ACR Meeting Abstracts

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  • Abstract Number: 1672 • 2017 ACR/ARHP Annual Meeting

    Cytokines and Autoantibody Cluster-Interaction in Systemic Lupus Erythematosus. a Systems Medicine Approach

    Julian Barahona-Correa, Yovana Pacheco, Diana M. Monsalve, Manuel Rojas, Yhojan Rodríguez, Juliana Saavedra, Mónica Rodríguez-Jiménez, Ruben Mantilla, Carolina Ramírez-Santana, Nicolás Molano-González and Juan-Manuel Anaya, Center for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia

    Background/Purpose: Evidence supports the existence of different sub-phenotypes and the pivotal role of cytokines and autoantibodies in systemic lupus erythematosus (SLE). Cytokines interact in a…
  • Abstract Number: 1673 • 2017 ACR/ARHP Annual Meeting

    Human C4 Gene Copy Number Influences Cell-Bound Complement Activation Product (CB-CAP) C4d in Systemic Lupus Erythematosus

    Chau-Ching Liu1, Joseph Ahearn2, Amy Xiaoqin Tang2, Yee Ling Wu3, CHACK-YUNG Yu3 and Susan Manzi2, 1Lupuc Center of Excellence, Allegheny Health Network Research Institute, Pittsburgh, PA, 2Lupus Center of Excellence, Allegheny Health Network Research Institute, Pittsburgh, PA, 3Center for Molecular and Human Genetics, The Research Institute at Nationwide Children's Hospital, Columbus, OH

    Background/Purpose: Human complement C4 protein is the product of two isotypic genes C4A and C4B that are located on chromosome 6 in various copy numbers.…
  • Abstract Number: 1674 • 2017 ACR/ARHP Annual Meeting

    Combining Medications That Lower Systemic Oxidative Stress Is Associated with Less Atherosclerosis in Systemic Lupus Erythematosus

    Jim C. Oates, Medical Service, Ralph H. Johnson VA Medical Center, Charleston, SC; Division of Rheumatology & Immunology, Department of Medicine, Medical University of South Carolina, Charleston, SC

    Background/Purpose:   No single medication has been demonstrated as effective in reducing atherosclerosis or cardiovascular events in systemic lupus erythematosus (SLE), possibly due to the…
  • Abstract Number: 1675 • 2017 ACR/ARHP Annual Meeting

    SLE Comprises Four Immune-Phenotypes, Which Differ Regarding HLA-DRB1 and Clinical Associations

    Lina Marcela Diaz Gallo1, Emeli Lundström1, Vilija Oke1, Kerstin Elvin2, Yee Ling Wu3, Johanna Gustafsson1, Andreas Jönsen4, Dag Leonard5, Agneta Zickert6, Gunnel Nordmark7, Anders A. Bengtsson4, Johanna K Sandling7, Lars Rönnblom8, Iva Gunnarsson1, CHACK-YUNG Yu9, Leonid Padyukov10 and Elisabet Svenungsson10, 1Department of Medicine, Rheumatology Unit, Department of Medicine Solna, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden, Stockholm, Sweden, 2Dept. of Clinical Immunology and Transfusion Medicine, Unit of Clinical Immunology, Department of Medicine Solna, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden, Stockholm, Sweden, 3The Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, OH, 4Lund University, Department of Clinical Sciences, Rheumatology, Lund, Sweden, 5Rheumatology and Science for Life Laboratory, Department of Medical Sciences, Uppsala University, Sweden, Uppsala, Sweden, 6Department of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden, 7Department of Medical Sciences, Section of Rheumatology, Uppsala University, Uppsala, Sweden, Uppsala, Sweden, 8Medical Sciences, Rheumatology clinic, Uppsala, Sweden, 9Center for Molecular and Human Genetics, The Research Institute at Nationwide Children's Hospital, Columbus, OH, 10Department of Medicine Solna, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden, Stockholm, Sweden

    Background/Purpose: SLE is a remarkably heterogeneous disease including diverging clinical symptoms, autoantibodies and genetic susceptibility. Hitherto unrecognized patterns may define sub-phenotypes with different pathogenesis and…
  • Abstract Number: 1676 • 2017 ACR/ARHP Annual Meeting

