ACR Meeting Abstracts

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  • Abstract Number: 1911 • 2018 ACR/ARHP Annual Meeting

    The Expanding Clinical Spectrum of Patients with Deficiency of Adenosine Deaminase 2 (DADA2)

    Karyl Barron1, Amanda Ombrello2, Deborah Stone2, Patrycja M. Hoffmann2, Tina Romeo2, Anne Jones3, Natalia Sampaio Moura2, Oskar Schnappauf2, Ivona Aksentijevich3, Jenna Bergerson1, Ariane Soldatos4, Camilo Toro3, Theo Heller5, Jennifer Kanakry6, Katherine R Calvo7 and Daniel Kastner3, 1National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, 2NHGRI, National Institutes of Health, Bethesda, MD, 3National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 4NINDS, National Institutes of Health, Bethesda, MD, 5NIDDK, National Institutes of Health, Bethesda, MD, 6NCI, National Institutes of Health, Bethesda, MD, 7CC/DLM, National Institutes of Health, Bethesda, MD

    Background/Purpose: The deficiency of adenosine deaminase 2 (DADA2) was initially described in 2014 in 2 reports: one emphasizing early-onset lacunar strokes, livedoid rash and intermittent…
  • Abstract Number: 1912 • 2018 ACR/ARHP Annual Meeting

    Treatment of Cardiac Sarcoidosis: A Comparative Study of Steroids Alone Versus Steroids Associated with Immunosuppressive Drugs

    Thomas Ballul1, Raphaël Borie1, Bruno Crestani1, Eric Daugas1, Vincent Descamps1, Philippe Dieude1, Antoine Dossier1, Fabrice Extramiana1, Thomas Papo1 and Karim Sacre2, 1Université Paris-Diderot, Paris, France, 2Bichat Hospital, Paris Diderot University, Paris, France

    Background/Purpose: To analyze the efficacy of steroids and immunosuppressive drugs in the prevention of relapse in cardiac sarcoidosis. Methods: In this monocentric retrospective study, all…
  • Abstract Number: 1913 • 2018 ACR/ARHP Annual Meeting

    Management of Ventricular Tachycardia and Cardiomyopathy in the Rheumatologist World: A Retrospective Review of Diagnostic Tools and Treatment Decisions for Cardiac Sarcoidosis

    Saba Ziaee1, Siri Kunchakarra2, Cara Joyce3, Mark Rabbat4 and Rochella A. Ostrowski5, 1Loyola University Medical Center, Maywood, IL, 2Cardiology, Loyola University Medical Center, Maywood, IL, 3Clinical Research Office, Loyola University Medical Center, Maywood, IL, 4Division of Cardiology, Loyola University Medical Center, Maywood, IL, 5Division of Rheumatology, Loyola University Medical Center, Maywood, IL

    Background/Purpose: Cardiac sarcoidosis has been noted in 2-7% of patients with sarcoidosis.  However, the incidence is >20% based on necropsy data.  Given the poor yield…
  • Abstract Number: 1914 • 2018 ACR/ARHP Annual Meeting

    Rheumatic Syndromes Associated with Immune-Checkpoint Inhibitors: A Single-Center Cohort of 61 Patients

    Michael Richter1, Cynthia S. Crowson2, Lisa Kottschade3, Heidi Finnes3, Svetomir N. Markovic4 and Uma Thanarajasingam5, 1Internal Medicine, Mayo Clinic, Rochester, MN, 2Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 3Oncology, Mayo Clinic, Rochester, MN, 4Department of Medicine and Oncology, Mayo Clinic, Rochester, MN, 5Department of Rheumatology, Mayo Clinic, Rochester, MN

    Background/Purpose: Rheumatologists are increasingly called upon to manage the autoimmune side effects of immune-checkpoint inhibitors (ICIs). However, these new entities are poorly understood and treatment…
  • Abstract Number: 1915 • 2018 ACR/ARHP Annual Meeting

    Big Data Analysis of Autoimmune Diseases Induced By Cancer Immunotherapies: Identifying Pharmacological Patterns of Organ-Specific Involvement

