ACR Meeting Abstracts

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  • Abstract Number: 2360 • 2015 ACR/ARHP Annual Meeting

    The Effectiveness of Tacrolimus in Patients with Interstitial Lung Disease Secondary to Autoimmune Disease

    Hina Chaudhry1, Rochella A. Ostrowski2 and Rodney Tehrani3, 1Rheumatolgoy, Loyola University Medical Center, Maywood, IL, 2Rheumatology, Loyola University Medical Center, Maywood, IL, 3Rheum & Immun, Loyola Univ Medical Center, Maywood, IL

    Background/Purpose: Interstitial lung disease (ILD) secondary to connective tissue disease (CTD) is most commonly seen in systemic sclerosis followed by polymyositis and dermatomyositis.  Anti-synthetase syndrome…
  • Abstract Number: 2361 • 2015 ACR/ARHP Annual Meeting

    Abatacept in the Treatment of Adult Dermatomyositis and Polymyositis: a Randomized, Treatment Delayed-Start Trial  

    Ingrid E. Lundberg1, Anna Tjärnlund2, Quan Tang3, Cecilia Wick2, Maryam Dastmalchi4, Herman F Mann5, Jana Tomasová Studýnková5, Radka Chura6, Nicola J. Gullick7, Rosaria Salerno7, Eva Lindroos3,8, Patrick Gordon6 and Jiri Vencovsky5, 1Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 2Rheumatology Unit, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, 3Department of Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 4Department of Medicine, Solna, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 5Institute of Rheumatology, Prague, Czech Republic, 6Department of Rheumatology, King`s College Hospital NHS Foundation Trust, London, United Kingdom, 7Rheumatology, Department of Rheumatology, King`s College Hospital NHS Foundation Trust, London, United Kingdom, 8Department of Medicine, Rheumatology Unit, Karolinska University Hospital in Solna, Karolinska Institutet, Stockholm, Sweden., Stockholm, Sweden

    Background/Purpose: The aim of the study was to assess the effects of abatacept, a T cell blocking agent, on disease activity and on muscle biopsy…
  • Abstract Number: 2362 • 2015 ACR/ARHP Annual Meeting

    Rituximab in the Treatment of Jo-1 Antibody-Associated Antisynthetase Syndrome: Anti-Ro52 Positivity As a Marker for Severity and Treatment Response

    Jutta Bauhammer1, Norbert Blank2, Hanns-Martin Lorenz3, Regina Max4, Dietmar Krause5 and Christoph Fiehn1, 1ACURA Centre for Rheumatic Diseases, Baden-Baden, Germany, 2Dept. of Internal Medicine 5, Division of Rheumatology, University of Heidelberg, Heidelberg, Germany, 3Department of Internal Medicine 5, Division of Rheumatology, University of Heidelberg, Heidelberg, Germany, 4Dept. of Internal Medicine 5, Division of Rheumatology, University of Heidelberg, Heidelberg, Germany, 5Dept. of Medical Informatics, Biometry and Epidemiology, Ruhr University Bochum, Bochum, Germany

    Background/Purpose: Rituximab (RIX) has successfully been used for the treatment of severe Jo-1 antibody-associated antisynthetase syndrome (Jo-1 ASS). The aim of this retrospective study was…
  • Abstract Number: 2363 • 2015 ACR/ARHP Annual Meeting

    Efficacy and Safety of Adrenocorticotropic Hormone Gel (Acthar Gel ®) in Refractory Dermatomyositis or Polymyositis

    Rohit Aggarwal1, Galina Marder2, Priyadarshini Loganathan3, Diane Koontz4, Preeya Nandkumar5, Zengbiao Qi6 and Chester V. Oddis7, 1Rheumtology, University of Pittsburgh Medical Center, Pittsburgh, PA, 2Medicine, North Shore Long Island Health System, Great Neck, NY, 3University of Pittsburgh Medical Center, Pittsburgh, PA, 4University of Pittsburgh, Pittsburgh, PA, 5North Shore Long Island Health System, Great Neck, NY, 6Division of Rheumatology, University of Pittsburgh, Pittsburgh, PA, 7Rheum/Clinical Immunology, University of Pittsburgh, Pittsburgh, PA