    Improving Sensitivity to Change of the Modified Rodnan Skin Score over Time

    Annel M. Fernandez1, Robert F. Spiera2, Jackie Szymonifka2 and Jessica K. Gordon2, 1Medicine- Rheumatology/ Research, Hospital For Special Surgery, New York, NY, 2Rheumatology, Hospital for Special Surgery, New York, NY

    Background/Purpose: The Modified Rodnan Skin Score (MRSS) assesses global dermal thickness through the examination of 17 body areas scored by clinical palpation using a 4…
  • Abstract Number: 1677 • 2017 ACR/ARHP Annual Meeting

    Low Baseline Impedance in Proximal Esophagus and Decreased Pspw Index May Related with Pathogenesis of Interstitial Lung Disease in Systemic Sclerosis

    Yunseok Kim1, Hyun-Sook Kim2, Joon Seong Lee1 and Jung Ran Choi3, 1Internal medicine, Soonchunhyang university Seoul hospital, Seoul, Korea, Republic of (South), 2Soonchenhyang university school of medicine, Seoul, Korea, Republic of (South), 3Department of Internal Medicine, Pohang St. Mary Hospital, Pohang, Korea, Republic of (South)

    Background/Purpose: Interstitial lung disease (ILD) is a common but fatal complication of systemic sclerosis (SSc). Gastroesophageal reflux disease (GERD) may be related to pathogenesis of…
  • Abstract Number: 1678 • 2017 ACR/ARHP Annual Meeting

    Pathogenic Mechanisms of Esophageal Peristaltic Dysfunction By High Resolution Manometry in Patients with Systemic Sclerosis

    Hyun-Sook Kim1, Yunseok Kim2, Jung Ran Choi3 and Joon Seong Lee2, 1Soonchenhyang university school of medicine, Seoul, Korea, Republic of (South), 2Internal medicine, Soonchunhyang university Seoul hospital, Seoul, Korea, Republic of (South), 3Department of Internal Medicine, Pohang St. Mary Hospital, Pohang, Korea, Republic of (South)

    Background/Purpose: Pathogenic mechanisms of esophageal involvement in systemic sclerosis (SSc) were suggested as neural dysfunction due to impairment of microcirculation to intramural neuron in early…
  • Abstract Number: 1679 • 2017 ACR/ARHP Annual Meeting

    Different Cut-Offs for Renal Resistive Index Reflect Renal and Other Organ Involvement and Predict Worsening in SSc Patients

    Cosimo Bruni1, Vanessa Maestripieri2, Giulia Tesei3, Marco Chiostri4, Serena Guiducci3, Silvia Bellando-Randone1, Maria Boddi4 and Marco Matucci-Cerinic3, 1Department of Experimental and Clinical Medicine, Division of Rheumatology, University of Florence, Firenze, Italy, 2Department of Internal Medicine, Division of Medicine for Care Complexity III, University of Florence, Florence, Italy, 3Department of Experimental and Clinical Medicine, Division of Rheumatology, University of Florence, Florence, Italy, 4Department of Heart and Vessels, Division of Cardiology I, University of Florence, Florence, Italy

    Background/Purpose: Renal Resistive Index (RRI), measured by Doppler ultrasound, reflects changes in both renal vascular and tubular-interstitial compartments and systemic vascular compliance related to age…
  • Abstract Number: 1680 • 2017 ACR/ARHP Annual Meeting

    Higher Baseline Monocyte Count Is Associated with More Extensive Skin Involvement and Higher Mortality in Systemic Sclerosis

    Vishnu Mohan1, Purvesh Khatri2, Samuel Theodore1, Julio Charles1, Hau Pham1, Deepthi Nair1, Madeleine Scott2, John D. Reveille1, Maureen D. Mayes1 and Shervin Assassi1, 1University of Texas McGovern Medical School, Houston, TX, 2Stanford University, Stanford, CA

    Background/Purpose: Macrophages are the primary inflammatory cell type present in the systemic sclerosis (SSc) skin. Circulating monocytes can give rise to profibrotic inflammatory cells such…
  • Abstract Number: 1681 • 2017 ACR/ARHP Annual Meeting

