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#ACR26 #GlobalSummit
November 6, 2026 at 7:01 PM
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Angela - thank you for sharing your story

#ACR26 #GlobalSummit
Drs Hsieh and Pala with Angela Charis
November 7, 2026 at 3:30 PM
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Global warming and more foodborne disease

Salmonella and Campylobacter can also cause ReA

#ACR26 #GlobalSummit
November 6, 2026 at 1:44 PM
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#ACR26 #GlobalSummit

Meet the Experts features difficult clinical cases from around the world; and commentary from an expert panel

This year's focus is infection
November 6, 2026 at 4:14 PM
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Opioids don't work for this type of pain; might make it worse

#ACR26 #GlobalSummit
over release of endorphins on PET and fMRI study
November 6, 2026 at 6:20 PM
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#ACR26 #GlobalSummit Physical Activity session

⭐Helene Alexanderson, Karolinska - physical activity, exercise, self management in rheumatology
Integrating physical activity, exercise, self management into rheumatology care
November 6, 2026 at 2:08 PM
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EULAR defined self management (2021)

pubmed.ncbi.nlm.nih.gov/33962964/

#ACR26 #GlobalSummit
November 6, 2026 at 2:09 PM
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IASP - definition of nociplastic pain. Better understanding of CNS processes involved

#ACR26 #GlobalSummit
evolving thinking of fibromyalgia
November 6, 2026 at 6:05 PM
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#ACR26 #GlobalSummit - Global pain management session

⭐Dan Clauw - Diagnosing and Treating Chronic Pain

⭐Laure Gossec
November 6, 2026 at 6:02 PM
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developing new Lyme vaccine, really immunogenic, in phase 3 trial >70% efficacy

#ACR26 #GlobalSummit
immunogenicity of Lyme vaccine CIDRAP lyme vaccine results
November 6, 2026 at 1:39 PM
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C. psitaccii 🦜

#ACR26 #GlobalSummit
C psittacii and seronegative arthritis
November 6, 2026 at 1:42 PM
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Reunion Island CHIKV outbreak - 21 patients with ACR criteria RA #ACR26 #GlobalSummit
November 6, 2026 at 1:15 PM
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#ACR26 #GlobalSummit - Laure Gossec - inequities in pain care and the global perspective
global pain gap role of culture in pain interpretation implicit bias actions
November 6, 2026 at 6:38 PM
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#ACR26 #GlobalSummit Physical Activity session

⭐Linda Lee, UBC, implementation scientist
key references Davergne 2019 Feehan 2020 Ferguson 2022 Wu 2024
November 6, 2026 at 2:29 PM
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All come together to discuss burnout

US - documentation buries us

Philippines - not enough rheumatologists; you'd never go home if you kept clinics open

Colombia - chronic pain very difficult to treat

#ACR26 #GlobalSummit
November 6, 2026 at 9:01 PM
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Treatment for fibromyalgia

#ACR26 #GlobalSummit
strong evidence - TCAs, SNRIs and NSRIs, gabapentinoids Modest - tramadol, older SSRIs, low dose naltrexone, cannabinoids No evidence - opioids, steroids, NSAIDs, benzos
November 6, 2026 at 6:27 PM
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Children who develop AMPS: can see changes on fMRI before they develop pain

#ACR26 #GlobalSummit
Kaplan et al in Pain Neurobiological antecedents of multisite pain in children
November 6, 2026 at 6:26 PM
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Some exercise prescriptions for RA and myositis 🏃‍♂️

#ACR26 #GlobalSummit
Swardh and Brodin 2016 Alexanderson 2020
November 6, 2026 at 2:18 PM
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Nociplastic pain can be triggered by many things

Review article: pubmed.ncbi.nlm.nih.gov/38755449/

#ACR26 #GlobalSummit
physical, immune, emotional stressors as triggers war trauma MVAs infections comorbidities - autoimmune, sickle cell disease
November 6, 2026 at 6:14 PM
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Ixodes - Lyme disease tick

Amblyomma - Lone star tick

#ACR26 #GlobalSummit
Ixodes - Lyme disease tick Amblyomma - Lone star tick
November 6, 2026 at 1:35 PM
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Example - comorbidity patterns into RA phenotypes

Use of agnostic ML models

#ACR26 #GlobalSummit
comorbidity clusters stratify RA prognosis Crowson et al
November 6, 2026 at 3:48 PM
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Patients provide insight beyond the consultation room -- what the doctor sees is only a sliver of the lived experience

#ACR26 #GlobalSummit
Slide titled Beyond the Consultation Room noting patient communities reveal everyday experiences of living with lupus, challenges that don't surface in consultations, and patient/caregiver needs; partnerships can bridge inside/outside consultation gaps
November 7, 2026 at 3:30 PM
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Nociplastic pain - also more global sensory processing

Chronic overlapping pain conditions

#ACR26 #GlobalSummit
Lancet 2022 review article on nociplastic pain Chronic overlapping pain conditions - fibromyalgia, IBS, TMJ, interstitial cystitis, low back pain, endometriosis, others
November 6, 2026 at 6:09 PM
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OR enteric infection study - 13% developed ReA

#ACR26 #GlobalSummit
Townes ARD 2008 cx confirmed enteric infx in Oregon 13% possible ReA
November 6, 2026 at 1:45 PM
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Reunion Island outbreak of CHIKV and chronic arthritis

#ACR26 #GlobalSummit
rheum referrals for CHIKV persistent MSK pain, Reunion Island 2006-2012
November 6, 2026 at 1:15 PM