ACR Meeting Abstracts

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  • Abstract Number: 1885 • 2016 ACR/ARHP Annual Meeting

    Can Nailfold Videocapillaroscopy Images be Interpreted Reliably By Different Observers? Results of an Inter-Reader and Intra-Reader Exercise Among Rheumatologists with Different Experience in This Field

    Tatiana Sofia Rodriguez-Reyna1, Chiara Bertolazzi2, Angelica Vargas Guerrero3, Marwin Gutierrez4, Gabriela Hernandez-Molina5, Marcelo Audisio6, Susana Roverano7, Margarita González de Urizar8, José Francisco Díaz Coto9, Blanca Herrera Velasco10, Mijahil Cornejo Ortega11, Ana María Sapag Durán12, Janeth Villegas Guzmán13, Luìs Fernando Medina Quintero14, Mirtha Sabelli15, Carlos Velasquez16, Sandy Sapag Durán17, Oscar Sedano18, Martín Zapata Zúñiga19, Maria Fonseca20, Maurizio Cutolo21 and PANLAR Capillaroscopy Group, 1Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 2Rheumatology, Instituto Nacional de Rehabilitación, Mexico City, Mexico, 3Rheumatology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico, 4Instituto Nacional de Rehabilitación, Mexico, Mexico, 5Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico City, Mexico, 6Servicio de Reumatología del Hospital Nacional de Clínicas, Córdoba, Argentina, 7Rheumatology, Hospital Jose Maria Cullen, Santa Fe, Argentina, 8Rheumatology, Hospital San Ramón, Ciudad del Este, Paraguay, 9Rheumatology, Hospital Clínica Bíblica, San José, Costa Rica, 10Rheumatology, Universidad de San Fancisco Xavier de Chuquisaca, Sucre, Bolivia (Plurinational State of), 11Rheumatology, Hospital Nacional Arzobispo Loayza, Lima, Peru, 12Rheumatology, Hospital Universitario Japonés, Santa Cruz, Bolivia (Plurinational State of), 13Rheumatology, Hospital Nacional Dos de Mayo, Lima, Peru, 14Internal Medicine, Universidad del Valle, Cali, Colombia, 15Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Instituto Universitario Hospital Italiano de Buenos Aires, and Fundacion PM Catoggio, Buenos Aires, Argentina, 16Clínica Universitaria Bolivariana, Universidad Pontificia Bolivariana, Medellín, Colombia, 17Reumatología, Instituto de Investigación en Reumatología Sapag & Sapag, Santa Cruz de la Sierra, Bolivia (Plurinational State of), 18Rheumatology, Hospital Marino Molina Scippa ESSALUD, Lima, Peru, 19Rheumatology, Hospitl General Jerez, Jerez, Mexico, 20Rheumatology, Hospital Bernardino Rivadavia, Buenos Aires, Argentina, 21Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, Genova, Italy

    Background/Purpose:  Nailfold videocapillaroscopy (VCP) has become an established method to assess the microcirculation in patients with Raynaud’s phenomenon and connective tissue diseases. The 2013 Systemic…
  • Abstract Number: 1886 • 2016 ACR/ARHP Annual Meeting

    Right Ventricular Load-Adaptability and Response to Therapy in Scleroderma Versus Idiopathic Pulmonary Arterial Hypertension

    Sarah French1, Nadia Ouazani2, Myriam Amsallem2, Shufeng Li3, Roham T. Zamanian4, Lorinda Chung5 and Francois Haddad2, 1Internal Medicine, Stanford University Medical Center, Palo Alto, CA, 2Cardiology, Stanford University Medical Center, Palo Alto, CA, 3Biostatistics, Stanford University Medical Center, Palo Alto, CA, 4Stanford University Medical Center, Palo Alto, CA, 5Rheumatology, Stanford University Medical Center, Palo Alto, CA

