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  • Abstract Number: 2775 • 2019 ACR/ARP Annual Meeting

    Pregnancy Rates and Outcomes in Early Axial Spondyloarthritis: Analysis of the DESIR Cohort

    Marion Pons 1, Nathalie Costedoat-Chalumeau 2, Karine Briot 3, Philippe Goupille 4, Christian Roux 5, Maxime Dougados 6 and Anna Moltó5, 1Rheumatology department, Cochin Hospital, Paris, Paris, Ile-de-France, France, 2Cochin University Hospital, Paris, France, 3Rheumatology department, Cochin Hospital, Paris, France, Paris, Ile-de-France, France, 4Tours University-Hospital, Tours, France, Tours, France, 5Paris Descartes University, Cochin Hospital, Rheumatology department, Paris, France, 6Cochin Hospital, Paris, France

    Background/Purpose: Only scarce data is available on regarding pregnancy rates and pregnancy outcomes in early axial spondyloarthritis (axSpA). The objectives of this study were to…
  • Abstract Number: 2776 • 2019 ACR/ARP Annual Meeting

    5-years Treatment Effect of TNF Alpha Inhibitor in Early Axial Spondyloarthritis and Associated Factors: An Inverse Probability Weighting Analysis of the DESIR Cohort

    Marion Pons 1, Sylvie Chevret 2, Karine Briot 1, Maria-Antonietta D’Agostino 3, Christian Roux 4, Maxime Dougados 5 and Anna Moltó4, 1Rheumatology department, Cochin Hospital, Paris, Paris, Ile-de-France, France, 2INSERM U-1153, CRESS Paris-Sorbonne, Paris, Paris, Ile-de-France, France, 3Department of Rheumatology, APHP, Hôpital Ambroise Paré, Paris, France, 4Paris Descartes University, Cochin Hospital, Rheumatology department, Paris, France, 5Cochin Hospital, Paris, France

    Background/Purpose: Only scarce date is available on the long term treatment effect in a real-life setting (i.e. effectiveness) of TNFi in early axial SpA forms…
  • Abstract Number: 2777 • 2019 ACR/ARP Annual Meeting

    What Is Axial Spondyloarthritis? A Latent Class and Transition Analysis in the SPACE and DESIR Cohorts

    Alexandre Sepriano1, Sofia Ramiro 2, Désirée van der Heijde 1, Pierre Hoonhout 3, Anna Moltó 4, Alain Saraux 5, Maxime Dougados 6 and Robert B.M. Landewé 7, 1Leiden University Medical Center, Leiden, Netherlands, 2Leiden University Medical Center and Zuyderland Medical Centre, Leiden, Netherlands, 3ISEG - Lisbon School of Economics and Management, Lisbon, Portugal, 4Paris Descartes University, Cochin Hospital, Rheumatology department, Paris, France, 5CHU de la Cavale-Blanche Brest, Brest, France, 6Cochin Hospital, Paris, France, 7Amsterdam University Medical Center, Amsterdam, Netherlands

    Background/Purpose: Axial spondyloarthritis (axSpA) is a disease with a rather heterogeneous presentation that may be difficult to diagnose. Classification criteria, such as the ASAS criteria,…
  • Abstract Number: 2778 • 2019 ACR/ARP Annual Meeting

    Alcohol Consumption as a Predictor of the Progression of Spinal Structural Damage in Axial Spondyloarthritis: Data from the Catholic Axial Spondyloarthritis COhort (CASCO)

    Hong Ki Min1, Seung-Ki Kwok 2 and Sang-Heon Lee 1, 1Konkuk university medical center, Seoul, Republic of Korea, 2Division of Rheumatology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

    Background/Purpose: The purpose of the present study was to demonstrate the predicting factors of spinal structural damage in axial spondyloarthritis (axSpA) in a prospective cohort…
  • Abstract Number: 2779 • 2019 ACR/ARP Annual Meeting

    Higher Disease Activity Is Associated with More Spinal Radiographic Progression in Patients with Axial Spondyloarthritis Independently of Prior Exposure to TNF Inhibitors

