ACR Meeting Abstracts

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  • Abstract Number: 1881 • 2018 ACR/ARHP Annual Meeting

    Discovery and Validation of Novel Disease Subsets in 806 Patients with Takayasu’s Arteritis across Four International Cohorts

    Ruchika Goel1, Katherine B. Gribbons2, Kathleen Maksimowicz-McKinnon3, Gary S. Hoffman4, Sathish Kumar5, George Joseph6, Raheesh Ravindran7, Aswin Nair8, David Cuthbertson9, Simon Carette10, Nader A. Khalidi11, Curry L. Koening12, Carol Langford13, Carol A. McAlear14, Paul A. Monach15, Larry W. Moreland16, Christian Pagnoux17, Philip Seo18, Antoine G. Sreih19, Kenneth J. Warrington20, Steven R. Ytterberg20, Peter A. Merkel21, Debashish Danda22 and Peter C. Grayson2, 1Rheumatology, Christian Medical College, Vellore Tamilnadu, India, 2National Institute of Arthritis, Musculoskeletal and Skin Disease, National Institutes of Health, Bethesda, MD, 3Rheumatology, Henry Ford Hospital, Detroit, MI, 4Rheumatology, Cleveland Clinic, Cleveland, OH, 5Child Health, Christian Medical College, Vellore, India, 6Cardiology, Christian Medical College, Vellore, India, 7Department of Clinical Immunology and Rheumatology, Christian Medical College, Vellore, India, 8Clinical Immunology and Rheumatology, Christian Medical College, Vellore, India, 9Biostatistics and Informatics, Department of Pediatrics, Department of Biostatistics and Informatics, Department of Pediatrics, University of South Florida, Tampa, FL, 10Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 11Rheumatology, McMaster University, Hamilton, ON, Canada, 12Rheumatology, Division of Rheumatology, University of Utah, Salt Lake City, UT, 13Rheumatic and Immunologic Diseases, Department of Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 14Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 15Section of Rheumatology, Boston University School of Medicine, Boston, MA, 16Division of Rheumatology and Clinical Immunology, Division of Rheumatology, University of Pittsburgh, Pittsburgh, PA, 17Division of Rheumatology, Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 18Medicine, Division of Rheumatology, Johns Hopkins University, Baltimore, MD, 19Rheumatology, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 20Rheumatology, Division of Rheumatology, Mayo Clinic College of Medicine, Rochester, MN, 21University of Pennsylvania, Philadelphia, PA, 22Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India, Vellore, India

    Background/Purpose: Takayasu’s arteritis (TAK) is characterized by variable patterns of damage throughout the large arteries. This study aimed to develop and validate a novel disease…
  • Abstract Number: 1882 • 2018 ACR/ARHP Annual Meeting

    Characteristics and Treatment Outcomes of Takayasu Arteritis in a Nationwide, Retrospective Cohort Study in Japan

    Haruhito A. Uchida1, Yoshikazu Nakaoka2, Hajime Yoshifuji3, Takahiko Sugihara4, Yoshiko Watanabe5, Masayoshi Harigai6, Yoshihiro Arimura7 and Mitsuaki Isobe8, 1Department of Chronic Kidney Disease and Cardiovascular Disease, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan, 2Department of Vascular Physiology, National Cerebral and Cardiovascular Center Research Institute, Osaka, Japan, 3Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 4Department of Medicine and Rheumatology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan, 5First Department of Physiology, Kawasaki Medical School, Kurashiki, Japan, 6Tokyo Women's Medical University, Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases, Institute of Rheumatology, Tokyo, Japan, 7Kyorin University School of Medicine, First Department of Internal Medicine, Tokyo, Japan, 8Sakakibara Heart Institute, Tokyo, Japan

    Background/Purpose: Takayasu arteritis (TAK) typically affects young women under 40 years old, whereas patients with onset age over 40 years are occasionally observed. It still…
  • Abstract Number: 1883 • 2018 ACR/ARHP Annual Meeting

    Infections Are Associated With Increased Risk of Giant Cell Arteritis – a Population-Based Case-Control Study From Southern Sweden

