ACR Meeting Abstracts

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  • Abstract Number: 2970 • 2015 ACR/ARHP Annual Meeting

    Primary Care Assessment of Capillaroscopy Abnormalities in Patients with Raynaud’s Phenomenon

    Rebecca Overbury1, Maureen Murtaugh2, Aryeh Fischer3 and Tracy M. Frech4, 1Internal Medicine and Pediatrics, University of Utah, Salt Lake City, UT, 2Internal Medicine-Division of Epidemiology, University of Utah School of Medicine, SLC, UT, 3University of Colorado School of Medicine, Aurora, CO, 4Div of Rheumatology, University of Utah Medical Ctr, Salt Lake City, UT

    Background/Purpose: Raynaud’s phenomenon is a clinical symptom that can commonly present to a primary care provider or generalist. Proper identification of an underlying connective tissue…
  • Abstract Number: 2971 • 2015 ACR/ARHP Annual Meeting

    Raynaud Phenomenon Subjects with Abnormal Capillary Dilations Show a Risk Threshold Diameter Value for the Transition to the Capillaroscopic Early� Scleroderma Pattern: A Case Control Study

    Maurizio Cutolo1, Carmen Pizzorni2, Marianna Meroni2, Vanessa Smith3, Sabrina Paolino2, Barbara Ruaro2, Alberto Sulli2, Bruno Seriolo2 and Amelia Chiara Trombetta2, 1Department of Internal Medicine, University of Genova, Genova, Italy, Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genova, Italy, 2Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genova, Italy, 3Department of Rheumatology, Ghent University Hospital, Ghent University, Ghent, Belgium

    Background/Purpose: Nailfold Video Capillaroscopy (NVC) is a reliable method to qualitatively differentiate Primary (PRP) from Secondary Raynaud Phenomenon (SRP) through diagnosis of the “early scleroderma…
  • Abstract Number: 2972 • 2015 ACR/ARHP Annual Meeting

    Cardiopulmonary Exercise Testing in Patients with Systemic Sclerosis: Unexplored Mechanisms of Dyspnea

    Sara R. Schoenfeld1, George Alba2, Josanna Rodriguez-Lopez3, Richard N. Channick3, Flavia V. Castelino4 and Marcy B. Bolster4, 1Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Department of Pulmonary and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Pulmonary and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Rheumatology, Allergy, Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Patients with systemic sclerosis (SSc) experience dyspnea for multiple reasons. Cardiopulmonary exercise testing (CPET), an important tool in the evaluation of undifferentiated dyspnea, provides…
  • Abstract Number: 2973 • 2015 ACR/ARHP Annual Meeting

    Exercise Intolerance Evaluated By Invasive Cardiopulmonary Exercise Testing in Connective Tissue Disease: Beyond Pulmonary Hypertension

    Rudolf Oliveira1,2, David Systrom2, Julie Tracy2, Abbey Karin2, Aaron Waxman2, Paul Dellaripa3 and Paul Hoover3, 1Medicine, Division of Respiratory Disease, Federal University Of São Paulo, São Paulo, Brazil, 2Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, 3Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Exercise intolerance is common in patients with connective tissue disease (CTD) and may be related to pulmonary hypertension (PH). However, determining the exact etiology…
  • Abstract Number: 2974 • 2015 ACR/ARHP Annual Meeting

    Insulin Resistance Is Associated with the Digital Ulcer in Patients with Systemic Sclerosis

    Seung-Geun Lee1, Eun-Kyoung Park2, Dong-Wan Koo2, Geun-Tae Kim3, Hee-Sang Tag3 and Joung-Wook Lee4, 1Division of Rheumatology, Department of Internal Medicine, Busan National University School of Medicine, Busan, South Korea, 2Division of Rheumatology, Department of Internal Medicine, Pusan National University School of Medicine, Busan, South Korea, 3Division of Rheumatology, Department of Internal Medicine, Kosin University College of Medicine, Busan, South Korea, 4Divsion of Rheumatology, Department of Internal Medicine, Busan St. Marys center, Busan, South Korea

    Background/Purpose: Growing evidence supports the view that systemic sclerosis (SSc) is a vascular disease mediated by autoimmunity and evolving into progressive tissue fibrosis. Several vascular…
  • Abstract Number: 2975 • 2015 ACR/ARHP Annual Meeting

    Induced Sputum Analysis in Systemic Sclerosis Patients

    Irena Litinsky1, Elizabeth Fireman2, Ari Polachek1, Adi Broyde1, Amir Sharabi1, Marina Anouk1, Daphna Paran1 and Ori Elkayam1, 1Rheumatology, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, 2Institute of Pulmonary and Allergic Diseases, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Background/Purpose: Induced sputum (IS) is a noninvasive tool, aimed at collecting cellular and soluble materials from lung airways. IS is well accepted by patients, safer…
  • Abstract Number: 2976 • 2015 ACR/ARHP Annual Meeting

