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  • Abstract Number: 584 • 2019 ACR/ARP Annual Meeting

    Radiographic Association of Hip and SI Joints in Ankylosing Spondylitis Patients

    Juyeon Kang1, Seoung Wan Nam 2, Hyo-Kyung Sung 3, Kyung Bin Joo 4, Bon San Koo 5, Seunghun Lee 4 and Tae-Hwan Kim 1, 1Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 2Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea, 3Hanyang University Hospital for Rheumatic Diseases, Seoul, 4Dertment of Radiology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 5Department of Internal Medicine, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea

    Background/Purpose: The modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS) is a representative tool for assessing radiographic progression in spine of ankylosing spondylitis (AS) patients. However,…
  • Abstract Number: 585 • 2019 ACR/ARP Annual Meeting

    Effect of Testosterone on Spinal Ankylosis in Ankylosing Spondylitis : in Vivo and in Vitro

    Sungsin Jo1, Eun-Ju Lee 2, Juyeon Kang 1, Seunghun Lee 3, Jeehee Youn 4, Yong-Gil Kim 5 and Tae-Hwan Kim 1, 1Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 2Ulsan university, seoul, Republic of Korea, 3Dertment of Radiology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 4Hanyang University, seoul, Republic of Korea, 5Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea

    Background/Purpose: Ankylosing spondylitis (AS) is a predominantly male disease and spinal ankylosis more severely affect male AS1 suggesting role of testosterone on spinal ankylosis. In…
  • Abstract Number: 586 • 2019 ACR/ARP Annual Meeting

    Drug Concentrations and Anti-drug Antibodies Influence in Response to Adalimumab: Results from the BioEfficacySpA Clinical Trial

    José Marona1, Santiago Rodrigues-Manica 2, João Lagoas Gomes 1, Carina Lopes 3, Inês Iria 4, Miguel Bernardes 5, Helena Santos 6, Jose Tavares-Costa 7, João Madruga-Dias 8, Patrícia Pinto 9, Alexandra Bernardo 10, Sara Maia 11, Jaime Branco 2, João Gonçalves 4 and Fernando Pimentel-Santos 2, 1Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental; CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon., Lisbon, Portugal, 2CEDOC, NOVA-Medical School | Hospital Egas Moniz, CHLO, Lisbon, Lisbon, Portugal, 3Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental; CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon, Lisbon, Portugal, 4Faculdade de Farmácia da Universidade de Lisboa; Portugal, Lisbon, Portugal, 5Rheumatology, Centro Hospitalar de São João, Porto, Portugal, Porto, Portugal, 6Instituto Português de Reumatologia (IPR), Lisbon, Portugal, 7ULSAM, Ponte de Lima, Portugal, Ponte de Lima, Portugal, 8CHMT, Torres Novas, Portugal, Torres Novas, 9Rheumatology Department, CHVNG, Vila Nova de Gaia, Portugal, 10Rheumatology Department, CHSJ, Porto, Portugal, 11CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon, Lisbon, Portugal

    Background/Purpose: Almost all protein-based biotherapeutics can induce immunogenicity, which may result in loss of efficacy and/or increased risk of adverse reactions. Despite all the efforts…
  • Abstract Number: 587 • 2019 ACR/ARP Annual Meeting

    Increased Prevalence of Cardiac Disorders in Dutch Ankylosing Spondylitis Patients: The CARDAS Study

    Milad Baniaamam1, Sjoerd Heslinga 2, Thelma Konings 3, Otto Kamp 3, Vokko van Halm 3, Irene van der Horst-Bruinsma 2 and Mike Nurmohamed 4, 1Amsterdam Rheumatology and immunology Center, Rheumatology, Reade, Amsterdam|Amsterdam Rheumatology and immunology Center, Rheumatology, Amsterdam University Medical Center location VUmc, Amsterdam, Amsterdam, Netherlands, 2Amsterdam Rheumatology and immunology Center, Rheumatology, Amsterdam University Medical Center location VUmc, Amsterdam, Amsterdam, Netherlands, 3Amsterdam University Medical Center, location VUmc, Department of Cardiology, Amsterdam, Amsterdam, Netherlands, 4Amsterdam Rheumatology and immunology Center location Reade and Amsterdam UMC location VU medical center, Amsterdam, Netherlands

    Background/Purpose: The overall mortality rate in ankylosing spondylitis (AS) patients is increased by 60–90% compared with the general population. This higher mortality rate is predominately…
  • Abstract Number: 588 • 2019 ACR/ARP Annual Meeting

    The Gut Enthesis Axis Coming into Focus with the Description of Enriched Entheseal Resident Mucosal Associated Invariant T-cells (MAITs) Capable of IL17A and TNF Production

