ACR Meeting Abstracts

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  • Abstract Number: 2955 • 2016 ACR/ARHP Annual Meeting

    Biologic Therapy in Severe Peripheral Ulcerative Keratitis (PUK). Multicenter Study of 27 Patients

    Lucia C. Domínguez-Casas1, Vanesa Calvo-Río1, Olga Maiz2, Ana Blanco3, Emma Beltran4, L. Martinez-Costa5, Maria Concepcion Alvarez de Buergo6, Esteban Rubio-Romero7, David Diaz-Valle8, R. López-González9, Angel M. Garcia-Aparicio10, Antonio Juan Mas11, Natalia Palmou-Fontana1, Miguel Angel Gonzalez-Gay1 and Ricardo Blanco12, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL, Santander, Spain, 2Hospital Universitario Donostia, Donostia, Spain, 3Hospital Universitario Donostia, San Sebastian, Spain, 4Rheumatology, Hospital General Universitario de Valencia, Valencia, Spain, 5Hospital Dr. Peset., Valencia, Spain, 6Hosp. Rio Carrion, Palencia, Spain, 7Rheumatology Department,, Hospital Universitario Virgen del Rocío, Sevilla, Spain, 8Ophthalmology Department, Hospital Clínico San Carlos, Madrid, Spain, 9Rheumatology, Complejo Hospitalario de Zamora, Zamora, Spain, 10Rheumatology, Hospital Virgen de la Salud, Toledo, Spain, 11Rheumatology, Hospital Son Llàtzer., Palma de Mallorca., Spain, 12Rheumatology Department. Hospital Universitario Marqués de Valdecilla, Santander, Spain

    Background/Purpose:   Peripheral Ulcerative Keratitis (PUK) is a severe inflammation of the outer portions of the cornea that may be associated with systemic conditions. The…
  • Abstract Number: 2956 • 2016 ACR/ARHP Annual Meeting

    Optimization of Thiopurines with a Xanthine Oxidase Inhibitor in Patients with Autoimmune Systemic Diseases

    Mériem Belhocine1, Aurélie Chapdelaine1, Maxime Doré2, Yves Troyanov3 and Anne-Marie Mansour1, 1medicine, Hôpital du Sacré-Coeur de Montréal, Montréal, QC, Canada, 2Pharmacy, Hôpital du Sacré-Coeur de Montréal, Montréal, QC, Canada, 3Rheumatology, Hôpital du Sacré-Coeur de Montréal, Montréal, QC, Canada

    Background/Purpose: Thiopurines are a mainstay for the treatment of autoimmune diseases. However, in inflammatory bowel diseases (IBD), 14-18 % of patients manifest a skewed metabolism…
  • Abstract Number: 2957 • 2016 ACR/ARHP Annual Meeting

    Primary Central Nervous System Vasculitis Associated with Lymphomas

    Carlo Salvarani1, Robert D. Brown Jr.2, Teresa J. H. Christianson3, Caterina Giannini4, John Huston III5, Stephen M Ansell6 and Gene G. Hunder7, 1Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy, 2Department of Neurology, Mayo Clinic, Rochester, MN, 3Division of Biomedical Statistics & Informatics, Mayo Clinic, Rochester, MN, 4Division of Anatomic Pathology, Mayo Clinic, Rochester, MN, 5Department of Radiology, Mayo Clinic, Rochester, MN, 6Mayo Clinic, Rochester, MN, 7Rheumatology, Mayo Clinic, Rochester, MN

    Background/Purpose:  The occurrence of lymphoma, especially Hodgkin’s lymphoma (HL), in patients with primary central nervous system vasculitis (PCNSV) has been reported but is considered uncommon. The…
  • Abstract Number: 2958 • 2016 ACR/ARHP Annual Meeting

    Hypocomplementemic Urticarial Vasculitis (HUV) Syndrome in Two Geographically Defined Populations of Sweden