    Soledad Retamozo1,2,3, Alejandra Flores-Chavez4,5,6, Belchin Kostov7, Antoni Sisó-Almirall8, Marta Pérez-de-Lis9, Roberto Pérez-Alvarez10, Pilar Brito-Zerón11,12, Munther A Khamashta13 and Manuel Ramos-Casals14, 1Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Córdoba, Consejo Nacional de Investigaciones Científicas y Técnicas (INICSA-UNC-CONICET), Cordoba, Argentina, 2Laboratory 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, Barcelona, Spain, 3Rheumatology Unit, Hospital Privado Universitario de Córdoba, Institute University of Biomedical Sciences University of Córdoba (IUCBC), Cordoba, Argentina, 4Department of Autoimmune Diseases, ICMiD, Hospital Clínic Barcelona, Spain., Barcelona, Spain, 5Unidad de Investigación Biomédica 02 (Unidad de Investigación en Epidemiología Clínica), UMAE, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Jalisco, Mexico, 6Programa de Doctorado en Ciencias Médicas, Centro Universitario de Investigaciones Biomédicas (CUIB), Universidad de Colima, Colima, Mexico, Mexico, Mexico, 7ABS Les Corts, CAPSE, Research Group in Primary Care, IDIBAPS, ABS Les Corts, CAPSE, Barcelona, Spain, 8Primary Care Research Group, IDIBAPS, Centre d’Assistència Primària ABS Les Corts, GESCLINIC, Barcelona, Barcelona, Spain, 9Department of Anesthesia, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Spain, 10Department of Internal Medicine, Hospital Alvaro Cunqueiro, Vigo, Vigo, Spain, 11Autoimmune Diseases Unit, Department of Internal Medicine, Hospital CIMA-Sanitas, Barcelona, Barcelona, Spain, 12Department of Autoimmune Diseases, ICMiD, Hospital Clínic Barcelona, Barcelona, Spain, 13Lupus Research Unit, The Rayne Institute, Lupus Research Unit, The Rayne Institute, Kings' College London School of Medicine, St Thomas' Hospital, London, United Kingdom, 14Department of Autoimmune Diseases, ICMiD, Hospital Clínic Barcelona., Barcelona, Spain

    Background/Purpose: The scenario of biological-triggered autoimmune diseases has dramatically changed in recent years due to the increasing use of biologics in patients with solid cancers. Methods:…
  • Abstract Number: 1916 • 2018 ACR/ARHP Annual Meeting

    Neutrophil-to-Lymphocyte Ratio Prospectively Predicts the Development of Rheumatic Immune-Related Adverse Events from PD-1 Inhibitor Therapy

    Christopher McMaster1,2, David Liew3,4, Pallavi Shamdasani5, Jessica Leung3,4, Albert Frauman6,7, Jonathan Cebon7,8 and Russell Buchanan4,9, 1Department of Clinical Pharmacology and Therapeutics, Austin Health, Heidelberg, Australia, 2Health and Biomedical Informatics Centre, University of Melbourne, Parkville, Australia, 3Medicine, University of Melbourne, Parkville VIC, Australia, 4Rheumatology, Austin Health, Heidelberg VIC, Australia, 5Department of Rheumatology, Austin Health, Heidelberg, Australia, 6Department of Clinical Pharmacology and Therapeutics, Austin Health, Melbourne, Australia, 7Medicine, University of Melbourne, Melbourne, Australia, 8Olivia Newton-John Cancer Wellness & Research Centre, Melbourne, Australia, 9Medicine, University of Melbourne, Parkville, Australia

    Background/Purpose: Rheumatic immune-related adverse events (irAEs) from PD-1 inhibitor immune checkpoint immunotherapy can not only lead to cessation of immunotherapy, but also can be disabling…
  • Abstract Number: 1917 • 2018 ACR/ARHP Annual Meeting

    Physician Opioid Prescribing Patterns and Risk for Chronic Opioid Use Among Rheumatoid Arthritis Patients

    Yvonne C. Lee1, Bing Lu2, Hongshu Guan3, Jeffrey Greenberg4, Joel Kremer5 and Daniel Solomon6, 1Northwestern University Feinberg School of Medicine, Chicago, IL, 2Rheumatology Immunology & Allergy, Brigham & Women's Hospital, Boston, MA, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 4Corrona, LLC, Waltham, MA, 5Albany Medical College and The Center for Rheumatology, Albany, NY, 6Rheumatology, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Experts have implicated physician prescribing rates as a contributing factor to the opioid crisis. However, little is known about heterogeneity in these patterns and…
  • Abstract Number: 1918 • 2018 ACR/ARHP Annual Meeting

    Defining Pain That Does Not Interfere with Activities Among Rheumatoid Arthritis (RA) Patients

    Yvonne C. Lee1, Patricia Katz2,3, Amanda Quebe4, Luna Sun4, Himanshu Patel4, Carol L. Gaich4, Natalie Boytsov4 and Kaleb Michaud5,6, 1Northwestern University Feinberg School of Medicine, Chicago, IL, 2Forward/National Data Bank for Rheumatic Diseases, Wichita, KS, 3University of California San Francisco, San Francisco, CA, 4Eli Lilly and Company, Indianapolis, IN, 5Rheumatology, University of Nebraska Medical Center, Omaha, NE, 6FORWARD, The National Databank for Rheumatic Diseases, Wichita, KS

    Background/Purpose: RA patients differ in the degree to which pain interferes with function. To improve function, an understanding of this diversity is needed. Our objectives…
  • Abstract Number: 1919 • 2018 ACR/ARHP Annual Meeting

    Individual Short-Acting Opioids and the Risk of Opioid-Related Adverse Events in Adolescents

    Cecilia P. Chung1, S. Todd Callahan2, William Cooper2, William Dupont3, Katherine Murray1, Andrew Franklin4, Kathi Hall5, Judith A. Dudley5, C. Michael Stein1 and Wayne Ray5, 1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 2Pediatrics, Vanderbilt University Medical Center, Nashville, TN, 3Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, 4Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, 5Health Policy, Vanderbilt University Medical Center, Nashville, TN

    Background/Purpose: Hydrocodone, codeine, oxycodone, and tramadol are frequently prescribed for moderate pain in adolescents. However, pharmacokinetic and pharmacodynamic differences between these short-acting opioids could affect…
  • Abstract Number: 1920 • 2018 ACR/ARHP Annual Meeting

    Is There Objective Evidence of Neuropathy in Knee Osteoarthritis Based on Clinical Evaluation?

