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  • Abstract Number: 821 • 2017 ACR/ARHP Annual Meeting

    Discrepancies between Clinical- and Imaging-Based Assessments of Disease Activity in Takayasu’s Arteritis

    Peter C. Grayson1, Mark Ahlman2, Kathleen Marinelli3, Renee Borchin4, Simon Carette5, Nader A. Khalidi6, Carol A. Langford7, Carol A. McAlear8, Paul A. Monach9, Christian Pagnoux5, Kenneth J. Warrington10, Steven R. Ytterberg10 and Peter A. Merkel11, 1National Institute of Arthritis, Musculoskeletal and Skin Disease (NIAMS), Bethesda, MD, 2Radiology and Imaging Sciences, National Institutes of Health, Bethesda, MD, 3NIAMS, National Institutes of Health, Bethesda, MD, 4University of South Florida, Tampa, FL, 5Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 6Rheumatology, McMaster University, Hamilton, ON, Canada, 7Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 8University of Pennsylvania, Philadelphia, PA, 9Boston University School of Medicine, Boston, MA, 10Rheumatology, Mayo Clinic, Rochester, MN, 11Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: To study the relationship between clinically-determined disease activity and vascular inflammation assessed by positron emission tomography (PET) in patients with TakayasuÕs arteritis (TAK). Methods:…
  • Abstract Number: 822 • 2017 ACR/ARHP Annual Meeting

    The Incidence Rate of Deep Vein Thrombosis and/or Pulmonary Embolism in Patients with Giant Cell Arteritis – Single Center Observational Study

    Rok Jese1, Alenka Mavri2, Ziga Rotar1, Natasa Kejzar3, Sonja Praprotnik1, Matija Tomsic1 and Alojzija Hočevar1, 1Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia, 2University Medical Centre Ljubljana, Ljubljana, Slovenia, 3Faculty of Medicine, Institute for Biostatistics and Medical Informatics, University of Ljubljana, Ljubljana, Slovenia

    Background/Purpose: Recent studies have indicated a higher incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients with giant cell arteritis (GCA)1,2. Our…
  • Abstract Number: 823 • 2017 ACR/ARHP Annual Meeting

    Seasonal Variation in Giant Cell Arteritis and Polymyalgia Rheumatica Hospitalizations: Data from Nationwide Inpatient Sample

    Paras Karmacharya1, Dilli Poudel2, Pragya Shrestha3, Rashmi Dhital4 and Raju Khanal4, 1Division of Rheumatology, Mayo Clinic, Rochester, MN, 2Internal Medicine, Reading Health System, WEST READING, PA, 3Internal medicine, Reading Health System, West Reading, PA, 4Internal Medicine, Reading Health System, West Reading, PA

    Background/Purpose: Most studies looking at seasonal variations in giant cell arteritis (GCA) note a seasonal trend, but show disparity on timing. Concurrent peaks of GCA…
  • Abstract Number: 824 • 2017 ACR/ARHP Annual Meeting

    Long Term Efficacy and Safety of Intravenous and Subcutaneous Biologics in Large Vessels Vasculitis: 21 Patients Belonging to a Single Italian Center from 2011 to 2017

    Paola Toniati1 and Angela Tincani2, 1RHEUMATOLOGY, SPEDALI CIVILI, BRESCIA, Italy, 2University and Spedali Civili of Brescia, Brescia, Italy

    Background/Purpose: Large vessels vasculitis (LVV) is the most common form of primary vasculitis comprising giant cell arteritis (GCA) and Takayasu arteritis (TAK) and aortitis. Methods:…
  • Abstract Number: 825 • 2017 ACR/ARHP Annual Meeting

    Radiological Disease Activity Is the Major Determinant for Physicians While Deciding Active Disease in Takayasu Arteritis

    Gokce Kenar1, Sedanur Karaman2, Pinar Cetin3, Handan Yarkan4, Berrin Zengin1, Gercek Can1, Merih Birlik5 and Fatos Onen1, 1Rheumatology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey, 2Internal Medicine, Dokuz Eylul Universty, izmir, Turkey, 3Rheumatology, Dumlupınar University School of Medicine, Kutahya, Turkey, 4Rheumatology, Dokuz Eylul University Faculty of Medicine, İzmir, Turkey, 5Rheumatology, Dokuz Eylul University Faculty of Medicine, izmir, Turkey

    Background/Purpose:There are no valid followup parameters in the assessment of disease activity in Takayasu arteritis(TA).We investigated the impact of incorporation of vascular imaging into ITAS…
  • Abstract Number: 826 • 2017 ACR/ARHP Annual Meeting

    TGF-β-Induced Epigenetic Silencing of SOCS3 Facilitates STAT3 Signaling to Promote Fibroblast Activation and Tissue Fibrosis in Systemic Sclerosis