    Christopher Sjöwall1, Thomas Mandl2 and Aladdin Mohammad3,4, 1Linköping University, Department of Clinical and Experimental Medicine Rheumatology/AIR, Linköping, Sweden, 2Department of Clinical Sciences Malmö, Lund University, Skåne University Hospital, Rheumatology, Malmö, Sweden, Malmö, Sweden, 3Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Rheumatology, Lund, Sweden, Lund, Sweden, 4Addenbrooke’s Hospital, Vasculitis and Lupus Clinic, Cambridge, UK, Cambridge, United Kingdom

    Background/Purpose: Since first described by McDuffie et al. in 1973, hypocomplementemic urticarial vasculitis (HUV) syndrome has been recognized as a specific autoimmune disorder involving at…
  • Abstract Number: 2959 • 2016 ACR/ARHP Annual Meeting

    Baseline Endothelial Dysfunction Might Predict Immunosuppressive Need in Young, Male Behcet’s Patients with Early Disease: A Prospective Follow-up

    Fatma Alibaz-Oner1, Emrah Karatay2, Belgin Aldag1, I.Nuri Akpınar2, Tulin Ergun3 and Haner Direskeneli4, 1Marmara University, School of Medicine, Rheumatology, Istanbul, Turkey, 2Radiology, Marmara University, School of Medicine, Istanbul, Turkey, 3Marmara University, School of Medicine, Dermatology, Istanbul, Turkey, 4Rheumatology, Marmara University, School of Medicine, Istanbul, Turkey

    Background/Purpose: Major organ involvement, especially in young males, is one of the main causes of mortality and morbidity in Behcet’s Disease (BD). However, the prognosis…
  • Abstract Number: 2960 • 2016 ACR/ARHP Annual Meeting

    Increased Post-Thrombotic Syndrome Is Unassociated with Anticoagulant Use in Vascular Behcet’s Disease

    Fatma Alibaz-Oner1, Belgin Aldag1, Mustafa Aldag2, Ali Ugur Unal1, Aydan Mutiş3, Tayfur Toptas4, Tulin Ergun5 and Haner Direskeneli6, 1Marmara University, School of Medicine, Rheumatology, Istanbul, Turkey, 2Dr.Siyami Ersek Cardiovascular Surgery Hospital,, Istanbul, Turkey, 3Marmara University, School of Medicine, Rheumatology, ISTANBUL, Turkey, 4Marmara University, School of Medicine, Hematology, Istanbul, Turkey, 5Marmara University, School of Medicine, Dermatology, Istanbul, Turkey, 6Rheumatology, Marmara University, School of Medicine, Istanbul, Turkey

    Background/Purpose:  Deep venous thrombosis (DVT) is the most common form of vascular involvement in Behcet’s disease (BD). Chronic post-thrombotic syndrome (PTS) develops frequently in patients…
  • Abstract Number: 2961 • 2016 ACR/ARHP Annual Meeting

    Antiphospoholipid Antibodies in Adult IgA Vasculitis: Aps/PT Antibodies As a Potential Marker of Renal Involvement?

    Alojzija Hocevar, Jaka Ostrovrsnik, Polona Žigon, Sašša Čučnik, Ziga Rotar and Matija Tomšič, Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Background/Purpose: Increased prevalence of IgA aCL and anti-PS/PT antibodies has been described in adult IgAV, making them potential markers of disease activity1. The aim of our…
  • Abstract Number: 2962 • 2016 ACR/ARHP Annual Meeting

    Expression Profile of Chemokines Is Skewed to Th17/Th22 Recruitment in Circulation of Patients with Behcet’s Disease

    Hidekata Yasuoka and Tsutomu Takeuchi, Keio University School of Medcine, Division of Rheumatology, Department of Internal Medicine, Tokyo, Japan

    Background/Purpose: Behcet’s disease (BD) is an inflammatory disease characterized by ocular, mucosal and skin lesions. However, the pathogenesis of BD is still unknown. Characteristics of…
  • Abstract Number: 2963 • 2016 ACR/ARHP Annual Meeting

