ACR Meeting Abstracts

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  • Abstract Number: 169 • 2018 ACR/ARHP Annual Meeting

    Prognosis of Patients with Antiphospholipid Syndrome Nephropathy

    Clémentine Rousselin1, Zahir Amoura2, Alexandre Karras3, Dominique Guerrot4, Jean-Jacques Boffa5, Guillaume Canaud6, Stanislas Faguer7, Eric Auxenfants8, Noémie Jourde-Chiche9, Marc Lambert10 and Thomas Quémeneur11, 1Department of internal medicine, Hopital de Valenciennes, France, Valenciennes, France, 2Université Pierre et Marie Curie, Paris, France, 3Department of Nephrology, Hôpital Européen Georges Pompidou, APHP, Paris, France, Paris, France, 4Service de Néphrologie, Department of Nephrology, Centre Hospitalier de Rouen, France, Rouen, France, 5Department of Nephrology, Hôpital Tenon, France, Paris, France, 6Department of Nephrology and Transplantation, Necker-Enfants Malade, Université Paris Descartes, Sorbonne Paris Cité, INSERM U1151, Necker-Enfants Malades Hospital, Paris, France AP-HP, Paris, France, PARIS, France, 7Nephrology, CHU, Toulouse, France, 8CH Roubaix - Médecine interne, Roubaix, France, 9Nephrology, Department of Nephrology, AP-HM, CHU Conception, Marseille, France, Marseille, France, 10Lille, Lille, France, 11Department of Internal Medicine, CH of Valenciennes, France, Valenciennes, France

    Background/Purpose: Antiphospholipid syndrome (APS) is associated with several patterns of renal involvement. Among them, antiphospholipid nephropathy (APSN) is a rare but specific pattern resulting from…
  • Abstract Number: 170 • 2018 ACR/ARHP Annual Meeting

    Predictive Value of Antiphospholipid Antibodies in the Acute Phase of Deep Vein Thrombosis

    Katja Perdan Pirkmajer1, Anja Boc2, Saša Čučnik3, Alenka Mavri4, Polona Žigon3, Eva Podovsovnik5, Monika Štalc6, Nina Vene7 and Ales Ambrozic8, 1Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia, 2Faculty of Medicine, Institute of Anatomy, University of Ljubljana, Ljubljana, Slovenia, 3University Medical Centre Ljubljana, Department of Rheumatology, Ljubljana, Slovenia, 4University Medical Centre Ljubljana, Ljubljana, Slovenia, 5Faculty for Tourism Studies, University of Primorska, Portoroz, Slovenia, 6Department of Nuclear Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia, 7Department of Vascular Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia, 8Department of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia

    Background/Purpose: Deep vein thrombosis (DVT) is frequent and potentially life threatening disease with tendency to reoccur. Anticoagulant treatment of the first episode of DVT usually…
  • Abstract Number: 171 • 2018 ACR/ARHP Annual Meeting

    Flow Cytometric Assessment of the Mammalian Target of Rapamycin Pathway Using Antiphospholipid Syndrome As a Disease Model

    Ariel Badger1, Ecem Sevim2, Oral Alpan3 and Doruk Erkan4, 1O&O Alpan Medical Center, Fairfax, VA, 2Rheumatology, Hospital for Special Surgery, New York, NY, 3Allergy & Immunology, O&O Alpan Medical Center, Fairfax, VA, 4Rheumatology, Hospital for Special Surgery- Weill Cornell Medicine, New York, NY

    Background/Purpose: The mammalian target of rapamycin (mTOR) is a component of MTOR complex-1 that, when activated by upstream molecule protein kinase B (AKT) and another…
  • Abstract Number: 172 • 2018 ACR/ARHP Annual Meeting

    Serum Chemokines and miRNA Levels and Its Association with Cumulative Organ Damage in Patients with Antiphospholipid Syndrome: A Bench to Bedside Study