    Richard Cuthbert 1, Qiao Zhou 2, Abdulla Watad 3, Robert Dunsmuir 4, Peter Loughenbury 4, Almas Khan 4, Peter Milner 4, Charles Bridgewood 5 and Dennis McGonagle2, 1University of Leeds, Leeds, 2University of Leeds, Leeds, United Kingdom, 3Department of Medicine “B”, Zabludowicz Center for Autoimmune Diseases Sheba Medical Center, Ramat-Gan, Israel, 4Leeds Teaching Hospitals NHS Trust, Leeds, 5Leeds Institute of Rheumatic and Muscoskeletal Medicine(LIRMM), University of Leeds, Leeds, United Kingdom

    Background/Purpose: Mucosal associated invariant T-cells (MAITs) are innate-like T lymphocytes that express a semi-invariant TCR repertoire that are activated by microbial ligands or cytokines including…
  • Abstract Number: 589 • 2019 ACR/ARP Annual Meeting

    Smoking, Alcohol Intake and Body Mass Index in Prediction of Disease Activity over Time in Early Axial Spondyloarthritis – Results from the SPondyloArthritis Caught Early (SPACE) Cohort

    Sofia Exarchou 1, Carl Turesson1, Ulf Lindström 2, Roberta Ramonda 3, Robert B.M. Landewé 4, Hanne Dagfinrud 5, Floris van Gaalen 6, Désirée van der Heijde 6 and Lennart Jacobsson 7, 1Lund University, Malmö, Sweden, 2University of Gothenburg, Gothenburg, Sweden, 3University of Padova, Padova, Italy, 4Amsterdam University Medical Center, Amsterdam, Netherlands, 5University of Oslo, Oslo, Norway, 6Leiden University Medical Center, Leiden, Netherlands, 7Dept of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden,, Gothenburg, Sweden

    Background/Purpose: In ankylosing spondylitis (AS), smokers have been found to have both higher disease activity and greater syndesmophyte progression, and a higher body mass index…
  • Abstract Number: 590 • 2019 ACR/ARP Annual Meeting

    What Is the Impact of MRI on the Performance of the ASAS Classification Criteria in Patients Presenting with Undiagnosed Back Pain?

    Walter P. Maksymowych1, Raj Carmona 2, Jonathan Chan 3, James Yeung 4, Sibel Zehra Aydin 5, Liam Martin 6, Ariel Masetto 7, Dianne Mosher 8, Olga Ziouzina 6, Stephanie Keeling 9, Sherry Rohekar 10, Rana Dadashova 11, Joel Paschke 11, Amanda Carapellucci 11 and Robert Lambert 12, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2McMaster University, Hamilton, Canada, 3Artus Health Clinic, Vancouver, BC, Canada, 4Yeung Rheumatology, Vancouver, Canada, 5University of Ottawa Faculty of Medicine, Rheumatology,Ottawa Hospital Research Institute, 1967 Riverside Drive, Ottawa, ON, K1H 7W9, CANADA, Ottawa, Canada, 6University of Calgary, Calgary, Canada, 7Université de Sherbrooke, Sherbrooke, QC, Canada, 8University of Calgary, Calgary, AB, Canada, 9University of Alberta, Edmonton, AB, Canada, 10Western University, London, ON, Canada, 11CARE Arthritis, Edmonton, Canada, 12University of Alberta, Edmonton, Canada

    Background/Purpose: Classification criteria for axSpA comprise an imaging and a clinical arm, the former requiring radiographic or MRI evidence of sacroiliitis. Several cohorts have reported…
  • Abstract Number: 591 • 2019 ACR/ARP Annual Meeting

    Longitudinal Assessment of MRI of the Sacroiliac Joints in the ASAS Classification Cohort: Evolution of Diagnostic Features and Predictive Utility for Axial Spondyloarthritis

    Walter P. Maksymowych1, Xenofon Baraliakos 2, Manouk de Hooge 3, Iris Eshed 4, Susanne Juhl Pedersen 5, Ulrich Weber 6, Joachim Sieper 7, Stephanie Wichuk 8, Denis Poddubnyy 9, Martin Rudwaleit 10, Désirée van der Heijde 11, Robert B.M. Landewé 12, Joel Paschke 13, Robert Lambert 8 and Mikkel Østergaard 14, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2Rheumatology Department, Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Bochum, Germany, 3Ghent University Hospital, Ghent, Belgium, 4Sheba Medical Center, Tel Aviv, Israel, 5Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark, 6Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sonderborg, Denmark, 7Charité Universitätsmedizin Berlin, Germany, Berlin, Germany, 8University of Alberta, Edmonton, Canada, 9Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany, 10Klinikum Bielefeld, Charité Berlin, Gent University, Bielefeld, Germany, 11Leiden University Medical Center, Leiden, Netherlands, 12Amsterdam University Medical Center, Amsterdam, Netherlands, 13CARE Arthritis, Edmonton, Canada, 14Copenhagen Center for Arthritis Research, University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: Follow up of the ASAS Classification Cohort (CC) indicated a high positive predictive value for the ASAS classification criteria derived from baseline patient and…
  • Abstract Number: 592 • 2019 ACR/ARP Annual Meeting

