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  • Abstract Number: 2712 • 2018 ACR/ARHP Annual Meeting

    Evaluation of Longitudinal Outcomes in Scleroderma Patients with Negative Immunofluorescent Anti-Nuclear Antibodies

    Mayce Haj-Ali1, Derek Jones2, Sean McNish3, Sarah Stupp3, Marissa Mangini3 and Victoria Shanmugam4, 1Department of Medicince, The George Washington University School of Medicine and Health Sciences, Washington, DC, 2The George Washington University, Washington, DC, 3The George Washington University School of Medicine and Health Sciences, Washington, DC, 4Rheumatology, The George Washington University, Washington, DC

    Background/Purpose: Systemic Sclerosis (SSc) is an autoimmune disease characterized by inflammation, fibrosis, and vasculopathy. Historical data indicates approximately 90% of patients with SSc test positive…
  • Abstract Number: 2713 • 2018 ACR/ARHP Annual Meeting

    Is Effectiveness of Immunosuppression for Interstitial Lung Disease in Systemic Sclerosis (SSc) Modified By Lung Disease Severity or SSc Duration?

    Sabrina Hoa1, Sasha Bernatsky2, Russell Steele3 and Marie Hudson1, 1Jewish General Hospital, Lady Davis Institute and McGill University, Montreal, QC, Canada, 2Divisions of Rheumatology and Clinical Epidemiology, The Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 3Department of Mathematics and Statistics, McGill University, Montreal, QC, Canada

    Background/Purpose: Interstitial lung disease (ILD) is a leading cause of mortality in SSc. Immunosuppression is used to treat ILD, but little is known about its…
  • Abstract Number: 2714 • 2018 ACR/ARHP Annual Meeting

    Significance of Anti-Neutrophil Cytoplasmic Antibodies in Systemic Sclerosis

    Jayne Moxey1,2, Molla Huq2, Susanna Proudman3, Joanne Sahhar4,5, Gene-Siew Ngian4,5, Jennifer Walker6, Gemma Strickland1, Michelle Wilson1, Laura Ross1,2, Gabor Major7,8, Janet Roddy9, Wendy Stevens1 and Mandana Nikpour1,2, 1St Vincent's Hospital, Melbourne, Australia, Melbourne, Australia, 2The University of Melbourne, Melbourne, Australia, Melbourne, Australia, 3Royal Adelaide Hospital, Rheumatology Unit and University of Adelaide, Discipline of Medicine, Adelaide, Australia, 4Monash Health, Melbourne, Australia, Melbourne, Australia, 5Monash University, Melbourne, Australia, Melbourne, Australia, 6Royal Adelaide Hospital, Adelaide, Australia, Adelaide, Australia, 7University of Newcastle, Newcastle, Australia, Newcastle, Australia, 8Royal Newcastle Centre, John Hunter Hospital, Newcastle, Australia, Newcastle, Australia, 9Fiona Stanley Hospital, Perth, Australia, Perth, Australia

    Background/Purpose: ANCA are detected in 0-11.7% (1) of patients with systemic sclerosis (SSc) and only a minority of these patients will develop an overlap syndrome with…
  • Abstract Number: 2715 • 2018 ACR/ARHP Annual Meeting

    The Effect of an Intensive Controlled 6-Moth Physical-Occupational Therapy Program with Subsequent 6-Month Follow-up Period in Patients with Systemic Sclerosis – Preliminary Data

    Maja Spiritovic1,2, Hana Smucrova2, Sabina Oreska2,3, Hana Storkanova2,3, Barbora Hermankova1,2, Petr Cesak4, Adela Rathouska2, Olga Ruzickova2,5, Karel Pavelka2,3, Ladislav Šenolt2,3, Jiri Vencovsky2,6, Radim Becvar2,3 and Michal Tomcik2,3, 1Department of Physiotherapy, Faculty of Physical Education and Sports, Charles University, Prague, Czech Republic, Prague, Czech Republic, 2Institute of Rheumatology, Prague, Czech Republic, Prague, Czech Republic, 3Department of Rheumatology, First Faculty of Medicine, Charles University, Prague, Czech Republic, Prague, Czech Republic, 4Body Composition Laboratory, Faculty of Physical Education and Sports, Charles University, Prague, Czech Republic, Prague, Czech Republic, 5Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic, Prague, Czech Republic, 6Department Rheumatology, First Faculty of Medicine, Charles University, Prague, Czech Republic, Prague, Czech Republic

