Sandhya Pulukool (@sandhyarheumat) 's Twitter Profile
Sandhya Pulukool

@sandhyarheumat

Rheumatologist, @NarayanaHealth Bengaluru, India | Passionate about Sjögren’s Syndrome | Calicut - JIPMER - CMC Vellore | Co-convenor APLAR & IRA #Sjogrens SIG

ID: 1525490770446233600

linkhttp://www.sjogrens.in calendar_today14-05-2022 14:59:02

285 Tweet

851 Followers

309 Following

Sjögren's UK (@sjogrensuk) 's Twitter Profile Photo

Sjögren’s can also affect gynaecological health too From vaginal dryness to painful intimacy, these symptoms are often under-discussed but deeply impactful. It’s time we shine a light on all aspects of this, because awareness leads to better care. #sjogrens #sjogrensuk #sjögrens

Sjögren’s can also affect gynaecological health too From vaginal dryness to painful intimacy, these symptoms are often under-discussed but deeply impactful. It’s time we shine a light on all aspects of this, because awareness leads to better care.
#sjogrens #sjogrensuk #sjögrens
ILLIASUL IBAD (@illiasulk) 's Twitter Profile Photo

Can we have the benefits of steroids without their notorious side effects? Vamorolone, a novel dissociated steroid, shows promise in TNF-α-driven arthritis mice: — Equal anti-inflammatory power as prednisolone — Resistant to 11β-HSD1 metabolism — No adrenal atrophy, muscle

Can we have the benefits of steroids without their notorious side effects?

Vamorolone, a novel dissociated steroid, shows promise in TNF-α-driven arthritis mice:

— Equal anti-inflammatory power as prednisolone
— Resistant to 11β-HSD1 metabolism
— No adrenal atrophy, muscle
Sandhya Pulukool (@sandhyarheumat) 's Twitter Profile Photo

🧠 Which neurological features should make you suspect Sjögren’s? ⚠️ Think beyond & before dryness ➡️ Sensory Neuronopathy/Ganglionopathy ➡️ Small Fiber Neuropathy ➡️ Autonomic Dysfunction ➡️ Optic Neuritis ➡️ Myelitis ➡️ Cranial neuropathy- esp trigeminal #SjögrensAwareness

🧠 Which neurological features should make you suspect Sjögren’s?
⚠️ Think beyond & before dryness
➡️ Sensory Neuronopathy/Ganglionopathy 
➡️ Small Fiber Neuropathy 
➡️ Autonomic Dysfunction 
➡️ Optic Neuritis 
➡️ Myelitis
➡️ Cranial neuropathy- esp trigeminal
 #SjögrensAwareness
Sandhya Pulukool (@sandhyarheumat) 's Twitter Profile Photo

🌐 Sjögren’s: The Autoimmune Chameleon of Neurology! 📷SS has the widest neurological manifestations described for any autoimmune disease. CNS < PNS. As pointed out by Neuro Sjogrens, motor neuropathies, CIDP, brain fog, seizures, psychiatric etc, are to be added to the list

S Blitshteyn MD, FAAN, FANA, Dysautonomia Clinic (@dysclinic) 's Twitter Profile Photo

Fascinating! Gut microbiota in patients may be a possible trigger of small fiber neuropathy in the skin. Conversely, gut microbiota of healthy people might reduce small fiber neuropathy in patients. There is a lot to be learned, but one thing is clear: your #fibromyalgia,

Sjögren Europe (@sjogreneurope) 's Twitter Profile Photo

🌍 Sjögren’s Awareness Month ends — but our voice stays strong 💙 Thank you for sharing, supporting & raising awareness 🌟 You’ve shown one powerful truth: you are not alone. We keep going. Together. 💙 #SjögrenEurope #SjögrenAwareness #YouAreNotAlone #Sjögrendisease

Sarah Schafer MD MPH (@sarahschafermd) 's Twitter Profile Photo

Sandhya Pulukool It’s also good to remember that all of these tests can be negative and you can still have Sjogren’s. This is true for me and many other people with Dysautonomia and small fiber neuropathy. I have multiple systemic manifestations, but 34 years from symptom onset to diagnosis.

Sarah Schafer MD MPH (@sarahschafermd) 's Twitter Profile Photo

Studies show ⬆️mortality in Sjogren’s, SMR ranging from 1.5 -4. Respiratory infections are a top cause. I expect this will increase both directly from Covid and from the immune system damage caused by Covid. Air cleaners, N95 masks, and vaccines are all important.

GC (@thepotspostman) 's Twitter Profile Photo

You’d never know it from the outside, but someone with a chronic illness can hold a conversation, smile, even laugh…all while simultaneously fighting a battle inside their body. Brain fog, tachycardia, fatigue, dizziness and more. We get real good at pretending we’re okay.

Neuro Sjogrens (@neurosjogrens) 's Twitter Profile Photo

Why do we think Sjogrens is only dryness? Is it time to contact our med schools and academies to ask them to address the incomplete (& inaccurate) education they provide so we can provide better care thru better understanding? #MedTwitter #RheumTwitter #NeuroTwitter

S Blitshteyn MD, FAAN, FANA, Dysautonomia Clinic (@dysclinic) 's Twitter Profile Photo

I am happy to see great interest in our new new paper on what not to say to people with complex #chronicillness in a #rheumatology newspaper. #MedTwitter #NeuroTwitter #LongCovid #MECFS #Dysautonomia Read full article here: 👇 medscape.com/viewarticle/wh…

I am happy to see great interest in our new new paper on what not to say to people with complex #chronicillness in a #rheumatology newspaper. 
#MedTwitter #NeuroTwitter #LongCovid #MECFS #Dysautonomia 

Read full article here: 👇
medscape.com/viewarticle/wh…