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  • Abstract Number: 2737 • 2017 ACR/ARHP Annual Meeting

    Pulmonary Manifestations of Primary Systemic Vasculitides

    Jean-Paul Makhzoum1, Raashid Luqmani2, Richard A. Watts3, Anthea Craven4, Peter A. Merkel5 and Christian Pagnoux6, 1Rheumatology, Vasculitis Clinic, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 2Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 3Rheumatology Department, The Ipswich Hospital, Ipswich, Great Britain, 4Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, Oxford University Hospitals, Oxford, United Kingdom, 5Division of Rheumatology, University of Pennsylvania; Perelman School of Medicine, Philadelphia, PA, 6Rheumatology-Vasculitis clinic, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Pulmonary involvement in systemic primary vasculitides is diverse and occurs with variable incidence depending on the type of vasculitis. This study aimed to describe…
  • Abstract Number: 2738 • 2017 ACR/ARHP Annual Meeting

    Infectious Complications in Systemic Necrotizing Vasculitides: Pooled Analysis of Five Prospective, Randomized, Controlled Trials

    Lafarge Antoine1, Christian Pagnoux2, Xavier Puéchal3, Maxime Samson4, Mohamed Hamidou5, Alexandre Karras6, Thomas Quémeneur7, Matthieu Groh8, Luc Mouthon9, Loïc Guillevin for the French Vasculitis Study Group3 and Benjamin Terrier10, 1Medecine Interne, Hôpital Cochin, Paris, France, 2Mount Sinai Hospital, Toronto, ON, Canada, 3Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France, 4Department of Internal Medicine and Clinical Immunology, Hôpital François Mitterrand, CHU de Dijon, Dijon, France, 5Medecine Interne, CHU Hôtel Dieu, Nantes, France, 6nephrology, HEGP, Paris, France, 7Service de néphrologie, médecine interne et vasculaire, Hôpital de Valenciennes, Valenciennes, France, 8National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 9Université Paris Descartes Sorbonne Paris, Paris, France, 10Internal Medicine, Cochin University Hospital, Paris, France

    Background/Purpose: Prognosis of patients with systemic necrotizing vasculitides has been markedly improved during the last 2 decades. However, infectious complications remain a major cause of…
  • Abstract Number: 2739 • 2017 ACR/ARHP Annual Meeting

    Onco-Hematological Malignancies in Systemic Necrotizing Vasculitides: Pooled Analysis of Five Prospective, Randomized, Controlled Trials

    Lafarge Antoine1, Christian Pagnoux2, Xavier Puéchal3, Maxime Samson4, Mohamed Hamidou5, Alexandre Karras6, Thomas Quémeneur7, Matthieu Groh8, Luc Mouthon9, Loïc Guillevin for the French Vasculitis Study Group3 and Benjamin Terrier10, 1Medecine Interne, Hôpital Cochin, Paris, France, 2Mount Sinai Hospital, Toronto, ON, Canada, 3Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France, 4Department of Internal Medicine and Clinical Immunology, Hôpital François Mitterrand, CHU de Dijon, Dijon, France, 5Medecine Interne, CHU Hôtel Dieu, Nantes, France, 6nephrology, HEGP, Paris, France, 7Service de néphrologie, médecine interne et vasculaire, Hôpital de Valenciennes, Valenciennes, France, 8National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 9Université Paris Descartes Sorbonne Paris, Paris, France, 10Internal Medicine, Cochin University Hospital, Paris, France

    Background/Purpose: The use of long-term immunosuppressive agents in patients with systemic necrotizing vasculitides has dramatically improved the overall prognosis, but expose patients to potential severe…
  • Abstract Number: 2740 • 2017 ACR/ARHP Annual Meeting

    Cyclophosphamide Treatment Modulates Circulating Cell Populations in Patients with Vasculitis and Autoimmune Systemic Diseases

