ACR Meeting Abstracts

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  • Abstract Number: 1747 • 2017 ACR/ARHP Annual Meeting

    Human C-C Chemokine Receptor-6 (CCR6)+ Th Memory Cells, Including Th17 and Th17.1 Cells, Change into Anti-Inflammatory Cells with Regulatory Capacity upon Exposure to Vitamin D

    Wendy Dankers1, Nadine Davelaar2, Jan Piet van Hamburg3, Patrick Asmawidjaja2, Hoyan Wen2, Johannes van Leeuwen4, Edgar Colin5 and Erik Lubberts2, 1Rheumatology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 2Rheumatology and Immunology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 3Rheumatology, Erasmus MC, Rotterdam, Netherlands, 4Internal Medicine, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 5ZGT Almelo, Deventer, Netherlands

    Background/Purpose: Autoimmune diseases such as RA are driven by an aberrantly activated immune system and an imbalance between pro- and anti-inflammatory cells, resulting in tissue…
  • Abstract Number: 1748 • 2017 ACR/ARHP Annual Meeting

    Cbl-b Associates with Bcl-6 and Is Differentially Expressed in Circulating Follicular T Helper Cells of Patients with Systemic Lupus Erythematosus

    Jeffrey Hampton1, Giancarlo R. Valiente2, Armin Munir3, Takuma Tsuzuki Wada3, William Willis3, Nicholas A. Young3, Lai-Chu Wu4, Jian Zhang5 and Wael Jarjour3, 1Immunology and Rheumatoloty, The Ohio State University Wexner Medical Center, Columbus, OH, 2Rheumatology & Immunology, The Ohio State University Wexner Medical Center, Columbus, OH, 3Immunology and Rheumatology, The Ohio State University Wexner Medical Center, Columbus, OH, 4Biological Chemistry and Pharmacology, The Ohio State University Wexner Medical Center, Columbus, OH, 5Microbial Infection and Immunity, The Ohio State University Wexner Medical Center, Columbus, OH

    Background/Purpose: Activation of polyclonal CD4+ T cells and B cells is a hallmark of human and murine lupus, which suggests a global defect in the…
  • Abstract Number: 1749 • 2017 ACR/ARHP Annual Meeting

    The Epidemiology of ANCA Associated Vasculitis in the U.S.: A 20 Year Population Based Study

    Alvise Berti1, Divi Cornec2, Cynthia S. Crowson3, Ulrich Specks4 and Eric L. Matteson5, 1Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, 2Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN, 3Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 4Mayo Clinic College of Medicine, Rochester, MN, 5Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN

    Background/Purpose: ANCA-associated vasculitis (AAV) is rare, with a worldwide reported annual incidence ranging from 1.2 to 2.0 cases per 100,000 individuals and a prevalence of…
  • Abstract Number: 1750 • 2017 ACR/ARHP Annual Meeting

    Risk of Cardiovascular and Thrombotic Disease Among Patients with Incident ANCA-Associated Vasculitis: A 20 Year Population Based Cohort Study

    Alvise Berti1,2, Eric L. Matteson3,4, Cynthia S. Crowson5,6, Ulrich Specks7 and Divi Cornec8,9, 1Department of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN, 2Department of Immunology, Rheumatology, Allergy and Rare Diseases, San Raffaele Scientific Institute, Milan, Italy, 3Division of Rheumatology, Department of Internal Medicine and Department of Health Sciences Research, Mayo Clinic, Rochester, MN, 4Department of Health Sciences Research, Division of Epidemiology, Rochester, MN, 5Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 6Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, 7Mayo Clinic College of Medicine, Rochester, MN, 8Department of Rheumatology, Brest Teaching Hospital, Brest, France, 9Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN

    Background/Purpose: ANCA-associated vasculitides (AAV) are characterized by inflammation and necrosis of small-sized vessels. Because cardiovascular disease (CVD) is a leading contributor to morbidity and mortality,…
  • Abstract Number: 1751 • 2017 ACR/ARHP Annual Meeting

    Association of a TNFSF4 Upstream Region Single Nucleotide Polymorphism with Susceptibility to Proteinase 3-ANCA Positive Vasculitis in a Japanese Population

