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  • Abstract Number: 3155 • 2015 ACR/ARHP Annual Meeting

    Bob1 Expression Is Elevated in Rheumatoid Synovium and Its Expression in B Cells Is Required for Development of Collagen-Induced Arthritis

    Maartje Levels1,2,3, Melissa van Tok2,3,4, Tineke Cantaert2,3, Frans G.M. Kroese5, Hergen Spits6, Dominique Baeten2,3,4 and Nataliya Yeremenko1,2,3, 1Amsterdam Rheumatology and immunology Center, Amsterdam, Netherlands, 2Clinical Immunology and Rheumatology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 3Laboratory of Experimental Immunology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 4Amsterdam Rheumatology and Immunology Center, Amsterdam, Netherlands, 5Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands, 6Department of Cell Biology and Histology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands

    Background/Purpose: Rheumatoid arthritis (RA) is a prototypic autoimmune disease characterized by a prominent humoral autoimmunity. Of particular relevance is the local production of autoantibodies and…
  • Abstract Number: 3156 • 2015 ACR/ARHP Annual Meeting

    IL17 Promotes Development of Autoreactive Early Stage B Cells in Distinct Regions of the Spleen Follicle

    Jennie Hamilton1, Qi Wu2, PingAr Yang3, Jun Li4, Yanna Ding1, Bao Luo5, John Mountz6 and Hui-Chen Hsu2, 1University of Alabama at Birmingham, Birmingham, AL, 2Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 3Department of Medicine, Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 4Medicine, University of Alabama at Birmingham, Birmingham, AL, 5Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 6Dept of Med/Rheumatology Div, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: The early stage transitional B cell has been shown to be the key peripheral B-cell tolerance control point defect in SLE patients.  Anti-RNP Abs can…
  • Abstract Number: 3157 • 2015 ACR/ARHP Annual Meeting

    B Cell Profile As a Biomarker of Disease Segmentation and Flare Prognosis in SLE

    Chungwen Wei1, Bridget Neary2, Jamie Biear3, Jennifer Barnard3,4, Michelle Petri5, Alex Rosenberg6, Jennifer H. Anolik7 and Ignacio Sanz1, 1Rheumatology, Emory University, Atlanta, GA, 2Emory University, Atlanta, GA, 3Rheumatology, University of Rochester, Rochester, NY, 4Allergy, Immunology and Rheumatology, University of Rochester, Rochester, NY, 5Rheumatology, Johns Hopkins University Hospital, Baltimore, MD, 6University of Rochester, Rochester, NY, 7University of Rochester Medical Center, Rochester, NY

    Background/Purpose: B cell abnormalities in SLE are well-established contributors to disease pathogenesis. Perturbation of B cell homeostasis in SLE is often described separately for each…
  • Abstract Number: 3158 • 2015 ACR/ARHP Annual Meeting

    Impact of Family History of Systemic Lupus Erythematosus on Risk of Autoimmune Diseases: National Cohort Study in Denmark 1977-2012

    Constance Jensina Ulff-Møller1, Jacob Simonsen2, Søren Jacobsen1 and Morten Frisch2, 1Department of Rheumatology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark, 2Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark

    Background/Purpose: Systemic lupus erythematosus (SLE) is a complex autoimmune disease (AID), which develops through the interplay of genetic, epigenetic and environmental factors and may cluster…
  • Abstract Number: 3159 • 2015 ACR/ARHP Annual Meeting

    Systemic Lupus Erythematosus Is a Risk Factor for Young Stroke: A Population-Based Cohort Study

    Elizabeth V Arkema1, Elisabet Svenungsson2, Christopher Sjöwall3 and Julia F Simard4,5, 1Department of Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden, 2Department of Medicine, Karolinska Insitutet, Rheumatology Unit, Karolinska University Hospital, Stockholm, Sweden, 3Department of Clinical and Experimental Medicine, Rheumatology/AIR, Linköping, Sweden, 4Division of Epidemiology, Health Research and Policy Department, and Division of Immunology & Rheumatology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 5Clinical Epidemiology Unit, Dept of Medicine, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Previous studies indicate that individuals with SLE have a high risk of stroke but have not investigated when the highest risk occurs. We aimed…
  • Abstract Number: 3160 • 2015 ACR/ARHP Annual Meeting

    Comparative Rates of Serious Infections and All-Cause Mortality Among Systemic Lupus Erythematosus Patients Receiving Mycophenolate Mofetil Versus Azathioprine

    Candace H. Feldman1, Francisco M. Marty2, Wolfgang C. Winkelmayer3, Hongshu Guan4, Jessica M. Franklin5, Daniel H. Solomon1, Seoyoung C. Kim6 and Karen H. Costenbader7, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Department of Medicine, Division of Infectious Disease, Brigham and Women's Hospital, Boston, MA, 3Medicine-Nephrology, Baylor College of Medicine, Houston, TX, 4Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 5Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA, 6Div. of Pharmacoepidemiology and Pharmacoeconomics, Div. of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 7Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Patients with systemic lupus erythematosus (SLE) are at high risk of infections partly from use of immunosuppressives (IS). Clinical trials are powered to detect…
  • Abstract Number: 3161 • 2015 ACR/ARHP Annual Meeting

    Rates of Hospitalization for Infection and Related Mortality By Race/Ethnicity and Sex Among Patients with End-Stage Renal Disease Due to Systemic Lupus Erythematosus

    Candace H. Feldman1, Francisco M. Marty2, Wolfgang C. Winkelmayer3, Hongshu Guan4, Jessica M. Franklin5, Seoyoung C. Kim6, Daniel H. Solomon7 and Karen H. Costenbader8,9, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Department of Medicine, Division of Infectious Disease, Brigham and Women's Hospital, Boston, MA, 3Medicine-Nephrology, Baylor College of Medicine, Houston, TX, 4Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 5Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA, 6Medicine, Division of Rheumatology, Division of Pharmacoepidemiology, Brigham & Women's Hospital, Boston, MA, 7Division of Pharmacoepidemiology, Harvard Medical School, Brigham and Women's Hospital, Division of Rheumatology, Division of Pharmacoepidemiology, Boston, MA, 8Rheumatology, Brigham & Women's Hospital, Boston, MA, 9Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Infections are a significant cause of morbidity and mortality in SLE patients. Recent studies show that lupus nephritis patients have more than two-fold higher…
  • Abstract Number: 3162 • 2015 ACR/ARHP Annual Meeting

    Prevalence of Chronic Comorbidities in Patients with Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis and Systemic Lupus Erythematosus: An Analysis of UK Biobank Data

    Eftychia Bellou1, Michael Cook2, John Bowes1, Jamie C Sergeant3, Anne Barton4, Terence W. O'Neill2 and Suzanne M.M. Verstappen2, 1Arthritis Research UK Centre for Genetics and Genomics, The University of Manchester, Centre for Musculoskeletal Research, Manchester, United Kingdom, 2Arthritis Research UK Centre for Epidemiology, The University of Manchester, Centre for Musculoskeletal Research, Manchester, United Kingdom, 3Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, United Kingdom, 4The Kellgren Centre for Rheumatology, Central Manchester Foundation Trust, NIHR Manchester Biomedical Research Centre, Manchester, United Kingdom

    Background/Purpose: Rheumatoid arthritis (RA), psoriatic arthritis (PsA), ankylosing spondylitis (AS) and systemic lupus erythematosus (SLE) are immune-mediated disorders and are associated with a number of…
  • Abstract Number: 3163 • 2015 ACR/ARHP Annual Meeting

    The Smoking Paradox in the Development of Psoriatic Arthritis Among Psoriasis Patients

    Uyen Sa D.T. Nguyen1, Yuqing Zhang2, Na Lu3, Qiong Louie-Gao4, Jingbo Niu5, David T. Felson5, Michael P. Lavalley6, Thorvardur Love7,8, Maureen Dubreuil4, Jeffrey A. Sparks9, Elizabeth W. Karlson10 and Hyon K. Choi3, 1Orthopedics & Physical Rehabilation, Univerity of Massachusetts Medical School, Worcester, MA, 2Clinical Epidemilogy and Training Unit, Boston University School of Medicine, Boston, MA, 3Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Boston University School of Medicine, Boston, MA, 5Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 6Biostatistics, Boston University, Boston, MA, 7Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 8Faculty of Medicine, University of Iceland, Reykjavik, Iceland, 9Division of Rheumatology, Immunology, and Allergy, Brigham & Women's Hospital, Boston, MA, 10Rheumatology, Brigham & Women's Hospital, Boston, MA

    Background/Purpose: Smoking is a strong risk factor of psoriasis, but a previous study has suggested that smoking protects against the development of psoriatic arthritis (PsA)…
  • Abstract Number: 3164 • 2015 ACR/ARHP Annual Meeting

    Calcium Pyrophosphate Deposition Disease and Associated Medical Co-Morbidities in the Veteran Population

    Crystal Kleiber Balderrama1, Daniel S. Lans2, Ann K. Rosenthal1,3 and Christie M. Bartels4, 1Division of Rheumatology, Medical College of Wisconsin, Milwaukee, WI, 2Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI, 3Division of Rheumatology, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI, 4Medicine, Rheumatology, University of Wisconsin School of Medicine and Public Health, Madison, WI

    Title:  Calcium Pyrophosphate Deposition Disease and Associated Medical Co-Morbidities in the Veteran Population.  Background/Purpose:   Precipitation of calcium pyrophosphate dihydrate (CPP) crystals in articular tissues…
  • Abstract Number: 3165 • 2015 ACR/ARHP Annual Meeting

    Do Omega-3 Fatty Acids Reduce Risk of Recurrent Gout Attacks?

    MaryAnn Zhang1, Yuqing Zhang2, Robert Terkeltaub3, Clara Chen4 and Tuhina Neogi2, 1Internal Medicine, Boston University School of Medicine, Boston, MA, 2Boston University School of Medicine, Boston, MA, 3Medicine-Rheumatology, VA Medical Ctr/University of California San Diego, San Diego, CA, 4Boston University School of Public Health, Boston, MA

    Background/Purpose:           Current guidelines for gout management, based in part on epidemiologic data for development of incident gout, recommend limiting intake of high-purine fish. However,…
  • Abstract Number: 3166 • 2015 ACR/ARHP Annual Meeting

    Epistatic Interaction of Functional Inflammasome Genetic Variants in Determining the Risk of Gout

    Tony R. Merriman1, Lisa K. Stamp2, Nicola Dalbeth3, Ruth Topless4, Richard Day5, Diluk Kannangara5, Kenneth Williams5, Matthijs Janssen6, Tim Jansen7, Leo A. Joosten8, Timothy Radstake9, Philip L. Riches10, Anne-Kathrin Tausche11, Frederic Lioté12, Alex So13,14 and Cushla McKinney4, 1Biochemistry Dept, PO Box 56, University of Otago, Dunedin, New Zealand, 2Medicine, University of Otago, Christchurch, Christchurch, New Zealand, 3Department of Medicine, University of Auckland, Auckland, New Zealand, 4University of Otago, Dunedin, New Zealand, 5University of New South Wales, Sydney, Australia, 6Rheumatology Dept, Ziekenhuis Rijnstate, Arnhem, Netherlands, 7P O Box 581, Haarlem, Netherlands, 8Department of Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 9Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 10Centre for Genomic and Experimental Medicine, Western General Hospital, Edinburgh, United Kingdom, 11Medizinische Klinik und Poliklinik III, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany, 12Rheumatology Department; Inserm UMR-S606; Paris-Diderot University, hôpital Lariboisiere, Paris, France, 13Service De Rhumatologie, CHUV, Lausanne, Switzerland, 14Department of Rheumatology, CHUV, Lausanne, Switzerland

    Background/Purpose: The acute gout flare results from a localised self-limiting innate immune response to monosodium urate (MSU) crystals deposited in joints in hyperuricaemic individuals. Activation…
  • Abstract Number: 3167 • 2015 ACR/ARHP Annual Meeting

