ACR Meeting Abstracts

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  • Abstract Number: 3166 • 2015 ACR/ARHP Annual Meeting

    Epistatic Interaction of Functional Inflammasome Genetic Variants in Determining the Risk of Gout

    Tony R. Merriman1, Lisa K. Stamp2, Nicola Dalbeth3, Ruth Topless4, Richard Day5, Diluk Kannangara5, Kenneth Williams5, Matthijs Janssen6, Tim Jansen7, Leo A. Joosten8, Timothy Radstake9, Philip L. Riches10, Anne-Kathrin Tausche11, Frederic Lioté12, Alex So13,14 and Cushla McKinney4, 1Biochemistry Dept, PO Box 56, University of Otago, Dunedin, New Zealand, 2Medicine, University of Otago, Christchurch, Christchurch, New Zealand, 3Department of Medicine, University of Auckland, Auckland, New Zealand, 4University of Otago, Dunedin, New Zealand, 5University of New South Wales, Sydney, Australia, 6Rheumatology Dept, Ziekenhuis Rijnstate, Arnhem, Netherlands, 7P O Box 581, Haarlem, Netherlands, 8Department of Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 9Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 10Centre for Genomic and Experimental Medicine, Western General Hospital, Edinburgh, United Kingdom, 11Medizinische Klinik und Poliklinik III, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany, 12Rheumatology Department; Inserm UMR-S606; Paris-Diderot University, hôpital Lariboisiere, Paris, France, 13Service De Rhumatologie, CHUV, Lausanne, Switzerland, 14Department of Rheumatology, CHUV, Lausanne, Switzerland

    Background/Purpose: The acute gout flare results from a localised self-limiting innate immune response to monosodium urate (MSU) crystals deposited in joints in hyperuricaemic individuals. Activation…
  • Abstract Number: 3167 • 2015 ACR/ARHP Annual Meeting

    Association of the Apolipoprotein A1-C3-A4 Gene Cluster with the Risk of Gout: Evidence for a Causal Role in Gout

    Tony R. Merriman1, Amanda Phipps-Green2, Ruth Topless2, Malcolm D. Smith3, Catherine Hill4, Susan Lester4, Maureen Rischmueller5, Matthijs Janssen6, Tim Jansen7, Leo A. Joosten8, Timothy Radstake9, Philip L. Riches10, Anne-Kathrin Tausche11, Frederic Lioté12, Alex So13,14, Andre M. van Rij2, Gregory T. Jones15, Sally McCormick16, Andrew Harrison2, Lisa K. Stamp17, Nicola Dalbeth18 and Humaira Rasheed16, 1Biochemistry Dept, PO Box 56, University of Otago, Dunedin, New Zealand, 2University of Otago, Dunedin, New Zealand, 3Rheumatology, Repatriation General Hospital, Adelaide, Australia, 4Rheumatology Unit, The Queen Elizabeth Hospital, Woodville, Australia, 5Rheumatology, Queen Elizabeth Hospital, Adelaide, Australia, 6Rheumatology Dept, Ziekenhuis Rijnstate, Arnhem, Netherlands, 7P O Box 581, Haarlem, Netherlands, 8Department of Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 9Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 10Centre for Genomic and Experimental Medicine, Western General Hospital, Edinburgh, United Kingdom, 11Medizinische Klinik und Poliklinik III, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany, 12Rheumatology Department; Inserm UMR-S606; Paris-Diderot University, hôpital Lariboisiere, Paris, France, 13Service De Rhumatologie, CHUV, Lausanne, Switzerland, 14Department of Rheumatology, CHUV, Lausanne, Switzerland, 15Surgery, University of Otago, Dunedin, New Zealand, 16Department of Biochemistry, University of Otago, Dunedin, New Zealand, 17Medicine, University of Otago, Christchurch, Christchurch, New Zealand, 18Department of Medicine, University of Auckland, Auckland, New Zealand

    Background/Purpose: Gout is caused by an inflammatory response to monosodium urate (MSU) crystals and is associated with elevated triglyceride and very low density lipoprotein levels.…
  • Abstract Number: 3168 • 2015 ACR/ARHP Annual Meeting

    How Strong Cardiovascular Risk Factor Are Gouty Tophi?