    Background/Purpose: Involvement of the skin and musculoskeletal system is associated with impaired quality of life in patients with systemic sclerosis (SSc). Data on efficacy of…
  • Abstract Number: 2716 • 2018 ACR/ARHP Annual Meeting

    A New Score to Predict Digital Ulcers Combining Clinical Data, Imaging and Patient History in Systemic Sclerosis

    Stefanie Friedrich1,2, Susanne Lueders3, Gerd R. Burmester4, Gabriela Riemekasten5 and Sarah Ohrndorf4, 1Department of of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin; Germany, Berlin, Germany, 2Department of Radiology, Charité University Hospital, Berlin; Germany, Berlin, Germany, 3Department of Gastroenterology and Rheumatology, Charité Universitätsmedizin Berlin, Berlin, Germany, 4Rheumatology and Clinical Immunology, Charité-University Medicine Berlin, Berlin, Germany, 5Rheumatology, University Hospital Schleswig-Holstein - Campus Lübeck, Lübeck, Germany

    Background/Purpose: Ischemic complications such as digital ulcers (DU) are a common complication in systemic sclerosis (SSc) patients. The aim of this study was to combine…
  • Abstract Number: 2717 • 2018 ACR/ARHP Annual Meeting

    Factors Predicting Severe Infections in Patients with Systemic Necrotizing Vasculitides Based on Data from 733 Patients Enrolled in Randomized–Controlled Trials

    Lafarge Antoine1, Christian Pagnoux2, Xavier Puéchal3, Maxime Samson4, Mohamed Hamidou5, Alexandre Karras6, Thomas Quémeneur7, Matthieu Groh8, Luc Mouthon3, Loïc Guillevin3 and Benjamin Terrier9, 1Medecine Interne, National Referral Center for Rare Systemic Autoimmune Diseases, Paris Cochin, France, Paris, France, 2Division of Rheumatology, Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 3Department of Internal Medicine, INSERM Unité 1016, Centre de Référence pour les Maladies Auto-immunes Rares, National Referral Center for Rare Systemic Autoimmune Diseases, Paris Cochin, France, Paris, France, 4Department of Internal Medicine and Clinical Immunology, François-Mitterrand Teaching Hospital, University of Bourgogne-Franche-Comté, Dijon, France, 5Department of Internal Medicine, CHU de Nantes, France, Nantes, France, 6Department of Nephrology, Hôpital Européen Georges Pompidou, APHP, Paris, France, Paris, France, 7Department of Internal Medicine, CH of Valenciennes, France, Valenciennes, France, 8Internal Medicine, Foch, Suresnes, France, 9National Referral Center for Rare Systemic Autoimmune Diseases, Paris Cochin, France, Paris, France

    Background/Purpose: Although overall survival of patients with systemic necrotizing vasculitides (SNVs) has improved markedly over the last 20 years, infectious complications remain a major cause…
  • Abstract Number: 2718 • 2018 ACR/ARHP Annual Meeting

    Comparison of Various ANCA Detection Methods in Predominantly MPO ANCA-Associated Vasculitis Cohort

    Yasuhiro Katsumata1, Ken-ei Sada2, Tomohiro Kameda3, Hiroaki Dobashi3, Hisashi Yamanaka4 and Masayoshi Harigai5, 1Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 2Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences,Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama, Japan, 3Internal Medicine Division of Hematology, Rheumatology, and Respiratory Medicine, Kagawa University, Kagawa, Japan, 4Institute of Rheumatology, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 5Tokyo Women's Medical University, Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases, Institute of Rheumatology, Tokyo, Japan

    Background/Purpose: In 2017, the multicenter European Vasculitis Study Group (EUVAS) evaluated the diagnostic accuracy of a wide spectrum of detection tests of MPO and PR3-ANCAs…
  • Abstract Number: 2719 • 2018 ACR/ARHP Annual Meeting

