ACR Meeting Abstracts

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  • Abstract Number: 864 • 2015 ACR/ARHP Annual Meeting

    Anticytokine Autoantibody Profiling in Five Types of Systemic Vasculitis

    Sarthak Gupta1,2, Seema K. Patel2, Mary Blake2, Massimo G. Gadina2, Wanxia L. Tsai2, Simon Carette3, David Cuthbertson4, Gary S. Hoffman5, Nader A. Khalidi6, Curry L. Koening7, Carol A. Langford5, Carol A. McAlear8, Larry W. Moreland9, Paul A. Monach10, Christian Pagnoux3, Philip Seo11, Ulrich Specks12, Antoine G. Sreih13, Steven R. Ytterberg14, Sarah K. Browne1,15, Steven M. Holland1, Mariana J. Kaplan2, Peter A. Merkel16, Peter C. Grayson2 and Vasculitis Clinical Research Consortium, 1Laboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, 2National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 3Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 4Biostatistics and Informatics, Department of Pediatrics, University of South Florida, Tampa, FL, 5Rheumatology, Cleveland Clinic, Cleveland, OH, 6Division of Rheumatology, St. Joseph’s Health Care, McMaster University, Hamilton, ON, Canada, 7Division of Rheumatology, University of Utah, Salt Lake City, UT, 8Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 9Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 10Rheumatology, Boston University School of Medicine, Boston, MA, 11Division of Rheumatology, Johns Hopkins University, Baltimore, MD, 12Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, MN, 13Department of Rheumatology, University of Pennsylvania, Philadelphia, PA, 14Rheumatology Division, Mayo Clinic, Rochester, MN, 15Office of Vaccines Research and Review, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD, 16Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Anticytokine autoantibodies (ACAs) are pathogenic in many hematologic, pulmonary and infectious diseases. Evaluation in autoimmune diseases, including systemic lupus erythematosus (SLE), shows that ACAs…
  • Abstract Number: 865 • 2015 ACR/ARHP Annual Meeting

    Abdominal Visceral Adipose Tissue Measured By Dual Energy X-Ray Absorptiometry (DXA) As a Novel Surrogate Marker of Cardiovascular Risk in Primary Necrotizing Vasculitides

    Bertrand Dunogué1, Karine Briot2, Sami Kolta2, Alexis Regent1, Pascal Cohen1, Alice Berezne1, Xavier Puéchal1, Claire Le Jeunne1, Luc Mouthon1, Christian Roux2, Loïc Guillevin1 and Benjamin Terrier1, 1Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, Paris, France, 2Rheumatology B Department, Hôpital Cochin, Paris, France

    Background/Purpose: Studies have shown a strong prevalence of cardiovascular events among patients with systemic necrotizing vasculitides (SNV). Recent studies indicate that visceral adipose tissue (VAT)…
  • Abstract Number: 866 • 2015 ACR/ARHP Annual Meeting

    High Rate and Bimodal Pattern of Severe Infection in a Selected ANCA Associated Vasculitis Cohort

    Esra Aydın1, Bahtiyar Toz2, Burak Erer2, Mustafa Erelel3, Ahmet Gocmez4, Ahmet Gul5, Murat Inanc2, Lale Ocal5 and Sevil Kamali2, 1Department of Internal Medicine,, istanbul faculty of medicine, istanbul, Turkey, 2Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 3Department of Pulmonology, Istanbul University Istanbul Faculty of Medicine Department of Pulmonology, istanbul, Turkey, 4Department of Radiology, Istanbul University Istanbul Faculty of Medicine, istanbul, Turkey, 5Department of Internal Medicine, Rheumatology Division, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

     Background/Purpose : Increased rate of severe infection (SI) in patients who exposed to immunosuppressive drugs has been a well-known complication in inflammatory rheumatic diseases. However,…
  • Abstract Number: 867 • 2015 ACR/ARHP Annual Meeting

    Simultaneous Measurement of 25-Hydroxyvitamin D and Procalcitonin in Granulomatosis with Polyangiitis (GPA): Differentiation of Activity from Infection?

    Mariana O Perez1, Ricardo M. Oliveira2, Valéria Caparbo3,4, Mauricio Levy-Neto5, Eloisa Bonfá4 and Rosa M R Pereira3, 1Rheumatology Divison, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2RDO Diagnósticos Médicos, São Paulo, Brazil, 3Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 4Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 5Rheumatology DIvision, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

    Background/Purpose: Vitamin D acts as innate and adaptive immune response immunomodulator. 25-hydroxyvitamin D (25OHD) deficiency was reported to be associated with autoimmune diseases flares and…
  • Abstract Number: 868 • 2015 ACR/ARHP Annual Meeting

    Risk Factors for Cytomegalovirus Reactivation in Patients with Antineutrophil Cytoplasmic Antibody -Associated Vasculitis