    Rada Gancheva1, Atanas Kundurdjiev2, Mariana Ivanova1, Todor Kundurzhiev3 and Zlatimir Kolarov4, 1University Hospital "St. Iv. Rilski", Clinic of Rheumatology, Sofia, Bulgaria, 2University Hospital "Alexandrovska", Clinic of Nephrology, Sofia, Bulgaria, 3Medical University, Faculty of Public Health, Sofia, Bulgaria, 4Clinic of Rheumatology, University Hospital "St. Iv. Rilski", Clinic of Rheumatology, Sofia, Bulgaria

    Background/Purpose: We have not found a study determining cardiovascular (CV) risk in the different stages of gout. This led us to use a complex multimodal…
  • Abstract Number: 3169 • 2015 ACR/ARHP Annual Meeting

    Diagnostic Value of Ultrasound for the Diagnosis of Gout in a Prospective Cross-Sectional Study

    Alexis Ogdie-Beatty1, William J. Taylor2, Tuhina Neogi3, Jaap Fransen4, Tim Jansen5, H. Ralph Schumacher Jr.6 and Nicola Dalbeth7, 1Medicine/Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Department of Medicine, University of Otago Wellington, Wellington, New Zealand, 3Clinical Epidemiology, BUSM, Boston, MA, 4Rheumatology, Radboud University Medical Centre, Nijmegen, Netherlands, 5P O Box 581, Haarlem, Netherlands, 6Medicine, Rheumatology, U Penn & VA Med Ctr, Philadelphia, PA, 7Department of Medicine, University of Auckland, Auckland, New Zealand

    Background/Purpose: Musculoskeletal ultrasound (US) is a non-invasive option for diagnosing gout. However, little is known about the test characteristics of US for the diagnosis of…
  • Abstract Number: 3170 • 2015 ACR/ARHP Annual Meeting

    Peripheral Osteoblastogenesis in Rheumatoid Arthritis Is Enhanced after TNF Blocker Treatment, Irrespective of Systemic Inflammation

    Mie Jin Lim1, Won Park2, Seong-Ryul Kwon2, Kyong-Hee Jung2 and Min Jung Son3, 1Division of Rheumatology, Department of Internal Medicine,, Inha University Hospital, Incheon, South Korea, 2Division of Rheumatology, Department of Internal Medicine, Inha University Hospital, Incheon, South Korea, 3Inha University Hospital, Incheon, South Korea

    Background/Purpose: We investigated osteoclastogenesis and osteoblastogenesis in peripheral blood before and 6 months after TNF blocker treatment in seropositive RA patients. Methods:            Seventeen seropositive…
  • Abstract Number: 3171 • 2015 ACR/ARHP Annual Meeting

    Combination Therapy with Denosumab and Biologic DMARD Associated with Higher Risk of Serious Infections Compared to Denosumab Alone and Biologic DMARD Alone

    Ivana Parody1, Luis Arias-Urdaneta2, Ricardo Garcia Alemany2 and Carlos Sesin2, 1Internal Medicine, Mount Sinai Medical Center, Miami Beach, FL, 2Vanguard Rheumatology Partners, Miami Beach, FL

    Background/Purpose: Patients with RA and other rheumatologic disorders are at increased risk for osteoporotic fractures. Biologic DMARDs are an important treatment option for these patients.…
  • Abstract Number: 3172 • 2015 ACR/ARHP Annual Meeting

    Effect of Anti Citrullinated Protein Antibodies on Periarticular and Systemic Bone Mass in Early Arthritis Patients

    Irene Llorente Cubas*1, Leticia Merino-Meléndez2, Ana M. Ortiz Garcia2, Eugenio Escolano3, Teresa Velasco1, Elena García2, Esther Vicente-Rabaneda2, Alberto Garcia-Vadillo4, Rosario Garcia-Vicuña4, Isidoro González-Alvaro*2 and Santos Castañeda*2, 1Rheumatology, H.U La Princesa, Madrid, Spain, 2Rheumatology, H.U. La Princesa, Madrid, Spain, 3Radiology Department, H.U La Princesa, Madrid, Spain, 4Rheumatology, Hospital Universitario de La Princesa. IIS La Princesa, Madrid, Spain

    Background/Purpose: Recently it has been described that anti citrullinated protein antibodies (ACPA) can induce differentatiomn and activation of osteoclasts even before arthritis onset (1,2). The…
  • Abstract Number: 3173 • 2015 ACR/ARHP Annual Meeting

    Premature Mortality Due to Fractures in a Population-Based Prospective Cohort Study of 238,673 Older Women and Men

