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  • Abstract Number: 1166 • 2017 ACR/ARHP Annual Meeting

    Systemic Degos Disease: Long Term Survival on Combined Therapy with Eculizumab and Treprostinil

    Lee S. Shapiro1,2, Jessica Farrell1,2,3, Roberta Lukasiewicz1,2, Peter A. Merkel4, Douglas Rosing5, Manfred Boehm6, Axia Toledo-Garcia1, Maria Karas7, Maria DeSancho8, Harry McCoy9, Michael Marmulstein10 and Scott Beegle11, 1The Center for Rheumatology, Albany, NY, 2Steffens Scleroderma Center, Albany, NY, 3Pharmacy Practice, Albany College of Pharmacy & Health Sciences, Albany, NY, 4Division of Rheumatology, University of Pennsylvania, Philadelphia, MN, 5Cardiovascular Pulmonary Branch, National Heart, Lung, and Blood Institute (NHLBI), NIH, Bethesda, MD, 6Center for Molecular Medicine, NHLBI/ NIH, Bethesda, MD, 7Division of Cardiology/Department of Medicine,, Weill Cornell Medical College, New York, NY, 8Weill Cornell Medical Center, New York, NY, 9Blue Ridge Cancer Care, Blacksburg, VA, 10Albany Associates in Cardiology, Albany, NY, 11Division of Pulmonary and Critical Care Medicine, Albany Medical College, Albany, NY

    Background/Purpose: Degos disease (Malignant Atrophic Papulosis) is a thrombotic microvasculopathy of complement activation, endothelial cell injury and progressive microvascular obliteration.  Lesions are marked by vascular…
  • Abstract Number: 1167 • 2017 ACR/ARHP Annual Meeting

    Phenotypical Features of Patients with Rheumatologic Manifestations of Common Variable Immunodeficiency

    MARIA GUTIERREZ1, Kathleen E. Sullivan2, Ramsay Fuleihan3 and Clifton O. Bingham III4, 1Pediatrics, Johns Hopkins University, BALTIMORE, MD, 2Pediatrics, University of Pennsylvania, Philadelphia, PA, 3Pediatrics, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, 4Rheumatology, Johns Hopkins University, Baltimore, MD

    Background/Purpose: Patients with common variable immunodeficiency (CVID) have a higher incidence of rheumatologic disorders. To delineate this clinical association, we investigated the phenotypical features of…
  • Abstract Number: 1168 • 2017 ACR/ARHP Annual Meeting

    Eosinophilic Fasciitis:  Baseline Retrospective Evaluation of Clinical Characteristics and Prognosis in a Cohort of 83 Patients

    Robert L. Mango1, Kubra Bugdayli2, Cynthia S. Crowson3, Margot S. Peters4, Lisa A. Drage5, Julia S. Lehman4 and Vaidehi Chowdhary6, 1Internal Medicine, Division of Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN, MN, 2Department of Internal Medicine, Division of Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN, MN, 3Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 4Pathology and Dermatology, Mayo Clinic College of Medicine and Science, Rochester, MN, MN, 5Dermatology, Mayo Clinic College of Medicine and Science, Rochester, MN, MN, 6Internal Medicine, Division of Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN

    Background/Purpose: Eosinophilic fasciitis (EF) is a rare disease and there have been few published series that include clinical, pathological and serological data. These studies have…
  • Abstract Number: 1169 • 2017 ACR/ARHP Annual Meeting

    Rapid Improvement with Tocilizumab in Refractory and Severe Uveitic Cystoid Macular Edema

    Nuria Vegas-Revenga1, Vanesa Calvo-Río1, Natalia Palmou-Fontana1, Marina Mesquida2, Alfredo Adan2, M. Victoria Hernández2, Emma Beltrán3, Elia Valls Pascual4, David Diaz-Valle5, Gisela Díaz-Cordovés6, Maria Luisa Hernández- Grafella7, Lucia Martínez- Costa7, Inmaculada Calvo8, Antonio Atanes9, Luis Francisco Linares10, Consuelo Modesto11, Elena Aurrecoechea12, Miguel Cordero-Coma13, Rosalía Demetrio-Pablo1, Carlos Fernández-Díaz14, Lucia C. Domínguez-Casas14, José Luis Martín-Varillas14, Belén Atienza-Mateo14, Jose L. Hernández15, Miguel Angel González-Gay14 and Ricardo Blanco14, 1Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain, 2Hospital Clinic. Barcelona. Spain, Barcelona, Spain, 3Rheumatology, Hospital del Mar. Barcelona. Spain, Barcelona, Spain, 4Rheumatology, Hospital General Universitario de Valencia. Spain, Valencia, Spain, 5Hospital Clínico San Carlos. Madrid. Spain, Madrid, Spain, 6Rheumatology, Hospital Regional Universitario de Málaga. Spain, Málaga, Spain, 7Ophthalmology, Hospital Universitario Doctor Peset. Valencia. Spain, Valencia, Spain, 8Hospital Universitario i Politecnico La Fe. Valencia. Spain, Valencia, Spain, 9Rheumatology, Complejo Hospitalario Universitario A Coruña (CHUAC). Spain, A Coruna, Spain, 10Rheumatology, Hospital Virgen de la Arrixaca. Murcia. Spain, Murcia, Spain, 11Hospital Universitari Vall d'Hebron. Barcelona. Spain, Barcenola, Spain, 12Rheumatology, Hospital de Sierrallana. Torrelavega. Spain, Torrelavega, Spain, 13Ophthalmology, Hospital de León. Spain, León, Spain, 14Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain, 15Internal Medicine, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Universidad de Cantabria. Spain, Santander, Spain

    Background/Purpose: In uveitis, remission-inducing therapy with even more vigor than does rheumatology is mandatory. Since the eye is so much less forgiving of chronic inflammation…
  • Abstract Number: 1170 • 2017 ACR/ARHP Annual Meeting

    High Output Flow Cytometry Array Classifies Subjects with Uveitis Due to Behcet’s Disease and Sarcoidosis

    Johannes Nowatzky1, Ezra Resnick2, Julia Manasson3, Cristy Stagnar1 and Olivier Manches4, 1Department of Medicine, Division of Rheumatology, NYU School of Medicine, New York, NY, 2Google Inc., New York, NY, 3Department of Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, 4EFS Rhône-Alpes-Auvergne "Immunobiology and Immunotherapy in Chronic Diseases", INSERM - French National Institute of Health and Medical Research, Grenoble, France

    Background/Purpose: The information content of multi-parametric flow cytometry-based immune-phenotyping experiments is routinely underexploited given the paucity of adequate tools and strategies for large-scale unbiased data…
  • Abstract Number: 1171 • 2017 ACR/ARHP Annual Meeting

    Mycophenolate Mofetil May Improve Interstitial Pneumonia with Autoimmune Features

    Sara S. McCoy1, Zubin Mukadam2, Keith C. Meyer3, Emmanuel Sampene4, Jeffrey P. Kanne5, Christopher A. Meyer5, Maria D. Martin5, Scott W. Aesif6, Laurie Rice7 and Christie M. Bartels8, 1Department of Medicine, Rheumatology Division, University of Wisconsin School of Medicine and Public Health, Madison, WI, 2PULMONARY & CRITICAL CARE, University of Wisconsin School of Medicine and Public Health, madison, WI, 3PULMONARY & CRITICAL CARE, University of Wisconsin School of Medicine and Public Health, Madison, WI, 4Biostatistics, University of Wisconsin School of Medicine and Public Health, Madison, WI, 5Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, 6Department of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, madison, WI, 7Critical Care Medicine, SSM Health Dean Medical Group, madison, WI, 8Rheumatology/Medicine, University of Wisconsin - Madison, Madison, WI

    Background/Purpose: To assess the efficacy of mycophenolate mofetil (MMF) in treatment of adult patients with interstitial pneumonia with autoimmune features (IPAF). Methods: A retrospective medical…
  • Abstract Number: 1172 • 2017 ACR/ARHP Annual Meeting

    Utility of Interstitial Pneumonia with Autoimmune Features (IPAF) Proposed Criteria in the Classification of Patients with CTD-Associated Interstitial Lung Disease in a Single Centre