    BehçEt’s Disease in Children: Eastern Mediterranean Experience

    Hafize Emine Sonmez1, Ezgi Deniz Batu1, Betul Sozeri2, Yonatan Butbul Aviel3, Yelda Bilginer4 and Seza Ozen5, 1Pediatric Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 2Pediatric Rheumatology, Erciyes University Faculty of Medicine, Kayseri, Turkey, 3Pediatric Rheumatology, Rambam Medical Center, Haifa, Israel, 4Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, ANKARA, Turkey, 5Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Background/Purpose: Behçet’s disease (BD) is a variable vessel vasculitis which is more common in adults. The most widely used diagnostic criteria for adult onset disease…
  • Abstract Number: 2964 • 2016 ACR/ARHP Annual Meeting

    Thromboangiitis Obliterans (Buerger’s disease) : An Observational Study of 174 Patients

    Alexandre LE JONCOUR1, Simon Soudet2, Hélène Maillard2, Fabien Koskas3, Philippe Cluzel4, Eric Hachulla5, Pierre-Yves Hatron5, Patrice Cacoub1, Marc Lambert2 and David Saadoun1, 1Assistance Publique-Hôpitaux de Paris (AP-HP), Groupe Hospitalier Pitié-Salpêtrière, Département de Médecine Interne et d’Immunologie clinique, DHU i2B, Inflammation, Immunopathologie, Biothérapie, Université Pierre et Marie Curie, Paris 6, Paris, France, Paris, France, 2Department of internal medecine, Hôpital Claude Huriez, CHRU Lille, France, Lille, France, 3Department of vascular surgery, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France, 4Department of cardiovascular imagery, Assistance Publique-Hôpitaux de Paris (AP-HP), Groupe Hospitalier Pitié Salpétrière, 83 Boulevard de l'Hôpital, 75013, Paris, France., Paris, France, 5CHU Lille, Département de Médecine Interne et Immunologie Clinique, F-59000 Lille, France, Lille, France

    Background/Purpose: Buerger’s disease or thromboangiitis obliterans (TAO) is a nonatherosclerotic segmental inflammatory disease of small- and medium-sized arteries of the distal extremities. This disease mainly…
  • Abstract Number: 2965 • 2016 ACR/ARHP Annual Meeting

    Late-Onset Relapse in Patients with Systemic Vasculitis

    Rennie L. Rhee1, Natasha Dehghan2, Antoine G. Sreih3, David Cuthbertson4, Simon Carette5, Gary S. Hoffman6, Nader A. Khalidi7, Curry L. Koening8, Jeffrey Krischer9, Carol A. Langford10, Carol A. McAlear11, Paul A. Monach12, Larry W. Moreland13, Christian Pagnoux14, Philip Seo15, Ulrich Specks16, Steven R. Ytterberg17 and Peter A. Merkel18, 1Rheumatology, University of Pennsylvania, Philadelphia, PA, 2University of British Columbia, Vancouver, BC, Canada, 3Rheumatology, The University of Pennsylvania, Philadelphia, PA, 4Biostatistics and Informatics, Department of Pediatrics, University of South Florida, Tampa, FL, 5Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 6Rheumatology, Cleveland Clinic, Cleveland, OH, 7McMaster University, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada, 8Rheumatology, University of Utah, Salt Lake City, UT, 9University of South Florida, Tampa, FL, 10Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 11University of Pennsylvania, Philadelphia, PA, 12Rheumatology, Boston University School of Medicine, Boston, MA, 13Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 14Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 15Medicine, Johns Hopkins University, Baltimore, MD, 16Mayo Clinic, Rochester, MN, 17Rheumatology, Mayo Clinic, Rochester, MN, 18Division of Rheumatology, Univ of Pennsylvania; Perelman School of Med, Philadelphia, PA

       Background/Purpose: Little is known about the incidence of late-onset relapse in systemic vasculitis. This study examined the incidence of relapse < 2 years and ≥ 2…
  • Abstract Number: 2966 • 2016 ACR/ARHP Annual Meeting

    Assessment of Damage in Behcet’s Disease: Do We Need a Specific Damage Index?

