Published: October 27, 2025
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🧵 Post 2 | Sjögren’s Autonomic Neuropathy — When the Nerves Go Silent 💓 Up to 50 % patients show autonomic involvement 🔹 Orthostatic intolerance | GI | GU | Vasomotor dysfunction 🔹 Screen → COMPASS-31 + orthostatic vitals 🔹 Tests → cardiovagal, adrenergic & sudomotor

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Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM

@dr_immuno29 Thanks for this information. Is there a book or an article that you recommend? I would love to read more about these treatment guidelines. And have access to the research so that I can discuss it with my doctor. Thanks

@dr_immuno29 👏👏 This page includes a link to an excellent article that takes you through the steps of recognizing, evaluating, diagnosing, and treating POTS and related disorders. https://www.sjogrensadvocate.c...

Orofacial Systemic Sclerosis [Andrew Leask] #ACR2025 #SSc #Rheumatology #MedTwitter & Dental Care 🦷🪥

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Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM

#ACR25 Must-Read 🔥 | “Secrets & Pearls of Rheumatology in CTD” – Janet Pope MD 🔹 SLE Pearls •Not all lupus rashes are equal! • Malar → almost always SLE • Subacute cutaneous → 50% SLE • Discoid → 5–10% risk •Lupus vs DM rash → Between vs on knuckles. •“Lupus pernio”

Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM

🫀PAH in CTD other than Scleroderma is not uncommon 👉CTD PAH is✅ largest group of associated PAH 👉👉17% SLE patients have PAH , more than MCTD . #ACR25 #ACRheum #ACRambassador

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Pearl🧋If ANA is negative, don’t order Anti-DNA or ENA (except Ro/SSA). Anti-dsDNA can’t exist without ANA positivity — it’s nuclear! #ACR25 #ACRAmbassador @Janetbirbpope

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