    Background/Purpose: Recent studies have suggested that right ventricular (RV) adaptation in patients with scleroderma-associated pulmonary arterial hypertension (SSc-PAH) is worse than in patients with idiopathic…
  • Abstract Number: 1887 • 2016 ACR/ARHP Annual Meeting

    Olfactory Impairment Is Associate with Cognitive Dysfunction and Regional Brain Atrophy in Systemic Sclerosis

    Mariana Freschi Bombini1, Fernando A. Peres2, Nailu A. Sinicato3, Aline Tamires Lapa2, Leticia Rittner4, Roberto Souza5, Ana Paula del Rio1, João Francisco Marques-Neto1 and Simone Appenzeller1, 1State University of Campinas, Campinas, Brazil, 2Medicine, State University of Campinas, Campinas, Brazil, 3Pediatrics, State University of Campinas, Campinas, Brazil, 4Electrical Engineering, State University of Campinas, Campinas, Brazil, 5State University of Campinas, campinas, Brazil

    Background/Purpose: Several factors has been described as responsible for the association between olfactory impairment and brain regions. In systemic sclerosis (SSc) the olfactory interaction has…
  • Abstract Number: 1888 • 2016 ACR/ARHP Annual Meeting

    Reliability, Validity, and Sensitivity to Change of the Simplified Duruoz Hand Index in Systemic Sclerosis

    Ana Maria Gheorghiu1, Hermina Gyorfi1, Razvan Capota1, Alexandru Matei1, Raida Oneata1, Liviu Macovei1, Mihaela Milicescu1, Mariana Sasu1, Mihai Bojinca2, Victor Stoica1 and Carina Mihai1, 1Carol Davila University of Medicine and Pharmacy, Internal Medicine and Rheumatology Department, Cantacuzino Clinical Hospital, Bucharest, Romania, 2Carol Davila University of Medicine and Pharmacy, Internal Medicine and Rheumatology Department, Cantacuzino Clinical Hospital, Bucuresti, Romania

    Background/Purpose: Hand involvement is observed in almost all patients with Systemic Sclerosis (SSc), and is due in various proportions to skin and tendon fibrosis, arthritis…
  • Abstract Number: 1889 • 2016 ACR/ARHP Annual Meeting

    Predictors of Acro-Osteolysis in Systemic Sclerosis

    Ashraf Raslan1 and Vivien Hsu2, 1Medicine, Rutgers-RWJ Medical School, Jersey City, NJ, 2Rheumatology, RWJ Med Schl Scleroderma Prog, New Brunswick, NJ

    Background/Purpose: Acro-osteolysis (AO) is the bony resorption on the distal tufts of the digits, a characteristic radiological finding in Systemic Sclerosis (SSc) with estimated prevalence…
  • Abstract Number: 1890 • 2016 ACR/ARHP Annual Meeting

    Functional Disability and Its Predictors in Systemic Sclerosis: A Study from the Desscipher Project within the European Scleroderma Trials and Research Group