    Background/Purpose: Adrenocorticotropic hormone (ACTH) gel (repository corticotropin injection) is a long-acting full sequence ACTH that may include other pro-opiomelanocortin peptides thought to have anti-inflammatory and…
  • Abstract Number: 2364 • 2015 ACR/ARHP Annual Meeting

    Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme a Reductase Positive Myopathy Patients without Statin Exposure May Have a Progressive Disease That Worsens Despite Aggressive Immunosuppressive Therapy

    Eleni Tiniakou1, Iago Pinal-Fernandez2, Lisa Christopher-Stine3, Jessie Werner4, Thomas E. Lloyd5, Julie J. Paik6, Jemima Albayda7, Sonye K. Danoff8 and Andrew Mammen9, 1Rheumatology, Johns Hopkins University, Baltimore, MD, 2Autoimmune Systemic Diseases Unit, Vall D’Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain, 3Ste 4100 Rm 409, Johns Hopkins University School of Medicine, Baltimore, MD, 4University of Maryland, School of Medicine, Baltimore, MD, 5Neurology, Johns Hopkins, Baltimore, MD, 6Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 7Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 8Medicine/Pulmonary, Johns Hopkins School of Medicine, Baltimore, MD, 9NIAMS, NIH, Bethesda, MD

    Background/Purpose: While the majority of myopathy patients with antibodies recognizing H 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR) have had a statin exposure, approximately one third have not.  In…
  • Abstract Number: 2365 • 2015 ACR/ARHP Annual Meeting

    Use of Long Term Subscutaneous Immunoglobulins in Inflammatory Myopathies: A Retrospective Analysis of 19 Patients

    Patrick Cherin1, Cristina Belizna2, Odile Cartry3, Georgeta Lascu4, Jean-Christophe Delain5, Jean-charles Crave6 and Eric Hachulla7, 1Internal Medicine, Pitié Salpêtrière Hospital, Paris, France, 2Internal Medicine, Angers University hospital, Angers, France, 3Internal Medicine, Clinique Mutualiste, Perpignan, France, 4Internal Medicine, Max Fourestier Hospital, Nanterre, France, 5Medical immunology, Octaphama France, Boulogne-BIllancourt, France, 6Immunology, Octapharma France, Boulogne-BIllancourt, France, 7FAI²R, Hôpital Claude Huriez, CHRU Lille, LILLE, France

    Background/Purpose: Intravenous immunoglobulin (IVIg) therapy is recommended for patients suffering from inflammatory myopathies refractory to corticosteroids and immunosuppressive drugs. It is also recommended for patients…
  • Abstract Number: 2366 • 2015 ACR/ARHP Annual Meeting

    The Anti-MDA5 Autoantibody Phenotype: Defining Clinical, Biochemical and Radiological Features Suggestive of Anti-MDA5-Associated Rapidly Progressive Interstitial Lung Disease

    Sabrina Hoa1, Yves Troyanov1, Marvin J. Fritzler2, Ira N. Targoff3, Anne-Marie Mansour1, Eric Rich1, Hind Boudabbouz1, Josiane Bourré-Tessier1, Sandra Chartrand1, Marianne Landry1, Martin Albert1 and Jean-Luc Senécal1, 1Université de Montréal, Montreal, QC, Canada, 2Medicine, University of Calgary, Calgary, AB, Canada, 3Veterans Affairs Medical Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK

    Background/Purpose: Anti-MDA5 autoantibody associated syndrome is a novel entity within the spectrum of autoimmune myositis. It has been described as a clinical mimic of the…
  • Abstract Number: 2367 • 2015 ACR/ARHP Annual Meeting

    Risk of Malignancy in Dermatomyositis with Anti-CADM-140/ Melanoma Differentiation- Associated Gene 5 Autoantibody