    Priyanka Ballal1, Joachim Scholz2, Laura Frey-Law3, Na Wang1, Michael C. Nevitt4, Cora E. Lewis5 and Tuhina Neogi6, 1Boston University School of Medicine, Boston, MA, 2Departments of Anesthesiology and Pharmacology, Columbia University Medical Center, New York, NY, 3University of Iowa, Iowa City, IA, 4Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 5University of Alabama Birmingham, Birmingham, AL, 6Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA

    Background/Purpose: Self-reported descriptors of pain in knee osteoarthritis (OA) such as burning and stabbing pain are suggestive of a neuropathic component of pain beyond that…
  • Abstract Number: 1921 • 2018 ACR/ARHP Annual Meeting

    Relation of Sensitization and Conditioned Pain Modulation to Post-Knee Replacement Pain

    Tuhina Neogi1, Na Wang2, Cora E. Lewis3, Michael C. Nevitt4 and Laura Frey-Law5, 1Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 2Boston University School of Medicine, Boston, MA, 3University of Alabama Birmingham, Birmingham, AL, 4Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 5University of Iowa, Iowa City, IA

    Background/Purpose: Alterations in pain processing, such as pain sensitization and inadequate conditioned pain modulation (CPM), may contribute to the observed pain persistence post-knee replacement (KR)…
  • Abstract Number: 1922 • 2018 ACR/ARHP Annual Meeting

    Characterization of the Pharmacology and Pharmacokinetics of Cntx-4975, a High-Purity, Synthetic Trans-Capsaicin in Clinical Development for the Treatment of Moderate to Severe OA Knee Pain

    James Campbell, Randall Stevens and Peter Hanson, Centrexion Therapeutics, Boston, MA

    Background/Purpose: CNTX-4975, a highly purified, synthetic trans-capsaicin and long-acting, non-opioid analgesic in phase 3 trials for moderate to severe OA knee pain, has demonstrated safety…
  • Abstract Number: 1923 • 2018 ACR/ARHP Annual Meeting

    Treating Rheumatoid Arthritis to Target: Is Low Disease Activity Good Enough?

    Elena Nikiphorou1, Sam Norton2, Adam Young3, Lewis Carpenter2, Josh Dixey4, David Walsh5 and Patrick Kiely6, 1Academic Rheumatology, Department of Inflammation Biology, King's College London, London, Great Britain, 2Academic Rheumatology, King's College London, London, United Kingdom, 3University of Hertfordshire, Hertford, United Kingdom, 4Rheumatology, The Royal Wolverhampton, Wolverhampton, United Kingdom, 5Academic Rheumatology, University of Nottingham, Nottingham, Great Britain, 6Rheumatology Dept, St Georges Hospital, London, Great Britain

    Treating Rheumatoid Arthritis To Target: Is Low Disease Activity Good Enough? Background/Purpose:  It is now widely recognised that treat-to-target (T2T) principles in rheumatoid arthritis (RA)…
  • Abstract Number: 1924 • 2018 ACR/ARHP Annual Meeting

    Mitigating Medication Risk Aversion in the Confident Treatment Decisions for Living with Rheumatoid Arthritis Trial

    Maria I. Danila1, Lang Chen1, Justin K Owensby1, Ronan O'Beirne1, Joshua A. Melnick1, Eric M. Ruderman2, Leslie R. Harrold3 and Jeffrey R. Curtis1, 1University of Alabama at Birmingham, Birmingham, AL, 2Medicine/Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 3University of Massachusetts Medical School, Worcester, MA

    Background/Purpose: Controlling disease activity in RA using a treat-to-target (T2T) strategy can optimize clinical and patient-important outcomes. Yet, many patients are not familiar with T2T…
  • Abstract Number: 1925 • 2018 ACR/ARHP Annual Meeting

    Goal Concordance in Rheumatoid Arthritis: Beyond Pain Reduction, Is There Agreement?

    Jennifer Barton1,2, Shelia Markwardt2, Allison Schue1, Somnath Saha2,3 and Edward H. Yelin4, 1VA Portland Health Care System, Portland, OR, 2Oregon Health & Science University, Portland, OR, 3Medicine, VA Portland Health Care System, Portland, OR, 4Medicine/Rheumatology, University of California San Francisco, San Francisco, CA

    Background/Purpose: Goal concordance between patients with chronic diseases and their clinicians has been linked to improved outcomes, but not explored in rheumatoid arthritis (RA). Our…
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