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  • Abstract Number: 1378 • 2015 ACR/ARHP Annual Meeting

    AMP-Activated Protein Kinase As an Anti-Inflammatory Target for Methotrexate

    Cornelia Cudrici1, Amma Agyemang1, Martin Pelletier1, Gregory Steinberg2 and Richard M. Siegel1, 1NIAMS, Immunoregulation Section, Autoimmunity Branch, Bethesda, MD, 2Department of Medicine, Division of Endocrinology,McMaster University, Hamilton, ON, Canada

    Background/Purpose: Methotrexate (MTX) is a first-line medication effective in multiple forms of inflammatory arthritis. The anti-inflammatory effects of MTX are more prolonged than its plasma…
  • Abstract Number: 1379 • 2015 ACR/ARHP Annual Meeting

    High Serum IgG4 Concentration Is a Risk Factor for Relapse in IgG4-Related Disease

    Sho Sendo1, Jun Saegusa1, Akira Onishi2, Ikuko Naka1, Kosaku Tsuda1, Takaichi Okano1, Kengo Akashi1, Soshi Takahashi1, Miwa Nishida1, Keisuke Nishimura1, Yo Ueda1, Yoshinori Kogata3, Goichi Kageyama1, Goh Tsuji4, Shunichi Kumagai5 and Akio Morinobu1, 1Department of Rheumatology, Kobe University Hospital, Kobe, Japan, 2Department for Rheumatology, Kobe University Hospital, Kobe, Japan, 3Department of Clinical Pathology and Immunology, Kobe University Hospital, Kobe, Japan, 4Center for Rheumatic disease, Shinko Hospital, Kobe, Japan, 5Center for Rheumatic Disease, Shinko Hospital, Kobe, Japan

    Background/Purpose: IgG4-related disease (IgG4-RD) is a recently recognized systemic fibro-inflammatory disease of unknown etiology with multi-organ involvement. Although the organ involvement in IgG4-RD usually improve…
  • Abstract Number: 1380 • 2015 ACR/ARHP Annual Meeting

    Characterization of Lymphocytes Subsets in Peripheral Blood of Untreated IgG4-Related Disease Patients

    Aurélie Grados1, Mikael Ebbo1, Christelle Piperoglou2, Matthieu Groh3, Alexis Regent4, Maxime Samson5, Benjamin Terrier6, Nathalie Morel7, Sylvain Audia5, Francois Maurier8, Julie Graveleau9, Mohamed Hamidou10, Amandine Forestier11, Sylvain Palat12, Emanuelle Bernit1, Gilles Kaplanski13, Frederique Retornaz14, Bernard Bonotte5, Catherine Farnarier15, Jean-Robert Harle16, Nathalie Costedoat-Chalumeau7, Frederic Vely17 and Nicolas Schleinitz1, 1Internal Medicine, Aix-Marseille Université, AP-HM, Marseille, France, 2Immunology, CIML, AP-HM, Marseille, France, 3National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 4Service de médecine interne, Hôpital Cochin, Paris, France, 5Department of Internal Medicine and Clinical Immunology, Dijon University Hospital, Dijon, France, 6Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, Paris, France, 7Internal Medicine Department, Cochin Hospital, “René-Descartes Paris V” University, Paris, France, 8HP Metz Belle Isle Hospital, Department of Internal Medicine, Metz, France, 9Medecine Interne Hotel Dieu Nantes, Nantes, France, 10Internal Medicine Department, Nantes University Hospital, Nantes, France, 11Internal Medicine, Groupe Hospitalier Mutualiste de Grenoble, Grenoble, France, 12Service de Medecine Interne, CHU limoges, Limoges, France, 13Internal Medicine hopital conception, Aix-Marseille Université, Marseille, France, 14Conseil General 13 cellule recherche, Marseille, France, 15Laboratoire d'immunologie, Hopital de la Conception, Marseille, France, 16Internal Medicine, Aix-Marseille Université, APHM, Marseille, France, 17CIML, Laboratoire d'Immunologie Conception AP-HM, Aix-Marseille université, Marseille, France

