
Episode 25: Ask The Expert - Another Great Mimicker! A Fireside Chat about IgG4-Related Disease with Dr. Hugues Allard-Chamard
09/09/22 • 36 min
Dr. Hugues Allard-Chamard from the University of Sherbrooke joins Dan to take a fascinating deep dive into the world of IgG4-related disease. Together they tackle the basics, like what IgG4-related disease is, the clinical spectrum of the disease, the phenotypes that we should look for clinically, an approach to diagnosis, the best tissue to biopsy, and what to look for on pathology. They discuss common mimics of the disease, how to treat it, a look at the recently published open label study on use of Abatacept (of which Hugues was an author), how and when to use Prednisone, and what's in the pipeline for IgG4-related disease.
Dr. Hugues Allard-Chamard is a Rheumatologist and Assistant Professor at the University of Sherbrooke where his research focuses on immunology and IgG4-related disease.
Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.
Co-host Dr Janet Pope is off for this episode and back again with us next time.
Around The Rheum (ATR) is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), and David McGuffin (Producer, Explore Podcast Productions) for leading production.
Our theme music is by Aaron Fontwell.
You can claim podcasts as a scanning activity under the Section 2 MOC Program for 0.5 credits per podcast.
For more on the work of the Canadian Rheumatology Association (CRA), please visit www.rheum.ca.
Dr. Hugues Allard-Chamard from the University of Sherbrooke joins Dan to take a fascinating deep dive into the world of IgG4-related disease. Together they tackle the basics, like what IgG4-related disease is, the clinical spectrum of the disease, the phenotypes that we should look for clinically, an approach to diagnosis, the best tissue to biopsy, and what to look for on pathology. They discuss common mimics of the disease, how to treat it, a look at the recently published open label study on use of Abatacept (of which Hugues was an author), how and when to use Prednisone, and what's in the pipeline for IgG4-related disease.
Dr. Hugues Allard-Chamard is a Rheumatologist and Assistant Professor at the University of Sherbrooke where his research focuses on immunology and IgG4-related disease.
Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.
Co-host Dr Janet Pope is off for this episode and back again with us next time.
Around The Rheum (ATR) is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), and David McGuffin (Producer, Explore Podcast Productions) for leading production.
Our theme music is by Aaron Fontwell.
You can claim podcasts as a scanning activity under the Section 2 MOC Program for 0.5 credits per podcast.
For more on the work of the Canadian Rheumatology Association (CRA), please visit www.rheum.ca.
Previous Episode

Episode 24: Clinical Pearls and Medical Mysteries #1 - with Dr. Sarah Hansen
"The Patient is a 19-year-old woman of Filipino descent but born in Canada, previously healthy apart from a history of eczema, for which she is not taking any treatment. She had traveled to France on a gap year and while she was there she developed a skin rash that was worse on sun exposure. She also noticed increased hair loss, shortness of breath, dry cough, and arthralgias."
Dr Sarah Hansen, a recent graduate from the UBC Rheumatology program and an incoming Fellow at the National Institutes of Health (NIH) joins Dan and Janet for our first Medical Mysteries episode.
Step-by-step, Sarah lays out what proves to be an increasingly difficult case to our in-house Holmes and Watson. Will Janet and Dan crack it? You'll have to listen to find out, but we can guarantee you an episode 'chock-full' of clinical pearls.
Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London.
Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.
Special Thanks:
Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee.
A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions), Leslie Ishimwe (Marketing and Communications Director, CRA) for leading production.
Our theme music was composed by Aaron Fontwell.
For more on the work of the Canadian Rheumatology Association, visit rheum.ca
Next Episode

Episode 26: Indigenous Health Part 3 - Remote Communities with Cynthia Munger
In this episode, we continue our series of conversations on an important topic, Indigenous Health in Canada. Today, we will focus on the care of patients with rheumatic disease who live in remote communities. We will be visiting with Cynthia Munger, Community Health Representative at the Stellat'en First Nation in northern British Columbia, for a discussion on what remote communities are looking for in their relationship with visiting doctors, how to win the trust of First Nation communities to best serve patients there, and what the experience is like for visiting doctors who commit to this kind of work.
For this conversation, our host Daniel Ennis is joined by his friend and colleague Dr. Brent Ohata, a rheumatologist at UBC. Brent is passionate about Indigenous Health and health equity and has been working as a visiting rheumatologist in Stellat'en First Nation for the past ~8 years. In 2017, Brent won the Innovation Award in the UBC Division of Rheumatology for championing telehealth as a means of improving access to rheumatologic care in rural BC.
Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.
Around The Rheum (ATR) is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), and David McGuffin (Producer, Explore Podcast Productions) for leading production.
Our theme music is by Aaron Fontwell.
You can claim podcasts as a scanning activity under the Section 2 MOC Program for 0.5 credits per podcast.
For more on the work of the Canadian Rheumatology Association (CRA), please visit www.rheum.ca.
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