    Tracking the Risk of Infections in ANCA-Associated Vasculitis: Results from a Scottish Matched-Cohort Study

    Shifa Sarica1, Neeraj Dhaun2, Jan Sznajd3, John Harvie3, Nicola Joss3, John McLaren4, Lucy McGeoch5, Nicole Amft6, Vinod Kumar7, Angharad Marks1, Corri Black1 and Neil Basu1, 1Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom, 2University/British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom, 3Department of Rheumatology, Raigmore Hospital, Inverness, United Kingdom, 4Fife Rheumatic Diseases Unit, Whyteman's Brae Hospital, Kirkcaldy, United Kingdom, 5Center for Rheumatic Diseases, Glasgow Royal Infirmary, Glasgow, United Kingdom, 6Department of Rheumatology, Western General Hospital, Edinburgh, United Kingdom, 7Rheumatology Department, Ninewells Hospital, Dundee, United Kingdom

    Background/Purpose: Evaluation of infection risk in ANCA-associated vasculitis (AAV) has been limited to small, selected populations and/or serious episodes. In this large study, we aimed…
  • Abstract Number: 2720 • 2018 ACR/ARHP Annual Meeting

    30-Day Hospital Readmission for Granulomatosis with Polyangiitis: Analysis from National Readmission Database

    Yiming Luo1, Changchuan Jiang1, Ana Belen Arevalo Molina1, Shane Murray1, Maria Salgado2 and Jiehui Xu3, 1Department of Medicine, Mount Sinai St Luke's and Mount Sinai West Hospitals, Icahn School of Medicine at Mount Sinai, New York, NY, 2Department of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, 3Department of Biostatistics, Mailman School of Public Health, Columbia University Medical Center, New York, NY

    Background/Purpose: Granulomatosis with polyangiitis (GPA) is a systemic vasculitis with multi-organ involvement which can lead to frequent hospitalizations. Our study is to investigate characteristics and…
  • Abstract Number: 2721 • 2018 ACR/ARHP Annual Meeting

    Venous Thromboembolism in ANCA Associated Vasculitis. a Population-Based Cohort Study from Southern Sweden

    Matina Liapi1, David Jayne2, Mårten Segelmark3 and Aladdin Mohammad4, 1Medicine, Blekinge Hospital, Karlskrona, Sweden, 2Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 3Clinical Sciences, Nephrology, Lund University, Lund, Sweden, 4Rheumatology, Department of Clinical Sciences, Lund, Lund University, Lund, Sweden

    Background/Purpose: To estimate the rate and predictors of venous thromboembolic events (VTEs) in a population-based cohort of patients with ANCA- associated vasculitis (AAV). Methods: 322…
  • Abstract Number: 2722 • 2018 ACR/ARHP Annual Meeting

    Incidence and Predictors of Severe Infections in ANCA Associated Vasculitis in a Population-Based Cohort – Preliminary Results

    Jens Rathmann1, David Jayne2, Goran Jönsson3, Mårten Segelmark4, Jan-Åke Nilsson5 and Aladdin Mohammad2, 1Rheumatology, Skanes University Hospital, Lund, Lund, Sweden, 2Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 3Clinical Sciences Lund, Department of Infection Medicine, Lund University, Lund, Sweden, 4Clinical Sciences, Nephrology, Lund University, Lund, Sweden, 5Department of Rheumatology, Skåne University Hospital, Malmö, Sweden

    Background/Purpose: To determine the incidence rates, predictors and outcome of severe infections in ANCA associated vasculitis (AAV). Methods: We conducted a population-based cohort study in…
  • Abstract Number: 2723 • 2018 ACR/ARHP Annual Meeting

    Patient Experience in ANCA-Associated Vasculitis Evolves over Time from Diagnosis and Both Benefits and Adverse Impacts Are Felt with Current Therapy

    Peter Rutherford1, Dieter Goette1, James O`Donoghue2 and Xierong Liu2, 1Medical Affairs, Vifor Pharma, Zurich, Switzerland, 2Elma Research, London, United Kingdom

    Background/Purpose: ANCA-associated vasculitis (AAV) leads to both acute illness and a long-term condition in which the disease remits and relapses. Therapy is often complex and…
  • Abstract Number: 2724 • 2018 ACR/ARHP Annual Meeting

