ACR Meeting Abstracts

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  • Abstract Number: 1221 • 2018 ACR/ARHP Annual Meeting

    Serologic Screening for Coccidioidomycosis Among Medicare Beneficiaries with Rheumatic Diseases on Biologic Response Modifiers, Corticosteroids, and Dmards

    Shubha Kollampare1, C. Kent Kwoh1,2, Wei-Hsuan Lo-Ciganic3, Lili Zhou2,4, Erin L. Ashbeck2 and Dominick Sudano1, 1Division of Rheumatology, Department of Medicine, The University of Arizona, Tucson, AZ, 2University of Arizona Arthritis Center, Tucson, AZ, 3Department of Pharmacy, Practice and Science, College of Pharmacy, University of Arizona, TUCSON, AZ, 4College of Pharmacy, University of Arizona, Tucson, AZ

    Background/Purpose: The 2016 Infectious Disease Society of America (IDSA) guidelines recommend serologic screening for coccidioidomycosis (Cocci) prior to initiation of biologic response modifiers (BRMs). Current…
  • Abstract Number: 1222 • 2018 ACR/ARHP Annual Meeting

    Suboptimal Immunization Coverage Among Rheumatology Patients in Routine Clinical Care

    Tedi Qendro1, María Laura de la Torre2, Pantelis Panopalis3, Elizabeth Hazel4, Ines Colmegna5 and Marie Hudson6, 1Medicine, McGill University, Montreal, QC, Canada, 2Internal Medicine, Rheumatology and Immunology, CEMIC, Buenos Aires, Argentina, 3Division of Rheumatology, McGill University, Montreal, QC, Canada, 4Rheumatology, McGill University Health Centre, Pointe-Claire, QC, Canada, 5The Research Institute of the McGill University Health Centre, Division of Rheumatology, Department of Medicine, McGill University, Montreal, Quebec, Canada, Montreal, QC, Canada, 6Division of Rheumatology, Jewish General Hospital, Lady Davis Institute for Medical Research, Montreal, QC, Canada

    Background/Purpose: Vaccine-preventable infections pose an increased risk of infection and complications in patients with rheumatic diseases. While recommendations highlight the importance of vaccination in this…
  • Abstract Number: 1223 • 2018 ACR/ARHP Annual Meeting

    Reduced Antibody Titers Against Pertussis in Rheumatoid Arthritis

    Caitlyn L. Holmes1, Chloe Peyton2, Amy Bier3, Tobias Donlon2, Christie M. Bartels4 and Miriam A. Shelef5,6, 1University of Wisconsin - Madison, Madison, WI, 2University of Minnesota Medical School, Minneapolis, MN, 3Stritch School of Medicine of Loyola University Chicago, Chicago, IL, 4Rheumatology/Medicine, University of Wisconsin - Madison, Madison, WI, 5Department of Medicine, Division of Rheumatology, University of Wisconsin - Madison, Madison, WI, 6William S. Middleton Memorial Veterans Hospital, Madison, WI

    Background/Purpose: Patients with rheumatoid arthritis, an autoimmune disease affecting ~1% of the population, have an increased risk of infection. Interestingly, data are mixed for response…
  • Abstract Number: 1224 • 2018 ACR/ARHP Annual Meeting

    High Rates of Conversion and Reversion of Tuberculosis Screening Assays in Rheumatic Patients during Long Term Biologic Treatment

    Konstantinos Thomas1, Anastasia Makris1, Christina Tsalapaki1, Argyro Lazarini1, Kalliopi Klavdianou1, Katerina Antonatou1, Christos Koutsianas1, Chrisoula Hatzara1, Emilia Hadziyannis1 and Dimitrios Vassilopoulos2, 1Clinical Immunology-Rheumatology Unit, 2nd Department of Medicine and Laboratory, Hippokration General Hospital, Joint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece, 2Clinical Immunology-Rheumatology Unit, 2nd Department of Medicine and Laboratory, Hippokration General HospitalMedicine, Joint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