    Ambrisentan Dose Migration over 3 Years in Patients with Connective Tissue Disease-Associated Pulmonary Arterial Hypertension (CTD-PAH)

    James Tislow1, Chris Blair2 and Hunter Gillies3, 1Medical Affairs, Gilead Sciences, Inc., Foster City, CA, 2Biostatistics, Gilead Sciences, Inc., Foster City, CA, 3Clinical Research - Cardiovascular, Gilead Sciences, Inc., Foster City, CA

    Background/Purpose:   Pulmonary arterial hypertension (PAH) is an important complication in patients with connective tissue disease and may lead to increased morbidity and early mortality. …
  • Abstract Number: 2977 • 2015 ACR/ARHP Annual Meeting

    A Meta-Analysis of Phosphodiesterase 5 Inhibitors for the Treatment of Raynaud’s Phenomenon

    Janet E. Pope1, Fadumo Rirash2, Paul Tingey3, Sarah Harding4, Lara J. Maxwell5, Jordi Pardo6, Elizabeth Ghogomu7, Peter Tugwell8 and George A. Wells9, 1University of Western Ontario, London, ON, Canada, 2Medicine/Rheumatology, University of Western Ontario, London, ON, Canada, 3Faculty of Medicine, University of Queensland, Brisbane, Australia, 4ERLanger, ERLanger, KY, 5Centre for Global Health, Institute of Population Health, University of Ottawa, Ottawa, ON, Canada, 6University of Ottawa, Ottawa, ON, Canada, 7University of Ottawa, Cochrane Musculoskeletal Group, Ottawa, ON, Canada, 8Center For Global Health, Institute of Population Hlth, Ottawa, ON, Canada, 9Cardiovascular Research Reference Centre, University of Ottawa Heart Institute, Ottawa, ON, Canada

    Background/Purpose: To assess the benefits and harms of phosphodiesterase 5 inhibitors  (PDE5) for the treatment of Raynaud's phenomenon (RP).Methods: The Cochrane library, MEDLINE, EMBASE and Clinicaltrials.gov…
  • Abstract Number: 2978 • 2015 ACR/ARHP Annual Meeting

    Longitudinal Assessment of Gastrointestinal Symptoms in the Prospective Registry of Early Systemic Sclerosis Cohort

    Tracy M. Frech1, Maureen Murtaugh2, Jessica K. Gordon3, Robyn T. Domsic4, Ami A. Shah5, Faye N. Hant6, Shervin Assassi7, Monique E. Hinchcliff8, Elana J. Bernstein9, Virginia D. Steen10, Victoria K. Shanmugam11,12 and Dinesh Khanna13, 1Div of Rheumatology, University of Utah, Salt Lake City, UT, 2University of Utah, Salt Lake, UT, 3Rheumatology, Hospital for Special Surgery, New York, NY, 4Medicine - Rheumatology, University of Pittsburgh, Pittsburgh, PA, 5Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 6Dept of Medicine, Medical University of South Carolina, Charleston, SC, 7Rheumatology, University of Texas Medical School at Houston, Houston, TX, 8Division of Rheumatology, Division of Rheumatology, Northwestern University, Feinberg School of Medicine, Chicago, IL, 9Columbia University, New Yory, NY, 10Rheumatology, Georgetown University Medical Center, Washington, DC, 11Director, Division of Rheumatology, The George Washington University, Washington, DC, 12Division of Rheumatology, The George Washington University, Washington, DC, 13Division of Rheumatology, University of Michigan, Ann Arbor, MI

    Background/Purpose: The Prospective Registry of Early Systemic Sclerosis (PRESS) is a multicenter incident cohort study of patients with early diffuse cutaneous systemic sclerosis (dcSSc; <…
  • Abstract Number: 2979 • 2015 ACR/ARHP Annual Meeting

    Laser Speckled Imaging and Videomicroscopy Assessment of Sublingual Perfusion in Systemic Sclerosis and Healthy Controls

    Mark Sievert1, Daniel R. Machin2, Anthony J. Donato2, Maureen Murtaugh3, John D. Pauling4, Robyn T. Domsic5, Lee S. Shapiro6 and Tracy M. Frech7, 1University of Utah, Salt Lake City, UT, 2University of Utah and Salt Lake Veterans Affair Medical Center, Salt Lake, UT, 3University of Utah, Salt Lake, UT, 4Upper Borough Walls, Royal National Hospital for Rheumatic Disease, Bath, United Kingdom, 5Medicine - Rheumatology, University of Pittsburgh, Pittsburgh, PA, 6Steffens Scleroderma Center, Albany, NY, 7Div of Rheumatology, University of Utah, Salt Lake City, UT

