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Elizabeth A Spencer MD MS

@pedsIBDdoc

Pediatric GI specializing in Inflammatory Bowel Disease (UC/CD) • Researcher of IBD Precision/Prevention • Patient w/ UC • Tweets my own
Manhattan, NY labs.icahn.mssm.edu/spencerlab/ Joined February 2019
166 Following 1.1K Followers 931 Posts

Latest posts 5

Elizabeth A Spencer MD MS @pedsIBDdoc
Check vaccines at IBD diagnosis: in a JPGN Reports study of 42 children, only 6 of 31 with records (19%) were up to date, and seroprotection was just 54% for hepatitis B and 22% for pneumococcus. Catch-up before immunosuppression matters. #IBD #PedsIBD

doi.org/10.1002/jpr3.7…
onlinelibrary.wiley.com Serological immunity against vaccine‐preventable diseases in children with inflammatory bowel... Objectives Patients with inflammatory bowel disease (IBD) are at increased risk of vaccine-preventable diseases. However, vaccination coverage in this population is often suboptimal. This retrospec...
Elizabeth A Spencer MD MS @pedsIBDdoc
Remission is not the whole story: of 48 kids with IBD in remission, 29.1% had anxiety and 14.5% depression symptoms. Parent and child reports agreed closely, so check in with both about mental health regularly, even when things look good. #IBD #PedsIBD

doi.org/10.1002/jpr3.7…
onlinelibrary.wiley.com Psychological well‐being and quality of life in pediatric patients with inflammatory bowel disease... Objectives Pediatric inflammatory bowel disease (IBD) presents significant psychological challenges, including anxiety and depression. This study investigates the prevalence of depression and...
0 replies 6 reposts 13 likes 483 views View on X
Elizabeth A Spencer MD MS @pedsIBDdoc
Skin matters too: a meta-analysis of children with IBD on anti-TNF therapy found paradoxical psoriasis in 6.8% (pooled, 13 studies), and most reported cases (79.1%) were on infliximab. A big reason I co-founded our IBD-Dermatology Clinic. #IBD #PedsIBD

doi.org/10.1111/ajd.14…
onlinelibrary.wiley.com The Incidence and Management of TNF‐α Inhibitor Induced Paradoxical Psoriasis in Children With... Paradoxical psoriasis is a well-described phenomenon following treatment with Tumour Necrosis Factor alpha (TNF-α) inhibitors in adult patients with Inflammatory Bowel Disease (IBD). The incidence...
0 replies 8 reposts 13 likes 564 views View on X
Elizabeth A Spencer MD MS @pedsIBDdoc
What does normal look like on pediatric intestinal ultrasound? An IBUS pediatric study found previously inflamed bowel in children in sustained deep remission measured <2.5 mm (vs <3 mm in adults), regardless of age, sex, or segment. #IBD #PedsIBD

doi.org/10.1002/jpn3.7…
onlinelibrary.wiley.com Defining normal bowel wall thickness in children with inflammatory bowel disease in deep remission:... Objectives Intestinal ultrasound (IUS) is a noninvasive tool for detecting and monitoring disease activity in children with inflammatory bowel disease (IBD). Remission values for bowel wall thickne...
Elizabeth A Spencer MD MS @pedsIBDdoc
When a perianal abscess is more than an abscess: of 204 kids who had one drained, 14 (6.8%) were later diagnosed with Crohn disease. Red flags: abscess recurrence (57.1% vs 20.0%), anemia, growth concerns, and lower albumin. #IBD #PedsIBD

doi.org/10.1007/s00431…
link.springer.com Surgically Treated Perianal Abscess in Children: Clinical Characteristics and Subsequent Diagnosis... European Journal of Pediatrics - To characterize clinical features and evaluate the proportion of children presenting with perianal abscess who were subsequently diagnosed with inflammatory bowel...