    Laura-Aline Martinez-Martinez1, Fausto Sanchez-Muñoz2, Maya Jazmin Nastia Nicte Chacon-Perez2, Yaneli Juarez-Vicuña2, Nicole Mouneu Ornelas1, Anthony Beltran-Cortez2, Ricardo Alberto Venegas Yañez3, Julio Fonseca Basurto1, Evelyn Aranda Cano1, Mary Carmen Amigo4 and Luis M. Amezcua-Guerra1, 1Rheumatology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico, 2Immunology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico, 3Reumatologia, Instituto Nacional de Cardiología "Ignacio Chavez", Ciudad de México, Mexico, 4Rheumatology, Centro Medico ABC, Mexico, Mexico

    Background/Purpose: Recent evidence suggests that chemokines and miRNAs are involved in the pathogenesis of antiphospholipid syndrome (APS). However, the specific role of these molecules in…
  • Abstract Number: 173 • 2018 ACR/ARHP Annual Meeting

    The Efficacy of Treatment with Low Dose Aspirin and Low Molecular Weight Heparin in Pregnant Women with Criteria Anti-Phospholipid Antibodies

    Cecilia B. Chighizola1, Francesca Pregnolato2, Maria Gabriella Raimondo3, Chiara Comerio4, Laura Trespidi5, Maria Orietta Borghi6, Maria Gerosa7, Barbara Acaia8, Wally Ossola5, Enrico Ferrazzi8, Alessandro Bulfoni9 and Pier Luigi Meroni10, 1Rheumatology, Istituto Auxologico Italiano, University of Milan, Milan, Italy, 2Istituto Auxologico Italiano, Cusano Milanino, Italy, 3University of Milan, Istituto Ortopedico Gaetano Pini, Milan, Italy, 4University of Milan, Milan, Italy, 5Department of Obstetrics and Gynaecology, Fondazione Policlinico, Mangiagalli e Regina Elena, Milan, Italy, 6University of Milan, IRCCS Istituto Auxologico Italiano, Milan, Italy, 7Istituto Ortopedico Gaetano Pini, University of Milan, Milano, Italy, 8Department of Obstetrics and Gynaecology, Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy, 9Division of Obstetrics and Gynaecology, Humanitas S. Pio X, Milan, Italy, 10Laboratory of Immuno-rheumatology, Laboratory of Immuno-rheumatology, IRCCS Istituto Auxologico Italiano, Cusano Milanino, Italy

    Background/Purpose: Anti-phospholipid antibodies (aPL) are the biomarkers of anti-phospholipid syndrome (APS), a systemic autoimmune condition characterized by thrombosis and/or pregnancy morbidity (PM). The aim of…
  • Abstract Number: 174 • 2018 ACR/ARHP Annual Meeting

    Rivaroxaban Versus Warfarin As Secondary Thromboprophylaxis in Patients with Antiphospholipid Syndrome: A Randomized, Multicenter, Open-Label, Clinical Trial

    Josefina Cortés-Hernández1, Luis Sáez-Comet2, Antoni Riera Mestre3, A. Castro Salomó4, J. Cuquet Pedragosa5, Vera Ortiz-Santamaría6, M. Mauri Plana7 and Josep Ordi-Ros8, 1Internal Medicine Department, Vall d´Hebron Hospital, Barcelona, Spain, 2Internal Medicine, Miguel Servet University Hospital, Zaragoza, Spain, 3VTE Unit. Internal Medicine, Bellvitge University Hospital, Barcelona, Spain, 4Hospital Universitari de Reus, Spain, Reus, Spain, 5Internal Medicine, Granollers University Hospital, Granollers, Spain, 6Rheumatology, Hospital General. Granollers., Granollers, Spain, 7Internal Medicine, Mataró Hospital, Mataró, Spain, 8Internal Medicine, Vall d'Hebron Hospital, Barcelona, Spain

    Background/Purpose: Long-term anticoagulation with vitamin K antagonists (VKAs) is the standard of care in thrombotic antiphospholipid syndrome (APS) but requires frequent monitoring and dose adjustment.…
  • Abstract Number: 175 • 2018 ACR/ARHP Annual Meeting

