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['derm']
renal disease in #sjogrens #scleroderma #aps tip: if declining gfr in sjogren s patient- look for : k+ and bicarbonate - likely tubulointerstitial nephritis #eular2023 
Rheumatologist | Physician |  Portsmouth Hospitals University NHS Trust UK | Views my own | Re-tweets do not mean endorsement | Mainly clinical news/updates