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  • Abstract Number: 1890 • 2015 ACR/ARHP Annual Meeting

    Subclinical Biventricular Systolic Function Is Impaired in Patients with Systemic Sclerosis with Real Time 3-D Echpcardiography: 1 Year Follow-up Study

    Sule Yavuz1, Taylan Sahin2, Selen Yurdakul2, Neslihan Yilmaz3 and Saide Ertekin4, 1Rheumatology, Istanbul Bilim University, Faculty of Medicine,Department of Rheumatology, Istanbul, Turkey, 2Cardiology, Istanbul Bilim University Dept of Cardiology, Istanbul, Turkey, 3Istanbul Bilim University, Faculty of Medicine, Rheumatology Department, Istanbul, Turkey, 4Cardiology, Istanbul Bilim University, Dept of Cardiology, Istanbul, Turkey

    Background/Purpose: Silent myocardial involvement is associated with poor prognosis in patients with systemic sclerosis (SSc). Here, we aimed to evaluate subclinical left ventricular (LV) and…
  • Abstract Number: 1891 • 2015 ACR/ARHP Annual Meeting

    Parameters That Predict Worsening of Skin Thickness in Patients with Early Diffuse Cutaneous Systemic Sclerosis

    Masataka Kuwana1, Minoru Hasegawa2, Yucihiro Shirai1, Osamu Ishikawa3, Hirahito Endo4, Fumihide Ogawa5, Daisuke Goto6, Shinichi Sato7, Hironobu Ihn8, Yasushi Kawaguchi9 and Kazuhiko Takehara10, 1Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan, 2Dermatology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan, 3Department of Dermatology, Gunma University Graduate School of Medicine, Gunma, Japan, 4Department of Rheumatology, Jusendo General Hospital, Koriyama, Japan, 5Department of Dermatology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan, 6Division of Clinical Immunology, Doctoral Program in Clinical Sciences, University of Tsukuba, Graduate School of Comprehensive Human Sciences, Tsukuba, Japan, 7Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 8Department of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 9Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 10Dermatology, Kanazawa University Graduate School of Medical Science, Kanazawa City, Japan

    Background/Purpose: Skin thickness is a hallmark of systemic sclerosis (SSc), and its progression is associated with poor prognosis. The modified Rodnan total skin thickness score…
  • Abstract Number: 1892 • 2015 ACR/ARHP Annual Meeting

    Impact of Cardiac Magnetic Resonance Imaging with T1 Mapping and Multi-b Value Diffusion-Weighted Sequences in Systemic Sclerosis for the Assessment of Myocardial Microscopic Fibrosis and Perfusion

    Benjamin Terrier1, Hervé Gouya2, Alice Berezne1, Alexis Regent3, Pascal Cohen1, Loïc Guillevin4, Claire Le Jeunne5, Paul Legmann2, Olivier Vignaux6 and Luc Mouthon7, 1Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, Paris, France, 2AP-HP Cochin Hospital, Department of Radiology B, Paris, France, 3Service de médecine interne, Hôpital Cochin, Paris, France, 4Internal Medicine, Hopital Cochin, Paris, France, 5Department of Internal Medicine, Hotel-Dieu Hospital, AP-HP, Paris, Paris, France, 6Radiology, Cochin University Hospital, Paris, France, 7Department of Internal Medicine, Department of Internal Medicine, Cochin Hospital, Referent Center for Necrotizing Vasculitis and Systemic Sclerosis, Paris-Descartes University, AP-HP, Paris, France

    Background/Purpose: Systemic sclerosis (SSc) is a complex disease associating vasculopathy, cutaneous and visceral fibrosis, and autoimmunity. Myocardial microscopic fibrosis may occur and potentially lead to…
  • Abstract Number: 1893 • 2015 ACR/ARHP Annual Meeting

    Relationship Between Vitamin D Levels and Disease Activity in Patients with Systemic Sclerosis

    Julia Romero1, Amalia Schiel2, Mariana Landa2, María Luisa Díaz3, María Eugenia Lara1, Mariano Rivero4, Marina Khoury5, Mirtha Alonso2 and Juan Carlos Barreira1, 1Rheumatology Service, British Hospital, Buenos Aires, Argentina, 2Central Laboratory, British Hospital, Buenos Aires, Argentina, 3Nuclear Medicine, British Hospital, Buenos Aires, Argentina, 4Rheumatolgy Service, British Hospital, Buenos Aires, Argentina, 5Teaching and Research, British Hospital, Buenos Aires, Argentina

