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  • Abstract Number: 3170 • 2015 ACR/ARHP Annual Meeting

    Peripheral Osteoblastogenesis in Rheumatoid Arthritis Is Enhanced after TNF Blocker Treatment, Irrespective of Systemic Inflammation

    Mie Jin Lim1, Won Park2, Seong-Ryul Kwon2, Kyong-Hee Jung2 and Min Jung Son3, 1Division of Rheumatology, Department of Internal Medicine,, Inha University Hospital, Incheon, South Korea, 2Division of Rheumatology, Department of Internal Medicine, Inha University Hospital, Incheon, South Korea, 3Inha University Hospital, Incheon, South Korea

    Background/Purpose: We investigated osteoclastogenesis and osteoblastogenesis in peripheral blood before and 6 months after TNF blocker treatment in seropositive RA patients. Methods:            Seventeen seropositive…
  • Abstract Number: 3171 • 2015 ACR/ARHP Annual Meeting

    Combination Therapy with Denosumab and Biologic DMARD Associated with Higher Risk of Serious Infections Compared to Denosumab Alone and Biologic DMARD Alone

    Ivana Parody1, Luis Arias-Urdaneta2, Ricardo Garcia Alemany2 and Carlos Sesin2, 1Internal Medicine, Mount Sinai Medical Center, Miami Beach, FL, 2Vanguard Rheumatology Partners, Miami Beach, FL

    Background/Purpose: Patients with RA and other rheumatologic disorders are at increased risk for osteoporotic fractures. Biologic DMARDs are an important treatment option for these patients.…
  • Abstract Number: 3172 • 2015 ACR/ARHP Annual Meeting

    Effect of Anti Citrullinated Protein Antibodies on Periarticular and Systemic Bone Mass in Early Arthritis Patients

    Irene Llorente Cubas*1, Leticia Merino-Meléndez2, Ana M. Ortiz Garcia2, Eugenio Escolano3, Teresa Velasco1, Elena García2, Esther Vicente-Rabaneda2, Alberto Garcia-Vadillo4, Rosario Garcia-Vicuña4, Isidoro González-Alvaro*2 and Santos Castañeda*2, 1Rheumatology, H.U La Princesa, Madrid, Spain, 2Rheumatology, H.U. La Princesa, Madrid, Spain, 3Radiology Department, H.U La Princesa, Madrid, Spain, 4Rheumatology, Hospital Universitario de La Princesa. IIS La Princesa, Madrid, Spain

    Background/Purpose: Recently it has been described that anti citrullinated protein antibodies (ACPA) can induce differentatiomn and activation of osteoclasts even before arthritis onset (1,2). The…
  • Abstract Number: 3173 • 2015 ACR/ARHP Annual Meeting

    Premature Mortality Due to Fractures in a Population-Based Prospective Cohort Study of 238,673 Older Women and Men

    Lyn March1, Weiwen Chen2, Judy M Simpson3, Fiona Blyth4 and Jacqueline Center2, 1Department of Rheumatology, Northern Clinical School, Institute of Bone and Joint Research, Kolling Institute, University of Sydney & Department of Rheumatology, Royal North Shore Hospital, St Leonards, Sydney, Australia, 2Endocrinology, Osteoporosis & Bone Biology Garvan Institute of Medical Research, St Vincent's Clinical School, UNSW, Darlinghurst, Australia, 3Statistics, University of Sydney School of Public Health, Sydney, Australia, 4Concord Clinical School University of Sydney and Sax Institute, Sydney, Australia

    Background/Purpose: Osteoporotic (OP) fractures and falls are a growing global problem as the population ages. One third of all falls related deaths are attributable to…
  • Abstract Number: 3174 • 2015 ACR/ARHP Annual Meeting

    Vitamin D Binding Protein and Tenofovir-Associated Bone Loss Among Individuals with HIV

    Evelyn Hsieh1,2, Liana Fraenkel1, Weibo Xia3, Yang Han2, Michael Yin4, Karl Insogna5, Ting Zhu2 and Taisheng Li2, 1Section of Rheumatology, Yale School of Medicine, New Haven, CT, 2Department of Infectious Diseases, Peking Union Medical College Hospital, Beijing, China, 3Department of Endocrinology, Peking Union Medical College Hospital, Beijing, China, 4Division of Infectious Diseases, Columbia University Medical Center, New York, NY, 5Section of Endocrinology, Yale School of Medicine, New Haven, CT

    Background/Purpose: Antiretroviral regimens containing tenofovir disoproxil fumarate (TDF) have been associated with decreases in bone mineral density, and elevations in bone turnover markers (BTM) and…
  • Abstract Number: 3175 • 2015 ACR/ARHP Annual Meeting

