ACR Meeting Abstracts

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  • Abstract Number: 1075 • 2015 ACR/ARHP Annual Meeting

    The Scleroderma Lung Study II (SLS II) Shows That Both Oral Cyclophosphamide (CYC) and Mycophenolate Mofitil (MMF) Are Efficacious in Treating Progressive Interstitial Lung Disease (ILD) in Patients with Systemic Sclerosis (SSc)

    Philip J. Clements1, Donald Tashkin1, Michael Roth1, Dinesh Khanna2, Daniel E. Furst3, Chi-hong Tseng1, Elizabeth R. Volkmann1 and Robert Elashoff4, 1Medicine, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 2Medicine, University of Michigan, Ann Arbor, MI, 3Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 4Biomath, University of California Los Angeles, David Geffen School Of Medicine, Los Angeles, CA

    Background/Purpose: Demonstrate that the course of forced vital capacity (FVC) over 2-years was better in SSc patients with symptomatic ILD treated with oral MMF for…
  • Abstract Number: 1076 • 2015 ACR/ARHP Annual Meeting

    Safety and Tolerability of Cyclophosphamide Versus Mycophenolate for Systemic Sclerosis-Related Interstitial Lung Disease

    Elizabeth R. Volkmann1, Michael Roth2, Robert Elashoff3, Philip J. Clements1, Daniel E. Furst2, Dinesh Khanna4, Jonathan Goldin5, Donald Tashkin1 and Scleroderma Lung Study II Group, 1Medicine, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 2Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 3Biomathematics, University of California, Los Angeles, Los Angeles, CA, 4Medicine, University of Michigan, Ann Arbor, MI, 5David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA

    Background/Purpose: Interstitial lung disease (ILD) is the leading cause of death in patients with systemic sclerosis (SSc). Although cyclophosphamide (CYC) demonstrated beneficial treatment effects at…
  • Abstract Number: 1077 • 2015 ACR/ARHP Annual Meeting

    High Levels of CCL-18 Are Associated with Deterioration of Lung Function, Increased Annual Fibrosis Progression Rate and Decreased Survival in Systemic Sclerosis

    Anna-Maria Hoffmann-Vold1,2, Anders Heiervang Tennøe2, Oyvind Midtvedt1, Torhild Garen3, May Brit Lund4, Trond Mogens Aalokken5, Cathrine Brunborg6, Thor Ueland2 and Øyvind Molberg7, 1Rheumatology, Oslo University Hospital, Oslo, Norway, 2Institute of clinical medicine, University of Oslo, Oslo, Norway, 3Rheumatology, Department of Rheumatology, Oslo University Hospital, Oslo, Norway, 4Respiratory Diseases, Oslo University Hospital, Oslo, Norway, 5Radiology, Oslo University Hospital, Oslo, Norway, 6Biostatistics, Epidemiology and Health Economics, Oslo University Hospital, Oslo, Norway, 7Department of Rheumatology, Institute of Clinical Medicine, Oslo University Hospital, Oslo, Norway

    Background/Purpose: Systemic sclerosis (SSc) carries high risk for progressive interstitial lung disease (ILD), but biomarkers for individual risk stratification are largely missing. There is an…
  • Abstract Number: 1078 • 2015 ACR/ARHP Annual Meeting

    CXCL4 Does Not Predict Extent or Progression of Interstitial Lung Disease in Systemic Sclerosis

    Elizabeth R. Volkmann1, Donald P. Tashkin1, Michael Roth1, Chi-hong Tseng1, Holly LeClair2, Philip J. Clements1, Daniel E. Furst3, Maureen D Mayes4, Julio Charles5, Dinesh Khanna6, Robert Elashoff7, Shervin Assassi8 and Scleroderma Lung Study II Group, 1Medicine, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 2University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 3Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 4University of Texas - Houston Medical School, Houston, TX, 5Internal Medicine/Rheumatology, University of Texas - Houston Medical School, Houston, TX, 6University of Michigan, Ann Arbor, MI, 7Biomathematics, University of California, Los Angeles, Los Angeles, CA, 8Rheumatology, University of Texas Medical School at Houston, Houston, TX

    Background/Purpose: Increased circulatory levels of the chemokine CXCL4 have been associated with the presence of pulmonary fibrosis (PF) by HRCT in an observational study of…
  • Abstract Number: 1079 • 2015 ACR/ARHP Annual Meeting

    The Potential Effect on Recruitment of Restricting Skin Scores Eligibility Criteria in Early Diffuse Scleroderma Trials

    Robyn T. Domsic1, Dinesh Khanna2, Mary Lucas3, Virginia D. Steen4, Daniel E. Furst5, Robert Lafyatis6 and Thomas A. Medsger Jr.7, 1Medicine - Rheumatology, University of Pittsburgh, Pittsburgh, PA, 2Division of Rheumatology, University of Michigan, Ann Arbor, MI, 3Medicine, University of Pittsburgh Scleroderma Center, Pittsburgh, PA, 4Rheumatology, Georgetown University Medical Center, Washington, DC, 5Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 6Boston University School of Medicine, Boston, MA, 7Department of Medicine/Rheumatology, University of Pittsburgh, Pittsburgh, PA

