ACR Meeting Abstracts

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  • Abstract Number: 1945 • 2016 ACR/ARHP Annual Meeting

    Development and Validation of Case-Finding Algorithms for the Identification of Patients with ANCA-Associated Vasculitis and Large-Vessel Vasculitis in Healthcare Administrative Databases

    Antoine G. Sreih1, Narender Annapureddy2, Jason Springer3, Kevin Byram4, George Casey5, Andy Cruz6, Maya Estephan7, Vince Frangiosa8, Michael D. George8, Mei Liu9, Mehrdad Maz10, Adam Parker7, Sapna Sangani11, Rebecca Sharim12 and Peter A. Merkel13, 1Rheumatology, The University of Pennsylvania, Philadelphia, PA, 2Vanderbilt University, Nashville, TN, 3Department of Internal Medicine, Division of Allergy, Clinical Immunology, & Rheumatology, Kansas University Medical Center, Kansas City, KS, 4Internal Medicine, Vanderbilt University, Nashville, TN, 5The Vasculitis Foundation, Kansas City, MO, 6Informational Technology, The University of Pennsylvania, Philadelphia, PA, 7Rheumatology, The University of Kansas, Kansas City, KS, 8Rheumatology, University of Pennsylvania, Philadelphia, PA, 9Informational Technology, The University of Kansas, Kansas City, KS, 10Allergy, Clinical Immunology, and Rheumatology, The University of Kansas Medical Center, Department of Internal Medicine, Division of Allergy, Clinical Immunology and Rheumatology, Kansas City, KS, 11Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 12Rheumatology, Temple University, Philadelphia, PA, 13Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: ANCA-associated vasculitis (AAV) is a group of vasculitides that consists of granulomatosis with polyangiitis (GPA), eosinophilic granulomatosis with polyangiitis (Churg-Strauss; EGPA), and microscopic polyangiitis…
  • Abstract Number: 1946 • 2016 ACR/ARHP Annual Meeting

    Antineutrophil Cytoplasmic Antibody (ANCA) Type and Body Mass Index in ANCA-Associated Vasculitis (AAV)

    Zachary Wallace1, Na Lu2, Eli Miloslavsky3, Ulrich Specks4, Gary S. Hoffman5, Cees G.M. Kallenberg6, Carol A. Langford7, Peter A. Merkel8, Paul A. Monach9, Philip Seo10, Robert F. Spiera11, Eugene William St.Clair12, Paul Bruntetta13, Hyon K. Choi14 and John H. Stone15, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Division of Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Mayo Clinic, Rochester, MN, 5Rheumatology, Cleveland Clinic, Cleveland, OH, 6Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 7Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 8Division of Rheumatology, Univ of Pennsylvania; Perelman School of Med, Philadelphia, PA, 9Rheumatology, Boston University School of Medicine, Boston, MA, 10Medicine, Johns Hopkins University, Baltimore, MD, 11Hospital for Special Surgery, Cornell, New York, NY, 12Rheumatology and Immunology, Duke University, Durham, NC, 13Genentech, Inc., South San Francisco, CA, 14Rheumatology, Allergy and Immunology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, 15Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Antineutrophil Cytoplasmic Antibody (ANCA) Type and Body Mass Index in ANCA-Associated Vasculitis (AAV) Background/Purpose: Phenotypic, genetic, and treatment differences distinguish PR3- and MPO-ANCA+ ANCA-associated vasculitis…
  • Abstract Number: 1947 • 2016 ACR/ARHP Annual Meeting

    Ocular Manifestations of ANCA-Associated Vasculitis

    Sophie Cai1,2, George Papaliodis2,3, Leo Lu4, Hyon K. Choi5, Ulrich Specks6, Peter A. Merkel7, Philip Seo8, Robert F. Spiera9, Carol A. Langford10, Gary S. Hoffman11, Cees G.M. Kallenberg12, William St Clair13, Nadia Tchao14, Fernando Fervenza6, Paul A. Monach15, W Joseph McCune16, John H. Stone17, Eli Miloslavsky18 and RAVE-ITN and WGET Research Groups, 1Ophthalmology, Johns Hopkins Wilmer Eye Institute, Baltimore, MD, 2Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Uveitis and Immunology, Massachusetts Eye and Ear, Boston, MA, 4Allergy, Immunology, and Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 5Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 6Mayo Clinic, Rochester, MN, 7Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 8Medicine, Johns Hopkins University, Baltimore, MD, 9Hospital for Special Surgery, Cornell, New York, NY, 10Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 11Rheumatology, Cleveland Clinic, Cleveland, OH, 12Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 13Rheumatology, Duke University Medical Center, Durham, NC, 14Immune Tolerance Network, San Francisco, CA, 15Rheumatology, Boston University School of Medicine, Boston, MA, 16Int Med/ Rheum, University of Michigan, Ann Arbor, MI, 17Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 18Division of Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Ocular involvement in ANCA-associated vasculitis (AAV) can cause substantial morbidity. We aimed to characterize patterns of ocular involvement in AAV and their response to…
  • Abstract Number: 1948 • 2016 ACR/ARHP Annual Meeting

