Published: October 27, 2025
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🧠 #ACR25 | The Great Mimicker – Neurosarcoidosis (Roy-Hewitson, MD) 🔹 Prevalence: Neuro involvement in 3–12% of sarcoid; initial in 70% cases 🔹 CNS > PNS — Cranial neuropathy most common → leptomeningitis, myelopathy, hypothal-pituitary, hydrocephalus 🔹 Diagnosis: MRI ± CSF

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

The Great Mimicker, Neurosarcoidosis 🧠 [Roy-Hewitson] #ACR2025 #MedTwitter #Rheumatology

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

🧠 Inclusion Body Myositis (IBM) — Dr. David Fernandez | #ACR25 #ACRambassador 🔹 Early clues subtle — mild CK↑, thigh or finger flexor weakness → catch early via focused exam 🔹 PM → IBM evolution possible esp. if mitochondrial pathology; some transient steroid response 🔹

Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM
Image in tweet by Dr.Mukesh , MD , DM
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When a young woman presents with encephalopathy + corpus callosum lesions… Don’t rush to call it MS or vasculitis. 👉 Think SUSAC Syndrome. And always check fluorescein angiogram — even if vision is normal. #ACR25 #NeuroRheum #Rheumatology #MedTwitter @DrAkhilX

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So excited about Dr. Daniel Whibley’s (@DanielWhibley) presentation at #ACR25 on Cognitive Dysfunction and how it Manifests in those living w/Fibromyalgia. He shared several ways to conduct baseline cognitive tests. #LADAorg #LupusChat

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

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