ACR Meeting Abstracts

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  • Abstract Number: 2662 • 2017 ACR/ARHP Annual Meeting

    The EULAR Systemic Sclerosis Impact of Disease (ScleroID) Score – a New Patient-Reported Outcome Measure for Patients with Systemic Sclerosis – Preliminary Results from the Ongoing Validation Study

    Rucsandra Dobrota1, Mike Oliver Becker1, Kim Fligelstone2, Jaap Fransen3, Ann Kennedy4, Yannick Allanore5, Patricia Carreira6, László Czirják7, Christopher Denton8, Roger Hesselstrand9, Gunnel Sandqvist10, Otylia Kowal-Bielecka11, Marco Matucci-Cerinic12, Carina Mihai13, Ana Maria Gheorghiu14, Ulf Müller-Ladner15, MC Vonk16, Turid Heiberg17 and Oliver Distler18, 1Department of Rheumatology, Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland, 2Royal Free Hospital, Scleroderma Unit and Scleroderma Society, London, United Kingdom, 3Department of Rheumatolgy, Radboud University Medical Center, Nijmegen, Netherlands, 4Federation of European Scleroderma Associations (FESCA), Tournai, Belgium, 5Department of Rheumatology, Cochin Hospital, Paris Descartes University, Paris, France, 6Department of Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain, 7Department of Rheumatology and Immunology, University of Pécs, Faculty of Medicine, Pécs, Hungary, 8Department of Rheumatology, University College London, Royal Free Hospital, London, United Kingdom, 9Lund University, Lund, Sweden, 10Department of Rheumatology, Lund University Hospital, Lund, Sweden, 11Department of Rheumatology and Internal Medicine, Medical University of Białystok, Białystok, Poland, 12Dept of Medicine/Div of Rheum, University of Florence, Florence, Italy, 13Internal Medicine and Rheumatology Dept., Cantacuzino Clinical Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, 14Carol Davila University of Medicine and Pharmacy,Internal Medicine and Rheumatology Department ,,Dr.I.Cantacuzino'' Clinical Hospital, Bucharest, Romania, 15Justus-Liebig-University Giessen, Department of Internal Medicine and Rheumatology, Kerckhoff-Klinik, Bad Nauheim, Germany, Bad-Nauheim, Germany, 16Rheumatology, Radboud University Medical Centre, Nijmegen, Netherlands, 17Department of Health and Social Sciences, Oestfold University College, Oslo, Norway, 18Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland

    Background/Purpose: Patient reported outcome measures (PROM) are acknowledged a key role in clinical trials in systemic sclerosis (SSc). Given the unmet need of a validated,…
  • Abstract Number: 2663 • 2017 ACR/ARHP Annual Meeting

    Changes in Disability over Time, and Their Relationship with Degree of Skin Thickening, in Patients with Limited and Diffuse Cutaneous Systemic Sclerosis: A Retrospective Cohort  Study

    Sébastien Peytrignet1, Joanne Manning2, Elizabeth Wragg3, Tonia Moore4, Muditha Samaranayaka3 and Ariane L. Herrick5, 1Manchester Academic Health Sciences Centre, Centre for Musculoskeletal Research, Institute of Inflammation and Repair, The University of Manchester, Manchester, United Kingdom, 2Rheumatology Department, Salford Royal NHS Foundation Trust, Salford, United Kingdom, 3Salford Royal NHS Foundation Trust, Salford, United Kingdom, 4Centre for Musculoskeletal Research, University of Manchester, MAHSC, Salford Royal Hospital, Salford, United Kingdom, 5Centre for Musculoskeletal Research, University of Manchester, MAHSC, Salford Royal Hospital, Manchester, United Kingdom

    Background/Purpose: The burden of disability of systemic sclerosis (SSc) is increasingly recognised. What is less known are the factors driving this disability and how it…
  • Abstract Number: 2664 • 2017 ACR/ARHP Annual Meeting

    Anti-SSA (Ro52/Ro60) and SSB Autoantibodies in Patients with Systemic Sclerosis

    Myo-Pale' Aye1, Ghaith Noaiseh2, Thomas A. Medsger Jr.1, Robert A. Lafyatis3, Maureen Laffoon1, Lei Zhu1 and Robyn T. Domsic4, 1Rheumatology, University of Pittsburgh Medical Center, Pittsburgh, PA, 2University of Pittsburgh Medical Center, Pittsburgh, PA, 3Medicine, Rheumatology, University of Pittsburgh Medical Center, Pittsburgh, PA, 4Medicine - Rheumatology, University of Pittsburgh Medical Center, Pittsburgh, PA