    Background/Purpose:   There is increasing interest in cohort enrichment for clinical trials of early diffuse SSc (dcSSc).  Recent EUSTAR database analysis (Maurer et al. 2015)…
  • Abstract Number: 1080 • 2015 ACR/ARHP Annual Meeting

    Modified Rodnan Skin Score Thresholds for the Optimization of Cohort Enrichment in Clinical Trials in Skin Fibrosis in Patients with Diffuse Cutaneous Systemic Sclerosis

    Rucsandra Dobrota1, Britta Maurer1, Nicole Graf2, Suzana Jordan3, Carmen Marina Mihai4, Otylia Kowal-Bielecka5, Yannick Allanore6, Oliver Distler1 and EUSTAR co-authors, 1Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 2graf biostatistics, Winterthur, Switzerland, 3Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 4Department of Internal Medicine and Rheumatology, Cantacuzino Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, 5Department of Rheumatology and Internal Medicine, Medical University of Bialystok, Bialystok, Poland, 6Department of Rheumatology, University Paris Descartes and Cochin Hospital, Paris, France

    Background/Purpose: The modified Rodnan skin score (mRSS) is the major outcome measure for skin fibrosis in clinical trials (CT) in diffuse cutaneous scleroderma (dcSSc). Traditionally,…
  • Abstract Number: 1081 • 2015 ACR/ARHP Annual Meeting

    Administration of Patient Reported Outcome Measurement Information System (PROMIS) Instruments By Computer Adaptive Testing in Patients with Systemic Vasculitis

    Gunnar Tomasson1, John T. Farrar2, David Cuthbertson3, Carol McAlear4, Susan Asdown5, Don Gebhart6, Georgia Lanier7, Nataliya Milman8, Jacqueline Peck9, Joanna Robson10, Simon Carette11, Gary S. Hoffman12, Nader A. Khalidi13, Curry L. Koening14, Carol A. Langford12, Larry W. Moreland15, Paul A. Monach16, Christian Pagnoux11, Ulrich Specks17, Antoine G. Sreih18, Steven R. Ytterberg19 and Peter A. Merkel4, 1Dept of Public Health Sciences, University of Iceland, Reykiavik, Iceland, 2Universitiy of Pennsylvania, Philadelphia, PA, 3Biostatistics and Informatics, Department of Pediatrics, University of South Florida, Tampa, FL, 4Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 5NONE, Branbury, United Kingdom, 6NONE, Columbus, OH, 7NONE, Framingham, MA, 8Division of Rheumatology, University of Ottawa, Ottawa, ON, Canada, 9Oxford University, Oxford, United Kingdom, 10Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, University of Oxford, Oxford, United Kingdom, 11Mount Sinai Hospital, Toronto, ON, Canada, 12Rheumatology, Cleveland Clinic, Cleveland, OH, 13McMaster University, Hamilton, ON, Canada, 14Division of rheumatology, George E. Wahlen Department of Veterans Affairs Medical Center Salt Lake City and University of Utah, University of Utah School of Medicine, Salt Lake City, UT, 15Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 16Rheumatology, Boston University School of Medicine, Boston, MA, 17Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, MN, 18Department of Rheumatology, University of Pennsylvania, Philadelphia, PA, 19Rheumatology Division, Mayo Clinic, Rochester, MN

       Background/Purpose: Currently-used outcome measures in vasculitis insufficiently capture the life impact of systemic vasculitis from patients' perspectives. The Patient Reported Outcome Measurement Information System…
  • Abstract Number: 1082 • 2015 ACR/ARHP Annual Meeting

    ANCA-Negative and Myeloperoxidase-ANCA-Positive Patients with Granulomatosis with Polyangiitis: Clinical Manifestations and Risk of Relapse

    Eli Miloslavsky1, Na Lu2, 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, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, 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: Recent studies in ANCA-associated vasculitis (AAV) have suggested that classification based on ANCA type (PR3 versus MPO) may represent a more clinically relevant division…
  • Abstract Number: 1083 • 2015 ACR/ARHP Annual Meeting

    Nationwide Trends in Hospitalization and in-Hospital Mortality Associated with Granulomatosis with Polyangiitis (GPA)

    Zachary Wallace1, John H. Stone2, Hyon K. Choi3, Na Lu3, Sebastian Unizony3 and Eli Miloslavsky4, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 3Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Division of Rheumatology, Massachusetts General Hopsital, Boston, MA

    Background/Purpose: Granulomatosis with polyangiitis (GPA) is associated with severe end-organ damage (e.g., renal failure) and treatment-related complications (e.g., severe infection) which often lead to hospitalization…
  • Abstract Number: 1084 • 2015 ACR/ARHP Annual Meeting

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

    Zachary Wallace1, Sebastian Unizony2, Na Lu2, Hyon K. Choi2 and John H. Stone3, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Granulomatosis with polyangiitis (GPA) is associated with an increased risk of mortality. Advances in diagnosis and treatment strategies are thought to improve outcomes in…
  • Abstract Number: 1085 • 2015 ACR/ARHP Annual Meeting

