ACR Meeting Abstracts

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  • Abstract Number: 1816 • 2014 ACR/ARHP Annual Meeting

    Toll-like Receptor 4-Induced Interleukin-1 Defines the Intestinal Microbiome and Mucosal Immune Response in Arthritis-Prone IL-1 Receptor Antagonist Deficient Mice

    Tom Ederveen1, Rebecca Rogier2, Jos Boekhorst1, Harm Wopereis3, Johan Garssen3, Sacha van Hijum1, Fons A.J. van de Loo2, Marije I. Koenders2, Wim B. van den Berg2 and Shahla Abdollahi-Roodsaz4, 1Centre for Molecular Bioinformatics Nijmegen (CMBI), Radboud university medical center, Nijmegen, Netherlands, 2Experimental Rheumatology, Radboud university medical center, Nijmegen, Netherlands, 3Danone Research, Wageningen, Netherlands, 4Rheumatology, Radboud university medical center, Nijmegen, Netherlands

    Background/Purpose Interleukin-1 (IL-1) plays a pivotal role in inflammation and autoimmunity. Mice deficient in the IL-1 receptor antagonist (IL-1Ra-/-) spontaneously develop a T cell-driven autoimmune…
  • Abstract Number: 1815 • 2014 ACR/ARHP Annual Meeting

    STAT3-Mediated Regulation of Mitochondrial Membrane Potential Is Critical for NLRP3 Inflammasome Activation

    Jehad H. Edwan1, Raphaela Goldbach-Mansky2 and Robert A. Colbert3, 1NIAMS NIH, Bethesda, MD, 2NIAMS, NIH Building 10 Room 6D47B, Bethesda, MD, 3NIAMS/NIH, Bethesda, MD

    Background/Purpose: Self-activating mutations in NLRP3 cause a spectrum of autoinflammatory diseases known as cryopyrin-associated periodic syndromes (CAPS). NLRP3 is a key component of a multiprotein…
  • Abstract Number: 1814 • 2014 ACR/ARHP Annual Meeting

    RNA-Containing Immune Complexes Shift Human Neutrophils from Phagocytosing Cells to Efficient Releasers of Oxidized DNA in a Process Requiring Crosstalk Between Toll-like Receptors and Fc Gamma Receptor IIa

    Christian Lood1, Xizhang Sun2, Lena Tanaka2, Andrew Oberst3, Jeffrey Ledbetter2 and Keith B. Elkon2, 1Department of Medicine, Division of Rheumatology, University of Washington, Seattle, WA, 2Division of Rheumatology, University of Washington, Seattle, WA, 3Department of Immunology, University of Washington, Seattle, WA

    Background/Purpose Neutrophil extracellular traps (NETs), the extrusion of chromatin to capture microbes, has recently emerged as a possible mechanism that may increase the autoantigenic burden…
  • Abstract Number: 1813 • 2014 ACR/ARHP Annual Meeting

    DNA Sensors Regulate Inflammation in a Model of Autoimmune Arthritis

    Rebecca Baum1, Shruti Sharma2, Sudesh Pawaria3, Susan Carpenter4, Katherine A. Fitzgerald5, Ann Marshak-Rothstein6 and Ellen M. Gravallese7, 1Cell Biology, University of Massachusetts Medical School, Worcester, MA, 2Department of Medicine - Infectious Diseases Division, University of Massachusetts Medical School, Worcester, MA, 3Department of Medicine, University of Massachusetts Medical School, Worcester, MA, 4University of California, San Francisco, San Francisco, CA, 5Department of Medicine, Division of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA, 6Department of Medicine, Division of Rheumatology, University of Massachusetts Medical School, Worcester, MA, 7Department of Medicine, Division of Rheumatology, UMass Memorial Medical Center, Worcester, MA

    Background/Purpose: Innate immune sensors such as cytosolic DNA sensors and toll-like receptors (TLRs) detect viral or bacterial DNA, resulting in production of proinflammatory cytokines and…
  • Abstract Number: 1812 • 2014 ACR/ARHP Annual Meeting

    Investigation of the Sting/Interferon Pathway Activation in a Novel Vasculopathy and Pulmonary Syndrome

