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Bethan Goulden

@bethangoulden

Rheumatology & GIM | @VersusArthritis Clinical Research Fellow @UCL | Obstetric Medicine & Women's Health | @UKOSS HLH in pregnancy https://tinyurl.com/35rht7bw

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Latest posts by Bethan Goulden @bethangoulden

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Mary Wollstonecraft: the radical thinker who shaped modern feminism Mary Wollstonecraft argued women were rational beings deserving education, independence and freedom – ideas still contested today

Mary Wollstonecraft argued women were rational beings deserving education, independence and freedom – ideas still contested today | Bridget Cotter

09.03.2026 06:31 👍 7 🔁 1 💬 0 📌 0
International Women’s Day: The past, present and future of rheumatology

Enjoyed being part of the British Society for Rheumatology's celebrations for #IWD2026. 🎙️🤰
www.rheumatology.org.uk/news/details...

08.03.2026 21:46 👍 1 🔁 0 💬 0 📌 0

Starting Monday! Last chance to sign up for this highly rated beginner #bioinformatics course and gain practical omics analysis skills 🚀

Book your place here: bit.ly/46C2QDC

06.03.2026 09:28 👍 4 🔁 2 💬 0 📌 0
Images in Clinical Medicine 
Subacute Sclerosing Panencephalitis after Measles Infection 

Panels A and B: MRI of the head showing edema and restricted diffusion in the frontal lobes that involved the cortical ribbon and white matter and extended into the corpus callosum.

Images in Clinical Medicine Subacute Sclerosing Panencephalitis after Measles Infection Panels A and B: MRI of the head showing edema and restricted diffusion in the frontal lobes that involved the cortical ribbon and white matter and extended into the corpus callosum.

A 7-year-old boy was brought to a hospital with a 3-month history of cognitive deterioration and seizures. He had contracted measles at 7 months of age while living in an area where the infection is endemic. Read the full case details: nej.md/4qY4Ihk

#MedSky #NeuroSky #IDSky

01.03.2026 14:01 👍 44 🔁 21 💬 2 📌 7
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Living with RA, Axial SpA, Lupus, Psoriasis or PsA? These conditions can affect every part of life including intimacy and sexual health - yet this is rarely talked about.

(1/3)

24.02.2026 16:30 👍 3 🔁 2 💬 1 📌 0
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Validate User

Rotator cuff abnormalities are nearly universal after age 40, & incr w/ age; routine imaging should not guide Dz or Tx of atraumatic shoulder pain. Study of 602 having MRI (58yrs) RC abnormalities in 98.7%;; 25% tendinopathy, 62% Partial & 11% Full thickness tears jamanetwork.com/journals/jam...

16.02.2026 22:46 👍 0 🔁 1 💬 0 📌 0
A map of the UK, with pins at various spots across the islands.

A map of the UK, with pins at various spots across the islands.

Help us map science history for #InternationalDayofWomenandGirlsinScience. We've launched a new interactive map of landmarks across the UK connected to women from science history, and we want your suggestions.

Explore the map and submit your landmark now: royalsociety.org/news-resourc...

11.02.2026 10:13 👍 35 🔁 21 💬 5 📌 6
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👍 Positive news to see the launch of a new multidisciplinary team for #lupus in Wales 🏴󠁧󠁢󠁷󠁬󠁳󠁿 An important step towards a lifelong, joined-up approach to care.

About the Wales MSK Network and full newsletter ➡️ performanceandimprovement.nhs.wales/functions/ne...

05.02.2026 10:58 👍 2 🔁 1 💬 0 📌 0
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Wonderful news to start 2026 with! Access to Obinutuzumab has been granted for patients living with lupus nephritis!

www.nice.org.uk/news/article...

22.01.2026 16:27 👍 6 🔁 2 💬 0 📌 0
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Paracetamol is safe in pregnancy, says new evidence against Trump autism claims Researchers say their gold-standard review should put an end to the debate over use of the common painkiller during pregnancy.

No evidence taking #paracetamol in pregnancy raises risk of autism, ADHD, developmental issues

Ian Douglas says review "well-conducted" as excludes studies which don't take into account key differences between mothers who use or don't use paracetamol during #pregnancy

www.bbc.co.uk/news/article...