    Pavlos Stamatis1, Aleksandra Turkiewicz2, Martin Englund2, Goran Jönsson3, Jan-Åke Nilsson4, Carl Turesson5 and Aladdin Mohammad6, 1Clinical Sciences, Rheumatology Lund, Lund University, Lund, Sweden, 2Clinical Sciences Lund, Clinical Epidemiology Unit, Lund University, Lund, Sweden, 3Clinical Sciences Lund, Department of Infection Medicine, Lund University, Lund, Sweden, 4Department of Rheumatology, Skåne University Hospital, Malmö, Sweden, 5Rheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden, 6Rheumatology, Department of Clinical Sciences, Lund, Lund University, Lund, Sweden

    Background/Purpose: Previous studies have implicated infections as a risk factor for giant cell arteritis (GCA). The purpose of this study was to investigate the association…
  • Abstract Number: 1884 • 2018 ACR/ARHP Annual Meeting

    Clinical Features and Outcome of Patients with Polyarteritis Nodosa – a Global Collaborative Study

    Omer Karadag1,2, Shunsuke Furuta3, Alojzija Hočevar4, Ummugulsum Gazel5, Seerapani Gopaluni6, Berkan Armagan1, Matija Tomsic7, Fatma Alibaz-Oner8, Ihsan Ertenli1, Seza Ozen1 and David Jayne2, 1Hacettepe University Vasculitis Center (HUVAC), Ankara, Turkey, 2Vasculitis and Lupus Clinic, Addenbrooke’s Hospital, University of Cambridge, Cambridge, United Kingdom, 3Chiba University Hospital, Chiba, Japan, 4Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia, 5Rheumatology, Marmara University faculty of Medicine, Istanbul, Turkey, 6Medicine, University of Cambridge, Cambridge, United Kingdom, 7Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia, 8Department of Rheumatology, Marmara University, Faculty of Medicine, Istanbul, Turkey

    Background/Purpose: Polyarteritis nodosa (PAN) is a rare subgroup of the primary systemic vasculitides. Furthermore, various subgroups of PAN have been described, such as hepatitis B…
  • Abstract Number: 1885 • 2018 ACR/ARHP Annual Meeting

    Long-Term Outcome and Prognostic Factors of Complications in Thromboangiitis Obliterans (Buerger’s disease): A Multicenter Study of 224 Patients

    Alexandre LE JONCOUR1, Simon Soudet2, Axelle Dupont3, Olivier Espitia4, Fabien Koskas5, Philippe Cluzel6, Pierre-Yves Hatron2, Joseph Emmerich7, Patrice Cacoub1, Matthieu Resche-Rigon3, Marc Lambert2 and David Saadoun1, 1Sorbonne Universités, UPMC Univ Paris 06, UMR 7211, and Inflammation-Immunopathology-Biotherapy Department (DHU i2B), F-75005, Paris, France; INSERM, UMR_S 959, F-75013, Paris, France; CNRS, FRE3632, F-75005, Paris, France; AP-HP, Groupe Hospitalier Pitié, Paris, France, 2Département de Médecine Interne et Immunologie Clinique, CHU Lille, F-59000 Lille, France, Centre National de Référence des Maladies Autoimmunes et Systémiques Rares (Sclérodermie), France, Lille, France, 33Service de Biostatistique et Information médicale, Hôpital Saint-Louis, APHP, Paris, France, Paris, France, 4Département de Médecine interne, CHU de Nantes, France, Nantes, France, 5Service de chirurgie vasculaire, Groupe Hospitalier Pitié-Salpétrière, Paris, France, Paris, France, 6Service d’Imagerie Cardiovasculaire, Institut de cardiologie, Groupe Hospitalier Pitié-Salpétrière, Paris, France, Paris, France, 7Department of Vascular Medicine and Cardiology, University Hospital Hotel Dieu, University Paris-Descartes, Paris, France, Paris, France

    Background/Purpose: Data regarding long term outcome of patients with thromboangiitis obliterans (TAO) are lacking and most series come from India and Japan. We assess long-term…
  • Abstract Number: 1886 • 2018 ACR/ARHP Annual Meeting

    Phenotypic Subgroups in IgG4-Related Disease – a Cluster Analysis

    Zachary Wallace1, Yuqing Zhang2, Cory A. Perugino3, Raymond P. Naden4, Hyon K. Choi5 and John H. Stone6, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Department of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 3Ragon Institute of MGH, MIT and Harvard, Cambridge, MA, 4New Zealand Ministry of Health, New Zealand Ministry of Health, Auckland, New Zealand, 5Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, MA, 6Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: IgG4-related disease (IgG4-RD) is a multi-organ condition of uncertain etiology characterized by substantial morbidity if not diagnosed and treated promptly. Identifying IgG4-RD subgroups based…
  • Abstract Number: 1887 • 2018 ACR/ARHP Annual Meeting