    Yuka Iwahashi1, Aya Kawasaki1, Fumio Hirano2, Ken-ei Sada3, Daisuke Tsukui4, Yuya Kondo5, Shigeto Kobayashi6, Hidehiro Yamada7, Hiroshi Furukawa1, Kenji Nagasaka8, Takahiko Sugihara9, Kunihiro Yamagata10, Takayuki Sumida5, Shigeto Tohma11, Hajime Kono4, Shoichi Ozaki7, Seiichi Matsuo12, Hiroshi Hashimoto13, Hirofumi Makino14, Yoshihiro Arimura15, Masayoshi Harigai16 and Naoyuki Tsuchiya1, 1Molecular and Genetic Epidemiology Laboratory, University of Tsukuba, Faculty of Medicine, Tsukuba, Japan, 2Departments of Rheumatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan, 3Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan, 4Department of Internal Medicine, Teikyo University School of Medicine, Tokyo, Japan, 5Department of Internal Medicine, University of Tsukuba, Faculty of Medicine, Tsukuba, Japan, 6Department of Internal Medicine, Juntendo University Koshigaya Hospital, Koshigaya, Japan, 7Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan, 8Department of Rheumatology, Ome Municipal General Hospital, Ome, Japan, 9Department of Medicine and Rheumatology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan, 10Department of Nephrology, University of Tsukuba, Faculty of Medicine, Tsukuba, Japan, 11Clinical Research Center for Allergy and Rheumatology, Sagamihara Hospital, National Hospital Organization, Sagamihara, Japan, 12Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan, 13Juntendo University School of Medicine, Tokyo, Japan, 14Okayama University Hospital, Okayama, Japan, 15First Department of Internal Medicine, Kyorin University School of Medicine, Tokyo, Japan, 16Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan

    Background/Purpose: In the epidemiology of ANCA-associated vasculitis (AAV), an obvious difference between European and Asian populations has been reported. According to the clinical classification, granulomatosis…
  • Abstract Number: 1752 • 2017 ACR/ARHP Annual Meeting

    Pharmacokinetics of Rituximab and Clinical Outcomes in Patients with ANCA-Associated Vasculitis

    Divi Cornec1, Brian Kabat1, John Mills1, Melissa Cheu2, Amber Hummel1, Darrell Schroeder1, Matthew Cascino3, Paul Brunetta3, David Murray1, Melissa Snyder1, Fernando Fervenza1, Gary S. Hoffman4, Cees G.M. Kallenberg5, Carol A. Langford6, Peter A. Merkel7, Paul A. Monach8, Philip Seo9, Robert F. Spiera10, E. William St Clair11, John H. Stone12, David Barnidge1 and Ulrich Specks13, 1Mayo Clinic, Rochester, MN, 2Genentech Inc., South San Francisco, CA, 3Genentech, Inc., South San Francisco, CA, 4Rheumatology, Cleveland Clinic, Cleveland, OH, 5Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 6Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 7University of Pennsylvania, Philadelphia, MN, 8Boston University School of Medicine, Boston, MA, 9Medicine, Johns Hopkins University, Baltimore, MD, 10Rheumatology, Hospital for Special Surgery, New York, NY, 11Rheumatology, Duke University Medical Center, Durham, NC, 12Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 13Mayo Clinic College of Medicine, Rochester, MN

    Background/Purpose: Response to rituximab (RTX) is variable in patients with ANCA-associated vasculitis (AAV), and predictors of treatment efficacy/relapse risk would be useful. Previous studies have…
  • Abstract Number: 1753 • 2017 ACR/ARHP Annual Meeting

    “Recurrent Venous Thromboembolic Events in Granulomatosis with Polyangiitis Patients”

    Alana Nevares1, William Messner2, Hiromichi Tamaki3, Yaseen Kinanah4 and Alexandra Villa-Forte5, 1Rheumatology, Cleveland Clinic Foundation, Cleveland, OH, 2Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, 3Rheumatology, Cleveland Clinic, Cleveland, OH, 4Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH, 5Rheumatology, Celevand Clinic Foundation, Shaker Heights, OH

    Background/Purpose: The incidence of first-time venous thromboembolic events (VTE) is high in granulomatosis with polyangiitis (GPA). The incidence of recurrent VTE in these patients has…
  • Abstract Number: 1754 • 2017 ACR/ARHP Annual Meeting

    Childhood- Vs. Adult-Onset ANCA-Associated Vasculitides: A Nested, Matched Case–Control Study from the French Vasculitis Study Group Registry

    Michele Iudici1, Christian Pagnoux2, Pierre Quartier3, Mathias Büchler4, Ramiro Cevallos5, Pascal Cohen6, Claire de Moreuil7, Philippe Guilpain8, Alain Le Quellec8, Jacques Serratrice9, Benjamin Terrier6, Claire Le Jeunne6, Loïc Guillevin1, Luc Mouthon10 and Xavier Puéchal for the French Vasculitis Study Group1, 1National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 2Mount Sinai Hospital, Toronto, ON, Canada, 3Necker-Enfants Malades Hospital, Paris, France, 4Tours, Tours, France, 5Strasbourg, Strasbourg, France, 6Service de Médecine Interne, Hôpital Cochin, Centre de référence national pour les maladies systémiques autoimmunes rares d’Ile de France, DHU Authors, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France, Paris, France, 7CHU de Brest, Brest, France, 8Montpellier, Montpellier, France, 9Marseille, Marseille, France, 10Service de Médecine Interne, Hôpital Cochin, Centre de référence national pour les maladies systémiques autoimmunes rares d’Ile de France, DHU Authors, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France ;Université Paris Descartes Sorbonne Paris, Paris, France