    Alexandre Sepriano1, Sofia Ramiro 2, Stephanie Wichuk 3, Praveena Chiowchanwisawakit 4, Terrie MacCosham 3, Joel Paschke 5, Désirée van der Heijde 1, Robert B.M. Landewé 6 and Walter Maksymowych 7, 1Leiden University Medical Center, Leiden, Netherlands, 2Leiden University Medical Center and Zuyderland Medical Centre, Leiden, Netherlands, 3University of Alberta, Edmonton, Canada, 4Mahidol University, Bangkok, Thailand, 5CARE Arthritis, Edmonton, Canada, 6Amsterdam University Medical Center, Amsterdam, Netherlands, 7University of Alberta and CARE Arthritis, Edmonton, Canada

    Background/Purpose: The association between disease activity and spinal radiographic progression in radiographic axial spondyloarthritis (r-axSpA) has been previously shown in a cohort of patients (pts)…
  • Abstract Number: 2780 • 2019 ACR/ARP Annual Meeting

    Identification of SLE Subgroups at Risk for Poor Outcomes After Hydroxychloroquine Taper or Discontinuation

    Celline C. Almeida-Brasil 1, Evelyne Vinet 2, Christian Pineau 2 and Sasha Bernatsky1, 1Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 2McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: The risks and benefits of long-term hydroxychloroquine (HCQ) use in systemic lupus erythematosus (SLE), versus tapering or stopping, remain uncertain. We aimed to identify predictors of…
  • Abstract Number: 2781 • 2019 ACR/ARP Annual Meeting

    Risk of Cardiovascular Disease Associated with the Use of Glucocorticoids in Patients with Incident Systemic Lupus Erytematosus: A Population-based Study

    Lingyi Li1, Hui Xie 2, Eric Sayre 1 and J. Antonio Avina-Zubieta 3, 1Arthritis Research Canada, Vancouver, BC, Canada, 2Arthritis Research Canada and Simon Fraser University, Vancouver, BC, Canada, 3Arthritis Research Canada and the University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: Patients with systemic lupus erythematosus (SLE) have an increased risk for cardiovascular disease (CVD). SLE itself predisposes patients to accelerated atherosclerosis. In addition, the…
  • Abstract Number: 2782 • 2019 ACR/ARP Annual Meeting

    Comparative Risks of Cardiovascular Disease Among SLE Patients Receiving Immunosuppressive Medications

    Daniel Li1, Candace Feldman 1, Hongshu Guan 1, Brendan Everett 2, Seoyoung C. Kim 3 and Karen Costenbader 2, 1Brigham and Women's Hospital, Boston, 2Brigham and Women's Hospital, Boston, MA, 3Brigham and Women’s Hospital and Harvard Medical School, Boston

    Background/Purpose: Human studies examining cardiovascular disease (CVD) risk associated with immunosuppressants (IS) have been limited, but mycophenolate mofetil (MMF) was shown to suppress vascular smooth muscle…
  • Abstract Number: 2783 • 2019 ACR/ARP Annual Meeting

    Hydroxychloroquine Blood Levels and Risk of Thrombotic Events in Systemic Lupus Erythematous

    Maximlian Konig1, Jessica Li 1 and Michelle Petri 1, 1Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: The antimalarial drug hydroxychloroquine (HCQ) has a primary role in the treatment of systemic lupus erythematous (SLE). Beyond its pleiotropic immunomodulatory effects on TLR…
  • Abstract Number: 2784 • 2019 ACR/ARP Annual Meeting

    Alterations in Inflammatory, TNF-Superfamily, and IFN-Associated Chemokines Precede Clinical Changes in SLEDAI After Methylprednisolone Treatment of SLE Patients

    Melissa E. Munroe1, Carla J. Guthridge 1, Sarah Kleckner 1, Ly Tran 2, Joel Guthridge 3, Debra J. Zack 4, Judith James 3 and Joan T. Merrill 5, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Oklahoma Medical Research Foundation, Oklahoma City, 3Oklahoma Medical Research Foundation, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 4Xencor, Inc., San Diego, CA, 5Okalahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose: SLE is typified by a wide spectrum of clinical manifestations and immune dysregulation. Corticosteroids are almost universally effective, but marked by unacceptable side effects.…
  • Abstract Number: 2785 • 2019 ACR/ARP Annual Meeting

    Cancer Risk in a Large Inception SLE Cohort: Effects of Age, Smoking, and Medications