    Clara Dees1, Yun Zhang2, Sebastian Poetter1, Christina Bergmann3, Andreas Ramming4, Oliver Distler5, Georg Schett6 and Jörg Distler7, 1Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Department of Internal Medicine 3 and Institute for Clinical Immunology, Department of Internal Medicine 3 and Institute for Clinical Immunology, Friedrich-Alexander-University of Erlangen-Nuremberg and University Hospital Erlangen, Erlangen, Germany, 3Department of Internal Medicine 3 and Institute for Clinical Immunology, Friedrich-Alexander-University of Erlangen-Nuremberg and University Hospital Erlangen, Erlangen, Germany, 4Department of Internal Medicine 3 – Rheumatology and Immunology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany, 5Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 6Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Department of Internal Medicine 3 – Rheumatology and Immunology, Universitätsklinikum Erlangen, Erlangen, Germany., Erlangen, Germany, 7Department of Internal Medicine 3 – Rheumatology and Immunology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany

    Background/Purpose:  Tissue fibrosis caused by pathological activation of fibroblasts is a major hallmark of systemic sclerosis (SSc). Although fibroblast activation is initially driven by external…
  • Abstract Number: 827 • 2017 ACR/ARHP Annual Meeting

    Temporary Methotrexate Discontinuation for 2 Weeks Improves Immunogenicity of Seasonal Influenza Vaccination in Patients with Rheumatoid Arthritis: A Randomized Clinical Trial

    Jin Kyun Park1, Kichul Shin2, You-Jung Ha3, Yun Jong Lee4, Eun Young Lee5, Yeong Wook Song6, Yunhee Choi7, Kevin Winthrop8 and Eun Bong Lee9, 1Division of Rheumatology, Seoul National University Hospital, Seoul, Korea, Republic of (South), 2Kyungnam villa #102, Division of Rheumatology, Department of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea, Republic of (South), 3Yonsei University College of Medicine, Seoul, Korea, Republic of (South), 4Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea, Republic of (South), 5Division of Rheumatology, Department of Internal Medicine, Seoul National University, Seoul, Korea, Republic of (South), 6Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, and College of Medicine, Seoul National University, Seoul, Korea, The Republic of, Seoul, Korea, Republic of (South), 7Division of Medical Statistics, Medical Research Collaborating Center, Seoul National University College of Medicine, Seoul, Korea, Republic of (South), 8Oregon Health & Science University, Portland, OR, 9Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea, Republic of (South)

    Background/Purpose: Methotrexate (MTX), a widely used immune-suppressive agent, decreases vaccine response in patients with rheumatoid arthritis (RA). We investigated whether a temporary MTX discontinuation for…
  • Abstract Number: 828 • 2017 ACR/ARHP Annual Meeting

    The Impact of the Duration of Bisphosphonate Drug Holidays on Hip Fracture Rates

    Jeffrey R. Curtis1, Rui Chen2, Zixu (Eric) Li2, Tarun Arora2, Kenneth Saag3, Nicole C. Wright4, Shanette Daigle2, Meredith Kilgore5 and Elizabeth Delzell6, 1Rheumatology & Immunology, University of Alabama at Birmingham, Birmingham, AL, 2University of Alabama at Birmingham, Birmingham, AL, 3Department of Medicine, Veterans Administration San Diego Healthcare System/UC San Diego, San Diego, CA, 4Epidemiology, University of Alabama at Birmingham, Birmingham, AL, 5Health Care Organization & Policy, University of Alabama at Birmingham, Birmingham, AL, 6Retired - University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Given FDA warnings, drug holidays (temporary or permanent discontinuation) of bisphosphonates (BPs) after long-term (3-5 years) continuous therapy is becoming increasingly common in the…
  • Abstract Number: 829 • 2017 ACR/ARHP Annual Meeting

    Unraveling Race and Social Context in Understanding Disparities in Lupus Mortality in the United States

    Titilola Falasinnu1, Yashaar Chaichian2, Latha Palaniappan3 and Julia F Simard4, 1Health Research and Policy, Stanford University, Stanford, CA, 2Medicine, Immunology & Rheumatology Division, Stanford School of Medicine, Stanford, CA, 3Stanford University Medical Center, General Medical Disciplines, Stanford, CA, 4Division of Epidemiology, Health Research and Policy Department, Stanford School of Medicine, Stanford, CA

    Background/Purpose: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that is a source of significantly decreased life expectancy in the United States. Women and…
  • Abstract Number: 830 • 2017 ACR/ARHP Annual Meeting

    Performance on Quality Measures in the RISE Registry and the Merit-Based Incentive Payment System (MIPS)

    Jinoos Yazdany1, Tracy Johansson2, Rachel Myslinski3 and Salahuddin Kazi4, 1Medicine/Rheumatology, University of California San Francisco, San Francisco, CA, 2Practice, Advocacy & Quality, American College of Rheumatology, Atlanta, GA, 3Governance & Ethics Specialist, Amer College of Rheumatology, Atlanta, GA, 4University of Texas Southwestern, Dallas, TX

    Background/Purpose: Under the new Medicare Access and CHIP Reauthorization Act (MACRA), the quality of care rheumatologists provide will have financial repercussions through the Merit Based…
  • Abstract Number: 831 • 2017 ACR/ARHP Annual Meeting