    An Evaluation of Two Novel Techniques Utilising a Smartphone Digital Camera in the Assessment of Nailfold Capillaries in Suspected Scleroderma-Spectrum Disorders: A Single-Center Cross-Sectional Study

    Matthew Parker1,2, Neil McGill1,2 and Michael Oliffe1, 1Rheumatology, Royal Prince Alfred Hospital, Sydney, Australia, 2University of Sydney, Sydney, Australia

    Background/Purpose: Nailfold capillaroscopy is a non-invasive, sensitive and specific technique used in the diagnosis of scleroderma-spectrum disorders. Abnormalities predict progression from Raynauds phenomenon to connective…
  • Abstract Number: 1682 • 2017 ACR/ARHP Annual Meeting

    Significance of Anti-Topoisomerase I Antibodies in Routine Clinical Testing

    Anne E Tebo1, Robert L. Schmidt2 and Tracy M. Frech3, 1University of Utah, Salt Lake City, UT, 2Pathology, University of Utah, Salt Lake City, UT, 3Division of Rheumatology, University of Utah, Salt Lake City, UT

    Background/Purpose: The 2013 classification criteria for systemic sclerosis (SSc) provide 3 points (towards a 9 point diagnosis) for patients who have an anti-topoisomerase I (anti-Scl-70)…
  • Abstract Number: 1683 • 2017 ACR/ARHP Annual Meeting

    Smoking Behaviour and the Progression of Organ Manifestations in Systemic Sclerosis: A Longitudinal European Scleroderma Trials and Research Group Study

    Veronika K. Jaeger1, Gabriele Valentini2, Eric Hachulla3, Franco Cozzi4, Oliver Distler5, Paolo Airò6, Lazlo Czirjak7, Yannick Allanore8, Elise Siegert9, Edoardo Rosato10, Marco Matucci-Cerinic11, Lisa Maria Bambara12, Joerg C. Henes13, Patricia Carreira14, Vanessa Smith15, Francesco Del Galdo16, Christopher Denton17, Susanne Ullman18, Ellen de Langhe19, Valeria Riccieri20, Juan José Alegre21, Simona Rednic22, Ulf Müller-Ladner23 and Ulrich A. Walker1, 1Department of Rheumatology, University Hospital Basel, Basel, Switzerland, 2Second University of Naples, Naples, Italy, 3Department of Internal Medicine, Université de Lille, Lille, France, 4Division of Rheumatology, Rheumatology Unit, Department of Medicine, University of Padova, Padova, Italy, 5Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 6Rheumatology and Clinical immunology Unit, Spedali Civili of Brescia, Brescia, Italy, 7Department of Rheumatology and Immunology, University of Pécs, Pécs, Hungary, 8Department of Rheumatology, University Paris Descartes and Cochin Hospital, Paris, France, 9Rheumatology and Clinical Immunology, University Hospital Charité, Berlin, Germany, 10Sapienza University of Rome, Rome, Italy, 11Dept of Medicine/Div of Rheum, University of Florence, Florence, Italy, 12University of Verona, Verona, Italy, 13Department of Internal Medicine II, Division of Rheumatology, University Hospital Tuebingen, Tuebingen, Germany, 14Department of Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain, 15Faculty of Internal Medicine, Ghent University, Ghent, Belgium, 16Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 17Department of Rheumatology, University College London, Royal Free Hospital, London, United Kingdom, 18Department of Dermatology, Copenhagen University Hospital, Copenhagen, Denmark, 19Department of Rheumatology, University Hospitals Leuven, Leuven, Belgium, 20Divisione di Reumatologia, Università di Roma La Sapienza, Roma, Italy, 21Sección de Reumatología Hospital Universitario Dr Peset Valencia, Valencia, Spain, 22Clinica Reumatologie, University of Medicine & Pharmacy, Cluj-Napoca, Romania, 23Justus-Liebig-University Giessen, Department of Internal Medicine and Rheumatology, Kerckhoff-Klinik, Bad Nauheim, Germany, Bad-Nauheim, Germany