    Veronika K. Jaeger1, Lazlo Czirjak2, Veronika Lóránd2, Gabriele Valentini3, Serena Vettori4, Francesco Del Galdo5, Giuseppina Abignano6, Oliver Distler7, Britta Maurer7, Christopher Denton8, Svetlana Nihtyanova9, Yannick Allanore10, Jerome Avouac11, Gabriela Riemekasten12, Elise Siegert13, Dörte Huscher14, Marco Matucci-Cerinic15, Serena Guiducci16, Marc Frerix17, Ingo H. Tarner18, Beata Garay-Toth19, Lidiya P. Ananieva20, Franco Cozzi21, Sule Yavuz22, Nicolas Hunzelmann23, Alessandra Vacca24, Tim Schmeiser25, Simona Rednic26, Valeria Riccieri27, Brigitte Krummel-Lorenz28, Armando Gabrielli29, Paloma Garcia De La Peña30, Codrina Ancuta31, Ulf Müller-Ladner32, Ulrich A. Walker1 and on behalf of the DeSScipher Consortium and contributing EUSTAR centres, 1Department of Rheumatology, University Hospital Basel, Basel, Switzerland, 2Department of Rheumatology and Immunology, University of Pécs, Pécs, Hungary, 3Internal and Experimental Medicine, Rheumatology Unit, Second University of Naples, Naples, Italy, 4Department of Internal and Experimental Medicine, Rheumatology Unit, Second University of Naples, Naples, Italy, 5Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 6Clinical and Experimental Medicine, Second University of Naples, Napoli, Italy, 7Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 8Division of Medicine, Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom, 9Centre for Rheumatology and Connective Tissue Diseases, University College London Medical School, Royal Free Hospital, London, United Kingdom, 10Rheumatology, Paris Descartes University, Paris, France, 11Department of Rheumatology, University of Paris Descartes, Paris, France, 12Department of Rheumatology, Universitatsklinikum Schleswig-Holstein, Lubeck, Germany, 13Rheumatology and Clinical Immunology, Charité – University Medicine Berlin, Berlin, Germany, 14Epidemiology, German Rheumatism Research Centre, Berlin, Germany, 15Department of Medicine, Division of Rheumatology, University of Florence, Florence, Italy, 16Department of Experimental and Clinical Medicine, Division of Rheumatology, University of Florence, Florence, Italy, 17Department of Rheumatology and Clinical Immunology, Justus-Liebig-University Giessen, Kerckhoff-Klinik, Bad Nauheim, Germany, 18Rheumatology and Clinical Immunology, Justus-Liebig-University of Giessen, Kerckhoff-Klinik, Bad Nauheim, Germany, 19FESCA, Budapest, Hungary, 20Microcirculation and Inflammation, Research Institute of Rheumatology RAMS, Moscow, Russia, 21Division of Rheumatology, University Hospital of Padova, Padova, Italy, 22Marmara University Faculty of Medicine, Rheumatology, Istanbul, Turkey, 23Department of Dermatology, University of Cologne, Cologne, Germany, 24University Hospital of Cagliari, Rheumatology Unit, Monserrato, Italy, 25Krankenhaus St. Josef, Wuppertal, Germany, 26Rheumatology, Emergency County Clinical Hospital Cluj Napoca, Cluj-Napoca, Romania, 27Cattedra di Reumatologia, Dip Clinica e Terapia Medica, Sapienza Università di Roma, Roma, Italy, 28Rheumatologist, Frankfurt, Germany, 29Istituto di Clinica Medica Generale, Ematologia ed Immunologia Clinica, Università Politecnica delle Marche, Ancona, Italy, 30Rheumatology, Hospital Madrid Norte Sanchinarro, Madrid, Spain, 31G.T.Popa Center for Biomedical Research, Iasi, Romania, 32Justus-Liebig-University Giessen, Department of Internal Medicine and Rheumatology, Kerckhoff-Klinik, Bad Nauheim, Germany, Bad-Nauheim, Germany

    Background/Purpose: Systemic sclerosis (SSc) can greatly impact the patients’ quality of life due to its multisystem manifestations. The health assessment questionnaire (HAQ) is one of…
  • Abstract Number: 1891 • 2016 ACR/ARHP Annual Meeting

    Excellent Reliability of Semiquantitative Nailfold Capillaroscopy Assessment in a Systemic Sclerosis Cohort – a Pilot Study

    Ana Maria Gheorghiu, Raida Oneata, Alina Soare, Rucsandra Dobrota, Liviu Macovei, Mihaela Milicescu, Mariana Sasu, Marilena Gorga, Ioan Ancuta, Mihai Bojinca, Victor Stoica and Carina Mihai, Carol Davila University of Medicine and Pharmacy, Internal Medicine and Rheumatology Department, Cantacuzino Clinical Hospital, Bucharest, Romania

    Background/Purpose: Nailfold capillaroscopy (NFC) is essential in the evaluation and classification of systemic sclerosis (SSc). Semiquantitative capillaroscopy scoring is a promising tool for assessing disease…
  • Abstract Number: 1892 • 2016 ACR/ARHP Annual Meeting