    Martina Skácelová1, Gabriela Gabčová2, Pavel Horak3, Zuzana Mikulková2, František Mrázek4, Eva Kriegová5 and Andrea Smržová6, 1III. Department of Internal Medicine, Faculty of Medicine and Dentistry, Palacký University of Olomouc, Olomouc, Czech Republic, 2Department of Immunology, Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic, 3III. Department of internal medicine, III. Department of Internal Medicine, Faculty of Medicine and Dentistry, Palacký University of Olomouc, Olomouc, Czech Republic, 4Department of Immunology, Faculty of Medicine and Dentistry, Palacky University of Olomouc, Olomouc, Czech Republic, 5Department of Immunology, Department of Immunology, Faculty of Medicine and Dentistry, Palacky University of Olomouc, Olomouc, Czech Republic, 6III. Department of Internal Medicine, III. Department of Internal Medicine, Faculty of Medicine and Dentistry, Palacký University of Olomouc, Olomouc, Czech Republic

    Background/Purpose: Although cyclophosphamide (CFA) remain the cornerstone for treatment of patients with severe manifestations of systemic autoimmune diseases, the knowledge about the effect of CFA…
  • Abstract Number: 2741 • 2017 ACR/ARHP Annual Meeting

    Rheumatoid Factor (RF) Levels Remain Persistently Elevated 24 Weeks after Interferon (INF) Free Direct Antiviral Agents (DAA) Therapy in the Majority of RF+ HCV Infected Persons

    Corinne Kowal1, Carey Shive2,3, Elizabeth Zebrowski4,5, Lenche Kostadinova1,6, Brianna Fuller1,6, Elane Reyes2, Kelsey Rife4, Amy Hirsch4, Anita Compan4, Shyam Kottilil7, Yngve Falck-Ytter6,8, Leonard H. Calabrese9, Donald Anthony4,6,10,11 and Maya Mattar6,12, 1Department of Medicine, Louis Stokes VA Medical Center, Cleveland, OH, 2Department of Medicine and Pathology, Case Western Reserve University, Cleveland, OH, 3VA Geriartic Research and Education Clinical Center (GRECC), Louis Stokes VA Medical Center, Cleveland, OH, 4Louis Stokes VA Medical Center, Cleveland, OH, 5Department of Medicine, Case Western Reserve University, Cleveland, OH, 6Case Western Reserve University, Cleveland, OH, 7IHV Clinical Research Unit, University of Maryland, Baltimore,, Baltimore, MD, 8Internal Medicine/ Division of gastroenterology, Louis Stokes VA Medical Center, Cleveland, OH, 9Rheumatic & Immunologic Disease and Infectious Disease, Cleveland Clinic Foundation, Cleveland, OH, 10Division of Medicine and Pathology, Divisions of Infectious and Rheumatic diseases, University Hospitals Cleveland Medical Center, Cleveland, OH, 11VA Geriatric Research and Education Clinical Center (GRECC), Cleveland, OH, 12Internal Medicine/ Division of Rheumatology, University Hospitals Cleveland Medical Center, Cleveland, OH

    Background/Purpose: Cryoglobulinemic vasculitis (CV) is an extrahepatic manifestation of chronic HCV infection. It varies in severity from mild to life threatening. Some but not all…
  • Abstract Number: 2742 • 2017 ACR/ARHP Annual Meeting

    A Retrospective Study Comparing the Phenotype and Outcomes of Patients with Polyarteritis Nodosa between UK and Turkish Cohorts

    Omer Karadag1,2, Abdulsamet Erden2, Yelda Bilginer2, Seerapani Gopaluni1, Alper Sari2, Berkan Armagan2, Ihsan Ertenli2, Seza Ozen2 and David Jayne3, 1Vasculitis and Lupus Clinic, Addenbrooke’s Hospital, University of Cambridge, Cambridge, United Kingdom, 2Hacettepe University Vasculitis Center (HUVAC), Ankara, Turkey, 3Vasculitis and Lupus Clinic, Department of Medicine, University of Cambridge, Cambridge, United Kingdom

    Background/Purpose: Polyarteritis Nodosa (PAN) is a rare subgroup of the primary vasculitides. There are only two published cohorts describing demographic and clinical features of the disease.…
  • Abstract Number: 2743 • 2017 ACR/ARHP Annual Meeting

    Requirement and Response Rates of Biologic Agents in Polyarteritis Nodosa (PAN)

