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  • Abstract Number: 2902 • 2017 ACR/ARHP Annual Meeting

    Inflammatory Arthritis Due to Immune Checkpoint Inhibitors: A Persistent Problem Requiring Immunosuppression

    Laura Cappelli1, Clifton O. Bingham III2 and Ami A. Shah3, 1Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 2Rheumatology, Johns Hopkins University, Baltimore, MD, 3Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Immune checkpoint inhibitors (ICIs) have emerged as an important treatment for advanced malignancies. ICIs are a form of immunotherapy which block negative co-stimulation of…
  • Abstract Number: 2903 • 2017 ACR/ARHP Annual Meeting

    Serum CC-Chemokine Ligand 18 Level Is a Potential Biomarker of Disease Activity in IgG4-Related Disease

    Mitsuhiro Akiyama1, Hidekata Yasuoka2, Keiko Yoshimoto2 and Tsutomu Takeuchi2, 1Division of Rheumatology, Department of Internal Medicine,, Keio University School of Medicine, Tokyo, Japan, 2Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: IgG4-related disease (IgG4-RD) is a systemic disorder characterized by severe fibrosis in lesions. In previous reports, CC-chemokine ligand 18 (CCL18) level is a substantial…
  • Abstract Number: 2904 • 2017 ACR/ARHP Annual Meeting

    Efficacy and Tolerance of TNF Alpha Inhibitor (TNFI) Treatment in Cardiac Sarcoidosis (CS)

    Deborah Puyraimond-Zemmour1, Catherine Chapelon-Abric2, David Saadoun3, Diane Bouvry4, Marc Ruivard5, Marc Andre6, Laurent Perard7, Pascal Sève8 and Patrice Cacoub9, 1Sorbonne Universités, UPMC Univ Paris 06, UMR 7211, and Inflammation-Immunopathology-Biotherapy Department (DHU i2B), F-75005, Paris, France, Paris, France, 2AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Department of Internal Medicine and Clinical Immunology, F-75013, Paris, France, Paris, France, 3Department of Internal Medicine and clinical Immunology. French National Reference Center for Autoimmune Diseases. DHU I2B (Inflammation, Immunotherapy and Biotherapy), UPMC, Paris VI, Hôpital Pitié Salpétrière, AP-HP, UPMC, Univ Paris 06, Paris, France, 4Hopital Avicenne, Department of Pneumology, Bobigny, France, Bobigny, France, 5CHU Estaing, Department of Internal Medicine, Clermont-Ferrand, France, Clermont Ferrand, France, 6CHU Montpied, Department of Internal Medicine, Clermont-Ferrand, France, Clermont Ferrand, France, 7Department of Internal Medicine, Centre Hospitalier Saint Joseph-Saint Luc, Lyon, France, 8Internal medicine, Internal medicine department, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France, 9Department of Internal Medicine and Clinical Immunology, Groupe Hospitalier Pitié-Salpêtrière, Paris, France

    Background/Purpose: CS is a life-threatening condition that accounts for 85% of sarcoidosis-related deaths in Japan and 13-25% in America. The objective is to evaluate the…
  • Abstract Number: 2905 • 2017 ACR/ARHP Annual Meeting

    TET2 Mutation Is Significantly Associated with the Development of Autoimmune Disorder in Patients with Myelodysplastic Syndrome

    Yoon-Jeong Oh1, Dong-Yeop Shin2, Sang Mee Hwang3, Eun Young Lee4, Yeong Wook Song5, Dong-Soon Lee3 and Jin Kyun Park6, 1Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea, Republic of (South), 2Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea, Republic of (South), 3Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Korea, Republic of (South), 4Seoul National University College of Medicine, Seoul, Korea, Republic of (South), 5Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Koer, Seoul, Korea, Republic of (South), 6Division of Rheumatology, Seoul National University Hospital, Seoul, Korea, Republic of (South)

    Background/Purpose: Myelodysplastic syndrome (MDS) is characterized by ineffective hematopoiesis in bone marrow and peripheral cytopenia. Various genetic mutations contribute to MDS. Common mutations affect genes…
  • Abstract Number: 2906 • 2017 ACR/ARHP Annual Meeting

    Use of Disease-Modifying Antirheumatic Drugs, Biologic Response Modifiers and Corticosteroids, and Subsequent Risk of Coccidioidomycosis Infection Among Medicare Beneficiaries

    Dominick Sudano1, C. Kent Kwoh2, Lili Zhou3, Erin L. Ashbeck4 and Wei-Hsuan Lo-Ciganic5, 1University of Arizona Arthritis Center, University of Arizona, Tucson, AZ, 2University of Arizona, Tucson, AZ, 3Department of Pharmacy, Practice and Science, University of Arizona, College of Pharmacy, Tucson, AZ, 4The University of Arizona Arthritis Center, Tucson, AZ, 5Department of Pharmacy, Practice and Science, College of Pharmacy, University of Arizona, Associate professor, TUCSON, AZ