    Immunosignature Technology Differentiates Patients with Systemic Sclerosis and Internal Organ Involvement

    Lorinda Chung1, David Fiorentino2, Robert Gerwien3, Kathleen Jia4, Joseph Barten Legutki3, Antonio Valenzuela Vergara4, Lisa Zhu4, Theodore M. Tarasow3 and Kathryn Sykes3, 1Rheumatology, Stanford University Medical Center, Palo Alto, CA, 2Department of Dermatology, Stanford University School of Medicine, Palo Alto, CA, 3HealthTell, Inc, san ramon, CA, 4Stanford University Medical Center, Palo Alto, CA

    Background/Purpose: Systemic sclerosis (SSc) is a connective tissue disease (CTD) characterized by fibrosis, vascular complications, and inflammation affecting both skin and internal organs. Diagnosis of…
  • Abstract Number: 1893 • 2016 ACR/ARHP Annual Meeting

    Prevalence of Antiphospholipid Antibodies in Systemic Sclerosis: A Systematic Review and Meta-Analysis

    Angélique Lemaire1,2, Vincent Sobanski2,3,4,5, Luc Dauchet6, Eric Hachulla1,2,3,5, Sylvain Dubucquoi3,5,7, Marc Lambert1,2,3,5, Pierre-Yves Hatron1,2,8 and David Launay1,2,3,5, 1CHU Lille, Département de Médecine Interne et Immunologie Clinique, F-59000 Lille, France, Lille, France, 2CHU Lille, Centre national de référence maladies systémiques et auto-immunes rares (sclérodermie systémique), F-59000 Lille, France, Lille, France, 3Inserm, U995, F-59000 Lille, France, Lille, France, 4CHU Lille, Département de Médecine Interne et Immunologie Clinique, F-59000 Lille, France, 5Univ. Lille, U995, Lille Inflammation Research International Center (LIRIC), F-59000 Lille, France, Lille, France, 6CHU Lille, Service d’Epidémiologie, économie de la santé et prevention, F-59000 Lille, France, Lille, France, 7CHU Lille, Laboratoire d’Immunologie, F-59000 Lille, France, Lille, France, 8Univ Lille, CHU Lille, F-59000 Lille, France, Lille, France

    Background/Purpose: Antiphospholipid antibodies (aPL) can be present in the sera of systemic sclerosis (SSc) patients. Important variations of their prevalence are observed in the literature.…
  • Abstract Number: 1894 • 2016 ACR/ARHP Annual Meeting

    Increased Mortality in Systemic Sclerosis Patients with Fibrosing Myopathy

    Julie J. Paik1, Fredrick M. Wigley2, Ami A. Shah1, Andrea Corse3, Laura K. Hummers4 and Andrew Mammen5, 1Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 2Rheum Div/Mason F Lord, Johns Hopkins University School of Medicine, Baltimore, MD, 3Neurology, Johns Hopkins University, Baltimore, MD, 4Johns Hopkins University School of Medicine, Baltimore, MD, 5National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD

    Background/Purpose: Skeletal myopathy in systemic sclerosis (SSc) is associated with poor outcomes such as disability.  The spectrum of muscle histopathology of weak SSc patients is…
  • Abstract Number: 1895 • 2016 ACR/ARHP Annual Meeting

    Increased CXCL4/PF4 Presence in Systemic Sclerosis and Absence of Heparin Directed Autoantibodies

    Boyang Zheng1, Normand Blais2, Jean-Luc Senécal3, Gemma Perez4 and Martial Koenig5, 1Division of Internal Medicine, Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada, 2Hematology, Hôpital Notre-Dame du CHUM, Montreal, QC, Canada, 3Université de Montréal, Montréal, QC, Canada, 4Laboratory of autoimmunity, Centre de Recherche du CHUM, Montreal, QC, Canada, 5Internal Medicine, Hôpital Notre-Dame du CHUM, Montréal, QC, Canada