    Background/Purpose: IgG4-related disease (IgG4-RD) is associated with characteristic pathological changes including lymphoplasmocytic infiltration with abundant IgG4 positive plasma cells, storiform fibrosis and obliterative phlebitis. The…
  • Abstract Number: 1381 • 2015 ACR/ARHP Annual Meeting

    The Relationship Between Serum Cholinesterase, Number of Organ Involvement and Fibrotic Markers in Japanese Patients with IgG4-Related Disease

    Hirofumi Nishikawa1, Yoshinori Taniguchi1, Yoshiko Shimamura1, Kosuke Inoue1, Taro Horino1, Susumu Nishiyama2, Yasuhiko Yoshinaga2 and Yoshio Terada1, 1Kochi University, Nankoku, Japan, 2Kurashiki Medical Center, Kurashiki, Japan

    Background/Purpose: To evaluate the relationship between cholinesterase, number of organ involvement and serum fibrotic markers in Japanese patients with IgG4-related disease (IgG4-RD). Methods: The clinical…
  • Abstract Number: 1382 • 2015 ACR/ARHP Annual Meeting

    Clinical and Serum IgG4 Characteristics of a Unique British Columbian IgG4-Related Disease Cohort

    Luke Chen1, Andre Mattman2, Sujin Park3, Brian Skinnider4, Graham Slack4 and Mollie Carruthers5, 1Hematology, University of British Columbia, Vancouver, BC, Canada, 2Medical Biochemistry, University of British Columbia, Vancouver, BC, Canada, 3University of British Columbia, Vancouver, BC, Canada, 4Pathology, University of British Columbia, Vancouver, BC, Canada, 5Rheumatology, University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: IgG4-related disease (IgG4-RD) is a fibro-inflammatory disorder that is known to have protean manifestations and variably elevated serum IgG4 concentrations. We present the serum…
  • Abstract Number: 1383 • 2015 ACR/ARHP Annual Meeting

    T-Cell Subset Analysis in IgG4-Related Disease and Lymphocyte-Variant Hypereosinophilic Syndrome

    Mollie Carruthers1, Bakul Dalal2, Sujin Park3, Graham Slack2, Andre Mattman4 and Luke Chen5, 1Rheumatology, University of British Columbia, Vancouver, BC, Canada, 2Pathology, University of British Columbia, Vancouver, BC, Canada, 3University of British Columbia, Vancouver, BC, Canada, 4Medical Biochemistry, University of British Columbia, Vancouver, BC, Canada, 5Hematology, University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: IgG4-related disease (IgG4-RD) and lymphocyte-variant hypereosinophilic syndrome (L-HES) share elevated peripheral eosinophilia and IgE levels as well as common clinical features including atopy, cutaneous…
  • Abstract Number: 1384 • 2015 ACR/ARHP Annual Meeting

    Comparison of IgG4-Related and Non-IgG4-Related Retroperitoneal Fibrosis; A 12 Year Retrospective Study

    Piyush Poddar1,2, Steven Billings3, Leonard H. Calabrese4 and Carmen E. Gota5, 1Rheumatology, Sanford Medical center, Bismarck, ND, 2Rheumatology, Cleveland Clinic, Cleveland, OH, 3Department of Anatomic Pathology, Cleveland Clinic, Cleveland, OH, 4Rheumatic & Immunologic Dis, Cleveland Clinic Foundation, Cleveland, OH, 5Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH

    Comparison of IgG4-related and Non-IgG4-related Retroperitoneal fibrosis; a 12 year Retrospective Study  Background/Purpose: Retroperitoneal fibrosis (RPF) is a rare disease characterized by a progressive proliferation…
  • Abstract Number: 1385 • 2015 ACR/ARHP Annual Meeting

    Efficacy and Tolerance of Rituximab in IgG4-Related Disease: A Retrospective Multicentric Study in 24 Patients