    Background/Purpose: Coccidioidomycosis (Cocci) is a fungal infection endemic to seven states in the US. Biologic response modifiers (BRMs) have been shown to increase the risk…
  • Abstract Number: 2907 • 2017 ACR/ARHP Annual Meeting

    Salivary Gland Enlargement in IgG4-Related Disease Is Associated with Multiorgan Involvement and Higher Basal Disease Activity

    Eduardo Martín Nares1, Jacobo Guerrero Castillo2, Arturo Angeles Angeles2 and Gabriela Hernandez-Molina1, 1Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 2Department of Pathology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

    Background/Purpose: IgG4-related disease (IgG4-RD) is an immune-mediated condition which clinical spectrum encompasses single or multiple organ involvement. Enlargement of major and minor salivary glands is…
  • Abstract Number: 2908 • 2017 ACR/ARHP Annual Meeting

    High Disease Activity Is a Predictor of Depression and Persistent Depression in Early Rheumatoid Arthritis: Results from a Rheumatoid Arthritis Cohort

    Raman Joshi1, Mohammad Movahedi2, Bindee Kuriya3, Emmanouil Rampakakis4, Angela Cesta2, Xiuying Li2, Sandra Couto2, John S. Sampalis5 and Claire Bombardier2, 1William Osler Health Centre-Brampton Civic Hospital, Brampton, ON, Canada, 2Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada, 3Sinai Health System, University of Toronto, Toronto, ON, Canada, 4JSS Medical Research, Montreal, QC, Canada, 5McGill University, Montreal, QC, Canada

    Background/Purpose: The prevalence of depression among individuals with rheumatoid arthritis (RA) may be as high as 40% but persistence of depression over time is relatively…
  • Abstract Number: 2909 • 2017 ACR/ARHP Annual Meeting

    Only Very High Radiographic Progression Affects HAQ-DI, Results from the Swiss Scqm Cohort

    Ruediger Mueller1, Reto Thalmann2, Hendrik Schulze-Koops3, Nicole Graf4 and Johannes von Kempis2, 1Rheumatology, MD, St. Gallen, Switzerland, 2Rheumatology, Kantonsspital St. Gallen, St. Gallen, Switzerland, 3Division of Rheumatology and Clinical Immunology, Department of Internal Medicine IV, University of Munich, Munich, Germany, 4Graf Biostatistics, Winterthur, Switzerland

    Background/Purpose: The aim of treatment of rheumatoid arthritis is to control disease activity and to inhibit joint damage. Progression of damage is analysed by conventional…
  • Abstract Number: 2910 • 2017 ACR/ARHP Annual Meeting

    Comparison of Clinical and Ultrasound Measures of Disease Activity  in a Large National ‘Real Life’ Cohort of RA Patients

    Pascal Zufferey1, Delphine Couvoisier2, Hans Ruedi Ziswiler3, Laure Brulhart4, Giorgio Tamborrini5, Michael Nissen6, Adrian Ciurea7, Burkhard Moeller8, Maria Antonietta D'Agostino9,10 and Axel Finckh2, 1Department of Rheumatology, University Hospital Lausanne, Lausanne, Switzerland, 2geneva university hospital, Geneva, Switzerland, 3Osteorheuma, Bern, Switzerland, 4médecine, hôpital neuchateulois, La chaux de fond, Switzerland, 5UZR, Basel, Switzerland, 6rheumatology, geneva university hospital, Geneva, Switzerland, 7Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 8Department for Rheumatology, Immunology and Allergology, University Hospital of Bern, Bern, Switzerland, 9Department of Rheumatology, Assistance publique-Hôpitaux de Paris Ambroise Paré Hospital, Boulogne-Billancourt , Université Versailles Saint Quentin en Yvelines, Paris, France, 10University of Paris, Paris, France

    Background/Purpose: Clinical measures of disease activity, such as the DAS-score and ultrasound (US) scores of disease activity can be sometimes yield discordant results. Little research…
  • Abstract Number: 2911 • 2017 ACR/ARHP Annual Meeting

    Low Appendicular Bone Mass Predicts Mortality in Patients with Rheumatoid Arthritis

    Mark Edward Hall1, Inmaculada del Rincon2, Jose Felix Restrepo2, Daniel F. Battafarano3, Jakob Algulin4 and Agustin Escalante2, 1Internal Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 2Internal Medicine-Rheumatology, University of Texas Health Science Center at San Antonio, San Antonio, TX, 3Medicine, San Antonio Military Medical Center, San Antonio, TX, 4Sectra AB, Linköping, Sweden

