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  • Abstract Number: 2805 • 2013 ACR/ARHP Annual Meeting

    Synovial Explant Inflammatory Mediator Production Is Associated With Synovitis While Not With Bone Marrow Edema In Rheumatoid Arthritis: A Cross Sectional Study

    Martin Andersen1, Mikael Boesen2, Karen Ellegaard1, Robin Christensen3, Kalle Söderström4, Søren Torp-Pedersen1, Bente Danneskiold-Samsøe1, Else Marie Bartels5, Nina Vendel6, Niels H. Søe7, Pieter Spee8, Ulrik GW Mørch9, Lars Karlsson4 and Henning Bliddal10, 1Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark, Frederiksberg, Denmark, 2Radiology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Department of Radiology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark, Frederiskberg, Denmark, 3Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark, Frederiksberg, Denmark, 4Biopharmaceutical Research Unit, Novo Nordisk, Translational Immunology, Biopharmaceutical Research Unit, Måløv, Novo Nordisk, Denmark, Måløv, Denmark, 5Rheumatology, Copenhagen University Hospital,Bispebjerg and Frederiksberg, The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark, Frederiksberg, Denmark, 6Department of Anaesthesiology, Intensive Care and Operations, Gentofte University Hospital, Denmark, Hellerup, Denmark, 7Department of Orthopedics, Section of Hand Surgery, Gentofte University Hospital, Department of Orthopedics, Section of Hand Surgery, Gentofte University Hospital, Denmark, Hellerup, Denmark, 8Biopharmaceutical Research Unit Novo Nordisk, Translational Immunology, Biopharmaceutical Research Unit, Måløv, Novo Nordisk, Denmark, Måløv, Denmark, 9Biomarkers, Søborg, Novo Nordisk, Denmark, Biomarkers, Søborg, Novo Nordisk, Denmark, Søborg, Denmark, 10The Parker Institute, Copenhagen, Denmark

    Background/Purpose: Synovitis and bone damage may represent two distinct but overlapping pathological processes in rheumatoid arthritis (RA). Whereas the bulk of synovial cells contribute to…
  • Abstract Number: 2806 • 2013 ACR/ARHP Annual Meeting

    Low Risk Of Hepatitis B Virus Surface Antigen Seroreversion In HBsAg Negative/Anti-Hbc Positive Carriers Undergoing Rituximab For Rheumatoid Arthritis

    Valentina Varisco1, Mauro Vigano'2, Alberto Batticciotto1, Pietro Lampertico3, Antonio Marchesoni4, Patrizia Gibertini4, Raffaele Pellerito5, Guido Rovera6, Roberto Caporali7, Monica Todoerti7, Michele Covelli8, Antonella Notarnicola8 and Piercarlo Sarzi-Puttini9, 1Rheumatology, Rheumatology Unit, L. Sacco University Hospital, Milan, Italy, 2Hepatology, San Giuseppe hospital, University of Milan,, Milan, Italy, 3Gastroenterology, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan,, Milan, Italy, 4Rheumatology, Istituto Ortopedico Gaetano Pini, Milano, Italy, 5Medicina II, Ospedale Mauriziano, Turin, Italy, 6Rheumatology, Ospedale Mauriziano, Turin, Italy, 7Rheumatology, Rheumatology, IRCCS Policlinico San Matteo Foundation and University of Pavia, Pavia, Italy, 8D.I.M.I.M.P, Rheumatology Unit - University of Bari, Bari, Italy, 9Rheumatology Unit, L. Sacco University Hospital, Milan, Italy

    Background/Purpose: B cell-targeted therapy using rituximab (RTX), anti-CD20 monoclonal antibody, is an effective treatment for Rheumatoid arthritis (RA). However, the safety of such therapy in…
  • Abstract Number: 2807 • 2013 ACR/ARHP Annual Meeting

    Management Of Vertebral Osteomyelitis: A Randomized Clinical Trial Comparing 6 Versus 12 Weeks Of Antibiotic Treatment

    Louis Bernard1, Aurélien Dinh2, Idir Ghout3, Valérie Zeller4, Bertrand Issartel5, Nadia Belmatoug6, Michel Dupon7 and Denis Mulleman8, 1University hospital of Tours, Tours, France, 2University hospital of Paris, Garches, France, 3Biostatistic, University Hospital of Paris, Boulogne, France, 4Internal medicine, La Croix Saint Simon Hospital, Paris, France, 5Clinique du Tonkin, Lyon, France, 6University hospital of Paris, Clichy, France, 7infectious disease, University Hospital of Bordeaux, Bordeaux, France, 8CHU Trousseau Tours, Tours, France

    Background/Purpose: As for most of bone and joint infection, optimal treatment duration for vertebral osteomyelitis (VO) is unknown. In an era of increasing bacterial resistance,…
  • Abstract Number: 2808 • 2013 ACR/ARHP Annual Meeting

    Favorable Outcome Of Hepatitis E Virus Infection In Patients With Inflammatory Arthritides Treated With Immunosupressants

    Hélène Bauer1, Cécile Luxembourger2, Sophie Fournier3, Alain G. Cantagrel4, Jean Marie Peron3, Anne Marie Roque Afonso5, Pascal Claudepierre6, S. Fabre7, Christophe Hudry8, Guillaume Lefevre9, Antoine Martin10, Laurent Messer11, Béatrice Pallot Prades12, Christian Roux13, Christelle Sordet14, Claire Veissier15, Daniel Wendling16, Jacques-Eric Gottenberg17 and Jean Sibilia18, 1rhumatologie, CHU de Hautepierre, Strasbourg, France, 2rhumatologie, CHU de Toulouse, Toulouse, France, 3Hépato-gastro-entérologie, CHU de Toulouse, Toulouse, France, 4Centre Hospitalier Universitaire de Toulouse, Toulouse, France, 5INSERM U785, CNR hépatites A et E, virologie hôpital Paul Brousse, Villejuif, France, 6Rheumatology, Henri Mondor Teaching Hospital, AP-HP, Créteil, France, 7Unité clinique d'immuno-rhumatologie, CHU MONTPELLIER, Montpellier, France, 8Rheumatology, Hopital Cochin, Paris, France, 9Lille University Hospital, Internal Medicine Department, Lille, France, 10Rhumatologie, Centre Hospitalier De St Brieuc, St Brieuc, France, 11Rhumatologie, Hopitaux Civils de Colmar, Colmar, France, 12Rhumatologie, CHU St Etienne, St Etienne, France, 13Rheuamtology, CHU L' Archet University Nice, Nice, France, 14Rheumatology, Strasbourg University Hospital, Strasbourg, France, 15rhumatologie, CHU de Bordeaux, Bordeaux, France, 16Rheumatology, University Hospital, Besancon, France, 17Strasbourg University Hospital, Strasbourg, France, 18Rheumatology, CHU Hautepierre, Strasbourg, France

    Background/Purpose: In inflammatory rheumatic diseases, the prevalence, clinical presentation and outcome of hepatitis E, an ubiquitous viral infection, remain unknown. We therefore addressed these issues…
  • Abstract Number: 2809 • 2013 ACR/ARHP Annual Meeting

    Prevalence and Clinical Presentation Of Lyme Arthritis In a Large Cohort Of Patients With Recent-Onset Arthritis

    Jeska K. De Vries-Bouwstra1, Nathalie D. van Burgel2, Tom Vreeswijk2, Aloys C.M. Kroes2, Tom W.J. Huizinga1 and Annette H. M. van der Helm- van Mil1, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Medical Microbiology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Lyme arthritis is a relatively uncommon form of arthritis that is relevant to identify because it requires specific therapy. The presents study aimed to…
  • Abstract Number: 2810 • 2013 ACR/ARHP Annual Meeting

    Follow-Up Testing Of Interferon-Gamma Release Assays For The Diagnosis Of Hidden Tuberculosis Infection In Patients Receiving Tumor Necrosis Factor Alpha Antagonists

    Chan-Nam Son1, Tae-Hwan Kim2, Il-Hoon Sung3, Jae-Bum Jun2 and Dae-Hyun Yoo2, 1Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, South Korea, 2Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 3Orthopaedic surgery, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea

    Background/Purpose: Anti-tumor necrosis factor alpha (Anti-TNFα) therapy is often used in patients with rheumatic diseases who do not respond to conventional treatment. Risk of tuberculosis…
  • Abstract Number: 2811 • 2013 ACR/ARHP Annual Meeting

    Disease Characteristics and Treatment Patterns In US Veterans With Rheumatoid Arthritis and Concomitant Hepatitis C Infection

    Ruchika Patel1 and Joshua Baker2, 1Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Medicine/Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: The prevalence of concurrent rheumatoid arthritis (RA) and hepatitis C (HCV) is estimated at 0.02%, affecting around 40,000 Americans. To our knowledge, no existing…
  • Abstract Number: 2812 • 2013 ACR/ARHP Annual Meeting

    A Rheumatology Objective Structured Clinical Examination Using Challenging Patient Scenarios Shows Trainee Use Of Medical Jargon Correlates Inversely With Patient Perceptions Of Professionalism

    Jessica Berman1, Juliet Aizer2, Anne R. Bass2, Anne Davidson3, Edward Dwyer4, Theodore R. Fields2, Jane Kang5, Leslie Kerr6, Svetlana Krasnokutsky-Samuels7, Deana M. Lazaro8, Stephen A. Paget9, Julie S. Schwartzman-Morris10 and Michael H. Pillinger11, 1Rheumatology, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, 2Rheumatology, Hospital for Special Surgery Weill Cornell Medical College, New York, NY, 3Autoimmunity and Musculoskeletal Diseases, Feinstein Institute for Medical Research, Manhasset, NY, 4Rheumatology, Columbia School of Medicine, New York, NY, 5Columbia School of Medicine, New York, NY, 6Mount Sinai School of Medicine, New York, NY, 7Rheumatology, NYU School of Medicine, New York, NY, 8Medical Service (111), Brooklyn VA, Brooklyn, NY, 9Division of Rheumatology, Hospital for Special Surgery Weill Cornell Medical College, New York, NY, 10Department of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 11NYU School of Medicine, Division of Rheumatology, New York, NY

    Background/Purpose: For 8 years, the New York City Rheumatology Objective Self Assessment Clinical Exam (NYC-ROSCE) has been used to assess trainee competencies such as patient…
  • Abstract Number: 2813 • 2013 ACR/ARHP Annual Meeting

    Expert Panel Consensus On Content Of a Rheumatology Objective Structured Clinical Examination

    Lisa G. Criscione-Schreiber1, Marcy B. Bolster2, Beth L. Jonas3, Richard Sloane4, Jeffrey Hawley5 and Kenneth S. O'Rourke6, 1Rheumatology, Duke University Health System, Durham, NC, 2Medicine, Massachussetts General Hospital, Boston, MA, 3Thurston Arthritis Research Ct, University of North Carolina at Chapel Hill, Chapel Hill, NC, 4Medicine/Geriatrics, Duke University Health System, Durham, NC, 5Duke University School of Nursing, Durham, NC, 6Section on Rheum & Immunology, Wake Forest School of Medicine, Winston-Salem, NC

    Background/Purpose:    Rheumatology objective structured clinical examinations (ROSCEs) are assessment tools to evaluate learner performance in simulated clinical experiences.  ROSCEs allow standardization of learner assessment…
  • Abstract Number: 2814 • 2013 ACR/ARHP Annual Meeting

    The Resident-Fellow Interaction: Limiting Barriers and Maximizing Learning

    Eli Miloslavsky1, Amy Sullivan2, Jeremy Richards3, Jakob I. McSparron4, David Roberts3 and Alberto Puig5, 1Division of Rheumatology, Massachusetts General Hopsital, Boston, MA, 2Medical Education, Beth Israel Deaconess Medical Center, Boston, MA, 3Pulmonary, Beth Israel Deaconess Medical Center, Boston, MA, 4Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, 5Medicine, Massachusetts General Hospital, Boston, MA

    Background/Purpose: Subspecialty fellows may play an important role in Internal Medicine (IM) residents’ education and career specialty choice (Horn 2008). This may be particularly important…
  • Abstract Number: 2815 • 2013 ACR/ARHP Annual Meeting