    Lyn March1, Weiwen Chen2, Judy M Simpson3, Fiona Blyth4 and Jacqueline Center2, 1Department of Rheumatology, Northern Clinical School, Institute of Bone and Joint Research, Kolling Institute, University of Sydney & Department of Rheumatology, Royal North Shore Hospital, St Leonards, Sydney, Australia, 2Endocrinology, Osteoporosis & Bone Biology Garvan Institute of Medical Research, St Vincent's Clinical School, UNSW, Darlinghurst, Australia, 3Statistics, University of Sydney School of Public Health, Sydney, Australia, 4Concord Clinical School University of Sydney and Sax Institute, Sydney, Australia

    Background/Purpose: Osteoporotic (OP) fractures and falls are a growing global problem as the population ages. One third of all falls related deaths are attributable to…
  • Abstract Number: 3174 • 2015 ACR/ARHP Annual Meeting

    Vitamin D Binding Protein and Tenofovir-Associated Bone Loss Among Individuals with HIV

    Evelyn Hsieh1,2, Liana Fraenkel1, Weibo Xia3, Yang Han2, Michael Yin4, Karl Insogna5, Ting Zhu2 and Taisheng Li2, 1Section of Rheumatology, Yale School of Medicine, New Haven, CT, 2Department of Infectious Diseases, Peking Union Medical College Hospital, Beijing, China, 3Department of Endocrinology, Peking Union Medical College Hospital, Beijing, China, 4Division of Infectious Diseases, Columbia University Medical Center, New York, NY, 5Section of Endocrinology, Yale School of Medicine, New Haven, CT

    Background/Purpose: Antiretroviral regimens containing tenofovir disoproxil fumarate (TDF) have been associated with decreases in bone mineral density, and elevations in bone turnover markers (BTM) and…
  • Abstract Number: 3175 • 2015 ACR/ARHP Annual Meeting

    Strength at the Lumbar Spine and Hip Improves with Romosozumab Compared with Teriparatide in Postmenopausal Women with Low Bone Mass

    TM Keaveny1, DB Crittenden2, MA Bolognese3, HK Genant4, K Engelke5, B Oliveri6, JP Brown7, BL Langdahl8, YC Yang2, A Grauer2 and C Libanati9, 1UC Berkeley, Berkeley and O.N. Diagnostics, Berkeley, CA, 2Amgen Inc., Thousand Oaks, CA, 3The Bethesda Health Research Center, Bethesda, MD, 4UCSF & Synarc Inc., San Francisco, CA, 5Synarc Germany, Hamburg, Germany, 6Hospital de Clínicas, INIGEM, Buenos Aires, Argentina, 7Laval University and CHU de Québec (CHUL) Research Centre, Québec City, QC, Canada, 8Aarhus University Hospital, Aarhus, Denmark, 9UCB Pharma, Brussels, Belgium

    Background/Purpose: Romosozumab is a bone-forming agent that inhibits sclerostin. In a phase 2 study (NCT00896532), 12 months of romosozumab increased DXA bone mineral density (BMD)…
  • Abstract Number: 3176 • 2015 ACR/ARHP Annual Meeting

    New Prospects for Interpreting Bony Depressions in Juvenile Idiopathic Arthritis: A Novel MRI Computer-Assisted Technique for Detection of Erosive Progression

    Pieter van Dijkhuizen1,2, Carlotta Covizzi1, Andrea Schiappacasse3, Michela Moraldo4, Matteo Santoro5, Francesca Magnaguagno6, Gianmichele Magnano7, Alberto Martini1,4 and Clara Malattia1,4, 1Istituto G Gaslini, Pediatria II, Reumatologia, Genova, Italy, 2UMC Utrecht, Wilhelmina Children’s Hospital, Pediatric rheumatology, Utrecht, Netherlands, 3DIBRIS Università degli studi di Genova, Genova, Italy, 4DINOGMI Università degli studi di Genova, Genova, Italy, 5Camelot Biomedical Systems, Genova, Italy, 6Istituto G Gaslini, UO Radiologia Pediatrica, Genoa, Italy, 7Istituto G Gaslini, UO Radiologia Pediatrica, Genova, Italy

    Background/Purpose: Structural damage is the main disease outcome to be avoided in JIA. The gold standard to assess joint damage in JIA is X-ray, which…
  • Abstract Number: 3177 • 2015 ACR/ARHP Annual Meeting

