonitis.
Leticia Kawano-Dourado Joshua Solomon, MD Scott Matson Puja Mehta 🧩 🌻 ILD IPF Doc: Nazia Chaudhuri Bibek Gooptu Pilar Rivera-Ortega Kerri Johannson MD MPH Karina R. Bonfiglioli Alisson Pugliesi Iazsmin Bauer Ventura, MD IMO, RA AWD is typically characterized by lower lung predominant cylindric bronchial dilation and bronchial wall thickening as here. Sometimes mosaic attenuation, lobular or diffuse air trapping. There is overlap with asthma or COPD in some cases, but often distinctive.