#Sjogren’s patients often have difficulty finding the care they need, especially when it comes to systemic manifestations. Many are told that they have the “glandular version”, despite undeniable evidence that Sjogren’s is a serious, systemic disease. 1/

3⃣ Younger patients. About half w/ #Sjogren’s can remember clear symptoms starting in childhood or early adulthood. Children and young adults often do not fulfill Sjogren’s classification criteria. By the time of most are diagnosed, the disease has progressed for years. 9/

Gracias a la #IA generativa en Tik Tok hay un vídeo de Mercedes Milá con declaraciones que no son suyas para vender la cura de la #diabetes. Y aunque lo denuncia a la plataforma "no incumple" ninguna norma. Unos caerán y otros la criticarán. Pero es grave. instagram.com/p/DM0eyY6iVcK/…

Which intervention has shown the most benefit in clinical trials for systemic manifestations in primary Sjögren’s syndrome? A. Leflunomide B. Rituximab C. Abatacept D. Placebo 🧠 Targeting B-cells vs T-cell costimulation – what does the data say? 📚 #Sjögrens #RheumTwitter

Which biomarker best correlates with systemic disease activity in primary Sjögren’s syndrome? A. Anti-Ro/SSA titer B. Serum IgG level C. RF positivity D. None consistently 🧪 Autoantibodies ≠ activity markers. 💬 Let’s debate: what do you track in extraglandular Sjögren’s?

🦟 A Catalunya es donen les condicions necessàries per a l’emergència de les arbovirosis i l’aparició de casos autòctons. Cal aplicar mesures de prevenció i control destinades a limitar l’extensió de la malaltia 👇

ESSDAI isn’t just a number—it’s your roadmap. Tailor Sjögren’s treatment to disease activity. 🔹 Low: Symptomatic + HCQ 🔸 Moderate: Add MTX/AZA 🔴 High: IS ± Biologics 🧠 Precision matters. Dr Ihab Suliman Sjogrens_Speaks #MedTwitter

Aravind Palraj Dr Ihab Suliman Sjogrens_Speaks Dr. Akhil 🇮🇳 Sjögren's Foundation Sjögren Europe Sjögren Cat Sjögren's Ireland Sjögren's UK The ESSDAI does not include some very important, systemic manifestations. Even the ones that are officially included, tend to be under diagnosed, especially lung, Kidney, and neuro. SFN is overlooked until severe or misattributed to fibromyalgia.1/

Aravind Palraj Dr Ihab Suliman Sjogrens_Speaks Dr. Akhil 🇮🇳 Sarah Schafer MD MPH Sjögren's Foundation Sjögren Europe Sjögren Cat Sjögren's Ireland Sjögren's UK I have horrible pain, fatigue and severe exercise intolerance for a decade due to Sjogrens and related nonlenght dependent small fiber neuropathy. My ESSDAI is 0 and I don't get treated nor am I ever included in trials.

🧵 Neuro-Sjögren’s: Not Just Dryness Sicca may be the start—but neuro symptoms can be the storm. Peripheral neuropathy, CNS signs, and fatigue demand more than eye drops. Let’s talk treatment. 💊 #NeuroSjögren #NeuroRheum #MedTwitter Dr Ihab Suliman Dr. Akhil 🇮🇳 Nirmal Pandey MD DM Neurologist

#NeuroSjogrens’ most common manifestation is #SmallFibreNeuropathy and #Dysautonomia! It’s often severe but seronegative (more commonly “early antibodies” are positive but not SSA), and slowly progresses over years, even before dryness or joint pain. It needs #IVIG to stop the

🌀 Glucocorticoid Dosing Demystified From baseline needs to pulse therapy — Know the range before you prescribe. 📉 Physiologic ⬆️ Low to Very High ⚡ Pulse: Life-saving in flares #MedTwitter #Rheumatology #Steroids Dr Ihab Suliman Dr. Akhil 🇮🇳 Janet Pope

This is the most common type of ILD seen in Sjogrens. 👇

"Hydroxychloroquine doesnt work in Sjogrens" say the people who didnt test it long enough to see if it would work in Sjogrens. #Sjogrens #NeuroSjogrens #Medtwitter #Rheumtwitter

Lectura imprescindible. "La conservació de les pintures murals de Sixena (...) quan el poder polític s'imposa al la lògica tècnica" Debod: el temple egipci que s’ha deteriorat greument a Madrid perquè Espanya no volia posar-lo a Elx vilaweb.cat/noticies/debod…

Curs d'Introducció a la intervenció infermera a les persones amb malalties reumàtiques, Consorci Sanitari Integral Col·legi d'Infermeres i Infermers de BCN (COIB) duració un mes, Octubre 2025 inici 7/10/25 fins 28/10/25, dimarts de 16.30 a 19.30h, amb expertes en cures infermeres en reumatologia 💪

¿Envejecemos porque dejamos de ahcer ejercicio o dejamos de hacer ejercicio porque envejecemos? La atrofia muscular por desuso ocurre tanto en personas sanas como en enfermedades. 🔻 En sanos: disminuye la síntesis de proteína. ⚠️ En enfermos: se suma la inflamación, el estrés y

Aquest estiu m'està portant moments realment entranyables i divertits amb la familia, dins el procés de rehabilitació pròpia i alhora reflexió conjunta sobre la gestió de les cures mútues, els serveis necessaris, las opcions possibles i la sostenibilitat econòmica de tot plegat.

🗳 Your opinion matters! I’ve been sharing Rheumatology & General Medicine content for the past 9–10 months — and I’d love to make it even more useful for you. What would you like to see more of here? #MedTwitter #NEETPG Dr Ihab Suliman Dr. Akhil 🇮🇳 Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 💬 Or vote

💧 Weakness, cramps, paresthesias 36F with dry eyes & mouth. Labs: K⁺ 2.3 ↓, HCO₃⁻ 16 ↓, Cl⁻ 115 ↑, urine pH 6.5 → non–anion gap metabolic acidosis. 💡 Distal (Type 1) RTA — classic with Sjögren syndrome. Pearl: When the mouth is dry, the kidneys can’t acidify. Next: