ACR Meeting Abstracts

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  • Abstract Number: 2831 • 2013 ACR/ARHP Annual Meeting

    Increased Risk Of Autism Spectrum Disorders In Children Born To Women With SLE: Preliminary Data From The O S L E R Cohort

    Evelyne Vinet1, Susan Scott2, Christian A. Pineau3, Lawrence Joseph4, Ann E. Clarke5, Eric Fombonne6, Robert W. Platt4 and Sasha Bernatsky7, 1McGill University Health Center, Montreal, QC, Canada, 2McGill University Health Centre, Montreal, QC, Canada, 3Rheumatology, McGill University Health Center, Montreal, QC, Canada, 4McGill University, Montreal, QC, Canada, 5Division of Rheumatology, University of Calgary, Alberta, Calgary, AB, Canada, 6Oregon Health and Sciences University, Portland, OR, 7Division of Clinical Epidemiology, McGill University Health Center, Montreal, QC, Canada

    Background/Purpose: Recent experimental data suggest in utero exposure to maternal antibodies and cytokines as important risk factors for autism spectrum disorders (ASD). Interestingly, women with…
  • Abstract Number: 2832 • 2013 ACR/ARHP Annual Meeting

    The Effect Of Maternal Antimalarial Intake During Pregnancy On The Risk Of Neonatal Lupus

    Julie Barsalou1, Edgar Jaeggi2 and Earl D. Silverman1, 1Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, 2Cardiology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Neonatal Lupus (NLE) results from passive transfer of anti-Ro and/or anti-La antibodies to the fetus during gestation. It has been suggested that prenatal exposure…
  • Abstract Number: 2833 • 2013 ACR/ARHP Annual Meeting

    Increased Cardiac Septal Defects In Children Born To Women With Systemic Lupus Erythematosus: Results From The O S L E R Study

    Evelyne Vinet1, Susan Scott2, Christian A. Pineau3, Ann E. Clarke4, Robert W. Platt4 and Sasha Bernatsky5, 1McGill University Health Center, Montreal, QC, Canada, 2McGill University Health Centre, Montreal, QC, Canada, 3Rheumatology, McGill University Health Centre, Montreal, QC, Canada, 4McGill University, Montreal, QC, Canada, 5Division of Clinical Epidemiology, McGill University Health Center, Montreal, QC, Canada

    Background/Purpose: Cardiac septal defects, which include atrial septal defects (ASD) and ventricular septal defects (VSD), are the most frequent congenital heart anomalies in the general…
  • Abstract Number: 2834 • 2013 ACR/ARHP Annual Meeting

    Maternal data Analysis Of The French Registry Of 205 Cases Of Immune Congenital Heart Block (neonatal lupus)

    Kateri Levesque1, Nathalie Morel2, Gaëlle Guettrot-Imbert3, Mohamed Hamidou4, Jean Loup Pennaforte5, Pauline Orquevaux5, Jean-Charles Piette6, Christophe Deligny7, Zahir Amoura8, Olivier Meyer9, Olivier Fain10, Agathe Masseau11, Holly Bezanahary12, Pascal Cathebras13, Elizabeth Diot14, Yves Dulac15, Loic Guillevin16, Eric Hachulla17, Jean-Louis Pasquali18, Anne Besancon-Bergelin19, Bernard Bonnotte20, Jérome Lebidois21, Alice Maltret22, Elisabeth Villain22 and Nathalie Costedoat-Chalumeau23, 1Medicine Interne, Hopital Cochin, Paris, France, 2Internal Medicine, COCHIN, Paris, France, 3Internal Medicine, Centre Hospitalier de Clermont-Ferrand, Clermont-Ferrand, France, 4CHU Hôtel Dieu, Nantes, Nantes, France, 5Hu Robert Debre, CHU Reims, Reims, France, 6Department of Internal Medicine 1., CHU Pitié-Salpêtrière, Paris, France, 7Rhumatologie Et Médecine Interne, Centre hospitalier Universitaire de Fort de France, Fort de France, Martinique, 8Department of Internal Medicine 2. Referal center for SLE/APS, CHU Pitié-Salpêtrière, Paris, France, 9Rheumatology, Bichat University Hospital, Paris, France, 10Internal Medicine, Jean Verdier Hospital, Bondy, France, 11Internal Medicine Department, Nantes University Hospital, Nantes, France, 12Internal Medicine, University Hospital of Limoges, Limoges, France, 13Internal Medicine, University Hospital St Etienne, St Etienne, France, 14Department of Internal Medicine, Hôpital Bretonneau, Centre Hospitalier Régional Universitaire de Tours, Tours, France, Tours, France, 15University Hospital Toulouse, Paris, France, 16Internal Medicine, Hôpital Cochin, University Paris Descartes, Paris, France, 17Internal Medicine, University Hospital Lilles, Lille CEDEX, France, 18Strasbourg University, Hospital, CNRS UPR 3572, Strasbourg, France, 19Internal Medicine, Le Mans Hospital, Le Mans, France, 20Department of Internal Medicine, Centre Hospitalier de Dijon, Dijon, France, 21Cardiac Institute, Paris, France, 22Cardiology, Groupe Hospitalier Necker - Enfants Malades, Paris, France, 23Internal Medicine, Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose: Congenital heart block (CHB) occurs in 1 to 2 % of pregnancies exposed to anti-SSA antibodies.  Few data are available regarding the risk of…
  • Abstract Number: 2835 • 2013 ACR/ARHP Annual Meeting