    Background/Purpose: Baseline screening for tuberculosis (TB) with tuberculin skin testing (TST) and/or interferon-gamma release assays (IGRAs) is recommended for all rheumatic patients starting biologic DMARDs…
  • Abstract Number: 1225 • 2018 ACR/ARHP Annual Meeting

    Screening for Acquired Latent Tuberculosis in Patients with Rheumatoid Arthritis(RA) on Anti-Tnfα Therapy (TNF-I) in Southern California

    Noopur Goel1, Karina Torralba2, Lorena Salto1 and Christina Downey3, 1Loma Linda University, Loma Linda, CA, 2Division of Rheumatology, Department of Internal Medicine, Loma Linda University, Loma Linda, CA, 3Loma Linda University Medical Center, Loma Linda, CA

    Background/Purpose: There is increased risk of tuberculosis in patients treated with TNF-I. ACR guidelines recommend annual screening for latent tuberculosis infection(LTBI) in RA patients with…
  • Abstract Number: 1226 • 2018 ACR/ARHP Annual Meeting

    Effect of New Method for Pre-Administration Assessment of Intravenous Biologics on Infections in Patients with Rheumatoid Arthritis

    Sho Fukui1, Masei Suda2, Haruki Sawada3, Yukihiko Ikeda1, Mitsuru Watanabe4, Ayako Koido4, Rui Kawato5, Yasuhiro Suyama6, Hisanori Shimizu7, Haruyuki Yanaoka7, Ryo Rokutanda1, Hiromichi Tamaki1, Tokutaro Tsuda1, Ken-ichi Yamaguchi8, Mitsumasa Kishimoto1 and Masato Okada9, 1Immuno-Rheumatology Center, St. Luke's International Hospital, Tokyo, Japan, 2Immuno-Rheumatology Center, St luke's International hospital, Tokyo, Japan, 3Immuno-rheumatology Center, St. Luke's International Hospital, Tokyo, Japan, 4Immune-Rheumatology Center, St. Luke's International Hospital, Tokyo, Japan, 5Immuno rheumatology center, St. Luke's International Hospital, Tokyo, Japan, 6Division of Rheumatology, JR Tokyo General Hospital, Tokyo, Japan, 7St. Luke's International Hospital, Tokyo, Japan, 8Allergy and Rheumatology, St. Luke's International Hospital, Tokyo, Japan, 9Immuno-Rheumatology Center, St. Luke’s International Hospital, Tokyo, Japan

    Background/Purpose: Biologics are widely used and effective treatments for rheumatoid arthritis (RA), but generally biologics are avoided when patients have active infections on the day…
  • Abstract Number: 1227 • 2018 ACR/ARHP Annual Meeting

    Indicator Opportunistic Infections after Biological Treatment in Rheumatoid Arthritis, 10 Years Follow up in Clinical Practice

    Leticia Leon1,2, Marina Peñuelas3, Francisco Javier Candel3, Dalifer Freites Núñez4, Luis Rodriguez-Rodriguez5, Zulema Rosales Rosado6 and Lydia A Alcazar7, 1Rheumatology Department, Hospital Clínical San Carlos, and IdISSC, Madrid, Spain, 2Health Sciences, Universidad Camilo Jose Cela, Madrid, Spain, 3Microbiology, Microbiology Department. Hospital Clínico San Carlos, Madrid, Spain., Madrid, Spain, 4Rheumatology, Hospital Clínico San Carlos, Madrid, Spain, 5Department of Rheumatology, Hospital Clínico San Carlos, Madrid, Spain, 6Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain, 7Rheumatology Department and Heath Research Institute (IdISSC), Hospital Clinico San Carlos, Madrid, Spain