    Background/Purpose: ANCA-associated vasculitides (AAVs) are potentially life-threatening diseases rarely observed in childhood. Whether AAVs in children (cAAVs) differ from adult-onset AAVs (aAAVs) is still not…
  • Abstract Number: 1755 • 2017 ACR/ARHP Annual Meeting

    Safety of Methotrexate and Low-Dose Trimethoprim-Sulfamethoxazole in Patients with ANCA-Associated Vasculitis

    Hiromichi Tamaki1, Robert Butler2 and Carol A. Langford3, 1Rheumatology, Cleveland Clinic, Cleveland, OH, 2Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, 3Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH

    Background/Purpose: Low-dose trimethoprim-sulfamethoxazole (LDTS, 160mg-800mg 3x/week or 80mg-400mg/day) is effective for prevention of Pneumocystis jiroveci pneumonia (PCP), a serious opportunistic infection seen in patients with…
  • Abstract Number: 1756 • 2017 ACR/ARHP Annual Meeting

    Interstitial Lung Disease in ANCA Associated Vasculitis: A Distinct or an Incomplete Subset in ANCA Vasculitis Patients?

    Simone Barsotti1,2, Francesco Ferro1, Elena Elefante1, Rossella Neri3, Marta Mosca1 and Chiara Baldini4, 1Rheumatology Unit, University of Pisa, Pisa, Italy, 2Department of Medical Biotechnologies, University of Siena, Siena, Italy, 3Rheumatology Unit, University of Pisa, PISA, Italy, 4Internal Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy

    Background/Purpose: ANCA-associated vasculitis (AAV) are heterogeneous disorders with a clinical presentation that may range from a full-blown disease to incomplete forms with isolated organ involvement.…
  • Abstract Number: 1757 • 2017 ACR/ARHP Annual Meeting

    Rituximab for Induction and Maintenance Therapy of Granulomatosis with Polyangiitis: A Single-Center Cohort Study on 114 Patients

    Xavier Puéchal1, Michele Iudici1, Ana Luisa Calich2, Alexandre Vivot3, Benjamin Terrier4, Alexis Regent1, Pascal Cohen4, Claire Le Jeunne4, Luc Mouthon5, Philippe Ravaud6 and Loïc Guillevin for the French Vasculitis Study Group7, 1National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 2Universidade Federal de São Paulo, Hospital São Paulo, São Paulo, Brazil, 3Epidemiology, Hotel Dieu, Paris, France, 4Service de Médecine Interne, Hôpital Cochin, Centre de référence national pour les maladies systémiques autoimmunes rares d’Ile de France, DHU Authors, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France, Paris, France, 5Service de Médecine Interne, Hôpital Cochin, Centre de référence national pour les maladies systémiques autoimmunes rares d’Ile de France, DHU Authors, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France ;Université Paris Descartes Sorbonne Paris, Paris, France, 6Paris Hotel Dieu, Paris, France, 7Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France

    Background/Purpose: Randomized–controlled trials (RCTs) showed rituximab’s (RTX) noninferiority to cyclophosphamide for induction therapy of severe ANCA-associated vasculitides and significantly lower relapse rate than azathioprine maintenance.…
  • Abstract Number: 1758 • 2017 ACR/ARHP Annual Meeting

    Risk of Serious Infection in Granulomatosis with Polyangiitis or Microscopic Polyangiitis: Long-Term Outcomes of 126 Wegent Trial Patients

    Xavier Puéchal1, Christian Pagnoux2, Elodie Perrodeau3, Mohamed Hamidou4, Jean-Jacques Boffa5, Xavier Kyndt6, François Lifermann7, Thomas Papo8, Dominique Merrien9, Amar Smail10, Philippe Delaval11, Catherine Hanrotel-Saliou12, Bernard Imbert13, Chahéra Khouatra14, Marc Lambert15, Charles Leské16, Kim H. Ly17, Edouard Pertuiset18, Pascal Roblot19, Marc Ruivard20, Jean-François Subra21, Jean-Francois Viallard22, Benjamin Terrier23, Pascal Cohen23, Luc Mouthon24, Philippe Ravaud3 and Loïc Guillevin for the French Vasculitis Study Group25, 1National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 2Mount Sinai Hospital, Toronto, ON, Canada, 3Paris Hotel Dieu, Paris, France, 4Medecine Interne, CHU Hôtel Dieu, Nantes, France, 5Paris Tenon, Paris, France, 6Valenciennes, Valenciennes, France, 7Dax, Dax, France, 8Paris Bichat, Paris, France, 9Compiègne, Compiègne, France, 10Amiens, Amiens, France, 11Rennes, Rennes, France, 12Brest, Brest, France, 13Grenoble, Grenoble, France, 14Lyon, Lyon, France, 15Lille, Lille, France, 16Cholet, Cholet, France, 17Limoges, Limoges, France, 18Pontoise, Pontoise, France, 19Poitiers, Poitiers, France, 20CHU Estaing, Department of Internal Medicine, Clermont-Ferrand, France, Clermont Ferrand, France, 21Angers, Angers, France, 22Bordeaux, Bordeaux, France, 23Service de Médecine Interne, Hôpital Cochin, Centre de référence national pour les maladies systémiques autoimmunes rares d’Ile de France, DHU Authors, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France, Paris, France, 24Service de Médecine Interne, Hôpital Cochin, Centre de référence national pour les maladies systémiques autoimmunes rares d’Ile de France, DHU Authors, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France ;Université Paris Descartes Sorbonne Paris, Paris, France, 25Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France