19.01.2026 10:27 👍 21 🔁 13 💬 0 📌 0
Expanding our guidelines for pregnancy and reproductive health

Very exciting to get the green light for the very first British Society for Rheumatology guideline on women's health! Please share with colleagues who may be interested in joining us 📨
www.rheumatology.org.uk/news/details...

15.01.2026 13:35 👍 3 🔁 2 💬 0 📌 0
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🚀 Registration for #EULAR2026 is OPEN!

🌍Join us in London, 3–6 June 2026, for the most inspiring event in rheumatology, where innovation meets collaboration.

Secure your place today: https://pulse.ly/zf6sf2zgpy

#EULAR #Rheumatology

10.01.2026 10:00 👍 5 🔁 2 💬 0 📌 0
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Some of your cells are not genetically yours — what can they tell us about life and death? A tiny population of cells that are passed across the placenta between mother and baby challenge basic tenets of human immunology.

Some of your cells are not genetically yours — what can they tell us about life and death? www.nature.com/articles/d41... Thank you Lise Barneoud for this beautiful piece, and @Nature for highlighting microchimerism to the broader community. Happy 2026 everyone with hidden cellular guest!

03.01.2026 01:21 👍 5 🔁 2 💬 0 📌 0
A JAMA article titled 'The Role of Vaccination in Maternal and Perinatal Outcomes Associated With COVID-19 in Pregnancy'. Figure 1 shows monthly cases of COVID-19 in pregnancy, including vaccination, hospitalization, and critical care admission rates from April 2021 to December 2022.

A JAMA article titled 'The Role of Vaccination in Maternal and Perinatal Outcomes Associated With COVID-19 in Pregnancy'. Figure 1 shows monthly cases of COVID-19 in pregnancy, including vaccination, hospitalization, and critical care admission rates from April 2021 to December 2022.

#COVID19 vaccination before or during pregnancy was associated with lower risks of hospitalization, ICU admission, and preterm birth among those infected with SARS-CoV-2 in Canada.

ja.ma/3XUEa4p

15.12.2025 16:15 👍 39 🔁 22 💬 0 📌 4
Probability of mediation continuation by sex and age in axSpA

Probability of mediation continuation by sex and age in axSpA

RISE registry data were analyzed for trends in medication discontinuation by sex among patients with axSpA. Women with axSpA had a 24% & 25% higher risk of discontinuing TNFi & IL-17i than men with axSpA, but no sex differences were found for JAKi

AC&R
doi.org/10.1002/acr....

#Medsky

10.12.2025 17:43 👍 2 🔁 1 💬 0 📌 1
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Sage Journals: Discover world-class research Subscription and open access journals from Sage, the world's leading independent academic publisher.

Fantastic abstracts from MOMS2025 in Edinburgh are now available - showcasing innovation, collaboration, and cutting-edge work in maternal medicine. Read them here:
journals.sagepub.com/toc/obma/18/...

10.12.2025 14:12 👍 5 🔁 3 💬 0 📌 0
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🚨 New dates! Our next 'Omic data analysis and visualisation using R' bioinformatics training course will start Monday 9 March 2026 - running every weekday morning for two weeks.

Perfect for beginners & all online.

Half price for members! Register here: https://bit.ly/4oNRuTh

10.12.2025 09:15 👍 8 🔁 4 💬 0 📌 0
The image shows three line graphs titled 'Association of the Running Variable, Serum Magnesium, With Clinical Outcomes'. The graphs show the proportion of 24-h treatment windows for tachyarrhythmia, MAP <65 mm Hg, and death within 24 h relative to serum magnesium cutoff.

The image shows three line graphs titled 'Association of the Running Variable, Serum Magnesium, With Clinical Outcomes'. The graphs show the proportion of 24-h treatment windows for tachyarrhythmia, MAP <65 mm Hg, and death within 24 h relative to serum magnesium cutoff.