    Deductive Anatomy By Self-Examination. Preliminary Evaluation of a Novel Method to Reinforce Knowledge of Musculoskeletal Anatomy at the 2018 Panlar Meeting

    Miguel A Saavedra1, Virginia Pascual-Ramos2, Juan J Canoso3, Marco A Sanchez-Valencia4, Robert A Kalish5 and Cristina Hernandez-Diaz6, 1Rheumatology, Hospital de Especialidades Centro Médico La Raza, IMSS, Mexico City, Mexico, 2Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico City, Mexico, Mexico City, Mexico, 3Medicine, Rheumatology, ABC Medical Center, Mexico City, and Tufts University Medical School, Boston, Mexico City, MA, Mexico, 4Anatomia, Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico, 5Rheumatology, Tufts University School of Medicine, Boston, MA, 6Musculoskeletal ultrasonography., Instituto Nacional de Rehabilitacion, Mexico City, Mexico

    Background/Purpose: Traditionally, anatomy has been taught by dissection and textbooks of descriptive and topographic anatomy. Today, dissection is increasingly rare and emphasis is placed instead…
  • Abstract Number: 176 • 2018 ACR/ARHP Annual Meeting

    Deductive Anatomy By Self-Examination. a Novel Method to Reinforce Traditional Teaching of Musculoskeletal Anatomy

    Juan J Canoso1, Miguel A Saavedra2, Virginia Pascual-Ramos3, Marco A Sanchez-Valencia4 and Robert A Kalish5, 1Medicine, Rheumatology, ABC Medical Center, Mexico City, and Tufts University Medical School, Boston, Mexico City, MA, Mexico, 2Reumathology, Hospital de Especialidades Centro Médico La Raza, Mexico, Mexico, 3Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico City, Mexico, Mexico City, Mexico, 4Anatomia, Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico, 5Medicine, Rheumatology, Tufts Medical Center and Tufts University Medical School, Boston, MA, Boston, MA

    Background/Purpose: Knowledge of musculoskeletal anatomy (MSA) is essential for physicians such as rheumatologists, orthopedic surgeons, physiatrists, generalists, and other professionals for whom a musculoskeletal-centered physical…
  • Abstract Number: 177 • 2018 ACR/ARHP Annual Meeting

    A Needs Assessment to Inform Rheumatology Curriculum Re-Design for Internal Medicine Residents

    David Leverenz1, Amanda M. Eudy1 and Lisa Criscione-Schreiber2, 1Department of Medicine, Division of Rheumatology and Immunology, Duke University, Durham, NC, 2Division of Rheumatology, Department of Medicine, Duke University, Durham, NC

    Background/Purpose: In an effort to redesign our rheumatology curriculum for internal medicine (IM) residents, we sought to understand the correlations between IM resident in-training exam…
  • Abstract Number: 178 • 2018 ACR/ARHP Annual Meeting

    The Impact of a Novel Immune Related Adverse Event Tumor Board on Interprofessional Clinical Confidence and Collaboration

    Cassandra Calabrese1, Pauline Funchain2, Pradnya D. Patil2 and Leonard H. Calabrese3, 1Rheumatic & Immunologic Disease, Cleveland Clinic Foundation, Cleveland, OH, 2Hematology Oncology, Cleveland Clinic Foundation, Cleveland, OH, 3Rheumatic & Immunologic Disease and Infectious Disease, Cleveland Clinic Foundation, Cleveland, OH

    Background/Purpose: The diagnosis and management of patients who develop immune related adverse events (irAEs) from checkpoint inhibitor therapy (ICI) requires multidisciplinary care and rheumatologists play…
  • Abstract Number: 179 • 2018 ACR/ARHP Annual Meeting

    Swimming Against the Stream- the Fishbowl Discussion Method As an Interactive Tool for Medical Conferences – Experiences from the 11. European Lupus Meeting