    Strength at the Lumbar Spine and Hip Improves with Romosozumab Compared with Teriparatide in Postmenopausal Women with Low Bone Mass

    TM Keaveny1, DB Crittenden2, MA Bolognese3, HK Genant4, K Engelke5, B Oliveri6, JP Brown7, BL Langdahl8, YC Yang2, A Grauer2 and C Libanati9, 1UC Berkeley, Berkeley and O.N. Diagnostics, Berkeley, CA, 2Amgen Inc., Thousand Oaks, CA, 3The Bethesda Health Research Center, Bethesda, MD, 4UCSF & Synarc Inc., San Francisco, CA, 5Synarc Germany, Hamburg, Germany, 6Hospital de Clínicas, INIGEM, Buenos Aires, Argentina, 7Laval University and CHU de Québec (CHUL) Research Centre, Québec City, QC, Canada, 8Aarhus University Hospital, Aarhus, Denmark, 9UCB Pharma, Brussels, Belgium

    Background/Purpose: Romosozumab is a bone-forming agent that inhibits sclerostin. In a phase 2 study (NCT00896532), 12 months of romosozumab increased DXA bone mineral density (BMD)…
  • Abstract Number: 3176 • 2015 ACR/ARHP Annual Meeting

    New Prospects for Interpreting Bony Depressions in Juvenile Idiopathic Arthritis: A Novel MRI Computer-Assisted Technique for Detection of Erosive Progression

    Pieter van Dijkhuizen1,2, Carlotta Covizzi1, Andrea Schiappacasse3, Michela Moraldo4, Matteo Santoro5, Francesca Magnaguagno6, Gianmichele Magnano7, Alberto Martini1,4 and Clara Malattia1,4, 1Istituto G Gaslini, Pediatria II, Reumatologia, Genova, Italy, 2UMC Utrecht, Wilhelmina Children’s Hospital, Pediatric rheumatology, Utrecht, Netherlands, 3DIBRIS Università degli studi di Genova, Genova, Italy, 4DINOGMI Università degli studi di Genova, Genova, Italy, 5Camelot Biomedical Systems, Genova, Italy, 6Istituto G Gaslini, UO Radiologia Pediatrica, Genoa, Italy, 7Istituto G Gaslini, UO Radiologia Pediatrica, Genova, Italy

    Background/Purpose: Structural damage is the main disease outcome to be avoided in JIA. The gold standard to assess joint damage in JIA is X-ray, which…
  • Abstract Number: 3177 • 2015 ACR/ARHP Annual Meeting

    Whole-Body MRI: A Valuable Diagnostic Tool for the Assessment of Disease Damage in Juvenile Dermatomyositis

    Clara Malattia1, Agnese Beltramo1, Isabella Buffoni1, Annalisa Madeo1, Francesca Magnaguagno2, Stefania Viola1 and Alberto Martini1,3, 1Istituto G Gaslini, Pediatria II, Reumatologia, Genova, Italy, 2Istituto G Gaslini, UO Radiologia Pediatrica, Genoa, Italy, 3Pediatria, Istituto G Gaslini, Pediatria II, Reumatologia, Genova, Italy

    Background/Purpose: Although the prognosis of JDM has significantly improved during the past decade, some patients still experience persistent active disease, which potentially leads to irreversible…
  • Abstract Number: 3178 • 2015 ACR/ARHP Annual Meeting

    Tocilizumab in Refractory Uveitis Associated to Juvenile Idiopathic Arthritis. Multicenter Study of 13 Cases

    Montserrat Santos-Gómez1, Vanesa Calvo-Río1, Ricardo Blanco1, Inmaculada Calvo2, Marina Mesquida3, Alfredo Adan3, M. Victoria Hernández4, Olga Maiz Alonso5, Antonio Atanes-Sandoval6, Beatriz Bravo7, Consuelo Modesto8, Gisela Diaz Soriano9, Javier Loricera1, Leyre Riancho-Zarrabeitia1, Natalia Palmou1 and Miguel Angel Gonzalez-Gay1, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL, Santander, Spain, 2Rheumatology, Hospital La Fe, Valencia, Spain, 3Ophthalmology, Hospital Clinic, Barcelona, Spain, 4Arthritis Unit, Rheumatology, Hospital Clinic, Barcelona, Spain, 5Rheumatology, Donostia University Hospital, Donostia, Spain, 6Rheumatology, Complejo Hospitalario Universitario de La Coruña, La Coruña, Spain, 7Rheumatology, Hospital Universitario HUVN, Granada, Spain, 8Rheumatology, Hospital HSLL, Palma de Mallorca, Spain, 9Rheumatology, Hospital Regional Universitario de Málaga, Málaga, Spain