    Shinji Sato1, Takayoshi Kurabayashi1, Sho Sasaki2, Yasushi Koyama2, Shinichi Nogi3, Naofumi Chinen1, Chiho Yamada1 and Yasuo Suzuki1, 1Internal Medicine/ Rheumatology, Tokai University School of Medicine, Isehara, Japan, 2Internal Medicine/Rheumatology, Tokai University School of Medicine, Isehara, Japan, 3Division of Rheumatology, Department of Internal Medicine, Tokai University School of Medicine, Isehara, Japan

    Background/Purpose: Anti-CADM-140/ Melanoma Differentiation-Associated Gene 5 (MDA5) antibody is found specifically in patients with dermatomyositis (DM). This autoantibody is associated with clinically amyopathic DM (CADM)…
  • Abstract Number: 2368 • 2015 ACR/ARHP Annual Meeting

    Myositis Specific-Autoantibodies: Predictors of Short-Term Good Outcome in Rituximab Treated-Refractory Idiopathic Inflammatory Myopathies

    Fernando Henrique Carlos de Souza1, Renata Miossi2, Julio C. B. Moraes1, Karina Bonfiglioli1, Eloisa Bonfá1 and Samuel Katsuyuki Shinjo1, 1Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil

    Background/Purpose: The treatment of idiopathic inflammatory myopathies (IIM) is challenging, complicated by its rarity and heterogeneity. Currently few studies have suggested the efficacy of RTX…
  • Abstract Number: 2369 • 2015 ACR/ARHP Annual Meeting

    Dermatomyositis Associated with Anti-Melanoma Differentiation-Associated Gene 5 Antibodies: A Longitudinal Analysis

    Matthew Lewis1, Shufeng Li1, Lorinda Chung2 and David Fiorentino1, 1Dermatology, Stanford University, Stanford, CA, 2Division of Immunology and Rheumatology, Stanford University School of Medicine, Stanford, CA

    Background/Purpose: Dermatomyositis (DM) patients with anti-melanoma differentiation-associated gene 5 (MDA5) antibodies are at increased risk of developing interstitial lung disease (ILD). The natural history of…
  • Abstract Number: 2370 • 2015 ACR/ARHP Annual Meeting

    Clinical Characteristics of Anti-MDA5 (+) Dermatomyositis Patients in North America

    Siamak Moghadam-Kia1, Chester V. Oddis2, Shinji Sato3, Masataka Kuwana4 and Rohit Aggarwal5, 1Medicine-Myositis Center and Division of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 2Rheum/Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 3Rheumatology, Tokai University School of Medicine, Isehara, Japan, 4Division of Rheumatology, Keio University School of Medicine, Tokyo, Japan, 5Medicine / Rheumatology, University of Pittsburgh, Pittsburgh, PA

    Background/Purpose:  Clinically amyopathic dermatomyositis (CADM) patients have the classic rash (es) of DM but no objective proximal muscle weakness.  Asian studies report a unique clinical phenotype in anti-MDA5…
  • Abstract Number: 2371 • 2015 ACR/ARHP Annual Meeting

    The Clinical Features of Recurrent Interstitial Lung Disease in Dermatomyositis Patients with Anti- Melanoma Differentiation-Associated Gene 5 Antibody

    Yuji Hosono1, Ran Nakashima1, Kosaku Murakami2, Yoshitaka Imura2, Naoichiro Yukawa2, Hajime Yoshifuji2, Koichiro Ohmura2 and Tsuneyo Mimori2, 1Department of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, Kyoto, Japan, 2Department of Rheumatology and Clinical Immunology, Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Background/Purpose: Interstitial lung disease (ILD) is the most common cause of mortality in polymyosytis (PM) and dermatomyositis (DM). It is well known that the DM…
  • Abstract Number: 2372 • 2015 ACR/ARHP Annual Meeting

    Timing of Onset and Cluster with Other Manifestations Influence the Spectrum of Arthritis in Anti Jo-1 Positive Antisynthetase Syndrome: Results from a Multicenter, International, Retrospective Study