    Yin Liu1, Adriana Almeida de Jesus2,3, Bernadette Marrero4, Dan Yang5, Gina A. Montealegre Sanchez6, Steve Brooks7, Zuoming Deng8, Amy Paller9, Manfred Boehm5 and Raphaela Goldbach-Mansky6, 1Translational Autoinflammatory Disease Section, Office of the Clinical Director, NIAMS/NIH, Bethesda, MD, 2Translational Autoinflammatory Disease Section, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, MD, 3Translational Autoinflammatory Diseases Section, NIAMS/NIH, Bethesda, MD, 4Translational Autoinflammatory Disease Section, NIAMS/NIH, Bethesda, MD, 5Laboratory of Cardiovascular Regenerative Medicine, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, 6Translational Autoinflammatory Diseases Section, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, MD, 7NIAMS/NIH, Bethesda, MD, 8Biodata Mining and Discovery Section, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, MD, 9Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose:  We have recently studied a group of patients with a prominent interferon (IFN) signature in the blood, distinct from IL-1 mediated autoinflammatory diseases. Six…
  • Abstract Number: 1811 • 2014 ACR/ARHP Annual Meeting

    The Burden of Depression on Healthcare Utilization in a Population-Based Cohort of Patients with Systemic Lupus Erythematosus

    Alfredo Aguirre1, Gaobin Bao2, S. Sam Lim3 and Cristina Drenkard4, 1Department of Rheumatology, Emory University, Atlanta, GA, 2Medicine, Emory University, Atlanta, GA, 3Emory University School of Medicine, Division of Rheumatology, Atlanta, GA, 4Medicine, Div Rheumatology, Emory University, Atlanta, GA

    Background/Purpose . Systemic lupus erythematosus (SLE) is a chronic disease that disproportionately strikes black women. Depression is a potentially debilitating co-morbidity that affects 15-75% of…
  • Abstract Number: 1810 • 2014 ACR/ARHP Annual Meeting

    Improper Use of Antinuclear Antibody (ANA) Test Can Result in Misdiagnosis, Increased Patient Anxiety, and Wasted Health Care Resources

    Sahar Eivaz Mohammadi1, Imam H Shaik1, Parag Chevli1, Fernando Gonzalez-Ibarra1, Sohini Sarkar1, Saurav Acharya1, Prerna Dogra1, Hesam Hekmatjou2, Maushmi Savjani2, Waheed Abdul2 and Valentin Marian3, 1Internal Medicine, Jersey City Medical Center-Barnabas Health, Jersey City, NJ, 2Internal Medicine, St. George's University SOM, St. George's, Grenada, 3Rheumatology, Jersey City Medical Center-Barnabas Health, Jersey City, NJ

    Background/Purpose: Results of serologic tests for autoantibodies, including tests for Antinuclear antibodies (ANAs) and antibodies to specific nuclear antigens such as double-stranded DNA (dsDNA), play…
  • Abstract Number: 1809 • 2014 ACR/ARHP Annual Meeting

    Is Team Care Better? a Comparison of Rheumatoid Arthritis Disease Activity Among Patients Cared for in Practices with Nurse Practitioners and Physicians Assistants Versus Rheumatologist Only

    DH Solomon1,2, Liana Fraenkel3, Bing Lu1, Erika Brown1, Peter Hsun Tsao4, Elena Losina5, Jeffrey N. Katz6 and Asaf Bitton7, 1Brigham and Women's Hospital, Boston, MA, 2Rheumatology, Brigham and Women's Hospital, Boston, MA, 3Rheumatology, Yale University School of Medicine, Veterans Affairs Connecticut Healthcare Systems, New Haven, CT, 4Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 5Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA, 6Rheumatology and Orthopedics, Brigham and Women's Hospital, Boston, MA, 7Medicine, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: The Affordable Care Act proposes more widespread use of mid-level providers (MLPs), such as nurse practitioners and physician assistants, but little is known about…
  • Abstract Number: 1808 • 2014 ACR/ARHP Annual Meeting

    Role of HLA-B*5801 Genetic Testing and a Safety Programme When Initiating Allopurinol Therapy for Chronic Gout Management: A Cost-Effectiveness Analysis