    Background/Purpose: Systemic sclerosis (SSc) is a rare, multisystem autoimmune disorder. It is characterized by generalized microangiopathy, in the pathogenesis of which hypoxia and oxidative stress…
  • Abstract Number: 1684 • 2017 ACR/ARHP Annual Meeting

    Effectiveness and Safety of Tacrolimus Following Intravenous Cyclophosphamide Pulse Therapy As the Treatment of Systemic Sclerosis-Associated Interstitial Lung Disease

    Yuki Ichimura, Yasushi Kawaguchi, Kae Takagi, Akiko Tochimoto, Tomoaki Higuchi, Yasuhiro Katsumata and Hisashi Yamanaka, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan

    Background/Purpose: Systemic sclerosis (SSc) is the disease characterized by organ fibrosis with unknown etiology, and pulmonary involvement is one of major cause of death. However,…
  • Abstract Number: 1685 • 2017 ACR/ARHP Annual Meeting

    Factors Associated with the 6-Minute Walk Distance in Patients with Systemic Sclerosis

    Sébastien Sanges1, Jonathan Giovannelli2, Vincent Sobanski3, Céline Podevin2, Sandrine Dubois-Morell2, Hélène Maillard4, Marc Lambert4, Nicolas Lamblin5, Pascal De Groote5, Jean-François Bervar6, Pierre-Yves Hatron7, Eric Hachulla8 and David Launay9, 1Université Lille Nord de France, Faculté de Médecine Henri Warembourg, Lille, Lille, France, 2Service de Médecine Interne, Centre National de Référence de la Sclérodermie Sytémique, Lille, France, 3Univ. Lille, U995, Lille Inflammation Research International Center (LIRIC), F-59000 Lille, France, 4Department of internal medecine, Hôpital Claude Huriez, CHRU Lille, France, Lille, France, 5Service de Cardiologie, Lille, France, 6Service de Pneumologie, Lille, France, 7Univ Lille, CHU Lille, F-59000 Lille, France, Lille, France, 8CHU Lille, Département de Médecine Interne et Immunologie Clinique, F-59000 Lille, France, Lille, France, 9Service de Médecine Interne, Centre National de Référence des Maladies Systémiques Rares, Hôpital Claude Huriez, CHRU Lille, Lille, France

    Background/Purpose: To assess the associations between the 6-minute walk distance (6MWD) and various disease parameters in patients with systemic sclerosis (SSc). Methods: Consecutive patients followed…
  • Abstract Number: 1686 • 2017 ACR/ARHP Annual Meeting

    Topical Nitroglycerine (NTG) Vs Matching Vehicle in Secondary Raynaud Phenomenon (RP) – a Double-Blind Crossover Study of Subjective and Physiologic Responses to Controlled Cold Challenge

    Dinesh Khanna1, Lorele Mendez2, Rajaie Namas3, Mary Ellen Csuka4, Paul Caldron5, Jerry A. Molitor6, Alan J. Kivitz7, Philip Waller8, Lee Shapiro9, Sabeen Najam10, Amber Khan11, Virginia D. Steen12, Aneureka Chadha13 and James R Seibold14, 1University of Michigan, Ann Arbor, MI, 2Medical Research Center of Miami, Miami, FL, 3Department of Medicine [Division of Rheumatology], University of Michigan, Ann Arbor, MI, 4Medicine, Medical College of Wisconsin, Milwaukee, WI, 5Arizona Arthritis & Rheumatology Research PLLC, Phoenix, AZ, 6Rheumatic & Autoimmune Diseases, University of Minnesota, Minneapolis, MN, 7Altoona Center for Clinical Research, Duncansville, PA, 8Accurate Clinical Research Inc, Houston, TX, 9Rheumatology, Albany Medical College, Albany, NY, 10Accurate Clinical Management LLC, Baytown, TX, 11Accurate Clinical Management LLC, Houston, TX, 12Division of Rheumatology, Department of Medicine, MedStar Georgetown University Hospital, Washington, DC, 13Austin Regional Clinic, Austin, TX, 14Scleroderma Research Consultants LLC, Litchfield, CT

    Background/Purpose: A topical therapy for either prevention or palliation of attacks would offer unique advantages to selected patients with Raynaud phenomenon (RP). This study used…
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