    Omer Karadag1,2, Berkan Armagan2, Abdulsamet Erden2, Seerapani Gopaluni1, Alper Sari2, Sedat Kiraz2 and David Jayne3, 1Vasculitis and Lupus Clinic, Addenbrooke’s Hospital, University of Cambridge, Cambridge, United Kingdom, 2Hacettepe University Vasculitis Center (HUVAC), Ankara, Turkey, 3Vasculitis and Lupus Clinic, Department of Medicine, University of Cambridge, Cambridge, United Kingdom

    Background/Purpose: Recent studies highlight the usefulness and necessity of biologic agents in the treatment of primary vasculitides. Evidence for the use of biologics in PAN…
  • Abstract Number: 2744 • 2017 ACR/ARHP Annual Meeting

    Long-Term Remission in Severe Behcet’s Disease Following Withdrawal of Successful Anti-TNF Treatment

    Petros P Sfikakis1, Aikaterini Arida1, Stylianos Panopoulos2, Kalliopi Fragkiadaki2, George Pentazos3, Katerina Laskari3, Maria Tektonidou1 and Nikos Markomichelakis2, 1First Department of Propaedeutic and Internal Medicine and Joint Rheumatology Program, National and Kapodistrian University of Athens Medical School, athens, Greece, 2First Department of Propaedeutic and Internal Medicine and Joint Rheumatology Program, National and Kapodistrian University of Athens Medical School, Athens, Greece, 3Rheumatology Unit, 1st Dept. of Propaedeutic Internal Medicine, Joined Academic Rheumatology Program, Athens University Medical School, Athens, Greece

    Background/Purpose: Anti-TNF treatment has been shown to be effective in inducing complete remission in many Behcet’s disease (BD) patients with eye, large vessel, intestine and…
  • Abstract Number: 2745 • 2017 ACR/ARHP Annual Meeting

    Prevalence of Vasculitides As Extraintestinal Manifestation of Inflammatory Bowel Disease (IBD)

    Sarah Ifteqar1, Jason Springer2 and Mehrdad Maz3, 1Department of Medicine, Division of Allergy, Clinical Immunology and Rheumatology, University of Kansas Medical Center, Kansas City, KS, 2Department of Internal Medicine, Division of Allergy, Clinical Immunology, & Rheumatology, Kansas University Medical Center, Kansas City, KS, 3Allergy, Clinical Immunology, and Rheumatology, Division of Allergy, Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS

    Background/Purpose: The extraintestinal manifestations of Inflammatory Bowel Disease (IBD) are identified in 6%-40% of patients. Systemic vasculitides may present as extraintestinal manifestations of IBD.  The purpose…
  • Abstract Number: 2746 • 2017 ACR/ARHP Annual Meeting

    Comparison between IgG and IgM Type Anti-Alpha-Enolase Antibody in Patients with Behcet’s Disease According to the Disease Severity

    Shin Eui Kang1, Sang Jin Lee1,2, Hyun Jung Yoo1,3, Jeong Yeon Kim1, Ji Soo Park1, Sehui Shon4, Eun Young Lee3, Eun Bong Lee3 and Yeong Wook Song1,3, 1Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, and College of Medicine, Seoul National University, Seoul, Korea, Republic of (South), 2Division of Rheumatology, Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea, Republic of (South), 3Division of Rheumatology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea, Republic of (South), 4Department of Molecular Medicine and Biopharmaceutical Sciences, Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, and College of Medicine, Seoul National University, Seoul, Korea, Republic of (South)

    Background/Purpose: Behcet’s disease (BD) is a chronic inflammatory disease of unknown etiology, characterized by recurrent oral and genital ulcers, skin lesions, uveitis, and arthritis. It…
  • Abstract Number: 2747 • 2017 ACR/ARHP Annual Meeting

    Long Term Follow-up of Behcet’s Syndrome Patients Treated with Cyclophosphamide

    Mert Gurcan1, Sinem Nihal Esatoglu1, Vedat Hamuryudan1, Caner Saygin2, Didem Saygin3, Serdal Ugurlu4, Emire Seyahi1, Melike Melikoglu1, Izzet Fresko1, Sebahattin Yurdakul1, Hasan Yazici1 and Gulen Hatemi1, 1Istanbul University, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey, 2Department of Hematology and Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Cleveland, OH, 3Internal Medicine, Department of Internal Medicine, Cleveland Clinic, Cleveland, Cleveland, OH, 4Rheumatology, Istanbul University, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey

     Background/Purpose: Cyclophosphamide (CYC) remains an important treatment option for Behçet’s syndrome (BS) pts with life threatening conditions such as arterial aneurysms. However, several adverse events…
  • Abstract Number: 2748 • 2017 ACR/ARHP Annual Meeting

    Immunogenicity of Infliximab Among Patients with Behcet’s Syndrome: A Controlled Study

    Sinem Nihal Esatoglu1, Fatma Nihan Akkoc1, Yesim Ozguler1, Fatma Ozbakir2, Okan Kadir Nohut2, Dilsen Cevirgen3, Vedat Hamuryudan1, Ibrahim Hatemi4, Aykut Ferhat Celik5, Hasan Yazici1 and Gulen Hatemi1, 1Istanbul University, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey, 2Istanbul University, Cerrahpasa Medical Faculty, Central Research Laboratory, Istanbul, Turkey, 3Istanbul University, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of and Rheumatology, Istanbul, Turkey, 4Istanbul University, Cerrahpasa Medical School, Istanbul University, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Gastroenterology, Istanbul, Turkey, 5Istanbul University, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Gastroenterology, Istanbul, Turkey

    Background/Purpose: Immunogenicity of anti-TNFs has been recognized as an important problem that may cause loss of response and adverse events such as infusion reactions. We…
  • Abstract Number: 2749 • 2017 ACR/ARHP Annual Meeting

    Four-Distinct Phenotypes of Patients with Necrotizing Arteritis of Medium and Small Arteries

    Tsuyoshi Shirai1, Hiroshi Fujii1, Yoko Fujita2, Yuko Shirota1, Tomonori Ishii1 and Hideo Harigae1, 1Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Sendai, Japan, 2Department of Hematolgy and Rheumatolgy, Tohoku University Graduate School of Medicine, Sendai, Japan

    Background/Purpose: Polyarteritis nodosa (PAN) is a necrotizing arteritis of medium and small arteries. PAN is divided into systemic and cutaneous PAN (cPAN). cPAN can be…
  • Abstract Number: 2750 • 2017 ACR/ARHP Annual Meeting

    A Serum Metabolomic Analysis in Behcet’s  Disease: A Preliminary Study

    Wenjie Zheng1, Xiuhua Wu1,2, Maryam Goudarzi3, Hua Chen1, JinJing Liu1, Jing Shi1, Chaoran Li1, Mengyu Zhou4, Wen Zhang1, Xuan Zhang1 and Henghong Li3, 1Rheumatology, Peking Union Medical College Hospital, Beijing, China, 2Rheumatology, General Hospital of Tianjin Medical University, Tianjing, China, 3Georgetown University Medical Center, Georgetown University, Washington, DC, WA, 4Peking Union Medical College Hospital, Beijing, China

    Background/Purpose: The diagnosis of Behçet's disease (BD) is mainly based on clinical manifestations and remains a challenge in clinical practice, due to the fact that…
  • Abstract Number: 2751 • 2017 ACR/ARHP Annual Meeting

    Tocilizumab in the Treatment of Severe and/or Refractory Behcet’s  Disease:a Single-Centre Experience in China

    Wenjie Zheng1, Yanxia Ding1,2, Di Wu1, Jiaxin Zhou1, JinJing Liu1, Dong Yan1, Mengyu Zhou3, Yan Zhao1 and Fengchun Zhang3, 1Rheumatology, Peking Union Medical College Hospital, Beijing, China, 2Rheumatology, The First Affiliated Hospital of Zhengzhou, Zhengzhou, China, 3Peking Union Medical College Hospital, Beijing, China

    Background/Purpose: To report the efficacy and safety of tocilizumab(TCZ) for the treatment of severe and/or refractory Behçet's disease(BD). Methods: We retrospectively analyzed the efficacy and…
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