    Mikael Ebbo1, Aurélie Grados1, Maxime Samson2, Clarisse Carra-Dallière3, Agnieszka Pozdzik4, Pierre Labauge3, Sylvain Palat5, Jean-Marie Berthelot6, Jean-Loup Pennaforte7, Alain Wynckel8, Celine Lebas9, Thomas Quémeneur10, Karine Dahan11, Jean-Jacques Boffa11, Bertrand Godeau12, Nicolas Limal12, Franck Carbonnel13, Anne Herber14, Gaëlle Leroux15, Patrice Cacoub16, Alexis Mathian17, Eric Hachulla18, Nathalie Costedoat-Chalumeau19, Jean-Robert Harle20 and Nicolas Schleinitz1, 1Internal Medicine, Aix-Marseille Université, AP-HM, Marseille, France, 2Department of Internal Medicine and Clinical Immunology, Dijon University Hospital, Dijon, France, 3Neurology, CHRU de Montpellier, Montpellier, France, 4Nephrology, Erasme Hospital, Cliniques Universitaires de Bruxelles, Bruxelles, Belgium, 5Service de Medecine Interne, CHU limoges, Limoges, France, 6Rhumatologie, CHU Nantes, Nantes, France, 7Internal Medicine, CHU de Reims, Reins, France, 8Nephrolohy, CHU de Reims, Reims, France, 9Nephrology, CHRU de Lille, Lille, France, 10CH Valenciennes, Valenciennes, France, 11Nephrology, Tenon Hospital, Paris, France, 12Internal Medicine, Mondor Hospital, Creteil, France, 13Gastro-enterology, CHU Bicêtre, Le Kremlin Bicêtre, France, 14Gastro-enterology, CH de Chartres, Chartres, France, 15Department of Internal Medicine 2. Referal center for SLE/APS, CHU Pitié-Salpêtrière, Paris, France, 16Internal Medicine Department, University Hospital “Pitié-Salpêtrière”, “Pierre et Marie Curie Paris VI” University, Paris, France, 17Internal Medecine Department, Pitie-Salpetriere Hospital, Paris, France, 18FAI²R, Hôpital Claude Huriez, CHRU Lille, LILLE, France, 19Internal Medicine Department, Cochin Hospital, “René-Descartes Paris V” University, Paris, France, 20Internal Medicine, Aix-Marseille Université, APHM, Marseille, France

    Background/Purpose: IgG4-related disease (IgG4-RD) is a systemic fibroinflammatory condition with characteristic histopathological lesions. Nearly all anatomic sites can be involved with a risk of organ…
  • Abstract Number: 1386 • 2015 ACR/ARHP Annual Meeting

    Malignancy Prevalence Is Increased Among Patients before the Onset of IgG4-Related Disease

    Zachary Wallace1, John H. Stone2, Hyon K. Choi3, Na Lu3 and Carly Wallace4, 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, 4Rheumatology Unit, Massachusetts General Hospital, Boston, MA

    Background/Purpose: IgG4-related disease (IgG4-RD) is a systemic fibroinflammatory disease of unclear etiology.  Studies have suggested that patients with IgG4-RD may be at increased risk of…
  • Abstract Number: 1387 • 2015 ACR/ARHP Annual Meeting

    Thoracic Paravertebral Masses and IgG4-Related Disease: Report of 8 Cases and Review of the Literature

    Zachary Wallace1, Sian Lim1, John H. Stone2, Micheal McInnis3 and Amita Sharma4, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 3Radiology Department, Thoracic Imaging, Massachusetts General Hospital, Boston, MA, 4Department of Radiology, Thoracic Imaging, Massachusetts General Hospital, Boston, MA

    Background/Purpose: IgG4-related disease (IgG4-RD) is an immune-mediated fibro-inflammatory condition that often leads to tumefactive lesions.  We describe a common but under-recognized radiologic finding in this…
  • Abstract Number: 1388 • 2015 ACR/ARHP Annual Meeting

    Adalimumab in Patients with Inactive, Non-Infectious Uveitis Requiring Systemic Treatment