    Yuichiro Ota1, Yuko Kaneko2, Takahiko Kurasawa3, Kunihiro Yamaoka4, Katsuya Suzuki4 and Tsutomu Takeuchi5, 1Division of Rheumatology, Department of Internal Medicine., Keio University School of Medicine., Tokyo, Japan, 2Division of Rheumatology, Keio University School of Medicine, Tokyo, Japan, 3Division of Rheumatology and Clinical Immunology, Department of Internal Medicine, Saitama Medical Ctr, Kawagoe, Japan, 4Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, 5Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a disease entity characterized by inflammatory cell infiltration and necrosis of blood vessel walls. AAV usually needs…
  • Abstract Number: 869 • 2015 ACR/ARHP Annual Meeting

    Lymphoma in Patients with Granulomatosis with Polyangiitis

    Karin Hjorton1, Erik Hellbacher1, Christer Sundstrom2, Eva Baeckstrom1 and Ann Knight1, 1Department of Medical Sciences, Section of Rheumatology, Uppsala University, Uppsala, Sweden, 2Department of Genetics and Pathology, Uppsala University, Uppsala, Sweden

    Background/Purpose:  The risk of malignancy in patients with Granulomatosis with Polyangiitis (GPA) is increased, as shown in several previous studies. The risk of lymphoma has…
  • Abstract Number: 870 • 2015 ACR/ARHP Annual Meeting

    Development of an Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis Patient-Reported Outcome Measure: Identification of Salient Themes and Candidate Questionnaire Item Development

    Joanna Robson1, Susan Ashdown2, Jill Dawson3, Ebony Easley4, Don Gebhart5, Katherine Kellom6, Georgia Lanier7, Carol McAlear8, Nataliya Milman9, Jacqueline Peck10, Judy A. Shea11, Gunnar Tomasson12, Raashid Luqmani13, Peter F. Cronholm4 and Peter A. Merkel8, 1Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, University of Oxford, Oxford, United Kingdom, 2NONE, Banbury, United Kingdom, 3Nuffield Department of Population Health HSRU, University of Oxford, Oxford, United Kingdom, 4Department of Family Medicine and Community Health, The University of Pennsylvania, Philadelphia, PA, 5NONE, Columbus, OH, 6PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA, United Kingdom, 7NONE, Framingham, MA, 8Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 9Division of Rheumatology, University of Ottawa, Ottawa, ON, Canada, 10NONE, Oxford, United Kingdom, 11Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA, United Kingdom, 12Rheumatology Section, Boston University, Boston, MA, 13Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom

    Background/Purpose: Patients with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAVs), including granulomatosis with polyangiitis (Wegener's, (GPA), eosinophilic granulomatosis with polyangiitis (Churg-Strauss, EGPA), and microscopic polyangiitis (MPA),…
  • Abstract Number: 871 • 2015 ACR/ARHP Annual Meeting

    Clinicians’ Perspective on Aspects of ANCA-Associated Vasculitis That Influence Patients’ Function and General Health: A Delphi Exercise Based on the International Classification of Function, Disability and Health

    Nataliya Milman1, Peter Tugwell2, Annelies Boonen3 and Peter A. Merkel4, 1Division of Rheumatology, University of Ottawa, Ottawa, ON, Canada, 2Center For Global Health, Institute of Population Hlth, Ottawa, ON, Canada, 3Maastricht University Medical Center, Maastricht, Netherlands, 4Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: ANCA-associated vasculitis (AAV) is a multisystem condition that results in significant level of morbidity and functional limitations for many patients. Previous studies showed that…
  • Abstract Number: 872 • 2015 ACR/ARHP Annual Meeting

    Work Limitations and Disability in Patients with Systemic Vasculitis

    Emma Ali Bateman1, Sherry Rohekar2, Christian Pagnoux3 and Lillian Barra1, 1Medicine, Division of Rheumatology, Western University, London, ON, Canada, 2Western University, London, ON, Canada, 3Mount Sinai Hospital, Toronto, ON, Canada

    Background/Purpose: Despite recent advances in the treatment of systemic vasculitis (SV), direct consequences of the disease leading to impairments in physical and mental function can…
  • Abstract Number: 873 • 2015 ACR/ARHP Annual Meeting

    The ANCA-Vasculitis Index of Damage (AVID): Performance of a New Damage Instrument

