Aravind Palraj
@Rheumat_Aravind
Senior Resident, Rheumatology | Making autoimmunity easy to understand | 10M+ impressions | Speaker • Educator • Collaborator | DM open
🧵 “ANA Positive ≠ Lupus: The Art of Interpreting Autoantibodies” ANA positivity is one of the most misunderstood findings in medicine. Here’s how to approach an ANA report systematically, clinically, and with confidence. 👇 #Rheumatology #ANA #Autoimmunity #MedEd @DrAkhilX…
🩺 Clinical Tip Chronic urticaria + fever + arthralgia + high CRP/ESR? ⚠️ Don’t just chase allergies. 💡 Think autoinflammatory: • Schnitzler syndrome (check IgM) • Atypical AOSD 🔍 Workup: CBC, CRP, ferritin, LFTs, SPEP, ANA, ± IL-1 inhibitor trial #RheumTwitter…
🩺 Clinical Tip A young patient with recurrent oral ulcers, genital ulcers, and eye symptoms? Don’t just call it aphthous ulcers or uveitis. 💡 Think Behçet’s disease — especially if there’s pathergy or vasculitis. 📍Early recognition prevents irreversible damage.…
🩺 Clinical Tip If your patient keeps coming back with fever, rash, arthritis, and a sky-high CRP… …but autoantibodies are always negative — 💡 Don’t get stuck thinking it’s autoimmune. It might be autoinflammatory. 🧬 Time to consider an NLRP3 mutation panel — think CAPS or…
👨⚕️ 48M presents with: • Sudden-onset left foot drop × 1 week • Burning pain in right hand (glove distribution) • Weight loss, low-grade fever • BP: 170/100 • Creatinine normal • HBV negative, HCV negative • ESR 80, CRP high • Nerve conduction: mononeuritis multiplex…
👨⚕️ 61M presents with: • Fatigue, low-grade fever • Weight loss, skin purpura • Creatinine 2.6 mg/dL, new-onset • Urine: RBC casts • ANCA: Negative • Hepatitis C: Positive What’s the most likely diagnosis? A. ANCA-negative GPA B. Cryoglobulinemic vasculitis C. PAN…
🦠 Natural Killer (NK) Cells – The swift assassins of our immune system. The perfect bridge between innate & adaptive immunity. They kill without permission. No MHC? No mercy. Cancer, viruses, rogue cells – gone. Here’s how they do it👇 📌 @IhabFathiSulima #Immunology…
🟣 Today is World Sjögren’s Day A silent struggle often mistaken for “just dryness.” But it’s more than dry eyes and mouth — fatigue, joint pain, lung disease, nerve damage, even lymphoma risk. Let’s spread awareness, not just moisture. 💧 #WorldSjögrensDay #Autoimmune…
Raw milk isn’t “wholesome” when it puts your child at risk. Please don’t give kids unpasteurized milk straight from the cow. E. coli, Listeria, and other bacteria can be deadly — and invisible. Pasteurization saves lives. Let’s not forget that. #RawMilk #FoodSafety…
Good morning. Please do not feed your child, cow's milk directly from the animal's udder. Raw milk consumption has become a "trad fad" among the 'educated fools' now because of poor understanding of germ-theory of disease, but this level of child m*rder is a whole different…