    Alberto Sifuentes Giraldo1, Carlo Alberto Scirè2, Santos Castañeda3, Laura Nuño4, Francisco Javier Lopez Longo5, Julia Martínez-Barrio5, Franco Franceschini6, Ilaria Cavazzana6, Paolo Airò7, Elena Bartoloni Bocci8, Javier Bachiller Corral9, Rossella Neri10, Simone Barsotti11, Roberto Caporali12, Carlomaurizio Montecucco13, Marcello Govoni14, Renato La Corte14, Federica Furini14, Florenzo Iannone15, Margherita Giannini16, Enrico Fusaro17, Simone Parisi18, Giuseppe Paolazzi19, Giovanni Barausse19, Raffaele Pellerito20, Alessandra Russo20, Lesley Ann Saketkoo21, Norberto Ortego-Centeno22, Luca Quartuccio23, Christof Specker24, Andreas Schwarting25, Kostantinos Triantafyllias26, Carlo Selmi27, Fausto Salaffi28, Marco Amedeo Cimmino29, Annamaria Iuliano30, Fabrizio Conti31, Gianluigi Baiocchi32, Elena Bravi33, Veronica Codullo12, Anna Ghirardello34, Trinitario Pina35, Miguel Angel Gonzalez-Gay35, Lorenzo Cavagna13 and AENEAS (American and European NEtwork of Antisynthetase Syndrome) collaborative group, 1Department of Rheumatology, University Hospital Ramón y Cajal, Madrid, Spain, 2Epidemiology Unit – Italian Society for Rheumatology (SIR), Milano, Italy, 3Rheumatology, H.U. La Princesa, Madrid, Spain, 4Servicio de Reumatologia, Hospital Universitario La Paz, Madrid, Spain, 5Servicio de Reumatologia, Hospital General Universitario Gregorio Marañón, Madrid, Spain, 6Rheumatology and Clinical Immunology, Spedali Civili and University of Brescia, Brescia, Italy, 7Rheumatology Unit, Spedali Civili of Brescia, Brescia, Italy, 8Rheumatology Unit, Department of Clinical & Experimental Medicine, University of Perugia, Perugia, Italy, 9Rheumatology, University Hospital Ramón y Cajal, Madrid, Spain, 10Rheumatology Unit, University of Pisa, Italy, Pisa, Italy, 11Division of Rheumatology, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, 12Division of Rheumatology, University of Pavia, IRCCS Foundation Policlinico S. Matteo, Pavia, Italy, 13Division of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy, 14UOC Reumatologia, Azienda Ospedaliera Universitaria S. Anna, Ferrara, Italy, 15Interdisciplinary Department of Medicine (DIM), Rheumatology Unit, University of Bari, Bari, Italy, 16DIM, Rheumatology Unit, Bari, Italy, 17Department of Rheumatology, Città della Salute e della Scienza, Torino, Italy, 18Department of Rheumatology, Città Della Salute e della Scienza, Torino, Italy, 19Rheumatology Unit, Santa Chiara Hospital, Trento, Italy, 20Division of Rheumatology, Mauriziano Hospital, Turin, Italy, 21Tulane University Lung Center, New Orleans Scleroderma and Sarcoidosis Patient Care and Research Center, New Orleans, LA, 22Systemic Autoimmune Diseases Unit, Hospital Universitario San Cecilio, Granada, Spain, 23Clinic of Rheumatology, Department of Medical and Biological Sciences (DSMB), Santa Maria della Misericordia Hospital, University of Udine, Udine, Italy, 24Department for Rheumatology and Clinical Immunology, St. Josef Krankenhaus, University Clinic, Essen, Germany, 25Department of Internal Medicine, Rheumatology and Clinical Immunology, University Hospital Johannes-Gutenberg, Mainz, Germany, 26ACURA Rheumatology Center, Bad Kreuznach, Germany, 27Internal Medicine- Unit of Rheumatology and Clinical Immunology, Humanitas Clinical and Research Center, Rozzano, Italy, 28Rheumatology Department, Polytechnic University of Marche, C. Urbani Hospital, Jesi,, Ancona, Italy, 29Research Laboratory and Academic Unit of Clinical Rheumatology, Department of Internal Medicine, University of Genoa, Genoa, Italy, 30Osp. San Camillo, Roma, Italy, 31Rheumatology Unit, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy, 32Rheumatology Unit, Department of Internal Medicine, S.Maria Hospital –IRCCS, Reggio Emilia, Italy, 33Internal Medicine, Rheumatology Unit, Ospedale Guglielmo da Saliceto, Piacenza, Italy, 34Department of Medicine-DIMED, University of Padova, Padova, Italy, 35Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL, Santander, Spain

