ACR Meeting Abstracts

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  • Abstract Number: 1656 • 2018 ACR/ARHP Annual Meeting

    Is a Positive Family History of Spondyloarthritis Relevant for Diagnosing Axial Spondyloarthritis Once HLA-B27 Status Is Known? Data from the ASAS, DESIR, and SPACE Cohorts

    Miranda van Lunteren1, Désirée van der Heijde1, Alexandre Sepriano1,2, Inger Berg3, Maxime Dougados4,5, Laure Gossec6,7, Lennart Jacobsson8, Roberta Ramonda9, Martin Rudwaleit10,11, Joachim Sieper11,12, Robert B.M. Landewé13,14 and Floris van Gaalen1, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Rheumatology, NOVA Medical School, Universidade Nova de Lisboa, Lisbon, Portugal, 3Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 4Department of Rheumatology, Paris Descartes University and Cochin Hospital, Paris, France, 5Rheumatology, Paris Descartes University, Cochin Hospital, Paris, France, 6Rheumatology, Sorbonne Université, Paris, France, 7Rheumatology, Pitié Salpêtrière Hospital, Paris, France, 8Rheumatology, University of Gothenburg, Gothenburg, Sweden, 9Rheumatology Unit, Department of Medicine, University of Padova, Padova, Italy, 10Internal Medicine and Rheumatology, Klinikum Bielefeld Rosenhöhe, Bielefeld, Germany, 11Rheumatology, Charité Campus Benjamin Franklin, Berlin, Germany, 12German Rheumatism Research Centre, Berlin, Germany, 13Rheumatology, Zuyderland Hospital, Heerlen, Netherlands, 14Amsterdam Rheumatology & Immunology Center, Amsterdam, Netherlands

    Background/Purpose: A positive family history (PFH) of spondyloarthritis (SpA), in particular a PFH of ankylosing spondylitis (AS) or acute anterior uveitis (AAU), can be used…
  • Abstract Number: 1657 • 2018 ACR/ARHP Annual Meeting

    The Effect of Guselkumab on Enthesitis: Results from a Phase 2 Study in Patients with Active Psoriatic Arthritis

    Philip Helliwell1, Alice B Gottlieb2, Atul A. Deodhar3, Wolf-Henning Boehncke4, Dennis McGonagle1, Xie L. Xu5, Stephen Xu5, Yuhua Wang5, Elizabeth C Hsia5,6, Chetan S Karyekar5 and Philip J. Mease7, 1U of Leeds, Leeds, United Kingdom, 2NY Medical College, Metropolitan Hospital, NY, NY, 3Oregon Health & Science U, Portland, OR, 4U of Geneva, Geneva, Switzerland, 5Janssen Research & Development, LLC, Spring House, PA, 6U Penn School of Medicine, Phila, PA, 7Swedish Medical Center & U of Wash, Seattle, WA

    Background/Purpose: In a Phase 2 study, Guselkumab (GUS) was shown to be safe & effective in pts w/active PsA w/meaningful improvements in enthesitis. To evaluate…
  • Abstract Number: 1658 • 2018 ACR/ARHP Annual Meeting

    Which Factors Influence the Diagnostic Delay in Patients with Axial Spondyloarthritis?

    Imke Redeker1, Johanna Callhoff1, Falk Hoffmann2, Hildrun Haibel3, Joachim Sieper4, Angela Zink5 and Denis Poddubnyy4, 1Epidemiology Unit, German Rheumatism Research Centre, Berlin, Germany, 2Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany, 3Charité Universitätmedizin Berlin, Berlin, Germany, 4Rheumatology, Charité Universitätsmeidzin Berlin, Berlin, Germany, 5Epidemiology Unit / Rheumatology and Clinical Immunology, German Rheumatism Research Centre (DRFZ) / Charité University Hospital, Berlin, Germany

    Background/Purpose: The interval from symptom onset till diagnosis in axial spondyloarthritis (axSpA) was reported a decade ago to be between five and ten years. The…
  • Abstract Number: 1659 • 2018 ACR/ARHP Annual Meeting

    Sustained Improvements in Physical Function, Quality of Life, and Work Productivity after Ixekizumab Therapy in Patients with Active Psoriatic Arthritis: 3-Year Results