    Background/Purpose: Rheumatoid Arthritis (RA) is a multi-system disease which causes joint damage and is associated with increased cardiovascular (CV) morbidity and osteoporosis. Our purpose is…
  • Abstract Number: 2912 • 2017 ACR/ARHP Annual Meeting

    The Neural Correlates of Inflammation in RA: A Multi-Modal MRI Study

    Andrew Schrepf1, Chelsea Cummiford1, Eric Ichesco1, Tony Larkin1, Steven E. Harte1, Richard E. Harris1, Alison Murray2, Gordon Waiter3, Daniel J. Clauw4 and Neil Basu5, 1Chronic Pain and Fatigue Research Center, University of Michigan, Ann Arbor, MI, 2Aberdeen Brain Imaging Center, University of Aberdeen, Aberdeen, United Kingdom, 3Aberdeen Brain Imaging Centre, University of Aberdeen, Aberdeen, United Kingdom, 4Chronic Pain & Fatigue Research Center, University of Michigan, Ann Arbor, MI, 5Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom

    Background/Purpose: Inflammation is the hallmark of disease activity in rheumatoid arthritis (RA). RA is characterized by fatigue and cognitive/affective disturbances, and these symptoms often worsen…
  • Abstract Number: 2913 • 2017 ACR/ARHP Annual Meeting

    the Periodontal Pathogen Aggregatibacter Actinomycetemcomitans Is Associated with Subclinical Coronary Atherosclerosis in Rheumatoid Arthritis

    Jon T. Giles1, Jesper Reinholdt2, Joan Bathon3, Felipe Andrade4 and Maximilian F. Konig5, 1Division of Rheumatology, Columbia University, College of Physicians and Surgeons, New York, NY, 2Department of Biomedicine, Aarhus University, Aarhus, Denmark, 3Division of Rheumatology, Columbia University, College of Physicians & Surgeons, New York, NY, 4Medicine/Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 5Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: The oral pathogen Aggregatibacter actinomycetemcomitans (Aa) generates citrullinated proteins targeted by autoantibodies in RA through its pore-forming toxin leukotoxin A (LtxA).  Aa-derived LtxA is…
  • Abstract Number: 2914 • 2017 ACR/ARHP Annual Meeting

    Anti-CCP Antibody Levels Are Elevated in Cervicovaginal Fluid in Association with Local Inflammation in Premenopausal Women without RA

    Sonia Khatter1, Heather Berens-Norman2, Courtney Anderson1, Justin August1, Marie L. Feser1, Chelsie Fleischer1, Ashley Visser1, Jill M. Norris3, V. Michael Holers1, Kevin D. Deane1 and M. Kristen Demoruelle1, 1Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO, 2University of Colorado School of Medicine, Aurora, CO, 3Department of Epidemiology, Colorado School of Public Health, Aurora, CO

    Background/Purpose: Data support that anti-CCP antibodies likely originate at a mucosal site prior to the onset of inflammatory arthritis (IA) in the development of RA.…
  • Abstract Number: 2915 • 2017 ACR/ARHP Annual Meeting

    Increased Expression of Malondialdehyde-Acetaldehyde Adducts (MAA) and Anti-Maa Antibody in Rheumatoid Arthritis-Interstitial Lung Disease

    Bryant R. England1, Geoffrey M. Thiele2, Michael J. Duryee3, Dana P. Ascherman4, Liron Caplan5, M. Kristen Demoruelle6, Kevin D. Deane5 and Ted R. Mikuls7, 1Division of Rheumatology & Immunology, Department of Internal Medicine, Nebraska-Western IA VA Health Care System & University of Nebraska Medical Center, Omaha, NE, 2University of Nebraska Medical Center, Omaha, NE, 3Internal Medicine Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE, 4Medicine/Rheumatology, University of Miami Miller School of Medicine, Miami, FL, 5Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO, 61775 Aurora Ct, 1775 Aurora Ct, Aurora, CO, 7Internal Medicine, Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: Generated under oxidative stress, malondialdehyde-acetaldehyde adducts (MAA), and antibody responses to MAA appear to facilitate loss of immune tolerance and generate pro-inflammatory responses in…
  • Abstract Number: 2916 • 2017 ACR/ARHP Annual Meeting

    The Presence of a Large Number of Autoantibodies at Baseline Is Favourable for Early Treatment Response but Unfavourable for Drug-Free Remission in RA Patients

    Emma de Moel1, Veerle Derksen1, LA Trouw1, Holger Bang2, R.J. Goekoop3, I Speyer4, TWJ Huizinga1, CF Allaart1, REM Toes1 and Diane van der Woude5, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Orgentec Diagnostika GmbH, Mainz, Germany, 3Haga Hospital, The Hague, Netherlands, 4Haaglanden Medical Center, The Hague, Netherlands, 5Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: The autoantibody response of seropositive RA is very diverse and consists of various numbers of isotypes and antibodies to multiple post-translational modifications. It is…
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