    Background/Purpose: Biologic disease-modifying anti-rheumatic drugs (bDMARDs) may be associated with opportunistic infections. Our purposes were to describe their incidence in Rheumatoid Arthritis (RA) taking bDMARDs,…
  • Abstract Number: 1228 • 2018 ACR/ARHP Annual Meeting

    Spine Immobilization and Neurological Complications in Vertebral Osteomyelitis: Results from a Multicenter Prospective Observational Study

    Géraldine Bart1, Guillaume Coiffier2, Oriane Merot3, Emmanuel Hoppe4, Marion Couderc5, Denis Mulleman6, Gregoire Cormier7, Jean Marc Ziza8 and Benoit Le Goff1, 1Rheumatology, Nantes University Hospital, Nantes, France, 2Rheumatology, Rennes University Hospital, Rennes, France, 3rheumatology unit, Saint Nazaire Hospital, Saint Nazaire, France, 4Angers University Hospital, Angers, France, 5Rheumatology, CHU Gabriel Montpied, Clermont-Ferrand, France, 6Université François-Rabelais de Tours, CNRS 7292, Tours, France, 7Service de Rhumatologie, CHD de la Roche-Sur-Yon, La Roche-Sur-Yon, France, 8Medecine Interne-Rhumatologie, Groupe hospitalier Diaconesses-Croix-Saint-Simon, Paris, France

    Background/Purpose: In a previous work, we showed that neurological complication can occur in up to 40% of patients with vertebral osteomyelitis (VO). Bed rest and…
  • Abstract Number: 1229 • 2018 ACR/ARHP Annual Meeting

    Diagnosing Prosthetic Joint Infections in Patients with Inflammatory Arthritis

    Serene Z. Mirza1, Shawn Richardson2, Cynthia Kahlenberg2, Jason Blevins2, Michelle Demetres3, Lily Martin3, Jackie Szymonifka2, Peter K. Sculco4, Mark P. Figgie5 and Susan M. Goodman2, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Hospital for Special Surgery, New York, NY, 3Weill Cornell Medicine, New York, NY, 4Orthopaedic Surgery, Hospital for Special Surgery/Weill Cornell Medicine, New York, NY, 5Surgery, Hospital for Special Surgery, New York, NY

    Background/Purpose: Patients with inflammatory arthritis (IA) are at increased risk of prosthetic joint infections, yet differentiating between septic and aseptic failure is a  challenge in…
  • Abstract Number: 1230 • 2018 ACR/ARHP Annual Meeting

    Invasive Fungal Infection with Cryptococcal Meningitis in Patients with Systemic Lupus Erythematosus

    Rodrigo Aguila Maldonado1, Lucila Garcia2, Adrian Salas3, Josefina Marcos4, Mariana Pera5, Pierina Sansinanea2, Valeria Arturi5, Claudia Elizabeth Pena1, Amadeo Esposto6, Fernanda Ferrer6, Virginia Angeletti6 and Mercedes Garcia1, 1Rheumatology, HIGA General San Martin La Plata, La Plata, Argentina, 2Rheumatology, HIGA General San Martin La Plata, la plata, Argentina, 3Rheumatology, HIGA General San Martin, La Plata, Argentina, 4HIGA San Martín, La Plata, Argentina, 5HIGA General San Martin La Plata, la plata, Argentina, 6HIGA General San Martín, La Plata, Argentina

    Background/Purpose: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder with immunodeficiency associated with the disease itself and immunosuppressive treatment. Infections are very frequent events…
  • Abstract Number: 1231 • 2018 ACR/ARHP Annual Meeting

    Pyogenic Vertebral Osteomyelitis: Outcome Variables Analysis in a 116 Patients Cohort at a Tertiary Hospital during the Last 8 YEARS