    Roy Fleischmann1, Vinod Chandran2, Eric Lespessailles3, Julie Birt4, Olivier Benichou4, Janelle Erickson4 and Catherine Shuler4, 1University of Texas Southwestern Medical Center, Dallas, TX, 2Krembil Research Institute and University of Toronto, Toronto, ON, Canada, 3University of Orléans, Orléans, France, 4Eli Lilly and Company, Indianapolis, IN

    Background/Purpose: Ixekizumab (IXE), a high-affinity mAb that selectively targets IL-17A, has shown improvements compared to placebo not only in disease activity but also in various…
  • Abstract Number: 1660 • 2018 ACR/ARHP Annual Meeting

    Depression Has a Greater Impact on Psoriatic Arthritis Than Rheumatoid Arthritis

    Surjeet Dheer1, Vivekanand Tiwari2, Ammarah Hussain1, Kakageldi Hommadov1, Ana Maheshwari1 and Martin J. Bergman3, 1Mercy Catholic Medical Center, Philadelphia, PA, 2St John's Hospital, Springfield, IL, 3Drexel University College of Medicine, Philadelphia, PA

    Background/Purpose: Depression has been shown to be more common in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA), than in the general population. The…
  • Abstract Number: 1661 • 2018 ACR/ARHP Annual Meeting

    Factors That May be Associated with Uveitis in Patients with Spondyloarthritis

    Timucin Kasifoglu1, Nazife Sule Yasar Bilge2, Sedat Kiraz3, Ihsan Ertenli4, Orhan Kucuksahin5, Ediz Dalkiliç6, Cemal Bes7, Nilufer Alpay Kanitez8, Pamir Atagunduz9, Belkıs Nihan Coşkun10, Burcu Yagız11, Suleyman Serdar Koca12, Muhammed Cinar13, Aşkın Ateş14, Servet Akar15, Onay Gercik16, Duygu Ersozlu Bakirli17, Veli Yazisiz18, Gezmis Kimyon19, Muge Aydin Tufan20, Hakan Emmungil21, Rıdvan Mercan22, Erdal Bodakci23, Burak Oz24, Zeynel Abidin Akar25, Omer Karadag3, Bahar Kelesoglu26, Sedat Yılmaz27, Ufuk Ilgen28, Yavuz Pehlivan29, Ender Terzioglu30, Levent Kilic4, Sukran Erten31, Koray Tascilar32 and Umut Kalyoncu33, 1Department of Internal Medicine, Division of Rheumatology, Eskisehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey, 2Rheumatology, Eskisehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey, 3Rheumatology, Hacettepe University, Faculty of Medicine, Ankara, Turkey, 4Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 5Rheumatology, Yildirim Beyazit University Faculty of Medicine, Ankara, Turkey, 6Department of Internal Medicine, Division of Rheumatology, Uludağ University Faculty of Medicine, Bursa, Turkey, 7Department of Rheumatology, Health Sciences University Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey, 8Rheumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey, 9Department of Internal Medicine, Division of Rheumatology, Marmara University Faculty of Medicine, Istanbul, Turkey, 10Rheumatology, Uludag University Faculty of Medicine, Bursa, Turkey, 11Uludag University, Medical Faculty, Department of Internal Medicine, Division of Rheumatology, Bursa, Turkey, 12Rheumatology, Firat University Faculty of Medicine, Elazığ, Turkey, 13GATA, Ankara, Turkey, 14Department of Internal Medicine, Division of Rheumatology, Ankara University School of Medicine, Ankara, Turkey, 15Department of Internal Medicine, Division of Rheumatology,, Izmir Katip Çelebi University Faculty of Medicine, Izmir, Turkey, 16Rheumatology, Izmir Katip Celebi University School of Medicine, Izmir, Turkey, 17PsART study group, Adana, Turkey, 18Rheumatology, Akdeniz University Faculty of Medicine, Antalya, Turkey, 19Rheumatology, Hatay Mustafa Kemal University Faculty of Medicine, Hatay, Turkey, 20Rheumatology, Cukurova University School of Medicine, Adana, Turkey, 21Department of Internal Medicine, Division of Rheumatology, Trakya University Faculty of Medicine, Edirne, Turkey, 22PsART study group, Tekirdag, Turkey, 23Eskisehir Osmangazi University, Eskisehir, Turkey, 24Fırat University, Elazıg, Turkey, 25Frat University, Elazıg, Turkey, 26Rheumatology, Ankara University, Ankara, Turkey, 27Rheumatology Division, Gülhane Training and Research Hospital, Ankara, Turkey, 28Rheumatology, Trakya University, Edirne, Turkey, 29Bursa Uludag University, Bursa, Turkey, 30Rheumatology, Akdeniz University, Antalya, Turkey, 31PsART study group, Ankara, Turkey, 32Numune Research and Teaching Hospital, Ankara, Turkey, 33Department of Internal Medicine, Divison of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Factors That May Be Associated With Uveitis In Patients With SpondyloarthritisBackground/Purpose: It is known that uveitis is present in the extra-articular findings of spondyloarthritis (SPA)…
  • Abstract Number: 1662 • 2018 ACR/ARHP Annual Meeting