    Ali Ugur Unal1, Hale Gulcin Yildirim2, Ceylan Cikikci2, Gulsen Ozen3, Nevsun Inanc3, Pamir Atagunduz3, Tulin Ergun4 and Haner Direskeneli5, 1Marmara University, School of Medicine, Rheumatology, Istanbul, Turkey, 2Marmara University Faculty of Medicine, Istanbul, Turkey, 3Department of Rheumatology, Marmara University Faculty of Medicine, Istanbul, Turkey, 4Marmara University, School of Medicine, Dermatology, Istanbul, Turkey, 5Rheumatology, Marmara University, School of Medicine, Istanbul, Turkey

    Background/Purpose: Behcet’s Disease (BD) is a systemic vasculitis characterized by involvement of vessels of any size and type. In the course systemic vasculitis, it is…
  • Abstract Number: 2967 • 2016 ACR/ARHP Annual Meeting

    Identifying Core Domains for BehçEt’s Syndrome Trials: An International Physician and Patient Delphi Exercise

    Alexa Meara1, Yesim Ozguler2, Alfred Mahr3, Haner Direskeneli4, Ahmet Gul5, Yusuf Yazici6, Hasan Yazici2, Peter A. Merkel7 and Gulen Hatemi2, 1Internal Medicine/Rheumatology, The Ohio State University, Columbus, OH, 2Istanbul University, Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey, 3Hospital Saint-Louis, Paris, France, 4Rheumatology, Marmara University, School of Medicine, Istanbul, Turkey, 5Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 6Rheumatology, New York University Medical Center, La Jolla, CA, 7Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: An unmet need for reliable, validated, and widely accepted outcome measures for trials in BehetÕs syndrome (BS) was identified through: i) a systematic review;…
  • Abstract Number: 2968 • 2016 ACR/ARHP Annual Meeting

    Efficacy of Anti-TNF Alpha in Severe and Refractory Cardiovascular Involvement  of Behcet’s Disease: A Multicenter Observational Study of 18 Patients

    Anne-Claire Desbois1, Olga Addimanda2, Marc Lambert3, Eric Hachulla3, F. Ackermann4, Benjamin subran5, Arnaud Hot6, Francois Maurier7, christelle mausservey8, Fanny Bernard9, tristan mirault10, Fleur Cohen11, Laurent Perard12, Gaelle Leroux13, nicolas champtiaux14, Patrice Cacoub15 and David Saadoun16, 1Hôpital Pitié-Salpêtrière, Internal Medicine and Clinical Immunology, Paris, France, 2Rheumatology Unit, Istituto Ortopedico Rizzoli, Bologna, Italy, 3CHU Lille, Département de Médecine Interne et Immunologie Clinique, F-59000 Lille, France, Lille, France, 4internal medicine, Hopital Foch, Suresnes, France, 5hopital foch, suresnes, France, 6Internal Medicine, Hopital Edouard Herriot, Lyon, France, 7Department of Internal Medicine, HP Metz Belle Isle Hospital, Metz, France, 8CH Chalon sur saone, Chalon sur saone, France, 9CHU Marseille, marseille, France, 10HEGP, paris, France, 11Internal Medicine Dpt 2, Pitié-Salpêtrière Hospital, APHP, Paris, France, 12Hôpital Edouard Herriot, Lyon, France, 13Department of Internal Medicine and Clinical Immunology, Hospital University Department: inflammation, immunopathology and biotherapy (DHU i2B), DHU 2iB Internal Medicine Referal Center for Autoimmune diseases Pitie Hospital, Paris, France, 14Pitié SAlpétrière, paris, France, 15Department of Internal Medicine, Pitié-Salpêtrière Hospital, Paris, France, 16Department 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

    Background/Purpose: In Behçet's disease (BD), vascular complications affect more than 30% patients. Cardiovascular involvement is the main cause of death, especially for pulmonary or aortic…
  • Abstract Number: 2969 • 2016 ACR/ARHP Annual Meeting

    10 Year Retrospective Analysis of 276 Cases of Histopathologically Confirmed Leukocytoclastic Vasculitis

    Shazdeh Butt1 and Thomas Olenginski2, 1Rheumatology, Geisinger Medical Center, Danville, PA, 2Department of Rheumatology, Geisinger Medical Center, Danville, PA

    Background/Purpose: We identified leukocytoclastic vasculitis (LCV) patients seen over 10 years at our institution.  Aims included 1) define cause; 2) record lab, imaging, and ancillary…
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