    Background/Purpose: Low Vitamin D (VD) levels have been observed in several autoimmune diseases, including systemic sclerosis (SSc). Some studies have shown the importance of VD…
  • Abstract Number: 1894 • 2015 ACR/ARHP Annual Meeting

    Calcium Channel Blockers Are More Effective in the Treatment of Primary Raynaud’s Phenomenon Compared to Secondary: A Meta-Analyis

    Janet E. Pope1, Fadumo Rirash2, Paul Tingey3, Sarah Harding4, Lara J. Maxwell5, Peter Tugwell6, Jordi Pardo7, Elizabeth Ghogomu8 and George A. Wells9, 1University of Western Ontario, London, ON, Canada, 2Medicine/Rheumatology, University of Western Ontario, London, ON, Canada, 3Faculty of Medicine, University of Queensland, Brisbane, Australia, 4ERLanger, ERLanger, KY, 5Centre for Global Health, Institute of Population Health, University of Ottawa, Ottawa, ON, Canada, 6Center For Global Health, Institute of Population Hlth, Ottawa, ON, Canada, 7University of Ottawa, Ottawa, ON, Canada, 8University of Ottawa, Cochrane Musculoskeletal Group, Ottawa, ON, Canada, 9Cardiovascular Research Reference Centre, University of Ottawa Heart Institute, Ottawa, ON, Canada

    Background/Purpose: To assess the benefits and harms of calcium channel blockers (CCBs) versus placebo for the treatment of Raynaud's phenomenon (RP) comparing primary to secondary…
  • Abstract Number: 1895 • 2015 ACR/ARHP Annual Meeting

    Correlation of Scleroderma Interstitial Lung Disease with Gastroesophageal Reflux

    Brady Bulian1, W Leroy Griffing2 and Michael Crowell3, 1Internal Medicine, Mayo Clinic Arizona, Scottsdale, AZ, 2Rheumatology, Mayo Clinic Arizona, Scottsdale, AZ, 3Gastroenterology, Mayo Clinic Arizona, Scottsdale, AZ

    Background/Purpose: Systemic sclerosis (SSc) is a connective tissue disease involving the skin and visceral organs, most commonly the gastrointestinal tract and lungs.  Interstitial lung disease…
  • Abstract Number: 1896 • 2015 ACR/ARHP Annual Meeting

    Early Signs, Symptoms and Auto-Antibodies to Predict Diffuse Cutaneous or Limited Cutaneous Systemic Sclerosis at First Presentation

    WMT van den Hombergh1, HKA Knaapen-Hans1, Patricia E. Carreira2,3, FHJ van den Hoogen1, Jaap Fransen1 and MC Vonk1, 1Rheumatology, Radboud University Medical Centre, Nijmegen, Netherlands, 2Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain, 3Rheumatology Unit, Hospital 12 de Octubre, Hospital 12 de Octubre, Madrid, Spain

    ABSTRACT Background/Purpose: Diffuse cutaneous systemic sclerosis (dcSSc) is associated with a poorer prognosis compared to limited cutaneous SSc (lcSSc), due to earlier and more severe…
  • Abstract Number: 1897 • 2015 ACR/ARHP Annual Meeting

    Fragmented Qrs Patterns Do Not Correlate with the Degree of Lung and Skin Involvement in Patients with Systemic Sclerosis

    Didem Uzunaslan1, Caner Saygin1, Mehmet Kostek2, Mehmet Ozdemir2, Tufan Torun2, Servet Altay3 and Gulen Hatemi4, 1Cleveland Clinic, Cleveland, OH, 2Istanbul University, Cerrahpasa Faculty of Medicine, Istanbul, Turkey, 3Edirne Community Hospital, Edirne, Turkey, 4Rheumatology, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey

    Background/Purpose: Cardiac involvement is a common subclinical feature of systemic sclerosis (SSc) and results from the widespread fibrosis observed during disease course. Fragmented QRS (fQRS)…
  • Abstract Number: 1898 • 2015 ACR/ARHP Annual Meeting

    Are There Risk Factors for Calcinosis in Scleroderma?