    Levamisole Triggers Neutrophil Extracellular Trap Formation through Muscarinic Receptors in Patients with Drug-Induced Vasculitis

    Peter C. Grayson1, Carmelo Carmona-Rivera2, Meryl Waldman3, Karran Phillips4, Venkataraman Subramaniam5, Paul Thompson6, Jonathan D. Graf7 and Mariana J. Kaplan1, 1National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 2Systemic Autoimmunity Branch/ NIAMS, National Institutes of Health, Bethesda, MD, 3NIDDK, National Institutes of Health, Bethesda, MD, 4NIDA, National Institutes of Health, Baltimore, MD, 5Biochemistry and Molecular Pharmacology, University of Massachusetts, Worcester, MA, 6Biochemistry and Molecular Pharmacology, University of Masshachussetts, Worcester, MA, 7Rosalind Russell / Ephraim P. Engleman Rheumatology Research Center, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Levamisole, an anti-helminth drug, has been implicated in cases of drug-induced autoimmunity in humans exposed to adulterated cocaine. Clinical manifestations of levamisole-induced autoimmunity include…
  • Abstract Number: 1086 • 2015 ACR/ARHP Annual Meeting

    Does Adding Azathioprine to Glucocorticoid Induction Increase the Remission Rate and Prevent Relapses in Patients with Systemic Necrotizing Vasculitides without Poor-Prognosis Factors? a Multicenter, Double-Blind Randomized Controlled Trial

    Xavier Puéchal1, Christian Pagnoux2, Gabriel Baron3, Thomas Quémeneur4, Antoine Néel5, Christian Agard5, François Lifermann6, Eric Liozon7, Marc Ruivard8, Pascal Godmer9, Nicolas Limal10, Arsène Mékinian11, Thomas Papo12, Anne-Marie Ruppert13, Anne Bourgarit-Durand14, Boris Bienvenu15, Loïck Geffray16, Jean-Luc Saraux17, Elisabeth Diot18, Bruno Crestani12, Xavier Delbrel19, Laurent Sailler20, Pascal Cohen1, Véronique Le Guern21, Benjamin Terrier1, Matthieu Groh21, Claire Le Jeunne21, Luc Mouthon21, Philippe Ravaud3 and Loïc Guillevin for The French Vasculitis Study Group21, 1Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, Paris, France, 2Mount Sinai Hospital, Toronto, ON, Canada, 3Hôpital Hôtel Dieu, Paris, France, 4CH Valenciennes, Valenciennes, France, 5CHU Nantes, Nantes, France, 6CH Dax, Dax, France, 7CHU Limoges, Limoges, France, 8CHU Clermont-Ferrand, Clermont–Ferrand, France, 9CH Vannes, Vannes, France, 10CHU Créteil, Créteil, France, 11Service de médecine interne. Hôpital Saint-Antoine., Paris, France, 12CHU Bichat, Paris, France, 13CHU Tenon, Paris, France, 14CHU Bondy, Bondy, France, 15Internal Medicine, Hospital Caen, Caen, France, 16CH Lisieux, Lisieux, France, 17CH Eaubonne, Eaubonne, France, 18CHU Tours, Tours, France, 19CH Pau, Pau, France, 20CHU Toulouse, Toulouse, France, 21National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose: Glucocorticoids (GC) achieve remission in most patients with systemic necrotizing vasculitides (SNVs) without poor-prognosis factors based on the 1996 Five-Factor Score (FFS; comprising creatininemia…
  • Abstract Number: 1087 • 2015 ACR/ARHP Annual Meeting

    “It Was Just My Right Pace”: A Qualitative Study Exploring Yoga Practice in Adults with Rheumatoid Arthritis

    Heather Greysen, School of Nursing, University of California San Francisco, San Francisco, CA

    Background/Purpose: Physical activity is reported to improve physical function and reduce disease symptoms in adults with rheumatoid arthritis (RA); however adults with RA are less…
  • Abstract Number: 1088 • 2015 ACR/ARHP Annual Meeting

    Effect of Training on Knee Torsional Stiffness and Its Relationship to Tibial Compressive and Anterior Shear Forces in Recreational Female Runners

    Bhushan Thakkar1 and D. S. Blaise Williams III2, 1PHYSICAL THERAPY, VIRGINIA COMMONWEALTH UNIVERSITY, RICHMOND, VA, 2Physical Therapy, Virginia Commonwealth University, Richmond, VA

    Background/Purpose: 42 million Americans participate annually in running. In 2014, the half marathon was the most popular distance with a total of 61% females (1.2…
  • Abstract Number: 1089 • 2015 ACR/ARHP Annual Meeting

    Responsiveness of Physical Activity Measures Following Exercise Intervention in Individulas after Total Knee Arthroplasty

    Gustavo J. Almeida1, James J. Irrgang2 and Sara R. Piva1, 1Physical Therapy, University of Pittsburgh, Pittsburgh, PA, 2Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA

    Background/Purpose: Few instruments that measure physical activity (PA) can accurately quantify PA performed at light and moderate intensities, which is particularly relevant to older adults…
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