    Di Dong1, Wei Chuen Tan-Koi2,3, Gim Gee Teng4,5, Eric Finkelstein6 and Cynthia Sung7,8, 1Health Services and Systems Research Program, Duke-NUS Graduate Medical School, Singapore, Singapore, 2Vigilance & Compliance Branch, Health Sciences Authority, Singapore, Singapore, Singapore, 3Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore, 4Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore, 5Division of Rheumatology, University Medicine Cluster, National University Health System, Singapore, Singapore, 6Health Services and Systems Research Program, Duke-NUS Graduate Medical School, Singapore., Singapore, Singapore, 7Vigilance & Compliance Branch, Health Products Regulation Group, Health Sciences Authority, Singapore, Singapore, Singapore, 8Emerging Infectious Diseases Program, Duke-NUS Graduate Medical School, Singapore., Singapore, Singapore

    Background/Purpose To conduct a cost-effectiveness analysis from a health system perspective of various strategies in managing chronic gout to mitigate risk of allopurinol-induced Stevens-Johnson Syndrome…
  • Abstract Number: 1807 • 2014 ACR/ARHP Annual Meeting

    Problems with Fee for Service Payments for Academic Rheumatology Practices: A Need for Payment Reform:

    Allen P. Anandarajah1 and Christopher T. Ritchlin2, 1Dept of Rheumatology, Univ of Rochester Medical Ctr, Rochester, NY, 2Allergy Immunology & Rheumatology, University of Rochester Medical Center, Rochester, NY

    Background/Purpose: The current fee-for-service model rewards providers for the volume of services. The model is designed to deliver higher compensation for care of more complex cases. Rheumatologists…
  • Abstract Number: 1805 • 2014 ACR/ARHP Annual Meeting

    Prevalence and Associating Factors with Atypical Femoral Fractures: An Asian Single Center Based Case-Control Study

    Dam Kim1, Yoon-Kyoung Sung2,3, Soo-Kyung Cho1,3, Minkyung Han1 and Yee-Suk Kim4, 1Clinical Research Center for Rheumatoid Arthritis (CRCRA), Seoul, South Korea, 2Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 3Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 4Department of Orthopedic Surgery, Hanyang University Hospital, Seoul, South Korea

    Background/Purpose Although the use of bisphosphonates has been shown to reduce vertebral and proximal femur fracture risk in patients with osteoporosis, current evidence suggests that…
  • Abstract Number: 1826 • 2014 ACR/ARHP Annual Meeting

    A Renal Activity Index May Predict Histological Activity in Lupus Nephritis in Children

    Khalid Abulaban1, Michael Bennett2, Marisa Klein-Gitelman3, Stacy P. Ardoin4, Kelly A. Rouster-Stevens5, Lori B. Tucker6, Kasha Wiley7, Shannen Nelson8, Karen Onel9, Nora G. Singer10, Kathleen M. O'Neil11, Elizabeth Brooks12, B Anne Eberhard13, Lawrence K. Jung14, Lisa F. Imundo15, Tracey Wright16, David Witte17, Jun Ying18, Prasad Devarajan2 and Hermine I. Brunner19, 1Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Nephrology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 3Anne & Robert H Lurie Childrens Hospital of Chicago, Chicago, IL, 4Pediatric & Adult Rheumatology, Ohio State University College of Medicine, Columbus, OH, 5Pediatrics, Emory University School of Medicine, Atlanta, GA, 6Rheumatology, BC Children's Hospital and University of British Columbia, Vancouver, BC, Canada, 7Rheumatology, Cincinnati Children's Hospital Medical Center, c, OH, 8Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 9Pediatric Rheumatology, University of Chicago Hospitals, Chicago, IL, 10Medicine, Division of Rhuematology, Division of Rheumatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, 11Division of Pediatric Rheumatology, Riley Hospital for Children, Indianapolis, IN, 12Rheumatology, Univ Hospitals of Cleveland, Cleveland, OH, 13Pediatrics/Rheumatology, Cohen Children's Medical Center, Lake Success, NY, 14Pediatric Rheumatology, Children's National Medical Center, Washington, DC, 15Assoociate Professor of Pediatrics in Medicine - Rheumatoology, Columbia University Medical Center, New York, NY, 16Pediatrics/Rheumatology, UT Southwestern Medical Center, Dallas, TX, 17Rheumatology, Cincinnati Children's Hospital, Cincinnati, OH, 18University of Cincinnati, Cincinnati, OH, 19Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose Lupus Nephritis (LN) occurs in up to 80% of childhood-onset Systemic Lupus Erythematosus (cSLE) and it has a worse prognosis than adults. The current…
  • Abstract Number: 1825 • 2014 ACR/ARHP Annual Meeting

