ACR Meeting Abstracts

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  • Abstract Number: 2695 • 2014 ACR/ARHP Annual Meeting

    Alterations in B Cell Subsets and BAFF Levels in Autoimmune Rheumatic Diseases Treated with B Cell Depletion Therapy: Rituximab

    Pamela M.K Lutalo1, David P. D'Cruz2 and Jo Spencer3, 1Peter Gorer Department of Immunobiology, King's College London School of Medicine, London, United Kingdom, 2Louise Coote Lupus Unit, Guy's and St Thomas' Hospital NHS Foundation Trust, London, United Kingdom, 3Peter Gorer Department of Immunobiology, King's College London, School of Medicine, London, United Kingdom

    Background/Purpose: Systemic lupus erythematosus (SLE) and granulomatosis with polyangiitis (GPA) are autoimmune diseases which develop secondary to immune self-tolerance failure. Both diseases are characterised in…
  • Abstract Number: 2694 • 2014 ACR/ARHP Annual Meeting

    B Lymphocyte Stimulator (BLyS) Promotes Dysregulated Monocyte Function in Systemic Lupus Erythematosus(SLE)

    Eoghan M. McCarthy1, Joan Ní Gabhann2, Siobhán Smith2, Lorraine O' Neill3, Eamonn S. Molloy4, Donough Howard1, Paul G. O'Connell1, S. Donnelly5, Grainne M. Kearns6 and Caroline Jefferies2, 1Rheumatology, Beaumont Hospital, Dublin, Ireland, 2Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, Dublin, Ireland, 3Rheumatology, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland, 4Rheumatology, St. Vincent's University Hospital, Dublin 4, Ireland, 5Rheumatology, Mater Misericordiae University Hospital, Dublin 7, Ireland, 6Rheumatology Department, Beaumont Hospital, Dublin, Ireland

    Background/Purpose SLE involves complex interactions between the innate and adaptive immune systems. Monocytes are increasingly recognised to play a key role in the dysregulated immune…
  • Abstract Number: 2713 • 2014 ACR/ARHP Annual Meeting

    The Relationship of Patient Reported Skin Symptoms to the Scleroderma HAQ, the Modified Rodnan Skin Score and Skin Pathology. 

    Jessica Ziemek1, Ada Man2, Robert W. Simms2 and Robert Lafyatis2, 1Rheumatology/Arthritis Center, Boston University School of Medicine, Boston, MA, 2Rheumatology, Boston University School of Medicine, Boston, MA

    Background/Purpose: Changes in skin are a cardinal feature of systemic sclerosis (SSc). However, there are no SSc specific patient reported outcome measures validated for use…
  • Abstract Number: 2712 • 2014 ACR/ARHP Annual Meeting

    Nailfold Videocapillaroscopy in Healthy Children and Adolescents: Description of Patterns of Normality

    Daniela Piotto1, Juliana Sekiyama2, Cristiane Kayser3, Mariana Yamada4, Claudio A. Len5 and Maria Teresa Terreri6, 1Universidade Federal de São Paulo/UNIFESP, Assistant Doctor, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil, 2Universidade Estadual de Campinas, Campinas, Brazil, 3Rheumatology Division, Universidade Federal de São Paulo, São Paulo, Brazil, 4Universidade Federal de São Paulo, Pediatric Resident, São Paulo, Brazil, 5Universidade Federal de São Paulo/Escola Paulista de Medicina, São Paulo, Brazil, 6Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil

    Background/Purpose Video capillaroscopy (VCP) allows for the evaluation of capillary dimensions and to quantify the degree of microangiopathic alterations in autoimmune diseases. However, studies in…
  • Abstract Number: 2711 • 2014 ACR/ARHP Annual Meeting

    Joint and Tendon Involvement Predict Severe Disease Progression in Systemic Sclerosis: A Prospective Study

    Jerome Avouac1, Ulrich Walker2, Eric Hachulla3, Gabriela Riemekasten4, Giovanna Cuomo5, Patricia E. Carreira6, Paola Caramaschi7, Lidiya P. Ananieva8, Marco Matucci-Cerinic9, Laszlo Czirjak10, Christopher P. Denton11, Ulf Muller-Ladner12 and Yannick Allanore13, 1Paris Descartes University and INSERM U1016, Rheumatology A department, Cochin Hospital, Paris, France, 2Department of Rheumatology, Basel University, basel, Switzerland, 3Internal Medicine, National Scleroderma Centre, Lille CEDEX, France, 4Rheumatology and Clinical Immunology, Charité – University Hospital, Berlin, Germany, 5Department of Internal and Experimental Medicine, Second University of Naples, Naples, Italy, 6Rheumatology Department. Hospital Universitario 12 de Octubre, Madrid, Spain, 7Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy, 8Microcirculation and Inflammation, Research Institute of Rheumatology RAMS, Moscow, Russia, 9Dept of Medicine/Div of Rheum, University of Florence, Florence, Italy, 10Rheumatology and Immunology Medical School, University of Pécs, Pécs, Hungary, 11Centre for Rheumatology, Royal Free and University College Medical School, London, United Kingdom, 12Internal Medicine/Rheumatology, Univ Giessen/Kerckhoff-Clinic, Bad Nauheim, Germany, 13Paris Descartes University, Rheumatology A Department and INSERM U1016, Cochin Hospital, Paris, France