    Sasha Bernatsky1, Rosalind Ramsey-Goldman 2, Murray Urowitz 3, John Hanly 4, Caroline Gordon 5, Michelle Petri 6, Ellen M Ginzler 7, Daniel J Wallace 8, Sang-Cheol Bae 9, Juanita Romero-Diaz 10, MA Dooley 11, Christine Peschken 12, David A Isenberg 13, Anisur Rahman 14, Susan Manzi 15, Soren Jacobsen 16, S Sam Lim 17, Ronald F Van Vollenhoven 18, Ola Nived 19, Diane Kamen 20, Cynthia Aranow 21, Jill Buyon 22, Guillermo Ruiz-Irastorza 23, Ian Bruce 24, Dafna Gladman 25, Paul Fortin 26, Joan T. Merrill 27, Jorge Sanchez-Guerrero 28, Kenneth C Kalunian 29, Kristjan Steinsson 30, Manuel Ramos 31, Asad Zoma 32, Thomas Stoll 33, Munther A Khamashta 34, Murat Inanc 35 and Ann E Clarke 36, 1Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 2Northwestern University, Chicago, IL, 3University Health Network, University of Toronto, Toronto, ON, Canada, 4Queen Elizabeth II Health Science Centre (Nova Scotia Rehab Site), Halifax, NS, Canada, 5University of Birmingham, Birmingham, United Kingdom, 6Johns Hopkins University School of Medicine, Baltimore, MD, 7State University of New York Downstate Medical Center, Brooklyn, NY, 8Cedars-Sinai Medical Centre, Beverly Hills, CA, 9Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 10Instituto Nacional de Ciencias Medicas y Nutricion Salvador, Zubiran Vasco de Quiroga, Mexico City, Mexico, 11UnC Kidney Centre, Chapel Hill, NC, 12University of Manitoba, Winnipeg, Canada, 13Centre for Rheumatology, London, United Kingdom, 14University College London, London, United Kingdom, 15Allegheny Health Network, Pittsburg, PA, 16Copenhagen Lupus and Vasculitis Clinic, Copenhagen, Denmark, 17Emory University, Atlanta, GA, 18Amsterdam Rheumatology & Immunology Center, Amsterdam, Netherlands, 19Lund University, Lund, Sweden, 20Division of Rheumatology and Immunology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Charleston, SC, 21Feinstein Institute for Medical Research, Manhasset, NY, 22NYU School of Medicine, New York, 23Autoimmune Diseases Unit, Hospital Universitario Cruces, Barakaldo, Spain, Barakaldo, Spain, 24University of Manchester, Manchester, United Kingdom, Manchester, England, United Kingdom, 25Toronto Western Hospital, Toronto, Canada, Toronto, ON, Canada, 26Division de Rhumatologie, Département de Médecine, CHU de Québec – Université Laval, Axe maladies infectieuses et inflammatoires, Centre de recherche du CHU de Québec – Université Laval, Canada, Quebec, QC, Canada, 27Okalahoma Medical Research Foundation, Oklahoma City, OK, 28Toronto Western Hospital, Toronto, ON, Canada, 29UC San Diego School of Medicine, LaJolla, CA, 30Landspitali, University Hospital, Reykjavik, Iceland, 31Department of Internal Medicine, Hospital Nuestra Señora del Prado, Talavera, Talavera, Spain, Talavera, Spain, 32Lanarkshire Centre for Rheumatology, Hairmyres Hospital, East Kilbride, Scotland, United Kingdom, 33University of Glasgow, Kilbride, Scotland, United Kingdom, 34King's College London School of Medicine, London, United Kingdom, 35Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey, 36University of Calgary, Calgary, AB, Canada

    Background/Purpose: Many studies of cancer risk in SLE are limited by small sample size or use of administrative data, which rely on billing code diagnoses…
  • Abstract Number: 2786 • 2019 ACR/ARP Annual Meeting

    Renal Histopathological Classifications Predict the Renal Outcomes of Plasma Exchange-Treated ANCA-Associated Vasculitides with Renal Failure