    Sneha Pai1 and Vivien Hsu2, 1Rheumatology, Robert Wood Johnson Medical School Hospital, New Brunswick, NJ, 2Medicine, Rutgers University, New Brunswick, NJ

    Background/Purpose: Calcinosis is the deposition of calcium hydroxyapatite in the soft tissues in patients with scleroderma spectrum disorders (SSc).  Risk factors are unknown and there…
  • Abstract Number: 1899 • 2015 ACR/ARHP Annual Meeting

    Aortic Stenosis Is Increased in Systemic Sclerosis Patients with Pulmonary Arterial Hypertension Compared to Other Forms of Pulmonary Arterial Hypertension

    María Martín López1, Otto Martin Olivas Vergara2, Mario Rodríguez3, Carmen D Merino4, Carmen Jiménez5,6, Estibaliz Loza7, Pilar Escribano5,6, Loreto Carmona8 and Patricia E. Carreira2, 1RHEUMATOLOGY, Hospital Universitario 12 de Octubre, Madrid, Spain, 2Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain, 3Hospital Universitario 12 de Octubre, Madrid, Spain, 4Fundación Hospital de Alcorcón, Madrid, Spain, 5Cardiology Department, Hospital Universitario 12 de Octubre, Madrid, Spain, 6Multidisciplinary Pulmonary Hypertension Unit. Hospital Universitario 12 de Octubre, Madrid, Spain, 7Research Unit. Sociedad Española de Reumatología, Madrid, Spain, 8Instituto de Salud Musculoesquelética, Madrid, Spain

    Background/Purpose: Degenerative aortic stenosis (DAS) is the most common form of valvular heart disease associated with advancing age. DAS pathophysiology has not been clearly elucidated,…
  • Abstract Number: 1900 • 2015 ACR/ARHP Annual Meeting

    Performance of the Detect Protocol for Pulmonary Arterial Detection in Systemic Sclerosis Patients in Clinical Practice

    Otto Martin Olivas Vergara1, Beatriz E. Joven1, Belen Diaz Anton2, Carmen Jiménez2, Maria Martin Lopez3, Pilar Escribano2 and Patricia E. Carreira1,2, 1Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain, 2Multidisciplinary Pulmonary Hypertension Unit. Hospital Universitario 12 de Octubre, Madrid, Spain, 3RHEUMATOLOGY, Hospital Universitario 12 de Octubre, Madrid, Spain

    Background/Purpose: To analyze the usefulness of the DETECT protocol (1) for the prediction of pulmonary hypertension (PH) and pulmonary arterial hypertension (PAH) in routine clinical…
  • Abstract Number: 1901 • 2015 ACR/ARHP Annual Meeting

    Association of Serum Adipokines Adipsin, Adiponectin, and Leptin/Adiponectin Ratio with Systemic Sclerosis

    Benjamin Korman1, Roberta Goncalves Marangoni1, Monique E. Hinchcliff2, Sanjiv Shah3, Mary A. Carns4, Rosalind Ramsey-Goldman5 and John Varga6, 1Division of Rheumatology, Northwestern University, Chicago, IL, 2Division of Rheumatology, Division of Rheumatology, Northwestern University, Feinberg School of Medicine, Chicago, IL, 3Northwestern University, Chicago, IL, 4Rheumatology, Northwestern University, Chicago, IL, 5Northwestern University Feinberg School of Medicine, Chicago, IL, 6Division of Rheumatology, Northwestern University, Feinberg School of Medicine, Chicago, IL

    Background/Purpose: Patients with systemic sclerosis (SSc) display reductions in adipose tissue, particularly intradermal adipose tissue.  There are currently no well-validated serum biomarkers in SSc, and…
  • Abstract Number: 1902 • 2015 ACR/ARHP Annual Meeting

    Systemic Sclerosis and Lung Cancer Risk: Data from the Canadian Scleroderma Research Group