    Background/Purpose Joint involvement is frequent and strongly contributes to impaired quality of life in systemic sclerosis (SSc). In a previous cross-sectional study, synovitis and tendon…
  • Abstract Number: 2709 • 2014 ACR/ARHP Annual Meeting

    Could a Fibroblast-Free Environment Protect the Microcirculation in Systemic Sclerosis? Evidence from Retinal Vascular Imaging Research

    Evaggelia K. Aissopou1, Vasiliki-Kalliopi Bournia1, Athanase D. Protogerou1, Stylianos Panopoulos1, Theodore G. Papaioannou2, Panayiotis G. Vlachoyiannopoulos1, Marco Matucci-Cerinic3 and Petros P. Sfikakis1, 1First Department of Propedeutic Internal Medicine, Laikon Hospital, Athens University Medical School, Athens, Greece, 2Biomedical Engineering Unit, First University Dept. of Cardiology, Hippokration Hospital , Athens University Medical School, Athens, Greece, 3Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy

    Background/Purpose: A primary endothelial cell dysfunction is thought to be involved in systemic sclerosis (SSc)-associated fibroproliferative vasculopathy of the microcirculation and small arterioles, even in…
  • Abstract Number: 2710 • 2014 ACR/ARHP Annual Meeting

    The New ACR-EULAR 2013 Systemic Sclerosis Classification Criteria Show Good Performance in a Capillaroscopy Clinic

    Patricia E. Carreira1, M Jesus Garcia de Yebenes2, Beatriz E. Joven1,3, Estibaliz Loza2 and Loreto Carmona2, 1Rheumatology Department. Hospital Universitario 12 de Octubre, Madrid, Spain, 2Instituto de Salud Musculoesqueletica, Madrid, Spain, 3Rheumatology, HOSPITAL UNIVERSITARIO 12 DE OCTUBRE, Madrid, Spain

    Background/Purpose:  To analyze the validity of the new 2013 ACR-EULAR Systemic Sclerosis (SSc) classification criteria versus SSc clinical diagnosis in patients from a capillaroscopy clinic…
  • Abstract Number: 2708 • 2014 ACR/ARHP Annual Meeting

    Post-Occlusive Reactive Hyperemia (PORH) Test Mirrors Vascular Changes in Systemic Sclerosis (SSc):a Laser Speckle Contrast (LASCA) Study

    Alessandra Della Rossa1, Anna d'Ascanio2, Massimo Cagnoni1, Chiara Stagnaro3, Alice Parma4, Marta Mosca5 and Stefano Bombardieri6, 1malattie muscoloscheletriche e cutanee, Rheumatology Unit, Pisa, Italy, 2Malattie muscolo-scheletriche e cutanee, Rheumatology Unit, Pisa, Italy, 3Malattie scheletriche e muscolocutanee, Rheumatology Unit, Pisa, Italy, 4University of Pisa, Rheumatology Unit, Pisa, Italy, 5Rheumatology Unit, University of Pisa, Pisa, Italy, 6Rheumatology Unit, Pisa, Italy

    Background/Purpose Vascular involvement is a key feature of Systemic sclerosis (SSc) and involves both the micro and macrovasculature. Vascular changes are central in the disease’s…
  • Abstract Number: 2707 • 2014 ACR/ARHP Annual Meeting

    Systemic Sclerosis Related Calcinosis: Patients Provide What Specialists Want to Learn