    Background/Purpose: Our group has previously described the sublingual frenulum abnormalities in systemic sclerosis (SSc, scleroderma).   The goal of this project was to assess microvascular abnormalities…
  • Abstract Number: 2980 • 2015 ACR/ARHP Annual Meeting

    Assessment of Sublingual Frenulum Perfusion in Systemic Sclerosis

    Tracy M. Frech1, Daniel R. Machin2, Phillip E. Gates2, Robyn T. Domsic3, Lee S. Shapiro4, John D. Pauling5 and Anthony J. Donato2, 1Div of Rheumatology, University of Utah, Salt Lake City, UT, 2University of Utah and Salt Lake Veterans Affair Medical Center, Salt Lake, UT, 3Medicine - Rheumatology, University of Pittsburgh, Pittsburgh, PA, 4Steffens Scleroderma Center, Albany, NY, 5Upper Borough Walls, Royal National Hospital for Rheumatic Disease, Bath, United Kingdom

    Background/Purpose: SSc is characterized by vasculopathy that precedes fibrosis and progresses to end-stage vascular manifestations such as malnutrition due to gastro-intestinal tract (GIT) involvement. Clinical…
  • Abstract Number: 2981 • 2015 ACR/ARHP Annual Meeting

    Measurement of Tissue Damage in Scleroderma Using Digital Mammographic Xrays: A Proof of Concept Study

    John Highton1, Terence Doyle2 and Simon Stebbings3, 1Dept of Medicine, University of Otago, Dunedin, New Zealand, 2Medicine, University of Otago, Dunedin, New Zealand, 3Dunedin School of Medicine, University of Otago, Dunedin, New Zealand

    Background/Purpose: We have used digital mammographic soft tissue Xrays of the fingers from patients with Scleroderma and related conditons to show damage related to the…
  • Abstract Number: 2982 • 2015 ACR/ARHP Annual Meeting

    Blood Perfusion in Different Skin Areas of Hands in Primary Raynaud’s Phenomenon and Systemic Sclerosis Patients

    Alberto Sulli1, Barbara Ruaro1, Amelia Chiara Trombetta1, Vanessa Smith2, Carmen Pizzorni1, Sabrina Paolino1 and Maurizio Cutolo1, 1Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, IRCCS A.O.U. San Martino-IST, University of Genova, Genoa, Italy, Genoa, Italy, 2Department of Rheumatology, Ghent University Hospital, Ghent University, Ghent, Belgium

    Background/Purpose: Peripheral blood perfusion is reduced in patients affected by both primary (PRP) or secondary Raynaud’s phenomenon (SRP) (1-2). The objective of this study was…
  • Abstract Number: 2984 • 2015 ACR/ARHP Annual Meeting

    Scleroderma Bronchoalveolar Lavage Fluid Thrombin Activity:  Correlation with Pulmonary Function

    Merrideth Ashley Morris1, Tanjina Akter2, Paul Nietert3, Galina S. Bogatkevich2 and Richard Silver4, 1Medical University of South Carolina, Charleston, SC, 2Division of Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 3Division of Public Health Science, Medical University of South Carolina, Charleston, SC, 4Division of Rheumatology and Immunology, Medical University of South Carolina, Charleston, SC

    Background/Purpose: Multiple lines of evidence identify thrombin as an important mediator of lung fibrosis in systemic sclerosis (SSc).  In addition to demonstrating dramatically high levels…
  • Abstract Number: 2985 • 2015 ACR/ARHP Annual Meeting

    Mycophenolate Mofetil (MMF) Use in Systemic Sclerosis (SSc) Patients with a Designation of Elevated Systolic Pulmonary Artery Pressure (sPAP): Forced Vital Capacity (FVC), Outcomes and Survival from the European Scleroderma Trials and Research (EUSTAR) Database

    Lesley Ann Saketkoo1, Dörte Huscher2, Christopher P. Denton3, Gabriela Riemekasten4, Virginia D. Steen5, Oliver Distler6 and EUSTAR member centres, 1Tulane University Lung Center, New Orleans Scleroderma and Sarcoidosis Patient Care and Research Center, New Orleans, LA, 2Charité-University Hospital and German Rheumatism Research Centre, Berlin, Germany, 3Rheumatology and Connective Tissue Diseases, University College London, London, United Kingdom, 4Clinic of Rheumatology, University of Luebeck, Lübeck, Germany, 5Rheumatology, Georgetown University Medical Center, Washington, DC, 6Research of Systemic Autoimmune Diseases, Division of Rheumatology, University Hospital Zurich, 8952 Schlieren, Switzerland

    Background/Purpose : SSc related PH carries a high mortality; with SSc-PH related to restrictive lung disease (RLD) having worse prognosis and more rapid time to…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

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