    Background/Purpose: Platelet factor 4 (PF4), also called CXLC4 is a chemokine that is found in higher levels in systemic sclerosis (SSc) patients and is in…
  • Abstract Number: 1896 • 2016 ACR/ARHP Annual Meeting

    Efficacy of Pulmonary Arterial Hypertension-Specific Drugs Combination Therapy in Survival of Patients with Pulmonary Arterial Hypertension Associated with Systemic Sclerosis and Other Connective Tissue Diseases

    Sumiaki Tanaka1, Yu Matsueda1, Gakuro Abe2, Jun Okada3 and Shunsei Hirohata1, 1Rheumatology and Infectious Diseases, Kitasato University School of Medicine, Kanagawa, Japan, 2Kitasato University School of Medicine, Sagamihara, Japan, 3Nutritional management, Kitasato Junior Collage of health and Hygienic Sciences, Minami-Uonuma, Japan

    Background/Purpose: Survival of patients with pulmonary arterial hypertension (PAH) associated with connective tissue disease (CTD), especially systemic sclerosis (SSc), is poorer than that of patients…
  • Abstract Number: 1897 • 2016 ACR/ARHP Annual Meeting

    Vitamin-D Levels and Gastrointestinal (GI) Manifestations in Systemic Sclerosis (SSc)

    Suzanne Kafaja1, Aly Aly2, Yossra A Suliman3, Mohamed Alemam4, Philip J. Clements5 and Daniel E. Furst6, 1Medicine/Rheumatology, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 2Chamblion St,, Alexandria Faculty of Medicine, Alexandria, Egypt, 3Rheumatology and Rehabilitation dept., Rheumatology and Rehabilitation dept. Assiut university hospital, Assiut Egypt, Assiut, Egypt, 4Clinical Pathology and Laboratory Medicine Department, Assistant Lecturer, Qena, Egypt, 5Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 6David Geffen School of Medicine at UCLA, Los Angeles, CA

    Background/Purpose:  The GI tract is one of the most commonly affected systems in SSc patients. GI disease in SSc patients is thought to be multifactorial…
  • Abstract Number: 1898 • 2016 ACR/ARHP Annual Meeting

    The Lack of Association of Osteoporosis with Proton Pump Inhibitor in Scleroderma: A UK Single Centre Cohort Experience

    Ana Afonso1, Svetlana Nihtyanova2, Christopher Denton3 and Voon H. Ong4, 1Internal Medicine, Hospital Pedro Hispano, EPE, Porto, Portugal, 2Centre for Rheumatology and Connective Tissue Diseases, University College London Medical School, Royal Free Hospital, London, United Kingdom, 3Division of Medicine, Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom, 4Rheumatology, UCL Division of Medicine, London, United Kingdom

    Background/Purpose: Recent studies suggest that proton pump inhibitor (PPI) use is variably associated with risk of osteoporosis. The aim of this study was to investigate…
  • Abstract Number: 1899 • 2016 ACR/ARHP Annual Meeting

    The Intestinal Involvement in Systemic Sclerosis Is Characterized By a Peculiar Gut Microbiota

    Silvia Bosello1, Francesco Paroni Sterbini2, Gerlando Natalello1, Giovanni Canestrari1, Federico Parisi1, Maurizio Sanguinetti3 and Gianfranco Ferraccioli4, 1Division of Rheumatology, Università Cattolica - Fondazione Policlinico Universitario A.Gemelli, Rome, Italy, 2Institute of Microbiology, Università Cattolica - Fondazione Policlinico Universitario A.Gemelli, Rome, Italy, 3Institute of Microbiology, Università Cattolica - Fondazione Policlinico Universitario A Gemelli, Rome, Italy, 4Division of Rheumatology - Institute of Rheumatology and Affine Sciences, Catholic University of the Sacred Heart, Rome, Italy

    Background/Purpose: Gastrointestinal involvement is recognized as a major cause of morbidity and mortality in systemic sclerosis (SSc). The pathophysiology is still unclear and includes impairment…
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