    Safety Of Gardasil® Vaccine In Systemic Lupus Erythematosus

    J. Patricia Dhar1, Lynnette Essenmacher2, Renee Dhar3, Ardella Magee4, Joel Ager5, Malini Venkatram1, Harpreet Sagar1 and Robert Sokol6, 1Internal Medicine/Rheumatology, Wayne State University, Detroit, MI, 2Wayne State University, Detroit, MI, 3Department of Clinical and Translational Research, Wayne State University, Detroit, MI, 4Clinical Research Center, Wayne State University, Detroit, MI, 5Family Medicine Department, Wayne State University, Detroit, MI, 6Obstetrics and Gynecology, Wayne State University, Detroit, MI

    Background/Purpose: Cervical neoplasia is increased in women with SLE presumably due to cervical infection with oncogenic Human Papillomavirus (HPV) types which persist in an immunosuppressed…
  • Abstract Number: 2836 • 2013 ACR/ARHP Annual Meeting

    Development of a Health Index in Patients With Ankylosing Spondylitis (ASAS HI) – Final Result of a Global Initiative Based On the International Classification of Functioning, Disability and Health (ICF) Guided By Assesment of Spondyloarthritis International Society (ASAS)

    Uta Kiltz1, Désiréé van der Heijde2, Annelies Boonen3, Alarcos Cieza4, Gerold Stucki5, Muhammad Asim Khan6, Walter P. Maksymowych7, Helena Marzo-Ortega8, John D. Reveille9, Simon Stebbings10, Cristina Bostan11 and Juergen Braun1, 1Rheumazentrum Ruhrgebiet, Herne, Germany, 2Leiden University Medical Center, Leiden, Netherlands, 3Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center, Maastricht, Netherlands, 4Department of Psychology, University Southampton, Southampton, United Kingdom, 5University of Lucerne, Lucerne, Switzerland, 6Medicine/ Rheumatology, Case Western Reserve University Hospital, Cleveland, OH, 7Medicine/Rheumatic Dis Unit, University of Alberta, Edmonton, AB, Canada, 8Leeds Musculoskeletal Biomedical Research Unit and University of Leeds, Leeds, United Kingdom, 9Division of Rheumatology, Univ of Texas Health Science Center at Houston, Houston, TX, 10Dunedin School of Medicine, University of Otago, Dunedin, New Zealand, 11Paraplegic Research Unit, Nottwil, Switzerland

    Background/Purpose: The impact of ankylosing spondylitis (AS) on a patient’s life can be considerable. Patients suffer from pain, stiffness and fatigue, are limited in their…
  • Abstract Number: 2796 • 2013 ACR/ARHP Annual Meeting

    Effects Of BAFF Inhibition On B Cell Selection In Murine SLE

    Alexis Boneparth1,2, Ramalingam Bethunaickan3, Weiqing Huang4 and Anne Davidson4, 1Pediatrics, The Children's Hospital at Montefiore, Bronx, NY, 2Feinstein Institute for medical Research, Manhasset, NY, 3Autoimmunity, Feinstein Institute for Medical Research, Manhasset, NY, 4Autoimmunity and Musculoskeletal Diseases, Feinstein Institute for Medical Research, Manhasset, NY