    Lama Sakr1, Elie Younanian2, Marie Hudson3, Mianbo Wang4, Murray Baron5 and Sasha Bernatsky6, 1Division of Pulmonary Diseases, Jewish General Hospital, Montreal, QC, Canada, 2Division of Pulmonary Diseases, McGill University, Montreal, QC, Canada, 3McGill University, Jewish General Hospital, Montreal, QC, Canada, 4Lady Davis Institute for Medical Research, Montreal, QC, Canada, 5Jewish General Hospital, Lady Davis Institute and McGill University, Montreal, QC, Canada, 6Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: The literature supports an increased incidence of certain malignancies in patients with systemic sclerosis (SSc), including lung cancers. Predictors of lung cancer in SSc…
  • Abstract Number: 1903 • 2015 ACR/ARHP Annual Meeting

    Assessment of Subclinical Atherosclerosis in Patients with Systemic Sclerosis: Results from a Multicentric Cohort

    Codrina Ancuta1,2, Codruta Belibou3, Cristina Pomirleanu1,4, Carina Mihai5, Ioan Ancuta5, Patricia E. Carreira6, Jose Luis Rosales Alexander7, Juan José Alegre8, Valeria Riccieri9, Maria J. Salvador10 and Rodica Chirieac4, 1Rheumatology, Gr.T.Popa University of Medicine and Pharmacy, Iasi, Romania, 2Rheumatology 2, Clinical Rehablitation Hospital, Iasi, Romania, 3Research Department, Clinical Rehabilitation Hospital, Iasi, Romania, 4Rheumatology 2, Clinical Rehabilitation Hospital, Iasi, Romania, 5Department of Internal Medicine and Rheumatology, Dr.I.Cantacuzino Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, 6Multidisciplinary Pulmonary Hypertension Unit. Hospital Universitario 12 de Octubre, Madrid, Spain, 7Rheumatology, Hospiten Health Network, Tenerife, Spain, 8Rheumatology Department, Hospital Universitario Doctor Peset, Valencia, Spain, 9Cattedra di Reumatologia, Dip Clinica e Terapia Medica, Sapienza Università di Roma, Roma, Italy, 10Rheumatology, Centro Hospitalar e Universitário de Coimbra - Hospitais da Universidade de Coimbra, EPE, Coimbra, Portugal

    Background/Purpose: Although numerous studies have reported different findings on subclinical and definite atherosclerosis (AS) in autoimmune rheumatic diseases, data in systemic sclerosis (SSc) are still…
  • Abstract Number: 1904 • 2015 ACR/ARHP Annual Meeting

    Development of the Mawdsley Calcinosis Questionnaire (MCQ) Version 1 – a Patient-Reported Outcome Measure (PROM) for Systemic Sclerosis Related Calcinosis (SSc-Ca)

    Lesley Ann Saketkoo1, Kim Fligelstone2, Evan Busman3, Angela Christensen4, Sophia Cenac5, Samara Khalique6, Andrew Aubin7, Veronika K. Jaeger8, Anne Mawdsley9, Jessica K. Gordon10, Randi Kaufman11, Murray Baron12, Virginia D. Steen13 and Tracy M. Frech14, 1Tulane University Lung Center, New Orleans Scleroderma and Sarcoidosis Patient Care and Research Center, New Orleans, LA, 2Royal Free Hospital, Scleroderma Unit and Scleroderma Society, London, United Kingdom, 3Atlanta Scleroderma Support Group, Atlanta, GA, 4Tulane University School of Medicine, New Orleans, LA, 5Louisiana State University Health Science Center, New Orleans, LA, 6Louisiana State University Health Sciences Center, New Orleans, LA, 7Louisiana State University School of Medicine, New Orleans, LA, 8Department of Rheumatology, University Hospital Basel, Basel, Switzerland, 9Raynaud's & Scleroderma - Care and Support UK, Cheshire, United Kingdom, 10Rheumatology, Hospital for Special Surgery, New York, NY, 11Lousiana State University Health Sciences Center - School of Public Health, New Orleans, LA, 12Jewish General Hospital, Lady Davis Institute and McGill University, Montreal, QC, Canada, 13Rheumatology, Georgetown University Medical Center, Washington, DC, 14Div of Rheumatology, University of Utah, Salt Lake City, UT

    Background/Purpose: SSc-Ca is a poorly understood vascular complication of SSc that usually related to extreme constant pain and infection/amputation risk for persons living with SSc-Ca…
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