    Background/Purpose: Anti-SSA (Ro52/Ro60) and anti-SSB autoantibodies are the cardinal serological markers for SjogrenÕs syndrome. They are also present in other systemic autoimmune diseases. There is…
  • Abstract Number: 2665 • 2017 ACR/ARHP Annual Meeting

    Mortality in an Early Diffuse Cutaneous Systemic Sclerosis Cohort—Data from the Prospective Registry for Early Systemic Sclerosis

    Tracy M. Frech1, Shervin Assassi2, Elana J. Bernstein3, Flavia V. Castelino4, Robyn T. Domsic5, Jessica K. Gordon6, Faye Hant7, Monique Hinchcliff8, Bernie LaSalle9, Victoria K. Shanmugam10, Virginia D. Steen11 and Dinesh Khanna12, 1Division of Rheumatology, University of Utah, Salt Lake City, UT, 2University of Texas McGovern Medical School, Houston, TX, 3Department of Medicine, Division of Rheumatology, Columbia University, New York, NY, 4Rheumatology, Allergy, Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 5Medicine - Rheumatology, University of Pittsburgh, Pittsburgh, PA, 6Rheumatology, Hospital for Special Surgery, New York, NY, 7Medicine/Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 8Department of Medicine Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 9University of Utah, Salt Lake City, UT, 10Rheumatology, The George Washington University, Washington, DC, 11Division of Rheumatology, Department of Medicine, MedStar Georgetown University Hospital, Washington, DC, 12University of Michigan, Ann Arbor, MI

    Background/Purpose: The Prospective Registry of Early Systemic Sclerosis (PRESS) cohort is an early diffuse cutaneous systemic sclerosis (dcSSc) that provides an opportunity to assess the…
  • Abstract Number: 2666 • 2017 ACR/ARHP Annual Meeting

    The Clinical Utility of Flow-Mediated Dilation in Systemic Sclerosis Digital Ulcer Assessment

    Tracy M. Frech1, Daniel Machin2, Maureen Murtaugh3 and Anthony Donato2, 1Division of Rheumatology, University of Utah, Salt Lake City, UT, 2University of Utah and Salt Lake Veterans Affair Medical Center, Salt Lake City, UT, 3University of Utah, Salt Lake, UT

    Background/Purpose: Systemic sclerosis (SSc, scleroderma) patients can have the end-stage vasculopathy manifestation of a digital ulcer (DU).  Brachial artery flow mediated dilation (FMD) is an…
  • Abstract Number: 2667 • 2017 ACR/ARHP Annual Meeting

    The Association between Two Non-Invasive Methods for the Assessment of Severity of Gastrointestinal Involvement and Malnutrition in Systemic Sclerosis: Self-Reported Questionnaires and Nail Fold Video-Capillaroscopy

    Yasemin Yalçınkaya1, Zeynep Erturk1, Ozlem Pehlivan2, Ali Ugur Unal3, Pamir Atagunduz1, Haner Direskeneli1 and Nevsun Inanc1, 1Departement of İnternal Medicine, Division of Rheumatology, Marmara University, Istanbul, Turkey, 2Department of Internal Medicine, Division of Rheumatology, Umraniye Education and Research Hospital, Istanbul, Turkey, 3Departement of Internal Medicine, Division of Rheumatology, Marmara University, Istanbul, Turkey

    Background/Purpose: Gastrointestinal (GI) system involvement is commonly seen in sytemic sclerosis (SSc) up to 90% of the patients during disease duration and one of the…
  • Abstract Number: 2668 • 2017 ACR/ARHP Annual Meeting

    Responsiveness of University of California Los Angeles Scleroderma Clinical Trial Consortium (GIT2.0) and Intestinal Visual Analogue Scale to Change in Systemic Sclerosis Patients

    Yossra A Suliman1, Suzanne Kafaja2, Mohamed Alemam3, yasser Shaweesh4, Kasra Tavakoli5 and Daniel E. Furst6, 1Rheumatology and Rehabilitation dept., Rheumatology and Rehabilitation dept. Assiut university hospital, Assiut Egypt, Assiut, Egypt, 2Department of Internal Medicine, University of California Los Angeles, David Geffen School of Medicine, Division of Rheumatology, Los Angeles, CA, 3Clinical Pathology and Laboratory Medicine Department, Assistant Lecturer, Qena, Egypt, 4John H. Stroger Jr. Hospital of cook county, chicago, IL, 5Department of medicine, university of California Los Angeles, Los Angeles, CA, 6David Geffen School of Medicine at UCLA, Los Angeles, CA