    Background/Purpose: BAFF inhibition is a new B cell targeted therapy approved for the treatment of moderately active SLE. Although BAFF regulates selection of naïve autoreactive…
  • Abstract Number: 2797 • 2013 ACR/ARHP Annual Meeting

    B-Lymphocyte Stimulator and A Proliferation Inducing Ligand In Lupus Nephritis: Low Serum Levels Of BLyS Predict Treatment Response

    Ioannis Parodis1, Agneta Zickert1, Elisabet Svenungsson2, Vivianne Malmström2 and Iva Gunnarsson1, 1Department of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 2Rheumatology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: B-lymphocytes have a pivotal role in the pathogenesis of Systemic Lupus Erythematosus (SLE). B-Lymphocyte Stimulator (BLyS) has an important role in the activation, differentiation…
  • Abstract Number: 2798 • 2013 ACR/ARHP Annual Meeting

    Bone Marrow In Systemic Lupus Erythematosus Patients Contain a Highly Elevated Proportion Of Somatically Mutated, Activated Naive Cells Comprised Of Substantial Clonal Expansions

    Jennifer Hom1, Christopher Tipton2, Christopher Fucile3, Bridget Neary1, Chungwen Wei4, F. Eun-Hyung Lee1, Alex Rosenberg3 and Inaki Sanz2, 1Emory University, Atlanta, GA, 2Medicine/Rheumatology, Emory University, Atlanta, GA, 3University of Rochester, Rochester, NY, 4Rheumatology, Emory University, Atlanta, GA

    Background/Purpose: Systemic lupus erythematosus (SLE) is a disease where autoreactive antibodies are produced as a result of abnormal B cell activation and broken self-tolerance. This…
  • Abstract Number: 2799 • 2013 ACR/ARHP Annual Meeting

    Identification Of IL-10 Producing Plasma Cells In Human and Its Deficiency In Systemic Lupus Erythematosus Patients

    Xiaoqian Wang1, James Roger2 and Ignacio Sanz3, 1Emory University, Allergy, Immunology and Rheumatology, Atlanta, GA, 2Rheumatology, University of Rochester, Rochester, NY, 3Allergy, Immunology and Rheumatology, Emory University School of Medicine, Atlanta, GA

    Background/Purpose: Regulatory B cells are active participants in down-regulating inflammation and autoimmunity, through the production of IL-10. Despite intensive studies in mice, there is only…
  • Abstract Number: 2800 • 2013 ACR/ARHP Annual Meeting

    Dose-Response Effects Of Denosumab, a Novel Subcutaneous RANKL Inhibitor, On The Progression Of Bone Erosion In Japanese Patients With Rheumatoid Arthritis Treated With Methotrexate: Results Of Phase II DRIVE Study – A Twelve Month Placebo Controlled, Randomized, Double Blind Study

    Tsutomu Takeuchi1, Yoshiya Tanaka2, Naoki Ishiguro3, Hisashi Yamanaka4, Toshiyuki Yoneda5, Harry K. Genant6 and Désirée van der Heijde7, 1Keio University School of Medicine, Tokyo, Japan, 2University of Occupational and Environmental Health, Kitakyushu, Japan, 3Nagoya University Graduate School of Medicine, Nagoya, Japan, 4Institute of Rheumatology Tokyo Women's Medical University, Tokyo, Japan, 5Indiana University School of Medicine, Indianapolis, IN, 6University of California, San Francisco, CCBR-Synarc, Newark, Tiburon, CA, 7Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Denosumab is a fully human monoclonal antibody (IgG2 subclass) that binds specifically to RANKL. It inhibits osteoclast-induced bone resorption by preventing the binding of…
  • Abstract Number: 2801 • 2013 ACR/ARHP Annual Meeting

    Comparative Longitudinal Analysis Of Periarticular Bone Structure In Patients Treated With Methotrexate In Combination Of Either TNF Blockers Or Tocilizumab

    Sebastian Kraus1, Matthias Englbrecht1, Juergen Rech2, Roland Kocijan1, Georg A. Schett1 and Stephanie Finzel1, 1Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Department of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Inhibition of tumor necrosis factor alpha (TNFi) and interleukin-6 receptor (IL6Ri, tocilzumab) are among the most potent therapeutic strategies in patients with rheumatoid arthritis…
  • Abstract Number: 2802 • 2013 ACR/ARHP Annual Meeting