    Interplay Among Inflammation, Adipokines and Endothelial Dysfunction in Patients with Psoriatic Arthritis. Relationship with Cardiovascular and Metabolic Comorbidities. Modulation By Apremilast

    Nuria Barbarroja1, Ivan Arias de la Rosa2, Maria Dolores de la Rosa-Garrido3, Carlos Perez-Sanchez1, Maria Carmen Abalos-Aguilera2, Miriam Ruiz-Ponce3, Yolanda Jiménez-Gómez1, Alejandro Escudero-Contreras2, Eduardo Collantes-Estévez1, Chary Lopez-Pedrera1 and Maria Dolores Lopez Montilla3, 1Rheumatology service, IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain, 2Rheumatology Service, IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain, 3IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain

    Background/Purpose: 1) To evaluate the association of inflammation, adipokines and endothelial dysfunction with the cardiovascular risk profile and the metabolic comorbidities associated with psoriatic arthritis…
  • Abstract Number: 1663 • 2018 ACR/ARHP Annual Meeting

    Correlation between Biologics and Bath Ankylosing Spondylitis Metrology Index within the First 12 Months of Treatment in Patients with Axial Spondyloarthritis

    Clare Longton1, Marco Massarotti2 and Marwan Bukhari3, 1Rheumatology, Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, United Kingdom, 2Rheumatology, Royal Lancaster Infirmary, University Hospital of Morecambe Bay NHS Foundation Trust, Lancaster, United Kingdom, 3Royal Lancaster Infirmary, Lancaster, United Kingdom

    Background/Purpose: Several studies demonstrate efficacy of biologics on disease activity measured by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) in patients with axial spondyloarthritides…
  • Abstract Number: 1664 • 2018 ACR/ARHP Annual Meeting

    Fatigue Measurements in Systemic Lupus Erythematosus

    Ariane Barbacki1, Michelle Petri2, J. Antonio Avina-Zubieta3, Graciela S. Alarcón4 and Sasha Bernatsky5, 1McGill University, Montreal, QC, Canada, 2Medicine (Rheumatology), Johns Hopkins University School of Medicine, Baltimore, MD, 3Division of Rheumatology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada, 4University of Alabama at Birmingham, Birmingham, AL, 5Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: Fatigue is one of the most frequent and disabling issues in systemic lupus erythematosus (SLE). It is, however, difficult to quantify. The Ad Hoc…
  • Abstract Number: 1665 • 2018 ACR/ARHP Annual Meeting

    Longitudinal Stratification of Gene Expression Reveals Three SLE Groups of Disease Activity Progression

    Daniel Toro1, Jordi Martorell-Marugán2, Daniel Goldman3, Michelle Petri4, Pedro Carmona Sanz5 and Marta Alarcón-Riquelme6,7, 1Bioinformatics and Medical Genomics, Center for Genomics and Oncological Research (GENYO), Pfizer-University of Granada-Andalusian Regional Government, Health Sciences Technology Park, Ganada, Spain, 2Bioinformatics Unit, Center for Genomics and Oncological Research (GENYO), Granada, Spain, 3Medicine (Rheumatology), Johns Hopkins University School of Medicine, Baltimore, MD, 4Johns Hopkins University School of Medicine, Baltimore, MD, 5Unit of Bioinformatics, Center for Genomics and Oncological Research (GENYO), Pfizer-University of Granada-Andalusian Regional Government, Health Sciences Technology Park, Granada, Spain, 6Unit for Chronic Inflammatory Diseases, Institute for Environmental Medicine, Karolinska Institutet, Stockholm, Sweden, 7Center for Genomics and Oncological Research (GENYO), Pfizer-University of Granada-Andalusian Regional Government, Health Sciences Technology Park, Granada, Spain