    Replacement of Radiographic Sacroilitis by MRI Structural Lesions: What Is the Impact on Classification of Axial Spondyloarthritis in the ASAS Classification Cohort?

    Walter P. Maksymowych1, Pedro Machado 2, Robert Lambert 3, Xenofon Baraliakos 4, Mikkel Østergaard 5, Joachim Sieper 6, Stephanie Wichuk 3, Denis Poddubnyy 7, Martin Rudwaleit 8, Désirée van der Heijde 9, Robert B.M. Landewé 10, Joel Paschke 11, Susanne Juhl Pedersen 12 and Ulrich Weber 13, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2University College London, London, United Kingdom, 3University of Alberta, Edmonton, Canada, 4Rheumatology Department, Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Bochum, Germany, 5Copenhagen Center for Arthritis Research, University of Copenhagen, Copenhagen, Denmark, 6Charité Universitätsmedizin Berlin, Germany, Berlin, Germany, 7Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany, 8Klinikum Bielefeld, Charité Berlin, Gent University, Bielefeld, Germany, 9Leiden University Medical Center, Leiden, Netherlands, 10Amsterdam University Medical Center, Amsterdam, Netherlands, 11CARE Arthritis, Edmonton, Canada, 12Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark, 13Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sonderborg, Denmark

    Background/Purpose: xClassification of axial spondyloarthritis is based on the application of either an imaging or clinical arm. Radiographic or MRI evidence of sacroiliitis can be…
  • Abstract Number: 593 • 2019 ACR/ARP Annual Meeting

    Performance of the ASAS Classification Criteria Presenting with Undiagnosed Back Pain: Data from the Screening in Axial Spondyloarthritis in Psoriasis, Iritis, and Colitis Cohort

    Walter P. Maksymowych1, Raj Carmona 2, Jonathan Chan 3, James Yeung 4, Sibel Zehra Aydin 5, Liam Martin 6, Ariel Masetto 7, Dianne Mosher 8, Olga Ziouzina 6, Stephanie Keeling 9, Sherry Rohekar 10, Rana Dadashova 11, Joel Paschke 11, Amanda Carapellucci 11 and Robert Lambert 12, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2McMaster University, Hamilton, Canada, 3Artus Health Clinic, Vancouver, BC, Canada, 4Yeung Rheumatology, Vancouver, Canada, 5University of Ottawa Faculty of Medicine, Rheumatology,Ottawa Hospital Research Institute, 1967 Riverside Drive, Ottawa, ON, K1H 7W9, CANADA, Ottawa, Canada, 6University of Calgary, Calgary, Canada, 7Université de Sherbrooke, Sherbrooke, QC, Canada, 8University of Calgary, Calgary, AB, Canada, 9University of Alberta, Edmonton, AB, Canada, 10Western University, London, ON, Canada, 11CARE Arthritis, Edmonton, Canada, 12University of Alberta, Edmonton, Canada

    Background/Purpose: Classification criteria for axial spondyloarthritis (axSpA) that capture the spectrum of disease present challenges due to the frequency of back pain, the relative infrequency…
  • Abstract Number: 594 • 2019 ACR/ARP Annual Meeting

    Enhanced Performance of the ASAS Classification Criteria by Deletion of Non-Discriminatory Clinical Items: Data from the Screening in Axial Spondyloarthritis in Psoriasis, Iritis, and Colitis Cohort

    Walter P. Maksymowych1, Raj Carmona 2, Jonathan Chan 3, James Yeung 4, Sibel Zehra Aydin 5, Liam Martin 6, Ariel Masetto 7, Dianne Mosher 8, Olga Ziouzina 6, Stephanie Keeling 9, Sherry Rohekar 10, Rana Dadashova 11, Joel Paschke 11, Amanda Carapellucci 11 and Robert Lambert 12, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2McMaster University, Hamilton, Canada, 3Artus Health Clinic, Vancouver, BC, Canada, 4Yeung Rheumatology, Vancouver, Canada, 5University of Ottawa Faculty of Medicine, Rheumatology,Ottawa Hospital Research Institute, 1967 Riverside Drive, Ottawa, ON, K1H 7W9, CANADA, Ottawa, Canada, 6University of Calgary, Calgary, Canada, 7Université de Sherbrooke, Sherbrooke, QC, Canada, 8University of Calgary, Calgary, AB, Canada, 9University of Alberta, Edmonton, AB, Canada, 10Western University, London, ON, Canada, 11CARE Arthritis, Edmonton, Canada, 12University of Alberta, Edmonton, Canada