    Evaluation of Body Composition Parameters in Granulomatosis with Polyangiitis: Association of Fat Mass Parameters with Disease Activity and Inflammatory Markers

    Mariana O Perez1, Valeria F Caparbo2, Mauricio Levy-Neto2 and Rosa M R Pereira2, 1Rheumatology Divison, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

    Background/Purpose:  Granulomatosis with polyangiitis (GPA, Wegener´s) patients are more exposed to traditional cardiovascular risk factor, including obesity. In rheumatic diseases, inflammation has been associated with…
  • Abstract Number: 1949 • 2016 ACR/ARHP Annual Meeting

    Presentation, Prognosis and Clinical-Pathological Correlations of Cutaneous Manifestations in ANCA-Associated Vasculitides

    Laure Frumholtz1, Sara Laurent2, Olivier Aumaître3, Francois Maurier4, Guillaume Le Guenno5, Agnès Carlotti2, Alexiane Dallot2, Jean-Louis Kemeny6, Laurent Antunes7, Nicolas Froment7, Sylvie Fraitag8, Jonathan London9, Claire Le Jeunne10, Benoit Terris2, Luc Mouthon10, Selim Aractingi11, Loïc Guillevin10, Nicolas Dupin11 and Benjamin Terrier12, 1Internal Medicine, Cochin Hospital, Paris, France, 2Pathology, Cochin Hospital, Paris, France, 3CHU Pitié-Salpêtrière - Department of Internal Medicine 2. Referal center for SLE/APS, Paris, France, 4Department of Internal Medicine, HP Metz Belle Isle Hospital, Metz, France, 5Internal Medicine department, Clermont-Ferrand, France, 6Pathology, CHU, Clermont-Ferrand, France, 7Pathology, CH, Metz, France, 8Pathology, Necker, Paris, France, 9INSERM U1016, Institut Cochin, Equipe Neutrophiles et Vascularites, Paris, France, 10Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 11Dermatology, Cochin Hospital, Paris, France, 12National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose: Cutaneous involvement is frequent during ANCA-associated vasculitis (AAV) and can reveal the disease. However, no large study on presentation and clinical-pathological correlations is available.…
  • Abstract Number: 1950 • 2016 ACR/ARHP Annual Meeting

    ANCA-Associated Vasculitides and IgG4-Related Disease: An Overlapping Syndrome? a European Observational Study of 18 Patients

    Francois-Xavier Danlos1, Giovanni Maria Rossi2, Daniel Blockmans3, Giacomo Emmi4, Andreas Kronbichler5, Stéphane Durupt6, Claire Maynard7, Luminita Luca8, Cyril Garrouste9, Bertrand Lioger10, Rachel Mourot11, Robin Dhote12, Jean-Benoit Arlet13, Thomas Hanslik14, Mikael Ebbo15, Agnès Carlotti16, Luc Mouthon17, Loïc Guillevin17, Augusto Vaglio18 and Benjamin Terrier19, 1Internal Medicine, Cochin Hospital, Paris, France, 2Nephrology, Parma, Parma, Italy, 3General Internal Medicine, University Hospitals Gasthuisberg, Leuven, Belgium, 4Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy, 5Nephrology, Hospital, Innsbruck, Austria, 6Internal Medicine, CHU, Lyon, France, 7Internal Medicine, CH, Chambéry, France, 8Internal Medicine, CHU, Poitiers, France, 9Nephrology, CHU, Clermont-Ferrand, France, 10GICC UMR 7292, University François Rabelais, Tours, France, 11Internal Medicine, CHU, Strasbourg, France, 12Service de médecine interne. Hôpital Avicenne, Paris, France, 13Service de médecine interne, Hopital Européen Georges Pompidou, Paris, France, 14Internal Medicine, CHU, Boulogne Billancourt, France, 15Internal Medicine, Aix-Marseille Université, AP-HM, Marseille, France, 16Pathology, Cochin Hospital, Paris, France, 17Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 18Nephrology, University Hospital of Parma, Parma, Italy, 19National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose: Atypical manifestations have been described in patients with antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitides (AAV), such as periaortic fibrosis, pachymeningitis and orbital mass. Because these…
  • Abstract Number: 1951 • 2016 ACR/ARHP Annual Meeting

    Phenotypic and Functional Perturbations of Peripheral B and T Lymphocytes in Granulomatosis with Polyangiitis and Microscopic Polyangiitis