    Practice Variation in Prescriptions of Non-TNFi Biologics and Tofacitinib: Data from the Rheumatology Informatics System for Effectiveness (RISE) Registry

    Gabriela Schmajuk1,2, Michael Evans3, Julia Kay2, Megan E. B. Clowse4, Esi Morgan5, Andreas Reimold6, Tracy Johansson7, Lindsay Lewis8 and Jinoos Yazdany9, 1San Francisco VA Medical Center, San Francisco, CA, 2Medicine/Rheumatology, University of California - San Francisco, San Francisco, CA, 3University of California - San Francisco, San Francisco, CA, 4Department of Medicine, Division of Rheumatology and Immunology, Duke University, Durham, NC, 5University of Cincinnati, Cincinnati, OH, 6Rheumatology, University of TX Southwestern Medical Center, Dallas, TX, 7Practice, Advocacy & Quality, American College of Rheumatology, Atlanta, GA, 8American College of Rheumatology, Atlanta, GA, 9University of California, San Francisco, San Francisco, CA

    Background/Purpose:   Biologic DMARDs and tofacitinib account for a large proportion of drug spending in the U.S. Although TNFi drugs have dominated sales, use of…
  • Abstract Number: 1888 • 2018 ACR/ARHP Annual Meeting

    SLE Among the Leading Causes of Years of Potential Life Lost in Young Women: Population-Based Study, 2000-2015

    Eric Yen and Ram R. Singh, UCLA, Los Angeles, CA

    Background/Purpose: Ten-year survival of SLE has improved from <50% in the 1950s to ~95% in the 2000s. However, the relative and true disease burden for…
  • Abstract Number: 1889 • 2018 ACR/ARHP Annual Meeting

    Patterns of Glucocorticoid Use and Provider-Level Variation in a Commercially Insured Incident Rheumatoid Arthritis Population

    Beth Wallace1,2,3, Paul Lin2,4, Neil Kamdar2,4, Mohamed Noureldin2,3,5, Rodney Hayward2,3,6, David A. Fox1, Jeffrey R. Curtis7, Kenneth Saag8 and Akbar Waljee2,3,9, 1Department of Internal Medicine, Division of Rheumatology, Michigan Medicine, Ann Arbor, MI, 2University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor, MI, 3Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, 4University of Michigan Medical School, Ann Arbor, MI, 5Department of Internal Medicine, Michigan Medicine, Ann Arbor, MI, 6Department of Internal Medicine, Division of General Medicine, Michigan Medicine, Ann Arbor, MI, 7University of Alabama at Birmingham, Birmingham, AL, 8University of Alabama, Birmingham, AL, 9Department of Internal Medicine, Division of Gastroenterology and Hepatology, Michigan Medicine, Ann Arbor, MI

    Background/Purpose: Glucocorticoids (GC) reduce RA-related disability and joint damage; RA guidelines endorse short term use during DMARD initiation and flares. Long-term high-dose GC exposure (>3…
  • Abstract Number: 1890 • 2018 ACR/ARHP Annual Meeting

    Longitudinal Deep Learning on Electronic Health Record Data to Predict Future Rheumatoid Arthritis Disease Activity

    Beau Norgeot1, Benjamin Glicksberg2, Dmytro Lituiev2, Laura Trupin3, Milena Gianfrancesco3, Atul Butte4, Gabriela Schmajuk5 and Jinoos Yazdany6, 1Institute for Computational Health Sciences, University of California San Francisco, San Francisco, CA, 2University of California San Francisco, San Francisco, CA, 3Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 4Institute for Computational Health Sciences, University of California, San Francisco, San Francisco, CA, 5Medicine/Rheumatology, University of California - San Francisco, San Francisco, CA, 6University of California, San Francisco, San Francisco, CA

    Background/Purpose: Rheumatoid Arthritis (RA) is a complex systemic inflammatory disease with variable course that is difficult to precisely predict. Deep Learning (DL), a branch of…
  • Abstract Number: 1891 • 2018 ACR/ARHP Annual Meeting