    Association of the Apolipoprotein A1-C3-A4 Gene Cluster with the Risk of Gout: Evidence for a Causal Role in Gout

    Tony R. Merriman1, Amanda Phipps-Green2, Ruth Topless2, Malcolm D. Smith3, Catherine Hill4, Susan Lester4, Maureen Rischmueller5, Matthijs Janssen6, Tim Jansen7, Leo A. Joosten8, Timothy Radstake9, Philip L. Riches10, Anne-Kathrin Tausche11, Frederic Lioté12, Alex So13,14, Andre M. van Rij2, Gregory T. Jones15, Sally McCormick16, Andrew Harrison2, Lisa K. Stamp17, Nicola Dalbeth18 and Humaira Rasheed16, 1Biochemistry Dept, PO Box 56, University of Otago, Dunedin, New Zealand, 2University of Otago, Dunedin, New Zealand, 3Rheumatology, Repatriation General Hospital, Adelaide, Australia, 4Rheumatology Unit, The Queen Elizabeth Hospital, Woodville, Australia, 5Rheumatology, Queen Elizabeth Hospital, Adelaide, Australia, 6Rheumatology Dept, Ziekenhuis Rijnstate, Arnhem, Netherlands, 7P O Box 581, Haarlem, Netherlands, 8Department of Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 9Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 10Centre for Genomic and Experimental Medicine, Western General Hospital, Edinburgh, United Kingdom, 11Medizinische Klinik und Poliklinik III, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany, 12Rheumatology Department; Inserm UMR-S606; Paris-Diderot University, hôpital Lariboisiere, Paris, France, 13Service De Rhumatologie, CHUV, Lausanne, Switzerland, 14Department of Rheumatology, CHUV, Lausanne, Switzerland, 15Surgery, University of Otago, Dunedin, New Zealand, 16Department of Biochemistry, University of Otago, Dunedin, New Zealand, 17Medicine, University of Otago, Christchurch, Christchurch, New Zealand, 18Department of Medicine, University of Auckland, Auckland, New Zealand

    Background/Purpose: Gout is caused by an inflammatory response to monosodium urate (MSU) crystals and is associated with elevated triglyceride and very low density lipoprotein levels.…
  • Abstract Number: 3168 • 2015 ACR/ARHP Annual Meeting

    How Strong Cardiovascular Risk Factor Are Gouty Tophi?

    Rada Gancheva1, Atanas Kundurdjiev2, Mariana Ivanova1, Todor Kundurzhiev3 and Zlatimir Kolarov4, 1University Hospital "St. Iv. Rilski", Clinic of Rheumatology, Sofia, Bulgaria, 2University Hospital "Alexandrovska", Clinic of Nephrology, Sofia, Bulgaria, 3Medical University, Faculty of Public Health, Sofia, Bulgaria, 4Clinic of Rheumatology, University Hospital "St. Iv. Rilski", Clinic of Rheumatology, Sofia, Bulgaria

    Background/Purpose: We have not found a study determining cardiovascular (CV) risk in the different stages of gout. This led us to use a complex multimodal…
  • Abstract Number: 3169 • 2015 ACR/ARHP Annual Meeting

    Diagnostic Value of Ultrasound for the Diagnosis of Gout in a Prospective Cross-Sectional Study

    Alexis Ogdie-Beatty1, William J. Taylor2, Tuhina Neogi3, Jaap Fransen4, Tim Jansen5, H. Ralph Schumacher Jr.6 and Nicola Dalbeth7, 1Medicine/Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Department of Medicine, University of Otago Wellington, Wellington, New Zealand, 3Clinical Epidemiology, BUSM, Boston, MA, 4Rheumatology, Radboud University Medical Centre, Nijmegen, Netherlands, 5P O Box 581, Haarlem, Netherlands, 6Medicine, Rheumatology, U Penn & VA Med Ctr, Philadelphia, PA, 7Department of Medicine, University of Auckland, Auckland, New Zealand

    Background/Purpose: Musculoskeletal ultrasound (US) is a non-invasive option for diagnosing gout. However, little is known about the test characteristics of US for the diagnosis of…
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