    Background/Purpose: xThe ASAS classification criteria for axial spondyloarthritis (axSpA) have overall sensitivity/specificity of 82.9%/84.4% but component imaging and clinical arms differ in performance (66.2%/97.3% and…
  • Abstract Number: 595 • 2019 ACR/ARP Annual Meeting

    What Is the Impact of Discrepancy Between Central and Local Readers in Evaluation of MRI Scans on the Classification of Axial Spondyloarthritis? Data from the ASAS Classification Cohort Study

    Walter P. Maksymowych1, Susanne Juhl Pedersen 2, Ulrich Weber 3, Pedro Machado 4, Xenofon Baraliakos 5, Joachim Sieper 6, Stephanie Wichuk 7, Denis Poddubnyy 8, Martin Rudwaleit 9, Désirée van der Heijde 10, Robert B.M. Landewé 11, Joel Paschke 12, Mikkel Østergaard 13 and Robert Lambert 7, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark, 3Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sonderborg, Denmark, 4University College London, London, United Kingdom, 5Rheumatology Department, Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Bochum, Germany, 6Charité Universitätsmedizin Berlin, Germany, Berlin, Germany, 7University of Alberta, Edmonton, Canada, 8Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany, 9Klinikum Bielefeld, Charité Berlin, Gent University, Bielefeld, Germany, 10Leiden University Medical Center, Leiden, Netherlands, 11Amsterdam University Medical Center, Amsterdam, Netherlands, 12CARE Arthritis, Edmonton, Canada, 13Copenhagen Center for Arthritis Research, University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: Active MRI lesions typical of axSpA were reported in 61.6% and 2.2% of axSpA and not-axSpA patients, respectively, from the ASAS classification cohort (ASAS-CC)1.…
  • Abstract Number: 596 • 2019 ACR/ARP Annual Meeting

    Prostaglandin Receptor EP4 Drives Pathogenic Th17 Cell Development in Ankylosing Spondylitis and Is a New Marker of Disease Activity

    Anja Meyer1, Charlotte Klasen 1, Pauline Wittekind 1, Iris Waqué 1, Schafiq Nabhani 1 and David Kofler 1, 1University of Cologne, Cologne, Germany

    Background/Purpose: Th17 cells are involved in the pathogenesis of ankylosing spondylitis (AS). However, the mechanism underlying enhanced Th17 cell accumulation in AS remains unknown. The…
  • Abstract Number: 597 • 2019 ACR/ARP Annual Meeting

    High Prevalence of Sacroiliac Bone Marrow Edema on MRI in Post Partum Women: A Temporary Phenomenom

    Thomas Renson1, Ann-Sophie De Craemer 1, Liselotte Deroo 1, Anaïs Depicker 1, Manouk de Hooge 1, Nele Herregods 1, Lennart Jans 1, Kristien Roelens 1, Isabelle Dehaene 1, Philippe Carron 1, Filip Van den Bosch 1 and Dirk Elewaut 1, 1Ghent University Hospital, Ghent, Belgium

    Background/Purpose: Magnetic Resonance Imaging (MRI) is a sensitive method for detection of sacroiliitis. However, recently, concerns have been raised about its specificity. In contrast to…
  • Abstract Number: 598 • 2019 ACR/ARP Annual Meeting

    Identification of Potential Risk Factors for Spinal Structural Damage in Chinese Patients with Ankylosing Spondylitis

    Weiping Kong1, Caroline Jefferies 2, Tom Learch 2, Feng Zhu 1, Nan Zhang 1, Dier Jin 1, Yingze Zhang 1, Qingwen Tao 1, Xiaoping Yan 1, Michael Weisman 3 and Mariko Ishimori 2, 1China-Japan Friendship Hospital, Beijing, China (People's Republic), 2Cedars-Sinai Medical Center, Los Angeles, CA, 3David Geffen School of Medicine at UCLA, Los Angeles, CA

    Background/Purpose: Spinal structural damage can lead to physical dysfunction and decline of spinal mobility in patients with ankylosing spondylitis (AS). Although great progress has been…
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