    Interferon-Alpha Disrupts Tolerance in a Mouse Model of B Cell Anergy

    Dario Ferri1, Yuriy Baglaenko2, Kieran Manion2, Nan-Hua Chang2 and Joan E. Wither3, 1Immunology, University of Toronto, Toronto, ON, Canada, 2Genetics and Development, Krembil Research Institute, University Health Network, Toronto, ON, Canada, 3Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: Systemic Lupus Erythematosus (SLE) is characterized by the production of anti-nuclear antibodies that deposit within tissues leading to organ damage. A central mediator of…
  • Abstract Number: 832 • 2017 ACR/ARHP Annual Meeting

    Single Cell Analysis Reveals Heterogeneity of Type I IFN Gene Expression in Developing Autoreactive B Cells

    Jennie Hamilton1, PingAr Yang2, Qi Wu3, Bao Luo4, Shanrun Liu5, Jun Li6, Mark Walter7, Eleanor Fish8, Hui-Chen Hsu3 and John D. Mountz9, 1Medicine/Division of Clinical Immunology and Rhematology, University of Alabama at Birmingham, Birmingham, AL, 2Department of Medicine, Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 4Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 5Biochemistry & Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL, 6Medicine, University of Alabama at Birmingham, Birmingham, AL, 7Microbiology, University of Alabama at Birmingham, Birmingham, AL, 8University Health Network & Department of Immunology, University of Toronto, Toronto General Research Institute, Toronto, ON, Canada, 9University of Alabama at Birmingham, Department of Medicine, Birmingham, AL

    Background/Purpose: B cell development involves passage through a formative transitional B cell stage in the spleen. In SLE, self-nucleic acid reactive B cells fail to…
  • Abstract Number: 833 • 2017 ACR/ARHP Annual Meeting

    Chronic Cutaneous Lupus Erythematosus Patients Have a Breakdown in Autoreactive VH4.34 Antibody Tolerance While Maintaining Tolerance to dsDNA and Chromatin

    Scott Jenks1, Regina Bugrovsky1, Xiaoqian Wang1,2, Aisha Hill3, Chungwen Wei4, S. Sam Lim5, Ignacio Sanz6 and Cristina Drenkard5, 1Emory University School of Medicine and Lowance Center for Human Immunology, Atlanta, GA, 2Division of Rheumatology and Lowance Center for Human Immunology, Emory University School of Medicine, Atlanta, GA, 3Medicine, Emory University School of Medicine, atlanta, GA, 4Medicine, Emory University School of Medicine, Atlanta, GA, 5Division of Rheumatology, Emory University School of Medicine, Atlanta, GA, 6Rheumatology and Lowance Center for Human Immunology, Emory University School of Medicine and Lowance Center for Human Immunology, Atlanta, GA

    Background/Purpose: While the contribution of humoral immunity to SLE is well established, the role it plays in chronic cutaneous lupus erythematosus (CCLE) is less clear.…
  • Abstract Number: 834 • 2017 ACR/ARHP Annual Meeting

    Citrulline-Polyspecific B Cell Antigen Receptors Arising from Somatic Hypermutation within Clades Demonstrate Pathogenicity in Rheumatoid Arthritis

    Philip J. Titcombe1,2, Gustaf Wigerblad3, Natalie Sippl3, Na Zhang1, Anna K. Shmagel4, Peter Sahlström5, Yue Jack Zhang1, Laura Barsness Motschenbacher1, Yogita Ghodke-Puranik6, Monika Hansson7, Lena Israelsson5, Timothy B. Niewold8, Lars Klareskog9, Camilla Svensson10, Khaled Amara7, Vivianne Malmström11 and Daniel L. Mueller1, 1Medicine/Rheumatic and Autoimmune Diseases, University of Minnesota Medical School, Minneapolis, MN, 2Rheumatology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, 3Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, 4Rheumatic & Autoimmune Diseases, University of Minnesota Medical School, Minneapolis, MN, 5Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 6Colton Center for Autoimmunity, New York University, New York, NY, 7Department of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 8Rheumatology and Immunology, Mayo Clinic, Rochester, MN, 9Rheumatology unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 10Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden, 11Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Citrulline–modified proteins arising from the post-translational modification of arginine residues are recognized as primary rheumatoid arthritis (RA) autoantigen targets based on the strong association…
  • Abstract Number: 835 • 2017 ACR/ARHP Annual Meeting

    Generation of an Efficient CRISPR-Cas9 Editing Technique in Human Primary B Cells for the Targeted Study of Autoimmune Susceptibility Genes

    Yuriy Baglaenko1, Dario Ferri2, Juan Carlos Zuniga-Pflucker3 and Joan E. Wither2,4,5, 1Genetics and Development, Krembil Research Institute, University Health Network, Toronto, ON, Canada, 2Immunology, University of Toronto, Toronto, ON, Canada, 3Biological Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 4Krembil Research Institute, University Health Network, Toronto, ON, Canada, 5Genetics and Development, Toronto Western Research Institute, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: Autoimmunity is a complex, poly-genic disorder that culminates in multi-organ damage. In systemic lupus erythematosus (SLE), the prototypic autoimmune disorder, a breakdown of tolerance…
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