    Angela Christensen1, Samara Khalique2, Sophia Cenac3, Kim Fligelstone4, Anne Mawdsley5, Tracy Frech6, Jessica K. Gordon7, Murray Baron8, Evan Busman9, Virginia D. Steen10 and Lesley Ann Saketkoo11, 1Tulane University School of Medicine, New Orleans, LA, 2Louisiana State University Health Sciences Center, New Orleans, LA, 3Scleroderma and Sarcoidosis Patient Care and Research Center, Louisiana State University Health Science Center, New Orleans, LA, 4Royal Free Hospital, Scleroderma Unit and Scleroderma Society, London, United Kingdom, 5Raynaud's & Scleroderma - Care and Support UK, Cheshire, United Kingdom, 6Div of Rheumatology, University of Utah, Salt Lake City, UT, 7Rheumatology, Hospital for Special Surgery, New York, NY, 8Pavillion A, Rm 216, Jewish General Hospital, Montreal, QC, Canada, 9Atlanta Scleroderma Support Group, Atlanta, GA, 10Department of Rheumatology, Georgetown University Medical Center, Washington, DC, 11Scleroderma and Sarcoidosis Patient Care and Research Center, Rheumatology and Pulmonary Medicine, Louisiana State University Health Sciences Center, New Orleans, LA

    Background/Purpose: Calcinosis is a disabling, rarely discussed manifestation of SSc for which the natural history and management is poorly understood.  Last year, the Scleroderma Clinical…
  • Abstract Number: 2706 • 2014 ACR/ARHP Annual Meeting

    Ulnar and Radial Stenosis in Systemic Sclerosis

    María Eugenia Lara1, Mariano Rivero1, Julia Romero1, Guadalupe Palacios2, Ignacio Carrillo3, Claudia L. Giraldo4, Amalia Schiel5, Hugo Armando Laborde1, Marina Khoury6, Saez Diego7, Gustavo Citera8, Oscar L. Rillo9 and Juan C. Barreira1, 1Rheumatology, British Hospital, Buenos Aires, Argentina, 2British Hospital, Buenos Aires, Argentina, 3Rheumatology section, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, 4Rheumatology, Hospital Gral. de Agudos Dr. E. Tornú, Buenos Aires, Argentina, 5Central Laboratory, British Hospital, Buenos Aires, Argentina, 6Teaching and Research, British Hospital, Buenos Aires, Argentina, 7Imaging, British Hospital, Buenos Aires, Argentina, 8Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, 9Rheumatology Unit, Hospital General de Agudos Dr. E. Tornú, Buenos Aires, Argentina

    Background/Purpose: Systemic sclerosis (SSc) is a chronic, autoimmune disease. Endothelial damage has been recognized as the initial pathogenic factor. The involvement of the microvasculature is…
  • Abstract Number: 2704 • 2014 ACR/ARHP Annual Meeting

    Fatigue in Systemic Sclerosis

    Didem Uzunaslan1, Caner Saygin1, Tufan Torun2, Mehmet Ozdemir2 and Gulen Hatemi3, 1University of Istanbul, Cerrahpasa Medical Faculty, Rheumatology, Istanbul, Turkey, 2Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey, 3Istanbul University, Cerrahpasa Medical Faculty, Rheumatology, Istanbul, Turkey

    Background/Purpose: Fatigue is a frequently reported disabling symptom for patients with systemic sclerosis (SSc). It has a major impact on overall quality of life including…
  • Abstract Number: 2703 • 2014 ACR/ARHP Annual Meeting

    Elevated Serum Levels of Endostatin in Mixed Connective Tissue Disease – Association with Pulmonary Fibrosis and Digital Ulcers

    Silje Reiseter1, Ragnar Gunnarsson2, Torhild Garen2, May Brit Lund3, T. Mogens Aalokken4, Anna-Maria Hoffmann-Vold5, Øyvind Molberg2,6 and Thor Ueland7, 1Department of Rheumatology, Institute of Clinical Medicine, University of Oslo, Oslo, Norway, 2Department of Rheumatology, Oslo University Hospital Rikshospitalet, Oslo, Norway, 3Department of Respiratory Medicine, Oslo University Hospital Rikshopitalet, Oslo, Norway, 4Department of Radiology, Oslo University Hospital Rikshospitalet, Oslo, Norway, 5Department of Rheumatology, Department of Rheumatology, Oslo University Hospital Rikshospitalet, Oslo, Norway, 6Institute of Clinical Medicine, University of Oslo, Oslo, Norway, 7Research Institute for Internal Medicine, University of Oslo, Oslo, Norway

    Background/Purpose Mixed Connective Tissue Disease (MCTD) is a chronic, immune-mediated disorder defined by the combined presence of serum anti-RNP antibodies and selected clinical features of…
  • Abstract Number: 2702 • 2014 ACR/ARHP Annual Meeting

    Key Roles for Mir-155 and Mir-21 in Progressive Lung Fibrosis Associated with Systemic Sclerosis (SSc-ILD)