    Background/Purpose: Gastrointestinal tract (GIT) involvement in systemic sclerosis (SSc) is the most common internal organ involvement. Among the few validated patient-reported outcome measures for GI…
  • Abstract Number: 2669 • 2017 ACR/ARHP Annual Meeting

    Microvascular Flow Assessed By Dynamic Optical Coherence Tomography: First Non-Invasive Quantitative Outcome Measure of Microvascular Disease in Systemic Sclerosis

    Giuseppina Abignano1,2, Alexandra Daniel1,3, Lorraine Green1,3, Sookhoe Eng1,3, Paul Emery1,3 and Francesco Del Galdo1,3, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 2Rheumatology Department of Lucania, San Carlo Hospital of Potenza and Madonna delle Grazie Hospital of Matera, Rheumatology Institute of Lucania (IReL), Potenza, Italy, 3Leeds Musculoskeletal Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom

    Background/Purpose: Virtual skin biopsy by Optical Coherence Tomography (OCT) has been proposed as quantitative outcome measure of fibrosis in Systemic Sclerosis (SSc). Dynamic OCT (D-OCT)…
  • Abstract Number: 2670 • 2017 ACR/ARHP Annual Meeting

    Trigeminal Neuralgia in Systemic Sclerosis

    Nancy Maltez1, Marie Hudson2, Yves Troyanov3, May Choi4, Mianbo Wang5, Marvin J. Fritzler6, Murray Baron7 and Doug Smith8, 1Rheumatology, The Ottawa Hospital, Ottawa, ON, Canada, 2Division of Rheumatology, Jewish General Hospital, Lady David Institute for Medical Research, Montreal, QC, Canada, 3Rheumatology, Hôpital du Sacré-Coeur de Montréal, Montréal, QC, Canada, 4University of Calgary, Calgary, AB, Canada, 5Lady Davis Institute for Medical Research, Montreal, QC, Canada, 6Medicine, University of Calgary, Calgary, AB, Canada, 7Rheumatology, McGill University, Jewish General Hospital, Montreal, QC, Canada, 8Division of Rheumatology, Department of Medicine, The Ottawa Hospital - University of Ottawa, Ottawa, ON, Canada

    Background/Purpose: Trigeminal neuralgia (TN) is characterized by pain and spasms affecting one or more divisions of the fifth cranial nerve. Of note, TN is one…
  • Abstract Number: 2671 • 2017 ACR/ARHP Annual Meeting

    Bosentan in Scleroderma Renal Crisis: A National Open Label Prospective Study

    Alice Bérezné1,2, Hendy ABDOUL3, Alexandre Karras4, Isabelle Marie5, Antoine Huart6, Maxence Ficheux7, Viviane Queyrel8, Bernard Imbert9, Xavier Puéchal1, Arnaud Hot10, Boris Bienvenu11, Elisabeth Diot12, Bruno Moulin13, Thomas Quémeneur14, Jean-Emmanuel Kahn15, Luc Mouthon1 and Loïc Guillevin for the French Vasculitis Study Group1, 1Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France, 2Centre de Compétence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Centre de Compétence Eosinophiles CEREO, Hôpital Annecy Genevois, Anency, France, 3Centre d'investigation Clinique Paris Descartes, Necker–Cochin, Paris, Unité de Recherche Clinique, paris, France, 4Nephrology, HEGP, Paris, France, 5Internal medicine, Hôpital Bois Guillaume, ROUEN, France, 6Nephrology, Hôpital Rangueil, Toulouse, France, 7Nephrologie, Hôpital Clémenceau, CAEN, France, 8Internal medicine, Hôpital de l'Archet, NICE, France, 9Grenoble, Grenoble, France, 10Department of Internal Medicine, Edouard Herriot University Hospital, Hospices Civils de Lyon, Lyon cedex 03, France, 11Internal Medicine, Hôpital de la côte de Nacre, Caen, France, 12Pôle médecine interne et gériatrique, pneumologie, Hôpital Bretonneau, Tours, France, 13Nephrology, Hôpital Civil, STRASBOURG, France, 14Service de néphrologie, médecine interne et vasculaire, Hôpital de Valenciennes, Valenciennes, France, 15foch hospital, foch, France