    Fredeswinda I. Romero-Bueno1, Ana Sofía Pozo2, Maria Jesus Rodriguez-Nieto3, Maria José Martinez-Becerra4, Gabriel Herrero-Beaumont5 and Olga Sanchez-Pernaute1, 1Section for Autoimmune Diseases, Rheumatology, Jiménez Díaz Foundation University Hospital, Madrid, Spain, 2Faculty of Medicine, Autonoma University of Madrid, Madrid, Spain, 3Pulmonary Medicine, Jiménez Díaz Foundation University Hospital, Madrid, Spain, 4Immunology, Jiménez Díaz Foundation University Hospital, Madrid, Spain, 5Bone and Joint Research Unit, IIS-Fundacion Jimenez Diaz UAM, Madrid, Spain

    Background/Purpose: The term interstitial pneumonia with autoimmune features (IPAF) has recently been proposed to identify those patients with ILD and clinical and/or serological autoimmune manifestations…
  • Abstract Number: 1173 • 2017 ACR/ARHP Annual Meeting

    Rheumatic Immune Related Adverse Events Due to Programmed Cell Death Protein 1 (PD-1) Inhibition for Cancer: Comprehensive Analysis of a Whole Cancer Cohort

    David Liew1,2,3, Jessica Leung1, Bonnia Liu1, Jonathan Cebon3,4, Albert Frauman2,3 and Russell Buchanan1, 1Department of Rheumatology, Austin Health, Melbourne, Australia, 2Department of Clinical Pharmacology and Therapeutics, Austin Health, Melbourne, Australia, 3Department of Medicine, University of Melbourne, Melbourne, Australia, 4Olivia Newton-John Cancer Wellness & Research Centre, Melbourne, Australia

    Background/Purpose: Immune checkpoint therapy with programmed cell death protein 1 (PD-1) inhibitors has led to significant survival benefits in the treatment of multiple cancers. This…
  • Abstract Number: 1174 • 2017 ACR/ARHP Annual Meeting

    Which Definition Should be Used to Determine Colchicine Resistance in Patients with Familial Mediterranean Fever?

    Abdulsamet Erden1, Ezgi Deniz Batu2, Alper Sari3, Hafize Emine Sonmez4, Berkan Armagan3, Selcan Demir4, Esra Fırat5, Yelda Bilginer6, Sule Apras Bilgen1, Omer Karadag1, Umut Kalyoncu1, Sedat Kiraz1, Ihsan Ertenli1, Seza Ozen7 and Ali Akdogan3, 1Department of Internal Medicine, Divison of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 2Department of Pediatrics, Divison of Rheumatology, Hacettepe University Faculty of Medicine, ANKARA, Turkey, 3Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 4Department of Pediatrics, Divison of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 5Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey, 6Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, ANKARA, Turkey, 7Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Background/Purpose: Colchicine is the main therapy for familial Mediterranean fever (FMF); however, around 5-10% of FMF patients are colchicine-resistant. Currently there is no standard and…
  • Abstract Number: 1175 • 2017 ACR/ARHP Annual Meeting

    Rituximab for Idiopathic and IgG4-Related Retroperitoneal Fibrosis

    Rachel Wallwork1, Zachary S. Wallace2, Cory A. Perugino3, Amita Sharma4 and John H. Stone5, 1Department of Medicine, Massachusetts General Hospital, Boston, MA, 2Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Ragon Institute of MGH, MIT and Harvard, Cambridge, MA, 4Department of Radiology, Massachusetts General Hospital, Boston, MA, 5Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Rituximab for Idiopathic and IgG4-Related Retroperitoneal FibrosisBackground/Purpose: Untreated retroperitoneal fibrosis (RPF) can lead to chronic back and flank pain and/or renal failure. The mainstay of…
  • Abstract Number: 1176 • 2017 ACR/ARHP Annual Meeting

    A Randomized, Open-Label, Dose-Ranging Study of Oral Delayed Release Prednisone in Patients with Untreated Polymyalgia Rheumatica

    Jasvinder A. Singh1 and Lee S. Simon2, 1Medicine, University of Alabama at Birmingham, Alabama, AL, 2SDG LLC Consulting, West Newton, MA

    Background/Purpose: Polymyalgia rheumatica (PMR) is a common condition of unknown etiology with a lifetime risk of 2.43% in women and 1.66% in men.1 PMR is…
  • Abstract Number: 1177 • 2017 ACR/ARHP Annual Meeting