    Preliminary Entrustable Professional Activities in  Muscloskeletal Ultrasound For Rheumatology Fellowship Training

    Amy C. Cannella1, Eugene Y. Kissin2, Gurjit S. Kaeley3, Jay B. Higgs4, Kelly J. Caverzagie5 and Karina D. Torralba6, 1Divison of Rheumatology, Omaha Veterans Affairs Hospital and University of Nebraska Medical Center, Omaha, NE, 2Boston University, Boston, MA, 3College of Medicine, University of Florida, Jacksonville, FL, 4Rheumatology, San Antonio Military Medical Center, JBSA - Fort Sam Houston, TX, 5Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 6Loma Linda University, Loma Linda, CA

    Preliminary Entrustable Professional Activities in  Muscloskeletal Ultrasound for Rheumatology Fellowship Training Background/Purpose: As part of the Next Accreditation System (NAS), the Accreditation Council for Graduate…
  • Abstract Number: 2776 • 2013 ACR/ARHP Annual Meeting

    Ankylosing Spondylitis Is Associated With An Increased Likelihood Of Cardiovascular Disease: A Nationwide Matched Cohort Study In Primary Care

    Linda E. Dean1, Gary J. Macfarlane1, Alan G. MacDonald2 and Gareth T. Jones1, 1Musculoskeletal Research Collaboration (Epidemiology Group), University of Aberdeen, Aberdeen, United Kingdom, 2Department of Rheumatology, Aberdeen Royal Infirmary, Aberdeen, United Kingdom

    Background/Purpose: Cardiovascular disease (CVD) risk is well established in rheumatoid arthritis but less so in ankylosing spondylitis (AS).  Due to a similar inflammatory profile, AS…
  • Abstract Number: 2777 • 2013 ACR/ARHP Annual Meeting

    Ankylosing Spondylitis and Non-Radiographic Axial Spondyloarthritis: Part of a Common Spectrum Or Distinct Diseases? Analysis of a Longitudinal Prospective Cohort

    Dinny Wallis1, Nigil Haroon1, Renise Ayearst2, Adele Carty1 and Robert D. Inman3, 1Rheumatology, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada, 2Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Ankylosing spondylitis and non-radiographic axial spondyloarthritis: part of a common spectrum or distinct diseases?  Analysis of a longitudinal prospective cohort.    Background/Purpose: Historically ankylosing spondylitis…
  • Abstract Number: 2778 • 2013 ACR/ARHP Annual Meeting

    Mortality In United States Veterans With The HLA-B27 Gene

    Jessica Walsh1, Brian C. Sauer2, Daniel O. Clegg1, Grant W. Cannon3, Xi Zhou4 and Chiachen Teng4, 1Division of Rheumatology, George E. Wahlen Veteran Affairs Medical Center, Salt Lake City, UT, 2Epdemiology, George E. Wahlen Veteran Affairs Medical Center, Salt Lake City, UT, 3Division of Rheumatology, Salt Lake City VA and University of Utah, Salt Lake City, UT, 4Epidemiology, George E. Wahlen Veteran Affairs Medical Center, Salt Lake City, UT

    Background/Purpose : HLA-B27 (B27) is carried by in 6-8% of Americans and is strongly associated with spondyloarthritis (SpA).  SpA has been associated with premature mortality.…
  • Abstract Number: 2779 • 2013 ACR/ARHP Annual Meeting

    A Novel Evidence-Based Detection Of Undiagnosed Spondyloarthritis In Patients Presenting With Acute Anterior Uveitis: The DUET (Dublin Uveitis Evaluation Tool) Algorithm

    Muhammad Haroon1, Michael Anthony O'Rourke2, Pathma Ramasamy2, Conor Murphy2 and Oliver FitzGerald1, 1Department of Rheumatology, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland, 2Department of Ophthalmology, Royal Victoria Eye and Ear Hospital, Dublin, Ireland

    Background/Purpose: The prevalence of mostly undiagnosed underlying Spondyloarthropathy (SpA) is more than 60% among patients presenting with acute anterior uveitis (AAU). To date, there are…
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