    Background/Purpose:   To assess the efficacy of Tocilizumab (TCZ) in refractory uveitis associated to juvenile idiopathic arthritis (JiA).Methods: Multicenter study of uveitis related to JiA…
  • Abstract Number: 3179 • 2015 ACR/ARHP Annual Meeting

    Diagnosing Childhood Small Vessel CNS Vasculitis

    Marinka Twilt1, Maryam Nabavi Nouri2, Pascal N. Tyrrell3, Anastasia Dropol1, Shehla Sheikh4, Cynthia Hawkins5 and Susanne Benseler6,7, 1Rheumatology, Alberta Children's Hospital, Calgary, AB, Canada, 2Neurology, The Hospital for Sick Childern, Toronto, ON, Canada, 3Department of Medical Imaging, University of Toronto, Toronto, ON, Canada, 4Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 5Paediatric Laboratory Medicine, The Hospital for Sick Children, Toronto, ON, Canada, 6Alberta Children's Hospital Research Institute/University of Calgary, Calgary, AB, Canada, 7Pediatrics/Alberta Children's Hospital, Department of Pediatrics/University of Calgary, Calgary, AB, Canada

    Background/Purpose: Childhood primary small vessel CNS vasculitis (SVcPACNS) is an increasingly recognized inflammatory brain disease with high morbidity and mortality mandating an elective brain biopsy…
  • Abstract Number: 3180 • 2015 ACR/ARHP Annual Meeting

    Mesenchymal Stromal Cell Treatment in Juvenile Idiopathic Arthritis: A Pilot Study

    Joost Swart1, Nico Wulffraat2, Berent J. Prakken3, Ineke Slaper-Cortenbach4 and Caroline Lindemans5, 1PO Box 85090, UMC Utrecht, Utrecht, Netherlands, 2University Medical Center Utrecht, Utrecht, Netherlands, 3University Medical Center, Utrecht, Netherlands, 4Cell Therapy Facility, University Medical Center Utrecht, Utrecht, Netherlands, 5Pediatric Immunology, Wilhelmina Children's Hospital/ UMC Utrecht, Utrecht, Netherlands

    Background/Purpose: Juvenile Idiopathic Arthritis (JIA) is a frequent childhood disease with a prevalence of 1 per 1000 children. The introduction of the biological agents including…
  • Abstract Number: 3181 • 2015 ACR/ARHP Annual Meeting

    How Common Is Inactive Disease in a Prospective Cohort of Patients with Juvenile Idiopathic Arthritis? the Importance of Definition

    Stephanie Shoop1, Suzanne M. Verstappen2, Eileen Baildam3, Alice Chieng4, Joyce Davidson5,6, Helen Foster7, Yiannis Ioannou8, Flora McErlane7, Lucy R Wedderburn9, Wendy Thomson10 and Kimme L. Hyrich10, 1ARC Epidemiology, Stopford Building, ARC Epidemiology Unit, The University of Manchester, M13 9PT, United Kingdom, 2ARC Epidemiology, Stopford Building, ARC Epidemiology Unit, the University of Manchester, Manchester, United Kingdom, 3Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom, 4Royal Manchester Children's Hospital, Manchester, United Kingdom, 5The Royal Hospital for Sick Children, Glasgow, Glasgow, United Kingdom, 6The Royal Hospital for Sick Children, Edinburgh, Edinburgh, United Kingdom, 7Royal Victoria Hospital, Newcastle, United Kingdom, 8Rayne Institute, University College London, London, UK, London, United Kingdom, 9Great Ormond Street Hospital NHS Foundation Trust, Paediatric Rheumatology, London, United Kingdom, 10arc Epidemiology Unit, Manchester, United Kingdom

    Background/Purpose: Patients with JIA are at risk of disability, pain and joint damage in the longer-term. Treating toward clinically inactive disease (ID) has the potential…
  • Abstract Number: 3182 • 2015 ACR/ARHP Annual Meeting

    High Body Mass Index Negatively Impacts Time to Achieving Sustained Remission in Early Rheumatoid Arthritis: Results from a Multicenter Early Arthritis Cohort Study