    Quan Dong Nguyen1, Shree Kumar Kurup2, Pauline Merrill3, John Sheppard4, Joachim Van Calster5, Andrew D Dick6, Glenn Jaffe7, Friederike Mackensen8, James T. Rosenbaum9,10, Ariel Schlaen11, Anne Camez12, Samir Tari13, Martina Kron12, Alexandra Song13 and Antoine Brezin14, 1Truhlsen Eye Institute, University of Nebraska, Omaha, NE, 2Wake Forest Baptist Medical Center, Winston-Salem, NC, 3Rush University Medical Center, Chicago, IL, 4Lions Medical Eye Bank of Eastern Virginia, Norfolk, VA, 5University Hospitals Leuven, Leuven, Belgium, 6Bristol Eye Hospital, Bristol, United Kingdom, 7Duke University, Durham, NC, 8Heidelberg University Hospital, Heidelberg, Germany, 9Dever's Eye Institute, Legacy Hospital, Portland, OR, 10Division of Rheumatology, Oregon Health and Science University, Portland, OR, 11Austral University, Buenos Aires, Argentina, 12Abbvie Deutschland GmbH & Co KG, Ludwigshafen, Germany, 13AbbVie Inc., North Chicago, IL, 14Université Paris Descartes, Hôpital Cochin, Paris, France

    Background/Purpose: To assess adalimumab (ADA) efficacy and safety in corticosteroid-dependent patients with inactive non-infectious, intermediate, posterior, or panuveitis enrolled in the international, double-masked trial, VISUAL…
  • Abstract Number: 1389 • 2015 ACR/ARHP Annual Meeting

    A Meta-Analysis of the Prevalence of the Ocular Manifestations in All Inflammatory Rheumatic Diseases

    Jacqueline Hayworth1 and Janet E. Pope2, 1Medicine, University of Western Ontario and U of Toronto, Toronto, ON, Canada, 2University of Western Ontario, London, ON, Canada

    Background/Purpose: Many inflammatory rheumatic diseases (IRD) are associated with ocular involvement. The prevalence of these complications is not fully known.  This meta-analysis was performed to…
  • Abstract Number: 1390 • 2015 ACR/ARHP Annual Meeting

    Hidradenitis Suppuritiva Is Associated with Inflammatory Eye Disease

    Abrahim U. Syed1, Didem Uzunaslan2, Careen Y. Lowder3, Sunil Srivastava3, Juan J. Maya1 and Rula A Hajj-Ali4, 1Internal Medicine, Cleveland Clinic, Cleveland, OH, 2Cleveland Clinic, Cleveland, OH, 3Cole Eye Institute, Cleveland Clinic, Cleveland, OH, 4Rheumatic and Immunologic Dis, Cleveland Clinic, Cleveland, OH

    Background/Purpose: Hidradenitis Suppurativa (HS) is an inflammatory skin condition that can cause profound morbidity. Patients can present with recurrent nodules, sinus tract formation, abscesses and/or…
  • Abstract Number: 1391 • 2015 ACR/ARHP Annual Meeting

    Differential Expression of Interferon Gamma in Exudate from Hidradenitis Suppurativa Lesions Compared to Chronic Wounds

    Anirban Banerjee1, Victoria K. Shanmugam1,2, Sean McNish1 and Kara Couch1, 1Division of Rheumatology, The George Washington University, Washington, DC, 2Director, Division of Rheumatology, The George Washington University, Washington, DC

    Background/Purpose: Hidradenitis suppurativa (HS) is a chronic recurrent inflammatory disease which affects 1% to 4% of young adults. The purpose of the current study was…
  • Abstract Number: 1392 • 2015 ACR/ARHP Annual Meeting

    Azathioprine May be an Effective Steroid Sparing Agent in Patients with Isolated Recurrent Pericarditis

    Adam Brown1, Xiaobo Liu2 and Soumya Chatterjee3, 1Rheumatology, Cleveland Clinic, Cleveland, OH, 2Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, 3Cleveland Clinic Foundation, Cleveland, OH

    Background/Purpose: Isolated Recurrent pericarditis (IRP) is a disease with high morbidity. IRP refers to recurrent pericarditis not associated with an autoimmune rheumatic disease or cardiac…
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