    Eli Miloslavsky1,2, Na Lu3, Sebastian Unizony3, Hyon K. Choi3, Peter A. Merkel4, Philip Seo5, Robert F. Spiera6, Carol A. Langford7, Gary S. Hoffman7, Cees Kallenberg8, E. William St.Clair9, Nadia Tchao10, Fernando Fervenza11, Paul A. Monach12, Ulrich Specks13 and John H. Stone14, 1Division of Rheumatology, Massachusetts General Hopsital, Boston, MA, 2Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 3Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 5Division of Rheumatology, Johns Hopkins, Baltimore, MD, 6Rheumatology, Hospital for Special Surgery, New York, NY, 7Rheumatology, Cleveland Clinic, Cleveland, OH, 8Rheumatology/Clin Immunol AA21, Univer Med Center Groningen, Groningen, Netherlands, 9Rheumatology and Immunology, Duke University, Durham, NC, 10ITN, San Francisco, CA, 11Mayo Clinic, Rochester, MN, 12Rheumatology, Boston University School of Medicine, Boston, MA, 13Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, MN, 14Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Damage related to active disease or its treatment is an important outcome measure in ANCA-associated vasculitis (AAV).  The Vasculitis Damage Index (VDI), the principal…
  • Abstract Number: 874 • 2015 ACR/ARHP Annual Meeting

    The Short Term Damage Burden in Vasculitis and Vasculitis Mimics As Measured By the Vasculitis Damage Index

    Alberto Floris1,2, Jan Sznajd3,4, Katarzyna Wawrzycka-Adamczyk1,5, Joanna Robson6, Anthea Craven7, Peter A. Merkel8, Richard A. Watts9, Raashid Luqmani3 and DCVAS investigators, 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 2Rheumatology Unit, University Clinic, Cagliari, Italy, Monserrato, Italy, 3Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 4Jagiellonian University Medical College, Kraków, Poland, 5Jagiellonian University Medical College, Cracow, Poland, 6Rheumatology, University of Oxford, Oxford, United Kingdom, 7Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 8Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 9Rheumatology Department Ipswich Hospital, University of East Anglia, Ipswich, United Kingdom

    Background/Purpose: Damage in vasculitis, which is due to both the vasculitic process itself and the complications of treatment, accumulates over time and accounts for significant…
  • Abstract Number: 875 • 2015 ACR/ARHP Annual Meeting

    Differences in Early Damage Patterns in Various Forms of Primary Systemic Vasculitis

    Katarzyna Wawrzycka-Adamczyk1,2, Joanna Robson3, Alberto Floris1,4, Jan Sznajd2,5, Anthea Craven6, Richard A. Watts7, Peter A. Merkel8, Raashid Luqmani5 and DCVAS investigators, 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 2Jagiellonian University Medical College, Kraków, Poland, 3Rheumatology, University of Oxford, Oxford, United Kingdom, 4Rheumatology Unit, University Clinic, Cagliari, Italy, Monserrato, Italy, 5Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 6Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 7Rheumatology Department Ipswich Hospital and University of East Anglia, Ipswich, United Kingdom, 8Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Immunosuppressive agents have changed the outcome of the systemic vasculitides from invariably fatal to chronic conditions associated with damage as a result of disease,…
  • Abstract Number: 876 • 2015 ACR/ARHP Annual Meeting

    Damage Develops Early and Is Common in Children with Chronic Systemic Vasculitis

    Lorraine O'Neill1, Marinka Twilt2, Susanne Benseler3, Dirk Föll4, David A. Cabral5 and Raashid Luqmani6, 1University of Oxford, Oxford, United Kingdom, 2Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 3Pediatrics, University of Calgary, Toronto, ON, Canada, 4University of Muenster, Muenster, Germany, 5Pediatrics/Rm K4-121, BC Children's Hospital, Vancouver, BC, Canada, 6Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom

    Background/Purpose:  The chronic primary systemic vasculitides are a group of rare conditions with affected patients subject to a significant burden of morbidity from both the…
  • Abstract Number: 877 • 2015 ACR/ARHP Annual Meeting

    Improved Survival in Granulomatosis with Polyangiitis: A Population-Based Study

    Ju Ann1, Hyon K. Choi2, Sharan K. Rai3, Eric C. Sayre4 and J Antonio Avina-Zubieta5,6, 1Experimental Mediine, University of British Columbia, Richmond, BC, Canada, 2Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Experimental Medicine, University of British Columbia, Vancouver, BC, Canada, 4Arthritis Research Canada, Richmond, BC, Canada, 5Arthritis Research Canada / University of British Columbia, Vancouver, BC, Canada, 6Medicine, University of British Columbia, Department of Medicine, Division of Rheumatology, Vancouver, BC, Canada

    Background/Purpose: Granulomatosis with Polyangiitis (GPA) is associated with an increased risk of mortality. However, recent mortality trends in GPA are largely unknown, particularly in the…
  • Abstract Number: 878 • 2015 ACR/ARHP Annual Meeting

    Significance of Interstitial Pneumonitis in Microscopic Polyangiitis

    Kensuke Nakanishi and Mitsuyo Kinjo, Rheumatology, Okinawa Chubu Hospital, Uruma, Japan

    Background/Purpose: Microscopic polyangiitis (MPA) is often associated with lung involvement, including alveolar hemorrhage and interstitial pneumonitis (IP). Clinical characteristics of IP in MPA have not…
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