    Elizabeth Schulman1, Kathleen Andersen2, Meng Zhang3, Susan M. Goodman4, Daming Lin5, Gilles Boire6, Boulos Haraoui7, Carol Hitchon8, Shahin Jamal9, Edward C. Keystone10, Janet E. Pope11, Diane Tin12, Carter Thorne13, VP Bykerk2 and CATCH Investigators, 1Rheumatology, Hospital for Special Surgey, New York, NY, 2Hospital for Special Surgery, New York, NY, 3Epidemiology and Biostatistics, Hospital for Special Surgery, New York, NY, 4Rheumatology, Hospital for Special Surgery, New York, NY, 5Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 6Department of Medicine/Division of Rheumatology, University of Sherbrooke, Sherbrooke, QC, Canada, 7Institut de Rhumatologie de Montréal, Montréal, QC, Canada, 8University of Manitoba, Winnipeg, MB, Canada, 9Vancouver Coastal Health, Vancouver, BC, Canada, 10Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 11University of Western Ontario, London, ON, Canada, 12The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 13Southlake Regional Health Centre, Newmarket, ON, Canada

    Background/Purpose: High BMI has been associated with worse disease severity and lower rates of sustained remission (susREM) in early rheumatoid arthritis (ERA). In this study,…
  • Abstract Number: 3183 • 2015 ACR/ARHP Annual Meeting

    The Clinical and Economic Costs of Not Achieving Remission in Rheumatoid Arthritis

    Jeffrey R. Curtis1, Lang Chen1,2, Meredith Kilgore3, Huifeng Yun4 and Jeffrey D. Greenberg5, 1University of Alabama at Birmingham, Birmingham, AL, 2University of Alabama at Bimingham, Birmingham, AL, 3Health Care Organization & Policy, University of Alabama at Birmingham, Birmingham, AL, 4Epidemiology, University of Alabama at Birmingham, Birmingham, AL, 5Corrona, LLC, Southborough, MA

    Background/Purpose: Treat to target guidelines recommend achieving a state of remission or low disease activity for rheumatoid arthritis (RA) patients. However, the benefit of lower…
  • Abstract Number: 3184 • 2015 ACR/ARHP Annual Meeting

    Is Treat-to-Target Really Working? a Longitudinal Analysis in Biodam

    Sofia Ramiro1, Robert B.M. Landewé2, Désirée van der Heijde1, Oliver FitzGerald3, Mikkel Østergaard4,5, Joanne Homik6, Ori Elkayam7, J Carter Thorne8, Margaret Larche9, Gianfranco Ferraccioli10, Marina Backhaus11, Gilles Boire12, Bernard Combe13, Thierry Schaeverbeke14, Alain Saraux15, Maxime Dougados16, Silvano Adami17, Marcello Govoni18, Luigi Sinigaglia19, Alain G. Cantagrel20, Cornelia F. Allaart1, Cheryl Barnabe21, Clifton O. Bingham III22, Paul P. Tak23, Dirkjan van Schaardenburg24, Hilde Berner Hammer25, Rana Dadashova26, Edna Hutchings26, Joel Paschke26 and Walter Maksymowych27, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Rheumatology, Amsterdam Rheumatology Center, Amsterdam, Netherlands, 3Rheumatology, St Vincent's University Hospital, Dublin, Ireland, 4Copenhagen Center for Arthritis Research, Copenhagen University Hospital at Glostrup, Glostrup, Denmark, 5Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet - Glostrup, Glostrup, Denmark, 6Rheumatology, University of Alberta, Edmonton, AB, Canada, 7Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 8University of Toronto, Toronto, ON, Canada, 9Rheumatology, McMaster University, Hamilton, ON, Canada, 10Rheumatology and Internal Medicine, Catholic University of the Sacred Heart, Rome, Italy, 11Rheumatology/Immunology, Charite University Hospital, Berlin, Germany, 12Department of Medicine/Division of Rheumatology, University of Sherbrooke, Sherbrooke, QC, Canada, 13Department of rheumatology, Lapeyronie Hospital and Montpellier University, Montpellier, France, 14Rheumatology, Pellegrin University Hospital, Bordeaux, France, 15Rheumatology Department, CHU de la Cavale Blanche, Brest Cedex, France, 16Cochin Hospital, Paris Descartes University, Paris, France, 17University of Verona, Verona, Italy, 18University of Ferrara, Ferrara, Italy, 19Department of Rheumatology, Gaetano Pini Institute, Milan, Italy, 20Dept of Rheumatology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France, 21Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 22Rheumatology, Johns Hopkins University, Baltimore, MD, 23Division of Clinical Immunology and Rheumatology, Amsterdam Rheumatology Center, Amsterdam, Netherlands, 24Rheumatology, Amsterdam Rheumatology and immunology Center, Reade, Amsterdam, Netherlands, 25Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 26CaRE Arthritis, Edmonton, AB, Canada, 27Department of Medicine, University of Alberta, Edmonton, AB, Canada

    Background/Purpose: A Treat-to-Target approach (T2T), treating patients with RA towards a target, either remission or low disease activity (T2T-REM or T2T-LDA), is nowadays recommended. However…
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