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  • 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…
  • Abstract Number: 1900 • 2016 ACR/ARHP Annual Meeting

    Anti-Topoisomerase Positive Systemic Sclerosis – Prognosis Infaust?

    Maaike Boonstra1, Gaia A. Beerends2, Hans U. Scherer2, Tom W.J. Huizinga1 and Jeska K. de Vries-Bouwstra1, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Anti-topoisomerase antibodies (ATA) in systemic sclerosis have been associated with poorer prognosis including diffuse skin involvement, pulmonary fibrosis, cardiac involvement and increased mortality. However,…
  • Abstract Number: 1901 • 2016 ACR/ARHP Annual Meeting

    Screening for Pulmonary Arterial Hypertension in an Unselected Prospective Systemic Sclerosis Cohort

    Els Vandecasteele1, Benny Drieghe2, Karin Melsens3, Kristof Thevissen2, Michel De Pauw4, Ellen Deschepper5, Saskia Decuman5, Karolien Bonroy2, Yves Piette6, Filip De Keyser5, Guy Brusselle2 and Vanessa Smith2, 1Dep ofCcardiology, University Hospital Ghent, Ghent, Belgium, 2University Hospital Ghent, Ghent, Belgium, 3Department of Internal Medicine, Ghent University, Ghent, Belgium, 4Dep of cardiology, University Hospital Ghent, Ghent, Belgium, 5Ghent University, Ghent, Belgium, 6Dep of Rheumatology, University Hospital Ghent, Ghent, Belgium

    Background/Purpose: Screening for pulmonary arterial hypertension (PAH) in systemic sclerosis (SSc) improves outcome. The DETECT screening algorithm (DETECT-algorithm) is recommended in a high-risk SSc subgroup.…
  • Abstract Number: 1902 • 2016 ACR/ARHP Annual Meeting

    Detecting the Pulmonary Vascular Involvement and the Changes in Gene Activation Profiles at Early Stage of Systemic Sclerosis in Patients with Raynaud Phenomenon

    Yoshinobu Koyama1, Soichiro Fuke2, Yoshiharu Sato3 and Toshie Higuchi4, 1Division of Rheumatology, Japan Red Cross Okayama Hospital, Okayama, Japan, 2Department of Cardiology, Japan Red Cross Okayama Hospital, Okayama, Japan, 3DNA Chip Research Inc, Yokohama, Japan, 4Center for Autoimmune Diseases, Division of Rheumatology, Japan Red Cross Okayama Hospital, Okayama, Japan

    Background/Purpose: Raynaud phenomenon (RP) is known to precede other disease manifestations of systemic sclerosis (SSc), and classically viewed as reversible vasospasm due to functional changes…
  • Abstract Number: 1903 • 2016 ACR/ARHP Annual Meeting

    Determining Disease Course in Localized Scleroderma: A Prospective Cohort Study

    Jack O'Brien1 and Heidi Jacobe2, 1Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, USA, Dallas, TX, 2Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX

    Background/Purpose:  Localized scleroderma (LS) is characterized by skin sclerosis, producing devastating impairment in those affected. It was previously thought to “burn out” within 5 years,…
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