    A Treat-To-Target Strategy With Methotrexate and Intra-Articular Triamcinolone With Or Without Added Adalimumab Reduces Synovitis, Osteitis and Tenosynovitis and Halts Structural Damage Progression In Early Rheumatoid Arthritis: The Opera Magnetic Resonance Imaging Sub-Study

    Mette Bjørndal Axelsen1,2, Iris Eshed3, Kim Hørslev-Petersen4, Kristian Steengaard-Petersen5, Merete L. Hetland6, Jakob M. Møller7, Peter Junker8, Jan Pødenphant9, Torkell Ellingsen10, Palle Ahlquist11, Hanne M. Lindegaard12, Asta Linauskas13, Annette Schlemmer14, Mette Yde Dam15, Ib Hansen16, Hans Chr Horn17, Christian G. Ammitzbøll18, Anette Jørgensen19, Sophine B. Krintel20, Johnny Raun21, Julia S. Johansen22, Niels Steen Krogh23 and Mikkel Østergaard6, 1Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark, 2Faculty of Health Sciences, Clinical Department of Orthopedics and Internal Medicine, Copenhagen University, Copenhagen, Denmark, 3Department of Radiology, Sheba Medical Center, Tel Hashomer, Israel, 4King Christian 10th Hospital for Rheumatic Diseases, South Jutland Hospital, Graasteen, Denmark, 5Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark, 6Copenhagen University Hospital Glostrup, Copenhagen, Denmark, 7Department of Radiology, Copenhagen University Hospital at Herlev, Copenhagen, Denmark, 8Odense University Hospital, Odense, Denmark, 9Copenhagen University at Gentofte, Hellerup, Denmark, 10Department of Internal Medicine, Diagnostic Centre Region Hospital Silkeborg Denmark, 8600 Silkeborg, Denmark, 11Department of Internal Medicine, Vejle Regional Hospital, Vejle, Denmark, 12Department of Rheumatology, Odense University Hospital, Odense, Denmark, 13Vendsyssel Hospital, Hjørring, Denmark, 14Department of Rheumatology, Aalborg University Hospital, Aalborg, Denmark, 15Diagnostic Centre, Silkeborg Regional Hospital, Silkeborg, Denmark, 16Rheumatology, Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark, 17Internal Medicine/Rheumatology, Odense University Hospital, Odense, Denmark, 18Arhus University Hospital, Aarhus, Denmark, 19Rheumatology, Arhus University Hospital, Aarhus, Denmark, 20Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Glostrup, Denmark, 21University of Southern Denmark, Graasten, Denmark, 22Department of Internal Medicine and Oncology, Herlev Hospital, Herlev, Denmark, 23ZiteLab ApS, Copenhagen, Denmark

    Background/Purpose: The aim was to investigate if a treat-to-target strategy with methotrexate and intra-articular glucocorticoid suppressed synovitis and osteitis, and halted structural damage progression in…
  • Abstract Number: 2803 • 2013 ACR/ARHP Annual Meeting

    Can Ultrasonographic Findings Predict Response To Tumor Necrosis Factor-α Inhibitor Treatment In Rheumatoid Arthritis?

    Nevsun Inanc1,2, Gülsen Ozen2 and Haner Direskeneli3, 1Department of Rheumatology, Marmara University School of Medicine, Istanbul, Turkey, 2Rheumatology, Marmara University School of Medicine, Istanbul, Turkey, 3Rheumatology, Marmara University, School of Medicine, Istanbul, Turkey

    Background/Purpose: Tumor necrosis factor-α inhibitors (TNFi) are highly effective in patients with rheumatoid arthritis (RA), while not effective in all, with predictors of response being…
  • Abstract Number: 2804 • 2013 ACR/ARHP Annual Meeting

    Radiological Outcome Of Joints With MRI Detected Subclinical Inflammation In Early Arthritis Patients

    A. Krabben1, W. Stomp2, J. a. B. van Nies1, T.W.J. Huizinga1, D. van der Heijde3, J.L Bloem2, M. Reijnierse2 and A. H. M. van der Helm-van Mil1, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Radiology, Leiden University Medical Center, Leiden, Netherlands, 3Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose:  Extremity-MRI is becoming important in Rheumatoid Arthritis (RA) research as it is a sensitive tool to assess inflammation. Inflammation is measured by three features:…
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