    Romy Christmann1, Percival D Sampaio-Barros2, Claudia Borges3, Carlos Carvalho4, Ronaldo A Kairalla5, Edwin R. Parra6, Giuseppina Stifano7, Avi Spira8, Robert W. Simms9, Vera L. Capelozzi6 and Robert Lafyatis10, 1Rheumatology, Arthritis Center/Rheumatology, Boston, MA, 2Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 3Rheumatology, CEUMA University, Sao Luis do Maranhao, Brazil, 4Pulmonology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil, 5Division of Pulmonology - Heart Institute (InCor) - Medical School, University of Sao Paulo, Sao Paulo, Brazil, 6Pathology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil, 7Rheumatology, Boston University Medical Center, Boston, MA, 8Boston University School of Medicine, Boston, MA, 9Rheumatology, Boston University School of Medicine, Boston, MA, 10Arthritis Center, Boston University, Boston, MA

    Background/Purpose We have already reported that macrophage activation, and up-regulation of TGF-beta- and interferon-regulated genes are involved in progressive SSc-ILD. Micro-rnas (miRNA) are a class…
  • Abstract Number: 2701 • 2014 ACR/ARHP Annual Meeting

    Relevance of the 6-Minute Walking Test in Assessing the Severity and Outcome of Pulmonary Arterial Hypertension Associated with Systemic Sclerosis, without Extensive Interstitial Lung Disease

    Sébastien Sanges1,2,3, David Launay1,2,3, Rennie L. Rhee4, Olivier Sitbon5,6,7, Eric Hachulla2,3,8, Luc Mouthon9, Loïc Guillevin9, Laurence Rottat5,6,7, Pierre Clerson10, Jean-Francois Cordier11, Steven M. Kawut12, Gérald Simonneau5,6,7 and Marc Humbert5,6,7, 1Université Lille Nord de France, Faculté de Médecine Henri Warembourg, Lille, Lille, France, 2EA 2686, Lille, Lille, France, 3Service de médecine interne, Centre National de Référence de la Sclérodermie Systémique, Hôpital Claude Huriez, CHRU Lille, Lille, France, 4Rheumatology, University of Pennsylvania, Philadelphia, PA, 5Université Paris-Sud, Faculté de Médecine, Le Kremlin-Bicêtre, Le Kremlin-Bicêtre, France, 6Service de Pneumologie, DHU Thorax Innovation, AP-HP, Hôpital Bicêtre, Le Kremlin-Bicêtre, France, 7INSERM U999, Centre Chirurgical Marie-Lannelongue, LabEx LERMIT, Le Plessis-Robinson, Le Plessis-Robinson, France, 8Faculté de Médecine Henri Warembourg, Université Lille Nord de France, Lille, France, 9National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 10Orgametrie, Roubaix, France, 11Division of Pneumology, Hôpital Louis-Pradel, Hospices Civils de Lyon, Lyon 1, Lyon, France, 12Pulmonary and Critical Care, University of Pennsylvania, Philadelphia, PA

    Background/Purpose In pulmonary arterial hypertension (PAH) associated with systemic sclerosis (SSc), no study has yet evaluated the correlation between the 6-minute walking test (6MWT) distance…
  • Abstract Number: 2700 • 2014 ACR/ARHP Annual Meeting

    Clinical Phenotype of Systemic Sclerosis Patients with Anti-RNA Polymerase III Antibodies: A New French Cohort, Systematic Review and Meta-Analysis

    Vincent Sobanski1,2, Luc Dauchet3,4, Guillaume Lefèvre2, Marc Lambert5, Sandrine Morell-Dubois6, Thierno Sy6, Eric Hachulla1, Pierre-Yves Hatron7, Sylvain Dubucquoi8,9 and David Launay1,9, 1Service de médecine interne, Centre National de Référence de la Sclérodermie Systémique, Hôpital Claude Huriez, CHRU Lille, Lille, France, 2EA 2686, Lille, LILLE, France, 3Service d'Epidémiologie Régionale, CHRU Lille, LILLE, France, 4INSERM U744, LILLE, France, 5Faculté de Médecine Henri Warembourg, Université Lille Nord de France, Lille, France, 6Internal Medicine, CHRU Lille, LILLE, France, 7Internal Medicine, Lille, France, 8Institut d’Immunologie, Centre de Biologie-Pathologie-Génétique, CHRU Lille, Lille, France, 9EA 2686, Lille, Lille, France

    Background/Purpose: Anti-RNA polymerase III antibodies (anti-RNAP III) are one of the most frequent antinuclear antibodies identified in systemic sclerosis (SSc), with an estimated prevalence of…
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