Food and Drug Administration Approves New Osteoporosis Drug That Restores Bone

The Food and Drug Administration on Tuesday approved an osteoporosis drug, romosozumab (brand name Evenity), that restores bone without breaking it down, according to the findings of two large clinical trials. This breakthrough represents the first new treatment approach in nearly two decades, developed by Amgen, in collaboration with the Belgian drug company UCB. Read more!

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Main Line Rheumatology Doctors Awarded 2019 HONOR ROLL, Rheumatology, PA

The practice of Main Line Rheumatology is proud to announce that Healthgrades™ has awarded Gary V. Gordon, MD, FACP, FACR and Thomas Harder MD, the distinction of 2019 HONOR ROLL doctors in the category of Rheumatology, Pennsylvania.

Healthgrades is an online database of doctors, dentists, and hospitals that has over 100 million users and has amassed data on more than three million U.S. healthcare providers. is an online database of doctors, dentists, and hospitals that has over 100 million users and has amassed data on more than three million U.S. healthcare providers. In a recent study, Healthgrades and Yelp proved to be the two most important sites for healthcare professionals.

Lupus and Pregnancy, by Amy Lundholm, DO

Systemic Lupus Erythematosus (SLE)
or Lupus can be associated with gestational hypertension (maternal high blood pressure), preterm birth, intrauterine growth restriction and fetal death. Lupus patients may have abnormal placentation (attachment), which is a major contributor of many pregnancy complications due to reduction in maternal blood flow to the fetus. Despite potential risks, women with SLE can have healthy pregnancies. Women with SLE should have low disease activity for the 6 months prior to conception for the best chance of a successful, healthy pregnancy. The PROMISSE Study was a large multicenter prospective study of pregnant and postpartum SLE patients. The study showed that 26 % of patients had a flare (worsening) during pregnancy, and 24.4% had a flare in the postpartum period. Most of the flares were mild and infrequently required therapy.  Only 6.3% of the patients had severe flares during pregnancy and 1.7% had severe postpartum flares.

Data suggests that the drug, Plaquenil, used during pregnancy was associated with fewer preterm births and less intrauterine growth restriction. Findings also suggest that discontinuation of Plaquenil is associated with higher lupus disease activity during pregnancy.

For SLE patients not looking to conceive, IUDs are considered safe and effective. Other acceptable contraceptive options, when used appropriately, include condoms, progestin (only oral contraceptives) or depo-provera injections. Estrogen-containing contraceptives are contraindicated in the setting of active lupus, as they may flare the disease.

Main Line Rheumatology’s Amy L. Lundholm, DO, is board certified in both rheumatology and internal medicine. Dr. Lundholm holds current membership in the Pennsylvania Osteopathic Medical Association and the American College of Rheumatology. She was chosen as a rheumatology Top Doctor 2018 Main Line Today magazine. To read more about Dr. Lundholm, go to Our Staff.

Main Line Rheumatology Congratulates Lankenau Medical Center, Voted one of America’s 50 Best Hospitals

The doctors at Main Line Rheumatology are honored to be affiliated with Lankenau Medical Center as one of America’s 50 Best Hospitals™. Just announced, Lankenau received recognition in the top 1% of hospitals in the nation for consistently providing overall clinical excellence across a broad spectrum of conditions and procedures year over year. The premier distinction rewards hospitals that consistently exhibit exceptional, comprehensive quality care, and according to statistics, patients are more likely to have a successful treatment without major complications—and have a lower chance of dying—at America’s Best Hospitals.

FLU KILLS. People 65 Years and Older or With Suppressed Immune Systems MUST be Vaccinated!

Have you been vaccinated against getting the flu? If not, it is still not too late to get a flu shot! This week’s report from the PA Department of Health states that flu is widespread in PA and The Centers for Disease Control and Prevention (CDC) can provide valuable information and updated PA flu activity at  

It has been recognized for many years that people 65 years and older are at greater risk of serious complications from the flu compared with young, healthy adults, because human immune defenses become weaker with age. People 65 years and older bear the greatest burden of severe flu disease. In recent years, it’s estimated that between about 70 and 90 percent of seasonal flu-related deaths have occurred in people 65 years and older.

If you are an adult with an immunosuppressed system (from recent sickness, chronic disease, medications or chemotherapy) you are at greater risk for flu and complications that could include bronchitis, pneumonia, ear infections, sinus infections, encephalitis, and pregnancy complications.

Flu viruses are very contagious and are spread from person to person when an infected person coughs or sneezes spreading virus-laden droplets up to three feet through the air. Flu also can be spread when droplets from a cough or sneeze are on hands, or land on objects like a doorknob, light switch, refrigerator door, bathroom or sink handles. If you touch an object and then touch your own or someone else’s mouth, nose or eyes before washing hands, the virus is spread.

You can pass the flu on to someone else both before you feel sick (no symptoms) and up to 5-7 days after becoming sick. If you suffer from a suppressed immune system (or autoimmune disease) you are far more susceptible to contracting the flu. See your rheumatologist or family doctor and get a flu shot.

Flu symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people may also have vomiting and diarrhea. People may be infected with the flu and have respiratory symptoms without a fever. Emergency signs of the flu include: difficulty breathing or shortness of breath, pain or pressure in the chest or abdomen, sudden dizziness, confusion, severe or persistent vomiting, flu-like symptoms that improve but then return with fever and worse cough.

In addition to getting the flu shot, people 65 years and older and the immunosupressed, should take the same everyday preventive actions CDC recommends of everyone, including covering coughs, washing hands often, and avoiding people who are sick.

Where can you get your flu shot today? Your doctor’s office, Urgent Care, pharmacy or drug store, clinics, health department, medical center and even some retail stores. For more information regarding flu vaccine availability for High Risk Individuals, please call 1-877-PA-HEALTH

Main Line Rheumatology Doctors are Coming to the Aid of Workers During the Government Shutdown

The doctors and staff at Main Line Rheumatology (MLR) are coming to the aid of government and furloughed workers who are practice patients currently experiencing a financial strain during the government shutdown. MLR will offer relief from current office co-payments, which can be received from patients at a later date after the government reopens. MLR has office locations at Lankenau Medical Center in Wynnewood, and Main Line Health Center in Broomall. CALL NOW 610-896-8400 for an appointment, and visit