    Variable Response to Induction Therapy and Significant Burden of Treatment Adverse Events over the First 12 Months in Incident ANCA-Associated Vasculitis (AAV) Patients – a Study of Routine Clinical Practice in the EU

    Peter Rutherford1, Dieter Goette1, Melinda Stamm2 and Xierong Liu2, 1Medical Affairs, Vifor Pharma, Zurich, Switzerland, 2Elma Research, London, United Kingdom

    Background/Purpose: Aims of therapy in incident AAV patients include ensuring rapid diagnosis, assessment of comorbidity, disease activity, and vasculitis damage before commencing treatment with a…
  • Abstract Number: 2725 • 2018 ACR/ARHP Annual Meeting

    Clinical Characteristics and Long-Term Follow-up of 382 Microscopic Polyangiitis Patients

    Yann Nguyen1, Christian Pagnoux2, Alexandre Karras3, Thomas Quémeneur4, Francois Maurier5, Mohamed Hamidou6, Alain Le Quellec7, Noémie Jourde-Chiche8, Pascal Cohen1, Alexis Régent1, François Lifermann9, Arsène Mékinian10, Chahéra Khouatra11, Eric Hachulla12, Jacques Ninet13, Jacques Pourrat14, Marc Ruivard15, Pascal Godmer16, Jean-Francois Viallard17, Benjamin Terrier1, Luc Mouthon1, Loïc Guillevin1 and Xavier Puéchal1, 1Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 2Division of Rheumatology, Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 3Department of Nephrology, Hôpital Européen Georges Pompidou, APHP, Paris, France, Paris, France, 4Department of Internal Medicine, CH of Valenciennes, France, Valenciennes, France, 5Médecine interne, Hôpitaux Privés de Metz, Metz, France, 6Department of Internal Medicine, CHU de Nantes, France, Nantes, France, 7Department of Internal Medicine, Hôpital Saint-Eloi, CHU de Montpellier, France, Montpellier, France, 8Nephrology, Department of Nephrology, AP-HM, CHU Conception, Marseille, France, Marseille, France, 9Dax, Dax, France, 10Department of Internal Medicine, Hôpital Saint-Antoine, APHP, Paris, France, Paris, France, 11Department of Respiratory Medicine, National Reference Center for Rare Pulmonary Diseases, Hospices civils de Lyon, Hôpital Louis Pradel, Lyon, France, Lyon, France, 12Department of Internal Medicine, National Reference Center for Systemic Sclerosis, Hôpital Claude Huriez, CHRU Lille, France, Lille, France, 13Department of Internal Medicine, Hôpital Edouard Herriot HCL, CHU de Lyon, France, Lyon, France, 14Department of Nephrology, Hôpital de Rangueil, CHU Toulouse, France, Toulouse, France, 15Department of Internal Medicine, CHU Estang, Clermont-Ferrand, France, Clermont-ferrand, France, 16Department of Internal Medicine, CH Vannes, France, Vannes, France, 17Department of Internal Medicine, Hôpital Haut-Lévêque, Bordeaux, France, CHU Bordeaux, France

    Background/Purpose: Microscopic polyangiitis (MPA) is a systemic ANCA-associated small-vessel necrotizing vasculitis characterized by general symptoms, and visceral manifestations, including rapidly progressive glomerulonephritis and alveolar hemorrhage.…
  • Abstract Number: 2726 • 2018 ACR/ARHP Annual Meeting

    Severe Infections in Systemic Necrotizing Vasculitis: Incidence and Risk Factors

    Claudia Elizabeth Pena1, Ana Carolina Costi2, Lucila Garcia3, Mariana Pera4 and Mercedes Garcia1, 1Rheumatology, HIGA General San Martin La Plata, La Plata, Argentina, 2Rheumatology Section, HIGA General San Martin La Plata, La Plata, Argentina, 3HIGA General San Martin La Plata, La Plata, Argentina, 4HIGA General San Martin La Plata, la plata, Argentina

    Background/Purpose: Infections in patients with systemic necrotizing vasculitis represent one of the main causes of mortality. Risk factors of infection such as corticosteroid use, intensity…
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