Magnesium supplementation showed no significant impact on 24-hour risk of tachyarrhythmias, hypotension or death in critically ill patients with hypomagnesemia with serum values close to hospital thresholds. ja.ma/44KJUBu

08.12.2025 17:30 👍 1 🔁 1 💬 0 📌 0

🎧 Listen to authors @EMrobg, MBBS, and @jasonwasfy, MD, MPhil, discuss their articles from JAMA Internal Medicine with @IlanaRichman, MD MHS. ja.ma/48V2r0n

08.12.2025 18:00 👍 1 🔁 1 💬 0 📌 0
JAMA graph titled 'Figure 2. Primary End Point'. 'Change from the baseline SOFA score' is plotted for precision immunotherapy (orange) and placebo (blue). SOFA scores range from 0 to 20; x-axis is 1 to 145.

JAMA graph titled 'Figure 2. Primary End Point'. 'Change from the baseline SOFA score' is plotted for precision immunotherapy (orange) and placebo (blue). SOFA scores range from 0 to 20; x-axis is 1 to 145.

RCT: Among patients with #sepsis, a precision immunotherapy strategy targeting macrophage activation-like syndrome and sepsis-induced immunoparalysis improved organ dysfunction by day 9 compared to placebo.#CCRdownunder ja.ma/3MkSb95

08.12.2025 22:30 👍 11 🔁 7 💬 0 📌 1
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Research Highlight of the Year Arthritis UK Research Highlight of the Year: celebrate the outstanding work that’s made a real impact over the past year.

Loving #BSI25, especially @ciurtinlab.bsky.social and @emmaschambers.bsky.social highlighting our paper in @jem.org is one of #ArthritisUK top research output of ‘25! If you have 5 minutes, give us a vote (number 5) below, sex differences in the immune system:

www.arthritis-uk.org/our-research...

02.12.2025 15:21 👍 10 🔁 5 💬 1 📌 4
Graph showing incidence of cervical cancer for vaccinated and unvaccinated

Graph showing incidence of cervical cancer for vaccinated and unvaccinated

The vaccine is pretty astonishing. Just look at that green line.

28.11.2025 20:47 👍 569 🔁 126 💬 6 📌 9
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Webinar: Taking medicines during pregnancy and breastfeeding - Wellbeing of Women Paracetamol, vaccines, antidepressants, weight-loss drugs and more – our experts discuss risks and benefits, and fertility considerations

Webinar: Taking medicines during pregnancy and breastfeeding
Paracetamol, vaccines, antidepressants, weight-loss drugs and more – our experts discuss risks and benefits, and fertility considerations

Friday 28 Nov 2025

12:00 p.m - 1:00 p.m.

Online Event

www.wellbeingofwomen.org.uk/events/webin...

26.11.2025 08:10 👍 1 🔁 0 💬 0 📌 0
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We are recruiting members of the public to help shape research on what it’s like to be pregnant, breastfeeding, or caring for a baby during an infection outbreak, like COVID. Read more about the project, who we are looking for, and how to apply here www.coproductioncollective.co.uk/news/help-sh...

24.11.2025 12:09 👍 3 🔁 5 💬 1 📌 1
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Remarkable impact: there were no reported cases of #cervicalcancer among women in Scotland who received the #HPV vaccine at the age of 12–13 in the 12 years following vaccination. Here’s a look at studies from around the world that show that #VaccinesWork to #StopCervicalCancer: bit.ly/489S33A

17.11.2025 17:00 👍 12 🔁 10 💬 1 📌 0
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HLH (haemophagocytic lymphohistiocytosis)

Great Society of Acute Medicine podcast on HLH with Dr Jessica Manson. Pragmatic, clinically relevant introduction to the disease, and a nod to pregnancy induced HLH too

open.spotify.com/episode/3dpf...

10.11.2025 18:41 👍 2 🔁 0 💬 0 📌 0
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A systematic review of disseminated HSV in pregnancy (including with HLH) - out now. Highlights non-specific symptoms of the disease in pregnancy & how an absence of lesions does not exclude HSV in the unwell, febrile pregnant patient.
#sepsis #HSV #HLH
obgyn.onlinelibrary.wiley.com/doi/10.1111/...