    Background/Purpose: The highly heterogeneous clinical presentation of lupus is characterized by the unpredictable appearance of flares of disease activity and important organ damage. Attempts to…
  • Abstract Number: 1666 • 2018 ACR/ARHP Annual Meeting

    The Use of Patient-Reported Outcome Measures to Assess Clinical Features of Fibromyalgia in SLE

    Jennifer Rogers1, Amanda M. Eudy2, Lisa Criscione-Schreiber2, David Pisetsky3, Kai Sun4, Jay Doss4 and Megan E. B. Clowse2, 1Medicine, Divison of Rheumatology, Duke University, Durham, NC, 2Department of Medicine, Division of Rheumatology and Immunology, Duke University, Durham, NC, 3Department of Medicine, Duke University, Durham, NC, 4Division of Rheumatology & Immunology, Duke University, Durham, NC

    Background/Purpose: Patient-reported outcome measures (PROs) in SLE can capture patient specific information and the patient perspective, but clinical use can be challenging due to confounding…
  • Abstract Number: 1667 • 2018 ACR/ARHP Annual Meeting

    Confirmatory Factor Analysis of the Patient-Reported Perceived Deficits Questionnaire in Systemic Lupus Erythematosus: Cautions for Use of Subscales

    Lisa Engel1, Jiandong Su1, Emily Nalder2, Yael Goverover3, Monique Gignac4, Carmela Tartaglia5, Nicole Anderson1 and Zahi Touma1, 1University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada, 3Department of Occupational Therapy, New York University, New York, NY, 4Instititue for Work and Health, Toronto, ON, Canada, 5University of Toronto, Krembil Neurosciences Centre, Toronto, ON, Canada

    Background/Purpose:  Approximately 38% of adults living with Systemic Lupus Erythematosus (SLE) experience cognitive impairment (CI) that can detrimentally affect employment, disease self-management, and quality of…
  • Abstract Number: 1668 • 2018 ACR/ARHP Annual Meeting

    Construction and Validation of a Frailty Index As a Novel Health Measure in Systemic Lupus Erythematosus