    Cognitive Performance Scores for the Pediatric Automated Neuropsychological Assessment Metrics in Childhood-Onset Systemic Lupus Erythematosus

    Patricia Vega-Fernandez1, Shana Vanderburgh2, Deborah M. Levy3, Frank A. Zelko4, Eyal Muscal5, Natasha M. Ruth6, Adam M. Huber7, Marisa S. Klein-Gitelman8, Kasha Wiley9, Wenjie Zheng10, Lori B. Tucker11, Tresa Roebuck-Spencer12, Jun Ying13 and Hermine Brunner14, 1Rheumatology, Cincinnati Children's Hospital, Cincinnati, OH, 2University of Cincinnati, Cincinnati, OH, 3Rheumatology, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada, 4Northwestern University Feinberg School of Medicine, Chicago, IL, 5Rheumatology, Texas Children's Hospital, Houston, TX, 6Pediatric Rheumatology, Medical University of South Carolina, Charleston, SC, 7IWK Health Centre, Halifax, NS, Canada, 8Division of Rheumatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, 9Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 10Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 11Rheumatology, BC Children's Hospital and University of British Columbia, Vancouver, BC, Canada, 12Cognitive Science Research Center, University of Oklahoma, Norman, OK, 13Medicine-Internal Medicine-General Medicine, University of Cincinnati, Cincinnati, OH, 14PRCSG, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Patients with childhood-onset SLE (cSLE) may experience neuropsychiatric SLE (NPSLE) manifested as neurocognitive dysfunction (NCD). Formal neurocognitive testing (FNCT) is the most accepted method…
  • Abstract Number: 1791 • 2014 ACR/ARHP Annual Meeting

    Applicability of the 2006 European League Against Rheumatism (EULAR) Criteria for the Classification of Henoch-Schönlein Purpura. an Analysis Based on 766 Patients with Cutaneous Vasculitis

    Montserrat Santos-Gómez1, Francisco Ortiz Sanjuan1, Jose L. Hernández2, Marcos A. González-López3, Ricardo Blanco1, Javier Loricera1, Vanesa Calvo-Río1, Trinitario Pina Murcia4, Carmen Gonzalez-Vela5, Marina Lacalle3, Javier Rueda-Gotor1, Lino Álvarez6, Leyre Riancho-Zarrabeitia1 and Miguel A. González-Gay1, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Spain, Santander, Spain, 2Internal Medicine, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Spain, Santander, Spain, 3Dermatology, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Spain, Santander, Spain, 4Epidemiology, Genetics and Atherosclerosis Research Group on Systemic Inflammatory Diseases, Rheumatology Division, IDIVAL, Santander, Spain, 5Pathology, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Spain, Santander, Spain, 6Pediatrics, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Spain, Santander, Spain

    Background/Purpose The European League Against Rheumatism (EULAR) proposed in 2006 a new classification criteria for Henoch-Schönlein Purpura (HSP). We aimed to establish the applicability of…
  • Abstract Number: 1790 • 2014 ACR/ARHP Annual Meeting

    Follow up of an Unselected IgA Vasculitis (Henoch-Schönlein Purpura) Population at Single Rheumatology Center

    Alojzija Hočevar1, Ziga Rotar2, Jaka Ostrovrsnik2 and Matija Tomsic3, 1Department of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia, 2Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia, 3Department of Rheumatology, BioRx.si, University Medical Centre Ljubjana, Ljubljana, Slovenia

    Background/Purpose In our population IgA vasculitis (IgAV) has an annual incidence rate of 5.1 cases per 105 adults increasing with patients’ age which makes it…
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