    Background/Purpose: Scleroderma renal crisis (SRC), a life-threatening complication of systemic sclerosis (SSc), arises despite therapy combining an angiotensin-converting–enzyme inhibitor (AECI) and/or dialysis. Endothelin-1 (ET-1), a…
  • Abstract Number: 2672 • 2017 ACR/ARHP Annual Meeting

    Perceived Barriers to Mental Health Care Among Patients with Systemic Sclerosis: A Qualitative Study

    Karima Becetti1, Laura Robbins2, Carol Mancuso3, Jessica K. Gordon1 and Robert F. Spiera1, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Education & Academic Affairs, Hospital for Special Surgery, New York, NY, 3Medicine, Hospital for Special Surgery, New York, NY

    Background/Purpose: Systemic Sclerosis (SSc) is characterized by disfigurement, morbidity, and increased mortality. The diagnosis carries significant psychosocial impact on patients, and many suffer with depression,…
  • Abstract Number: 2673 • 2017 ACR/ARHP Annual Meeting

    Real-Life Treatment Strategies for Systemic Sclerosis According to Experts

    Andreu Fernández-Codina1,2, Kyle M Walker3 and Janet E. Pope4, 1Rheumatology, University of Western Ontario, London, ON, Canada, 2Systemic Autoimmune Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain, 3Dept. of Medicine, Division of Rheumatology, University of Ottawa, Ottawa, ON, Canada, 4University of Western Ontario, London, ON, Canada

    Background/Purpose:Second line treatment options for Systemic Sclerosis (SSc) are limited, and scarce data are available for choosing the order of treatment. The aim of this…
  • Abstract Number: 2674 • 2017 ACR/ARHP Annual Meeting

    The Association between the Extent of Skin Thickness and Organ Involvement, Function and Quality of Life in Early Diffuse Cutaneous Systemic Sclerosis

    Janet E. Pope1, Murray Baron2, Tatiana Nevskaya3, Carl Baxter4 and Dena Ramey5, 1Medicine, Divsion of Rheumatology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada, 2Rheumatology, McGill University, Jewish General Hospital, Montreal, QC, Canada, 3Rheumatology Division, St. Joseph’s Health Care London, London, ON, Canada, 4Global Outcomes Research, MSD Ltd, Hoddesdon, United Kingdom, 5Epidemiology, Merck & Co., Upper Gwynedd, PA

    Background/Purpose: To estimate whether severity of skin thickness is associated with disease severity, function, quality of life (QoL) and progression of internal organ involvement over…
  • Abstract Number: 2675 • 2017 ACR/ARHP Annual Meeting

    Lung Transplant Trends in Patients’ with Systemic Sclerosis Using UNOS (United Network Organ Sharing) Database from 2000-2014

    Osman Bhatty1, Rouhin Sen1, Douglas Moore2 and Joseph Nahas3, 1Department of Medicine, CHI Creighton University Medical Center, Omaha, NE, 2Department of Pulmonary/Critical Care, CHI Creighton University Medical Center, Omaha, NE, 3Department of Rheumatology, CHI Creighton University Medical Center, Omaha, NE

    Background/Purpose: Systemic sclerosis (SSc) is a chronic autoimmune disease once characterized by high mortality rates now with better outcomes. Pulmonary disease has overtaken renal failure…
  • Abstract Number: 2676 • 2017 ACR/ARHP Annual Meeting

    Reduction of Dlco and FVC in Patients with GERD and Systemic Sclerosis

    Rodrigo Aguila Maldonado1, Pierina Sansinanea2, Claudia Elizabeth Pena1, Ana Carolina Costi1, Ariel Vulcano2, Adriana Testi2, Mariana Pera3, Lucila García2, Valeria Arturi3, Viviana Nagua2 and Mercedes Garcia1, 1Rheumatology, HIGA General San Martin La Plata, La Plata, Argentina, 2Rheumatology, HIGA General San Martin La Plata, la plata, Argentina, 3HIGA General San Martin La Plata, la plata, Argentina

    Background/Purpose: Esophageal involvement is common in Systemic Sclerosis (SSc). It is estimated to occur in 70-90% of patients. Esophageal motor dysfunction is characterized by hypotonia…
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