    Background/Purpose: Adverse events, rather than active vasculitis, are the greatest threat to patients with ANCA-associated vasculitides (AAVs) during the first year of therapy but long-term…
  • Abstract Number: 1759 • 2017 ACR/ARHP Annual Meeting

    Economic Evaluation of Rituximab Versus Azathioprine for Maintenance Treatment of ANCA-Associated Vasculitis. a Prospective, Multicenter Study

    Annalisa Montante1, Alicia Le Bras2, Benjamin Terrier3, Pascal Cohen3, Xavier Puéchal4, Alexandre Karras5, Philippe Ravaud6, Loïc Guillevin7 and Isabelle Durand-Zaleski8, 1UNITÉ DE RECHERCHE ECONOMIQUE, UNIVERSITE PARIS DESCARTES, PARIS, France, 2UNITE DE RECHERCHE ECONOMIQUE, UNIVERSITE PARIS DESCARTES, PARIS, France, 3Service de Médecine Interne, Hôpital Cochin, Centre de référence national pour les maladies systémiques autoimmunes rares d’Ile de France, DHU Authors, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France, Paris, France, 4Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France, 5Nephrology, HEGP, Paris, France, 6Hôpital Hôtel Dieu, Paris, France, 7Internal medicine, Cochin University Hospital, paris, France, 8UNITE DE RECHERCHE ECONOMIQUE, UNIVERSITE DE PARIS-CRETEIL, PARIS, France

    Background/Purpose: Rituximab was proven to be superior to azathioprine as maintenance therapy for ANCA-associated vasculitides (AAVs) at month 28 of MAINRITSAN-1–trial follow-up. Because of rituximab’s…
  • Abstract Number: 1760 • 2017 ACR/ARHP Annual Meeting

    Pulmonary Manifestations in Microscopic Polyangiitis and Granulomatosis with Polyangiitis: A Multicenter Cohort Analysis

    Saara M. Rawn1, Gerard Cox1, Christian Pagnoux2, David Cuthbertson3, Simon Carette2, Curry L. Koening4, Carol A. Langford5, Carol A. McAlear6, Paul A. Monach7, Larry W. Moreland8, Philip Seo9, Ulrich Specks10, Antoine G. Sreih11, Steven R. Ytterberg12, Renee Borchin13, Peter A. Merkel11 and Nader A. Khalidi1, 1St. Joseph's Healthcare, McMaster University, Hamilton, ON, Canada, 2Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 3Department of Biostatistics, University of South Florida, Tampa, FL, 4Rheumatology, University of Utah, Salt Lake City, UT, 5Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 6Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 7Rheumatology, Boston University, Boston, MA, 8Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 9Division of Rheumatology, Johns Hopkins University, Baltimore, MD, 10Mayo Clinic, Rochester, MN, 11Rheumatology, University of Pennsylvania, Philadelphia, PA, 12Division of Rheumatology, Mayo Clinic, Rochester, MN, 13University of South Florida, Tampa, FL

    Background/Purpose: Pulmonary involvement in microscopic polyangiitis (MPA) and granulomatosis with polyangiitis (GPA) includes pulmonary nodules (PN), diffuse alveolar hemorrhage (DAH), and infiltrates attributed to vasculitis,…
  • Abstract Number: 1761 • 2017 ACR/ARHP Annual Meeting

    Differential Characteristics of MPO-ANCA Positive and Negative Eosinophilic Granulomatosis with Polyangiitis

    Shunsei Hirohata1, Yu Matsueda2 and Yoshiyuki Arinuma2, 1Kitasato University School of Medicine, Sagamihara, Japan, 2Rheumatology and Infectious Diseases, Kitasato University School of Medicine, Kanagawa, Japan

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA) is characterized by the preceding history of type I allergic disorders, mostly bronchial asthma, followed by the development of…
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