    Jonathan London1,2,3, Nicolas Dumoitier1, Jeremie Dion1,4, Benjamin Chaigne1,5, Sebastien Lofek1, Pascal Cohen2,3, Claire Le Jeunne3, Nadine Varin-Blank6, Loïc Guillevin3,5, Benjamin Terrier1,5,7, Luc Mouthon1,3,5 and the French Vasculitis Study Group, 1INSERM U1016, Institut Cochin, Equipe Neutrophiles et Vascularites, Paris, France, 2Internal Medecine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 3Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 4Internal medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 5National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 6UFR SMBH, INSERM, UMR978, Bobigny, France, 7Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose: Granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA) are both anti-neutrophil cytoplasm antibodies (ANCA)-associated vasculitides (AAV), but differ in clinical presentation. Anti-myeloperoxydase (MPO)-ANCA were…
  • Abstract Number: 1952 • 2016 ACR/ARHP Annual Meeting

    Kv1.3 Channel Blockade Modulates the Effector Function of B Cells in Granulomatosis with Polyangiitis

    Judith Land1, Lucas L. Lintermans1, Coen A. Stegeman2, Ernesto J. Muñoz-Elías3, Peter Heeringa4, Abraham Rutgers1 and Wayel H. Abdulahad1, 1Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 2Nephrology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 3Kineta Inc, Seattle, WA, 4Pathology and Medical Biology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands

    Background/Purpose: Granulomatosis with polyangiitis (GPA) patients are often treated with immunesuppressives or B cell depleting therapy. While B cells are involved in GPA pathogenesis as…
  • Abstract Number: 1953 • 2016 ACR/ARHP Annual Meeting

    Management and Outcomes of ANCA-Associated Vasculitis in Unselected Cases within a Large Health Region of England

    Fiona Pearce1, Catherine McGrath2, Ravinder Sandhu3, Jon Packham4, Karen Obrenovich5, Richard A. Watts6, Peter Lanyon7 and for the East Midlands, West Midlands and East of England regional audit groups, 1Epidemiology and Public Health, University of Nottingham, Nottingham, United Kingdom, 2Department of Rheumatology, The Dudley Group NHS Foundation Trust, Dudley, United Kingdom, 3The Dudley Group NHS Foundation Trust, Dudley, Great Britain, 4University of Keele, Keele, United Kingdom, 5The Dudley Group NHS Foundation Trust, Dudley, United Kingdom, 6Rheumatology Department, Ipswich Hospital, Ipswich, Great Britain, 7Department of Rheumatology, Nottingham University Hospitals NHS trust, Nottingham, United Kingdom

    Background/Purpose: Most data on management and outcomes of ANCA-associated vasculitis (AAV) come from highly selected populations in tertiary referral centres, or clinical trials. These results…
  • Abstract Number: 1954 • 2016 ACR/ARHP Annual Meeting

    Clinical Features and Long Term Outcome of 105 Patients of Granulomatosis with Polyangiitis: A Single Centre Experience from North India

    Aman Sharma1, Shankar Naidu2, Manish Rathi3, Benzeeta Pinto4, Kusum Sharma5, Varun Dhir6, Ritambhra Nada7, Ranjana Minz8 and Surjit Singh9, 1Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India, 2PGIMER, cHANDIGARH, India, 3Department of Nephrology,, Postgraduate Institute of Medical Education and Research, Chandigarh, India, 4PGIMER, CHANDIGARH, India, 5Department of Medical Microbiology,, PGIMER,, Chandigarh, India, 6Internal Medicine (Rheumatology Unit), Postgraduate Institute of Medical Education and Research, Chandigarh, India, 7Histopathology, Professor, Chandigarh, India, 8Department of Immunopathology,, PGIMER,, Chandigarh, India, 9Department of Internal Medicine,, Postgraduate Institute of Medical Education and Research, Chandigarh, India

    Background/Purpose: The published Indian data on Granulomatosis with Polyangiitis (GPA) is sparse and only in the form of few small case series. The purpose of this study…
  • Abstract Number: 1955 • 2016 ACR/ARHP Annual Meeting

    Rituximab Versus Azathioprine to Maintain Remission of ANCA-Associated Vasculitides (MAINRITSAN): Follow-up at 60 Months