    Johanna Mucke1, Hans-Joachim Anders2, Martin Aringer3, Dr. Gamal Chehab1, Rebecca Fischer-Betz1, Falk Hiepe4, Hannes-Martin Lorenz5, Andreas Schwarting6, Reinhard Voll7 and Matthias Schneider1, 1Policlinic for Rheumatology & Hiller Research Centre for Rheumatology, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany, 2Division of Nephrology, Medizinische Klinik und Poliklinik IV, Klinikum der Universität München, Munich, Germany, 3Medicine III, University Medical Center and Faculty of Medicine TU Dresden, Dresden, Germany, 4Charité University Medicine, Department of Medicine/Rheumatology and Clinical Immunology and German Rheumatism Research Centre Berlin (DRFZ), Berlin, Germany, 5Im Neuenheimer Feld 41, UNI-Klinikum Heidelberg, Medizinische Klinik,, Heidelberg, Germany, 6Department of Internal Medicine, Rheumatology and Clinical Immunology, University Hospital Johannes-Gutenberg, Mainz, Germany, 7Clinic for Rheumatology and Clinical Immunology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

    Background/Purpose: A ubiquitous hierarchy pervades all levels of medicine. The high level of recognition and respect for experts and their opinions prevents exchange between the…
  • Abstract Number: 180 • 2018 ACR/ARHP Annual Meeting

    Back to Bedside Teaching: Completion of a Rheumatology Rotation Significantly Increases Internal Medicine Residents’ Competency and Comfort with Comprehensive Knee Examinations

    Alysia Kwiatkowski1, Najia Shakoor2, Joel A. Block2, Augustine Manadan1 and Sonali Khandelwal1, 1Rheumatology, Rush University Medical Center, Chicago, IL, 2Division of Rheumatology, Rush University Medical Center, Chicago, IL

    Background/Purpose: Prior studies have elucidated the lack of competency and confidence in musculoskeletal (MSK) examination skills amongst medical trainees. A variety of teaching modalities have…
  • Abstract Number: 181 • 2018 ACR/ARHP Annual Meeting

    Effectiveness of Elective Completion in Enhancing Board Preparedness and Comfort with Diagnosing and Treating Rheumatologic Conditions in a Cohort of Internal Medicine Residents at an Academic Medical Center

    Alysia Kwiatkowski1, Najia Shakoor2, Joel A. Block2, Augustine Manadan1 and Sonali Khandelwal1, 1Rheumatology, Rush University Medical Center, Chicago, IL, 2Division of Rheumatology, Rush University Medical Center, Chicago, IL

    Background/Purpose: Elective choice during residency is influenced by future career goals and perceived knowledge gaps. There is limited literature directly comparing elective exposures to outcomes…
  • Abstract Number: 182 • 2018 ACR/ARHP Annual Meeting

    Needs Assessment of a Structured Program for Fellows As Teachers: Rheumatology Program Directors’ Perspective

    Pankti Reid1, Eli Miloslavsky2 and Anisha Dua3, 1Internal Medicine, rheumatology, University of Chicago, Chicago, IL, 2Division of Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Medicine, University of Chicago, Chicago, IL

    Background/Purpose: Rheumatology fellowship programs and program directors (PDs) are dedicated to didactic and clinical training of their fellows. Throughout fellowship training, fellows serve as teachers…
  • Abstract Number: 183 • 2018 ACR/ARHP Annual Meeting

    Needs Assessment of a Structured Teaching Program for Fellows As Teachers: Rheumatology Fellows’ Perspective

    Pankti Reid1, Eli Miloslavsky2 and Anisha Dua3, 1Internal Medicine, rheumatology, University of Chicago, Chicago, IL, 2Division of Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Medicine, University of Chicago, Chicago, IL

    Background/Purpose: Fellows are expected to teach patients, trainees and colleagues, regardless of what type of practice they join. The Accreditation Council for Graduate Medical Education…
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