John Damianos, M.D.
John Damianos, M.D.

@john_damianosMD

7 Tweets 9 reads Dec 10, 2021
🌟HS
@IBD_FloMD
🟢involve #dermatology
🟢get drug levels
🟢if well controlled, try topicals and local therapies first
🟢don't rock the 🚢
@IBD_Houston: remember can also be drug-induced
@DavidHudesmanMD: if no effect with topicals, switch to other med (UST)
AntiTNF can▶️HS❗️
@DrCoreySiegel: always ask #IBD patients about SKIN problems, and educate about all possible EIMs that affect skin!
#protip #AIBD2021 @IBDConference
VTE 🩸
@IBD_FloMD: be aware of VTE RFs (OCP, active🔥, immobility✈️). Favor post🏥 anticoagulation
@DavidHudesmanMD: counsel re disease management while🧳
@IBD_Houston: ⚠️tofa if prior VTE (but👌if just active disease)
⚠️ 🚭
⚠️ alternate contraception (eg IUD)
@IBD_FloMD: also watch for PVT and splanchnic circulation thrombosis 🩸
🫁
Medication induced vs infection vs EIM (✅pulmonary fibrosis associated with Crohn's)
@DrCoreySiegel: get pulmonology involved early
@DavidHudesmanMD: JAKi can be helpful
@IBD_Houston: very responsive to steroids
Post-DC AC: enoxaparin 40 mg SQ daily 🩸

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