    Whole-Body MRI: A Valuable Diagnostic Tool for the Assessment of Disease Damage in Juvenile Dermatomyositis

    Clara Malattia1, Agnese Beltramo1, Isabella Buffoni1, Annalisa Madeo1, Francesca Magnaguagno2, Stefania Viola1 and Alberto Martini1,3, 1Istituto G Gaslini, Pediatria II, Reumatologia, Genova, Italy, 2Istituto G Gaslini, UO Radiologia Pediatrica, Genoa, Italy, 3Pediatria, Istituto G Gaslini, Pediatria II, Reumatologia, Genova, Italy

    Background/Purpose: Although the prognosis of JDM has significantly improved during the past decade, some patients still experience persistent active disease, which potentially leads to irreversible…
  • Abstract Number: 3178 • 2015 ACR/ARHP Annual Meeting

    Tocilizumab in Refractory Uveitis Associated to Juvenile Idiopathic Arthritis. Multicenter Study of 13 Cases

    Montserrat Santos-Gómez1, Vanesa Calvo-Río1, Ricardo Blanco1, Inmaculada Calvo2, Marina Mesquida3, Alfredo Adan3, M. Victoria Hernández4, Olga Maiz Alonso5, Antonio Atanes-Sandoval6, Beatriz Bravo7, Consuelo Modesto8, Gisela Diaz Soriano9, Javier Loricera1, Leyre Riancho-Zarrabeitia1, Natalia Palmou1 and Miguel Angel Gonzalez-Gay1, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL, Santander, Spain, 2Rheumatology, Hospital La Fe, Valencia, Spain, 3Ophthalmology, Hospital Clinic, Barcelona, Spain, 4Arthritis Unit, Rheumatology, Hospital Clinic, Barcelona, Spain, 5Rheumatology, Donostia University Hospital, Donostia, Spain, 6Rheumatology, Complejo Hospitalario Universitario de La Coruña, La Coruña, Spain, 7Rheumatology, Hospital Universitario HUVN, Granada, Spain, 8Rheumatology, Hospital HSLL, Palma de Mallorca, Spain, 9Rheumatology, Hospital Regional Universitario de Málaga, Málaga, Spain

    Background/Purpose:   To assess the efficacy of Tocilizumab (TCZ) in refractory uveitis associated to juvenile idiopathic arthritis (JiA).Methods: Multicenter study of uveitis related to JiA…
  • Abstract Number: 3179 • 2015 ACR/ARHP Annual Meeting

    Diagnosing Childhood Small Vessel CNS Vasculitis

    Marinka Twilt1, Maryam Nabavi Nouri2, Pascal N. Tyrrell3, Anastasia Dropol1, Shehla Sheikh4, Cynthia Hawkins5 and Susanne Benseler6,7, 1Rheumatology, Alberta Children's Hospital, Calgary, AB, Canada, 2Neurology, The Hospital for Sick Childern, Toronto, ON, Canada, 3Department of Medical Imaging, University of Toronto, Toronto, ON, Canada, 4Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 5Paediatric Laboratory Medicine, The Hospital for Sick Children, Toronto, ON, Canada, 6Alberta Children's Hospital Research Institute/University of Calgary, Calgary, AB, Canada, 7Pediatrics/Alberta Children's Hospital, Department of Pediatrics/University of Calgary, Calgary, AB, Canada

    Background/Purpose: Childhood primary small vessel CNS vasculitis (SVcPACNS) is an increasingly recognized inflammatory brain disease with high morbidity and mortality mandating an elective brain biopsy…
  • Abstract Number: 3180 • 2015 ACR/ARHP Annual Meeting

    Mesenchymal Stromal Cell Treatment in Juvenile Idiopathic Arthritis: A Pilot Study

    Joost Swart1, Nico Wulffraat2, Berent J. Prakken3, Ineke Slaper-Cortenbach4 and Caroline Lindemans5, 1PO Box 85090, UMC Utrecht, Utrecht, Netherlands, 2University Medical Center Utrecht, Utrecht, Netherlands, 3University Medical Center, Utrecht, Netherlands, 4Cell Therapy Facility, University Medical Center Utrecht, Utrecht, Netherlands, 5Pediatric Immunology, Wilhelmina Children's Hospital/ UMC Utrecht, Utrecht, Netherlands

    Background/Purpose: Juvenile Idiopathic Arthritis (JIA) is a frequent childhood disease with a prevalence of 1 per 1000 children. The introduction of the biological agents including…
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