    Airway Findings in Patients with Relapsing Polychondritis

    Marcela A. Ferrada1, James D. Katz2, Keith A. Sikora3, Allen Clint4, Jeff Kim4, Wendy Goodspeed4, Robert Colbert5, Marcus Chen6, Arlene Sirajuddin4 and Peter C. Grayson2, 1NIAMS, National Institues of Health, Bethesda, MD, 2National Institute of Arthritis, Musculoskeletal and Skin Disease (NIAMS), Bethesda, MD, 3Pediatric Translational Research Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 4National Institutes of Health, Bethesda, MD, 5NIAMS/NIH, Bethesda, MD, 6NHLBI, National Institutes of Health, Bethesda, MD

    Background/Purpose: Relapsing polychondritis (RP) is a rare multiorgan disease. Involvement of the upper and lower airways is associated with significant morbidity and mortality. Isolated airway…
  • Abstract Number: 1178 • 2017 ACR/ARHP Annual Meeting

    Sympathetic Joint Effusion in an Urban Hospital

    Jessica L. Barlow1 and Irene J. Tan2,3, 1Internal Medicine, Temple University Hospital, Philadelphia, PA, 2Temple University Hospital, Philadelphia, PA, 3Section of Rheumatology, Temple University Lewis Katz School of Medicine, Philadelphia, PA

    Background/Purpose: Sympathetic joint effusion (SJE) or sympathetic synovial effusion (SSE) is a rheumatologic entity that has not been well defined in the medical literature. It…
  • Abstract Number: 1179 • 2017 ACR/ARHP Annual Meeting

    A Multi-Organ Inflammatory Condition with Features of Idiopathic Multicentric Castleman’s Disease and IgG4-Related Disease: An Unrecognized Mimicker of IgG4-RD

    Zachary S. Wallace1, Yasuharu Sato2, Kazuichi Okazaki3, Judith Ferry4, Hisanori Umehara5, Aliyah Sohani6, Mitsuhiro Kawano7, Nancy Harris6, Yoshiya Tanaka8, Cory A. Perugino9, Satoshi Kubo10, James Stone4, Robert Colvin4, Tsutomu Chiba11, John H. Stone12 and Yoh Zen13, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Department of Pathology, Okayama University Graduate School of Medicine, Okayama, Japan, 3Department of Gastroenterology and Hepatology, Kansai Medical University, Osaka, Japan, 4Department of Pathology, Massachusetts General Hospital, Boston, MA, 5Kyoto University, Kyoto, Japan, 6Massachusetts General Hospital, Boston, MA, 7Division of Rheumatology, Kanazawa University Hospital, Kanazawa, Japan, 8The First Department of Internal Medicine, University of Occupational and Environmental Health, Fukuoka, Japan, 9Ragon Institute of MGH, MIT and Harvard, Cambridge, MA, 10The First Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 11Department of Gastroenterology and Hepatology, Kyoto University, Kyoto, MA, 12Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 13Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan

    Background/Purpose: Some of clinical features of the plasma cell type of human herpesvirus-8-negative multicentric Castleman’s disease (idiopathic MCD or iMCD) are similar to those of…
  • Abstract Number: 1180 • 2017 ACR/ARHP Annual Meeting

    Multicenter Study on the Rate of Renal Function Deterioration in IgG4-Related Tubulointerstitial Nephritis

    Mitsuhiro Kawano1, Ichiro Mizushima2, Takahiro Matsunaga1, Kazunori Yamada3, Satoshi Hara1, Hiroshi Fujii1, Takako Saeki4, Yoshinori Taniguchi5 and Hitoshi Nakashima6, 1Division of Rheumatology, Kanazawa University Hospital, Kanazawa, Japan, 2Kanazawa University Hospital, Kanazawa, Japan, 3Department of Advanced Research in Community Medicine, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan, 4Department of Internal Medicine, Nagaoka Red Cross Hospital, Nagaoka, Japan, 5Department of Endocrinology, Metabolism, Nephrology and Rheumatology, Kochi Medical School, Kochi, Japan, 6Div of Nephrol & Rheumatol, Dept of Int Med, Faculty of Medicine, Fukuoka University, Fukuoka, Japan

    Background/Purpose: Only a few reports have focused on the rate of renal function deterioration in IgG4-related tubulointerstitial nephritis (IgG4-TIN). Some cases show acute or progressive…
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