    Dorian Nezam 1, Pauline Morel 1, Stanislas Faguer 2, Alexandre Karras 3, Julien Aniort 4, Dimitri Titeca-Beauport 5, Justine Solignac 6, Didier Ducloux 7, Rafik Mesbah 8, Pierre-Louis Carron 9, Cédric Rafat 10, Pierre Gobert 11, Vincent Audard 12, Séverine Beaudreuil 13, François Maurier 14, Nihal Martis 15, Aurélien Tiple 4, Stéphane Bally 16, Aurélie Hummel 17, Claire de Moreuil 18, Tiphaine Goulenok 17, Dominique Nochy 19, Noémie Jourde-Chiche 20, Alexis Régent 21, Loic Guillevin 21 and Benjamin Terrier21, 1Cochin Hospital, Paris, France, 2CHU Toulouse, Toulouse, France, 3Paris HEGP, Paris, France, 4CHU, Clermont-Ferrand, France, 5CHU, Amiens, France, 6CHU, Marseille, France, 7CHU, Besancon, France, 8CH, Boulogne sur Mer, France, 9Grenoble, Grenoble, France, 10Tenon Hospital, Paris, France, 11Clinique Rhone Durance, Avignon, France, 12Henri Mondor Hospital, Créteil, France, 13Bicetre Hospital, Le Kremlin Bicetre, France, 14Service de Médecine Interne, Hôpital Belle Isle, Metz, Metz, France, 15CHU, Nice, France, 16CH, Chambery, France, 17APHP, Paris, France, 18CHU Brest, Brest, France, 19HEGP Hospital, Paris, France, 20APHM, Marseille, Marseille, France, 21National Referral Center for Rare Systemic Autoimmune Diseases Paris Cochin, Paris, France

    Background/Purpose: ANCA-associated vasculitides (AAVs) are the most frequent cause of rapidly progressive glomerulonephritis (RPGN), for which the major prognostic issue is the risk of developing…
  • Abstract Number: 2787 • 2019 ACR/ARP Annual Meeting

    Predictors of Renal Involvement in ANCA-Associated Vasculitis

    Andreas Kronbichler 1, Jae Il Shin 2, Keum Hwa Lee 2, Daiki Nakagomi 3, Luis Quintana 4, Martin Busch 5, Anthea Craven 6, Raashid Luqmani 6, Peter Merkel7, Gert Mayer 1, David Jayne 8 and Richard Watts 9, 1Medical University Innsbruck, Innsbruck, Austria, 2Yonsei University College of Medicine, Seoul, Republic of Korea, 3University of Yamanashi, Yamanashi, Japan, 4University of Barcelona, Barcelona, Spain, 5University of Jena, Jena, Germany, 6University of Oxford, Oxford, United Kingdom, 7University of Pennsylvania, Philadelphia, PA, 8Vasculitis and Lupus Clinic, Addenbrooke’s Hospital, University of Cambridge, UK, Cambridge, United Kingdom, 9University of East Anglia, Norwich, United Kingdom

    Background/Purpose: Renal involvement in the context of anti-neutrophil cytoplasm antibody (ANCA)-associated vasculitis (AAV) is associated with significant morbidity and higher mortality rates. This study examined…
  • Abstract Number: 2788 • 2019 ACR/ARP Annual Meeting

    Longitudinal Changes in the Nasal Microbiome and Disease Activity in Patients with Granulomatosis with Polyangiitis

    Rennie Rhee1, Antoine Sreih 2, Jung-Jin Lee 3, Kyle Bittinger 3, Lisa Mattei 3, Ronald Collman 4 and Peter Merkel 2, 1University of Pennsylvania, Division of Rheumatology, Philadelphia, PA, 2University of Pennsylvania, Philadelphia, PA, 3Children's Hospital of Philadelphia, Philadelphia, 4University of Pennsylvania, Philadelphia

    Background/Purpose: Microbial organisms have been theorized to contribute to disease activity in granulomatosis with polyangiitis (GPA) but little is known about what changes occur in…
  • Abstract Number: 2789 • 2019 ACR/ARP Annual Meeting

    Neutrophil Extracellular Traps Induce Tissue-Invasive Macrophages in Granulomatosis with Polyangiitis Dominated by Ear, Nose and Throat Manifestations

    Mitsuhiro Akiyama1, Nour Ibrahim 2, Markus Zeisbrich 1, Peter Hwang 1, Jorg Goronzy 1 and Cornelia Weyand 1, 1Stanford University, Stanford, CA, 2Stanford University, Stanford University

    Background/Purpose: Granulomatosis with polyangiitis (GPA) is a small vessel vasculitis characterized by acute and chronic tissue destruction in the nose, sinuses, lungs and kidneys. In…
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