07.11.2025 18:46 👍 1 🔁 0 💬 0 📌 0
Overview of the recommended management for systemic lupus erythematosus (SLE). This schematic illustrates the approach to SLE treatment, with organ-specific therapies presented in separate boxes and stratified by disease severity. 
The order of the medications in each box does not indicate preference unless noted otherwise. 
Lupus nephritis treatment is addressed in the 2025 American College of Rheumatology Guideline for the Screening, Treatment, and Management of Lupus Nephritis. 
ABBREVIATIONS: 
ACLE, acute cutaneous lupus erythematosus; SCLE, subacute cutaneous lupus erythematosus; CCLE, chronic cutaneous lupus erythematosus; CNI, calcineurin inhibitor (cyclosporin or tacrolimus); HCQ, hydroxychloroquine; CQ, chloroquine; CCB, calcium channel blockers; IL-1 blockade, Interleukin-1 blockade; IS, immunosuppressive therapy; IV CYC, intravenous cyclophosphamide; IVIG, intravenous immunoglobulins; LCV, leukocytoclastic vasculitis; MPAA, mycophenolic acid analogs; NSAIDs, non-steroidal anti-inflammatory drugs; PDE5i, phosphodiesterase type 5 inhibitors; PLEX, plasma exchange.
FOOTNOTES:
** In CLE, switch HCQ to CQ with the intention of changing back to HCQ once the rash is under control.
† Azathioprine may be used when pregnancy is planned. Based on the Voting Panel members’ clinical experience, anifrolumab has a more rapid onset of benefit and a greater likelihood of response than belimumab.
⁂ MPAA may be preferable over Azathioprine
§ Alternative agents such as leflunomide are occasionally used for those with arthritis 
‖ Evidence for severe neurologic syndromes was largely limited to IV CYC

Overview of the recommended management for systemic lupus erythematosus (SLE). This schematic illustrates the approach to SLE treatment, with organ-specific therapies presented in separate boxes and stratified by disease severity. The order of the medications in each box does not indicate preference unless noted otherwise. Lupus nephritis treatment is addressed in the 2025 American College of Rheumatology Guideline for the Screening, Treatment, and Management of Lupus Nephritis. ABBREVIATIONS: ACLE, acute cutaneous lupus erythematosus; SCLE, subacute cutaneous lupus erythematosus; CCLE, chronic cutaneous lupus erythematosus; CNI, calcineurin inhibitor (cyclosporin or tacrolimus); HCQ, hydroxychloroquine; CQ, chloroquine; CCB, calcium channel blockers; IL-1 blockade, Interleukin-1 blockade; IS, immunosuppressive therapy; IV CYC, intravenous cyclophosphamide; IVIG, intravenous immunoglobulins; LCV, leukocytoclastic vasculitis; MPAA, mycophenolic acid analogs; NSAIDs, non-steroidal anti-inflammatory drugs; PDE5i, phosphodiesterase type 5 inhibitors; PLEX, plasma exchange. FOOTNOTES: ** In CLE, switch HCQ to CQ with the intention of changing back to HCQ once the rash is under control. † Azathioprine may be used when pregnancy is planned. Based on the Voting Panel members’ clinical experience, anifrolumab has a more rapid onset of benefit and a greater likelihood of response than belimumab. ⁂ MPAA may be preferable over Azathioprine § Alternative agents such as leflunomide are occasionally used for those with arthritis ‖ Evidence for severe neurologic syndromes was largely limited to IV CYC

Now published: The 2025 ACR Guideline for the Treatment of Systemic Lupus Erythematosus

📄 Read the paper: acr.tw/47mkegj

ℹ️ See additional content and resources on this guideline at acr.tw/4mbHK4W

#Medsky #Rheumsky #Rheumatology

03.11.2025 16:35 👍 9 🔁 6 💬 0 📌 1
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Great news! Excited to announce the date and location of ISOM/MOMS2026.

QEII centre, London, UK
7-8th December 2026

Save the date! Share with friends! Plan your trip!

#ISOMMOMS2026

21.10.2025 20:38 👍 4 🔁 4 💬 0 📌 0
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Join us on October 29 for our upcoming webinar, “The Burning Question of Acetaminophen in Pregnancy.”
Open to both members and non-members — everyone is welcome!
🔗 Register here: sinaihealth.zoom.us/webinar/regi...

18.10.2025 22:07 👍 3 🔁 2 💬 0 📌 1