    Alexandra Legge1, Susan Kirkland2, Kenneth Rockwood3, Pantelis Andreou2, Sang-Cheol Bae4, Caroline Gordon5, Juanita Romero-Díaz6, Jorge Sanchez-Guerrero7, Daniel J. Wallace8, Sasha Bernatsky9, Ann E. Clarke10, Joan T. Merrill11, Ellen M. Ginzler12, Paul R. Fortin13, Dafna D Gladman14, Murray Urowitz7, Ian N. Bruce15, David A. Isenberg16, Anisur Rahman17, Graciela S. Alarcón18, Michelle Petri19, Munther A Khamashta20, Mary Dooley21, Rosalind Ramsey-Goldman22, Susan Manzi23, Kristján Steinsson24, Asad A Zoma25, Cynthia Aranow26, Meggan Mackay26, Guillermo Ruiz-Irastorza27, S. Sam Lim28, Murat Inanc29, Ronald F van Vollenhoven30, Andreas Jönsen31, Ola Nived31, Manuel Ramos-Casals32, Diane L. Kamen33, Kenneth C. Kalunian34, Søren Jacobsen35, Christine A. Peschken36, Anca Askanase37 and John G. Hanly38, 1Department of Medicine, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada, 2Department of Community Health & Epidemiology, Dalhousie University, Halifax, NS, Canada, 3Department of Medicine, Division of Geriatric Medicine, Dalhousie University, Halifax, NS, Canada, 4Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea, Republic of (South), 5Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom, 6Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion, Mexico City, Mexico, 7University of Toronto Lupus Research Program, Toronto Western Hospital, Toronto, ON, Canada, 8Cedars-Sinai/David Geffen School of Medicine at UCLA, Los Angeles, CA, 9Divisions of Rheumatology and Clinical Epidemiology, The Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 10Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 11University of Oklahoma Health Sciences Center, Oklahoma City, OK, 12Rheumatology, SUNY Downstate Medical Center, Brooklyn, NY, 13Medicine, CHU de Québec - University of Laval, Quebec, QC, Canada, 14Krembil Research Institute, Toronto Western Hospital, Toronto, ON, Canada, 15Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, The University of Manchester, Manchester, United Kingdom, 16University College London, London, United Kingdom, 17Rayne Institute, University College London, London, United Kingdom, 18University of Alabama at Birmingham, Birmingham, AL, 19Johns Hopkins University School of Medicine, Baltimore, MD, 20Graham Hughes Lupus Research Laboratory, The Rayne Institute, London, United Kingdom, 21Dooley Rheumatology, Chapel Hill Doctors, Chapel Hill, NC, 22FSM, Northwestern University, Chicago, IL, 23Autoimmunity Institute and Medicine Institute, Allegheny Health Network, Pittsburgh, PA, 24Rheumatology, Univ. Hospital, Reykjavik, Iceland, 25Lanarkshire Center for Rheumatology, Hairmyres Hospital, East Kilbride, East Kilbride, Scotland, United Kingdom, 26The Feinstein Institute for Medical Research, Manhasset, NY, 27Autoimmune Diseases Research Unit, Department of Internal Medicine, BioCruces Health Research Institute, Hospital Universitario Cruces, University of the Basque Country, Barakaldo, Spain, 28Emory University School of Medicine, Atlanta, GA, 29Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 30Unit for clinical therapy research (ClinTRID), Karolinska Institute, Stockholm, Sweden, 31Rheumatology, Lund University, Department of Clinical Sciences, Lund, Sweden, 32Laboratory of Systemic Autoimmune Diseases “Josep Font”, CELLEX, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Systemic Autoimmune Diseases, ICMID, Hospital Clinic, Barcelona, Spain, Barcelona, Spain, 33Medicine/Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 34Division of Rheumatology, Allergy and Immunology, UCSD School of Medicine, La Jolla, CA, 35Rheumatology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark, 36RR 149G, University of Manitoba, Winnipeg, MB, Canada, 37Rheumatology, Columbia University, College of Physician and Surgeons, New York, NY, 38Division of Rheumatology, Department of Medicine and Department of Pathology, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada

    Background/Purpose: Clinical outcomes in SLE are challenging to predict. In non-SLE populations, susceptibility to adverse outcomes has been measured using a frailty index (FI), which…
  • Abstract Number: 1669 • 2018 ACR/ARHP Annual Meeting

    iC3b/C3 Ratios More Strongly Correlate with SLE Disease Activity in African-Americans Compared to Whites

    Deepali Sen1, Vibeke Strand2, Nancy Mathis3, Qiang Fu4 and Alfred Kim5, 1Rheumatology, Washington University School of Medicine, St. Louis, MO, 2Stanford University School of Medicine, Palo Alto, CA, 3Rheumatology, Washington University School of Medicine, Saint Louis, MO, 4Epidemiology and Biostatistics, Saint Louis University College for Public Health and Social Justice, Saint Louis, MO, 5Medicine/Rheumatology, Washington University School of Medicine, St. Louis, MO

    iC3b/C3 Ratios More Strongly Correlate with SLE Disease Activity in African-Americans Compared with WhitesBackground/Purpose: Complement activation is a hallmark of systemic lupus erythematosus (SLE) pathophysiology.…
  • Abstract Number: 1670 • 2018 ACR/ARHP Annual Meeting

    Disease Course Patterns in Systemic Lupus Erythematosus: Impact on Long-Term Outcomes

    Konstantinos Tselios, Dafna D Gladman, Zahi Touma, Jiandong Su, Nicole Anderson and Murray Urowitz, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: Previous studies have described three patterns of disease activity over time in systemic lupus erythematosus (SLE), namely long quiescence, relapsing remitting, and persistently active.…
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