    Background/Purpose: arthritis, myositis and interstitial lung disease (ILD) are reported in up to 90% of patients affected by antisynthetase syndrome (ASSD) and thus represent the…
  • Abstract Number: 2373 • 2015 ACR/ARHP Annual Meeting

    Frequency of Antinuclear (ANA), Myositis-Specific (MSA) and Myositis-Associated Antibodies (MAA) in Patients with Idiopathic Inflammatory Myopathies (IIM) from Mexico, Central and South America Centers: Data from the Panlar Myositis Study Group.   

    Yelitza Gonzalez-Bello1,2, Daniel Garcia-Cerda3, Gabriel Medrano-Ramírez4, José E. Navarro-Zarza5, Lilia Andrade-Ortega6, Marco Maradiaga-Ceceña7, Alicia Cardenas-Anaya8, Arnulfo H. Nava-Zavala3,9, Gerardo Orozco-Barocio8, Armando Rojo-Mejia10, Esthela Loyo11, Paola Gottschalk11, Graciela Gómez12, Marvin J. Fritzler13 and Ignacio Garcia-De La Torre8, 1Immunology and Rheumatlogy, Universidad de Guadalajara, Zapopan, Jalisco, Mexico, 2Immunology and Rheumatology, Hospital General de Occidente, Secretaria de Salud Jalisco, Guadalajara, Jalisco, Mexico, 3Immunology and Rheumatology, Hospital General de Occidente, Secretaria de Salud Jalisco, Zapopan, Jal., Mexico, 4Rheumatology, Hospital General de Mexico, Secretaria de Salud, Mexico City, Mexico, 5Medicine, Hospital General Raymundo Abarca Alarcón, Chilpancingo, Mexico, 6Rheumatology, Centro Medico Nacional 20 de Noviembre, ISSSTE, Mexico City, Mexico, 7Rheumatology, Hospital General de Culiacan de la Secretaría de Salud, Culiacan, Sin., Mexico, 8Immunology and Rheumatology, Hospital General de Occidente, Secretaria de Salud Jalisco, Zapopan, Jalisco, Mexico, 9UMAE, Hospital de Especialidades Centro Médico Nacional de Occidente, IMSS, Guadalajara, Jalisco, Mexico, 10Rheumatology, Clinica San Pablo, Lima, Peru, 11Rheumatology, Hospital Regional Universitario, Santiago, Dominican Republic, 12Rheumatology, Instituto de Investigaciones Medicas Alfredo Lanari, Buenos Aires, Argentina, 13Medicine, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Dermatomyositis (DM) and polymyositis (PM) are forms of IIM that involve skeletal muscle as well as many other organs. As in other systemic rheumatic…
  • Abstract Number: 2374 • 2015 ACR/ARHP Annual Meeting

    Pulmonary Arterial Hypertension in Patients with Anti-PM-Scl Antibody

    Hiromichi Tamaki1, Ruchi Yadav2, James Bena3 and Soumya Chatterjee4, 1Department of Rheumatic and Immunologic Diseases, Cleveland Clinic Foundation, Cleveland, OH, 2Diagnostic Radiology, Cleveland Clinic, Cleveland, OH, 3Department of Quantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, OH, 4Cleveland Clinic Foundation, Cleveland, OH

    Background/Purpose: Pulmonary arterial hypertension (PAH) may be a disease manifestation of patients with anti-PM-Scl antibody (PM-Scl). In the 2014 ACR annual meeting we reported significantly…
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