    Patterns of Biosimilar Use in the Rheumatology Informatics System for Effectiveness (RISE) Registry

    Nick Bansback1, Jeffrey R. Curtis2, Jie Huang3, Lindsay Lewis4, Tracy Johansson4, Kaleb Michaud5 and Katherine P. Liao3, 1St Paul's Hospital, Centre for Health Evaluation and Outcomes Sciences, Vancouver, BC, Canada, 2University of Alabama at Birmingham, Birmingham, AL, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 4Practice, Advocacy & Quality, American College of Rheumatology, Atlanta, GA, 5Rheumatology, University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: In the U.S., the first biosimilar tumor necrosis inhibitor (TNFi) was approved in 2016.  To date, only biosimilars for infliximab are available in the…
  • Abstract Number: 1892 • 2018 ACR/ARHP Annual Meeting

    Patient and Health System Characteristics Associated with Receipt of Disease Modifying Anti-Rheumatic Drugs in a National VA Sample

    Jennifer Barton1,2, Aldona Herrndorf3, Gabriela Schmajuk4, Rachel A. Matsumoto3, Linda Ganzini2,3 and Kathleen Carlson2,3, 1Rheumatology, VA Portland Health Care System, Portland, OR, 2Oregon Health & Science University, Portland, OR, 3VA Portland Health Care System, Portland, OR, 4San Francisco VA Medical Center, San Francisco, CA

    Background/Purpose: The Department of Veterans Affairs (VA) operates the largest integrated health care system in the U.S. The proportion of Veterans with RA who receive…
  • Abstract Number: 1893 • 2018 ACR/ARHP Annual Meeting

    Indoleamine-2,3-Dioxygenase in Murine and Human Systemic Lupus Erythematosus

    Zev Sthoeger1,2, Amir Sharabi3, Heidy zinger1, ilan asher4 and edna mozes1, 1Department of Immunology, The Weizmann institute of Science, Rehovot, Israel, 2Department of Allergy and Clinical Immunology, Kaplan Medical Center,, Rehovot, Israel, 3Department of Rheumatology, Beth Israel Deaconess Medical Center, Boston, MA, 4Department of Allergy and Clinical Immunology, Kaplan Medical Center, Rehovot, Israel

    Background/Purpose: Indoleamine-2,3-dioxygenase (IDO) is a tryptophan catabolizing enzyme which plays a role in immune regulation and in the pathogenesis of autoimmune disorders. Increased IDO activity…
  • Abstract Number: 1894 • 2018 ACR/ARHP Annual Meeting

    Baricitinib-Associated Changes in Type l Interferon Gene Signature during a 24-Week Phase-2 Clinical SLE Trial

    Thomas Dörner1, Yoshiya Tanaka2, Michelle Petri3, Josef S. Smolen4, Ernst R. Dow5, Richard E. Higgs5, Robert J. Benschop5, Adam Abel5, Maria E. Silk5, Stephanie de Bono5 and Robert W. Hoffman5, 1Charité Universitätsmedizin Berlin and Deutsches Rheuma-Forschungszentrum (DRFZ), Berlin, Germany, 2University of Occupational and Environmental Health, Kitakyushu, Japan, 3Johns Hopkins University School of Medicine, Baltimore, MD, 4Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria, 5Eli Lilly and Company, Indianapolis, IN

    Background/Purpose: In the phase 2 study JAHH (NCT02708095), treatment with baricitinib (bari), an oral selective Janus kinase 1/2 inhibitor approved for the treatment of RA,…
  • Abstract Number: 1895 • 2018 ACR/ARHP Annual Meeting

    Marked Immune Cell Subset Changes in Refractory Lupus Patients in a Phase I Trial of Allogenic Mesenchymal Stem Cells

    Caroline Wallace Fugle1, Chungwen Wei2, Ignacio Sanz2, Zihai Li1, Chrystal Paulos1, Megan Wyatt1, Diane L. Kamen3 and Gary S. Gilkeson4, 1MUSC, Charleston, SC, 2Emory University School of Medicine, Atlanta, GA, 3Medicine/Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 4Department of Medicine, Medical University of South Carolina, Charleston, SC

    Background/Purpose: Reports of positive effects of allogenic mesenchymal stem cells (MSCs) in treating refractory lupus, from a single center in China, led us to investigate…
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