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  • 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…
  • Abstract Number: 1896 • 2018 ACR/ARHP Annual Meeting

    Lupus Keratinocytes Exhibit Skewed Interferon Responses and Dysregulation of a Novel Regulator of Interferon Signaling

    Alex Tsoi1, Grace Hile2, Celine C. Berthier3, Mrinal Sarkar4, Tamra J. Reed5, Ranjitha Uppala4, Matthew Patrick4, Kalpana Raja4, Xianying Xing6, Kevin He2, Johann Gudjonsson4 and Michelle Kahlenberg7, 1Departments of Dermatology and Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, 2University of Michigan, Ann Arbor, MI, 3Nephrology, Division of Nephrology, University of Michigan Medical Center, Ann Arbor, MI, 4Dermatology, University of Michigan, Ann Arbor, MI, 5Internal Medicine, Rheumatology, University of Michigan, Ann Arbor, MI, 6Dermatology, University of Michigan, University of Michigan, Ann Arbor, MI, 7Internal Medicine, Division of Rheumatology, University of Michigan Medical Center, Ann Arbor, MI

    Background/Purpose: Systemic lupus erythematosus (SLE) is a complex autoimmune disease in which 70% of patients experience disfiguring skin inflammation (grouped under the rubric of cutaneous…
  • Abstract Number: 1897 • 2018 ACR/ARHP Annual Meeting

    Single Cell RNA Expression in Lupus Nephritis Comparing African-American and Caucasian Patients Identifies Differential Expression of Interferon Pathway

    Andrea Fava1, Yuji Zhang2, Nir Hacohen3, Arnon Arazi4, Celine C. Berthier5, Deepak Rao6, Michael Brenner7, David Wofsy8, Anne Davidson9, Matthias Kretzler10, David Hildeman11, E. Steve Woodle12, Betty Diamond13 and Michelle Petri14, 1Departement of Medicine - Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 2Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, 3Harvard Medical School, Boston, MA, 4Broad Institute, Cambridge, MA, 5Nephrology, Division of Nephrology, University of Michigan Medical Center, Ann Arbor, MI, 6Human Immunology Center, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 7Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 8Rheumatology, University of California, San Francisco, San Francisco, CA, 9Center for Autoimmunity, Musculoskeletal & Hematopoietic Diseases, Feinstein Institute for Medical Research, Manhasset, NY, 10Division of Nephrology, University of Michigan, Ann Arbor, MI, 11University of Cincinnati, Cincinnati, OH, 12University of Cincinnati College of Medicine, Cincinnati, OH, 13The Feinstein Institute for Medical Research, Manhasset, NY, 14Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: African-American (AA) ethnicity is associated with a 3-fold higher risk of developing systemic lupus erythematosus (SLE). In addition, there is an increased risk of…
  • Abstract Number: 1898 • 2018 ACR/ARHP Annual Meeting

    Type I Interferon-Induced Proteins May Facilitate the Occurrence of Long QT Syndrome (LQTS) in Parallel with Anti-Ro/SSA and Anti-Ro52/TRIM21 Antibody Levels in Patients with Systemic Lupus Erythematous (SLE): A Bench to Bedside Approach

    Luis F. Perez-Garcia1,2, Irving O. Estevez-Garcia3, Ricardo Marquez-Velasco3, Pedro Iturralde4, Luis H. Silveira5 and Luis M. Amezcua-Guerra2,6,7, 1Rheumatology, Erasmus MC, Rotterdam, Netherlands, 2Rheumatology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico, 3Immunology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico, 4Cardiology - Electrophysiology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico, 5Rheumatology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City DF, Mexico, 6Cardiovascular Research Laboratory, Unidad de Investigacion Traslacional, Universidad Nacional Autonoma de Mexico/Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico, 7Department of Health Care, Universidad Autonoma Metropolitana, Xochimilco, Mexico City, Mexico

    Background/Purpose: Long QT syndrome (LQTS) is an abnormal QT corrected (QTc) interval prolongation, strongly associated with increased risk of sudden death. Studies have associated LQTS…
  • Abstract Number: 1899 • 2018 ACR/ARHP Annual Meeting

    Down-Regulation of RNA Processing Protein CFIm25 Amplifies Skin Fibrosis By up-Regulating Pro-Fibrotic Transcripts/Proteins in Systemic Sclerosis

    Tingting Mills1, Junsuk Ko1, Jingjing Huang1, Minghua Wu2, Ningyuan Chen1, Leng Han1, Yu Xiang1, Maureen D. Mayes3, Eric Wagner4, Michael Blackburn1 and Shervin Assassi2, 1Department of Biochemistry & Molecular Biology, University of Texas Health Science Center at Houston, Houston, TX, 2Rheumatology, University of Texas Health Science Center at Houston, Houston, TX, 3Rheumatology, University of Texas McGovern Medical School, Houston, TX, 4Department of Biochemistry & Molecular Biology, The University of Texas Medical Branch at Galveston, Galveston, TX

    Background/Purpose: Persistent myofibroblast activation and associated excessive extracellular matrix protein deposition are hallmarks of systemic sclerosis (SSc). However, the mechanisms that account for this excessive fibrotic response remain…
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