    Benjamin Terrier1, Christian Pagnoux2, Elodie Perrodeau3, Alexandre Karras4, Chahéra Khouatra5, Olivier Aumaître6, Pascal Cohen7, Francois Maurier8, Olivier Decaux9, Hélène Desmurs-Clavel10, Pierre Gobert11, Thomas Quémeneur12, Claire Blanchard-Delaunay13, Pascal Godmer14, Xavier Puéchal15, Luc Mouthon15, Philippe Ravaud16 and Loïc Guillevin15, 1National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 2Mount Sinai Hospital, Toronto, ON, Canada, 3Epidemiology, Hopital Hotel Dieu, Paris Descartes University, Paris, France, 4Nephrology, HEGP, Paris, France, 5CHU Lyon, Lyon, France, 6CHU Pitié-Salpêtrière - Department of Internal Medicine 2. Referal center for SLE/APS, Paris, France, 7Internal Medicine, Cochin Hospital, Paris, France, 8Department of Internal Medicine, HP Metz Belle Isle Hospital, Metz, France, 9Department of Internal Medicine, Rennes University Hospital, Rennes, France, 10Department of Internal Medicine 2. Referal center for SLE/APS, CHU Pitié-Salpêtrière, Paris, France, 11Nephrology, Centre Hospitalier d'Avignon, Avignon, France, 12Service de néphrologie, médecine interne et vasculaire, Hôpital de Valenciennes, Valenciennes, France, 13Internal Medicine, Centre Hospitalier, Niort, France, 14CH Vannes, Vannes, France, 15Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 16Hôpital Hôtel Dieu, Paris, France

    Background/Purpose: The previously reported prospective, randomizedÐcontrolled MAINRITSAN trial compared rituximab (RTX) to azathioprine (AZA) for maintenance of ANCA-associated vasculitis (AAV) remissions obtained with a combined…
  • Abstract Number: 1956 • 2016 ACR/ARHP Annual Meeting

    High Dose Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) and Tumor Necrosis Factor Inhibitor Use Results in Less Radiographic Progression in Ankylosing Spondylitis – a Longitudinal Analysis

    Lianne S. Gensler1, John D. Reveille2, MinJae Lee3, Thomas Learch4, Matthew Brown5, Mohammad H. Rahbar3, Michael Weisman6 and Michael Ward7, 1Medicine/Rheumatology, UCSF, San Francisco, CA, 2Rheumatology, University of Texas-McGovern Medical School, Houston, TX, 3Biostatistics/Epidemiology/Research Design (BERD) Core | Center for Clinical and Translational Sciences, University of Texas-McGovern Medical School, Houston, TX, 4Radiology, Cedars Sinai Medical Center, Los Angeles, CA, 5Queensland University of Technology, Brisbane, Australia, 6Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, 7NIH/NIAMS, Bethesda, MD

    Background/Purpose: Over the last decade, the disease modifying effects of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and Tumor Necrosis Factor inhibitors (TNFi) have resulted in conflicting studies. …
  • Abstract Number: 1957 • 2016 ACR/ARHP Annual Meeting

    No Increased Risk of Chronic Kidney Disease with Allopurinol Use

    Ana Beatriz Vargas-Santos1, Christine Peloquin2, Yuqing Zhang3 and Tuhina Neogi1, 1Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 2Clinical Epidemiology Research & Training Unit, Boston University School of Medicine, Boston, MA, 3Clinical Epidemiology and Training Unit, Boston University School of Medicine, Boston, MA

    Background/Purpose: Chronic kidney disease (CKD) is a cause and consequence of hyperuricemia. While clinicians are often cautious about using allopurinol in patients with CKD, there…
  • Abstract Number: 1958 • 2016 ACR/ARHP Annual Meeting

    Effect of Poverty Status in 2009, % of Years in Poverty Between 2003 and 2009, and Exiting Poverty Permanently By 2009 on SLE Damage in 2015

    Edward H. Yelin1, Jinoos Yazdany2 and Laura Trupin3, 1Medicine/Rheumatology, UC San Francisco, San Francisco, CA, 2Rheumatology, University of California, San Francisco, San Francisco, CA, 3Medicine/Rheumatology, University of California San Francisco, San Francisco, CA

    Background/Purpose : The relationship between poverty and SLE damage has been observed in several cross-sectional studies. The aim of the present study was to use…
  • Abstract Number: 1959 • 2016 ACR/ARHP Annual Meeting

    How Do Bone Marrow Lesions Cause Osteoarthritis Pain? a Structural and Functional Tissue-Based Study

    Nidhi Sofat1, Lena Assi2, Anasuya Kuttapitiya3, Alan Boyde4, Vivian Ejindu5 and Christine Heron5, 1Basic Medical Sciences, St. George's, University of London, London, United Kingdom, 2St George's University of London, Institute for Infection & Immunity, London, United Kingdom, 3St George's, University of London, Institute for Infection & Immunity, London, United Kingdom, 4Queen Mary University of London, London, United Kingdom, 5Department of Radiology, St George's Hospital, London, United Kingdom

    Background/Purpose: Bone marrow lesions (BML) are well described in osteoarthritis (OA) and associate with pain, but little is known about histological and functional features of…
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