    Jorge Juan Fragio Gil1, Roxana Gonzalez Mazario1, Francisco Miguel Ortiz-Sanjuán1, Jose Ivorra Cortes1, Elena Grau Garcia1, Karla Arevalo1, Isabel Martinez Cordellat1, Inmaculada Chalmeta Verdejo1, Jose Eloy Oller Rodriguez1, Luis Gonzalez Puig1, Marta De la Rubia Navarro1, Rosa Negueroles Albuixech1, Cristina Alcañiz Escandell2, Elvira Vicens Bernabeu1, Eva Calabuig3, Maria Tasias Pitarch3, Miguel Salavert Lleti3 and Jose Andres Roman Ivorra1, 1Rheumatology Department. Hospital Universitario y Politecnico La Fe, Valencia, Spain, 2IIS La Fe, Valencia, Spain, 3Infectious Diseases Unit. Hospital Universitario y Politecnico La Fe, Valencia, Spain

    Background/Purpose: Vertebral Osteomyelitis is an infectious disease of the vertebral body which could involve the intervertebral space (spondylodiscitis). Early diagnosis and treatment are essential in…
  • Abstract Number: 1232 • 2018 ACR/ARHP Annual Meeting

    Synovial Fluid Profile in Neutropenic Patients with Septic Arthritis

    Samantha Minkin1 and Adam Carlson2, 1Internal Medicine, Department of Medicine, University of Virginia, Charlottesville, VA, 2Department of Medicine, Division of Rheumatology, University of Virginia Health System, Charlottesville, VA

    Background/Purpose: In patients with septic arthritis, the white blood cell count in the synovial fluid is classically >50,000 cells/μL. While a microorganism must be identified…
  • Abstract Number: 1233 • 2018 ACR/ARHP Annual Meeting

    Rituximab Safety in Patients with Rheumatoid Arthritis. an Eleven-Year Follow-up Observational Study

    Raul Castellanos-Moreira Sr.1, Sebastian C Rodriguez-Garcia1, M. Victoria Hernández2, Virginia Ruiz-Esquide3, Oscar Camacho Sr.1, Andrea Cuervo1, Julio Ramírez3, Juan Cañete1, Jose Gomez Puerta1 and Raimon Sanmarti1, 1Rheumatology Service, Hospital Clínic de Barcelona, Barcelona, Spain, 2Rheumatology, Hospital Clinic. Barcelona. Spain, Barcelona, Spain, 3Rheumatology, Hospital Clínic de Barcelona, Barcelona, Spain

    Background/Purpose:  Rituximab (RTX) is a chimeric monoclonal antibody approved for the treatment rheumatoid arthritis (RA) patients who failed to respond to tumor necrosis factor inhibitors.…
  • Abstract Number: 1234 • 2018 ACR/ARHP Annual Meeting

    Incidence of Conversion of Screening Tests for M. Tuberculosis (PPD, GIF-release assay) in a Metropolitan Cohort of Patients Treated with TNF-α Inhibitors

    Hung Trinh and Darren Tabechian, Medicine, Division of Allergy, Immunology and Rheumatology, University of Rochester Medical Center, Rochester, NY

    Background/Purpose: Tumor necrosis factor alpha (TNF-α) inhibitors are used to reduce the inflammatory process in many autoimmune diseases. Due to the risk of reactivation of…
  • Abstract Number: 1235 • 2018 ACR/ARHP Annual Meeting

    Isoniazid Monotherapy As a Prophylaxis for Tuberculosis in Patients with Rheumatic Diseases Exposed to Prolonged, High-Dose Glucocorticoids

    Jun Won Park1, Jeffrey R. Curtis2, Hajeong Lee3, Yeong Wook Song4 and Eun Bong Lee1, 1Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea, Republic of (South), 2University of Alabama at Birmingham, Birmingham, AL, 3Division of Nephrology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea, Republic of (South), 4Seoul National University College of Medicine, Seoul, Korea, Republic of (South)

    Background/Purpose: Although use of glucocorticoid increases the risk of tuberculosis (TB) disease, there has been few studies investigating its incidence and risk/benefit assessment of the…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

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