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  • Abstract Number: 1687 • 2013 ACR/ARHP Annual Meeting

    Tocilizumab In Refractory Aortitis: A Multicenter Study Of 13 Patients

    Javier Loricera1, Ricardo Blanco2, Santos Castañeda3, Alicia Humbría4, Sheila Melchor5, Jaime Calvo-Alen6, Elena Aurrecoechea6, Íñigo Rúa-Figueroa7, Norberto Ortego8, Mauricio Mínguez9, Gabriel Herrero-Beaumont10, Beatriz Bravo11, Jose Rosas12, Javier Narvaez13, Javier Calvo14, Rafael Ariza15, Mercedes Freire16, M. Enriqueta Peiró1, Vanesa Calvo-Río1, Francisco Ortiz-Sanjuán2 and Miguel A. González-Gay1, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Spain, Santander, Spain, 2Rheumatology, Hospital Universitario Marqués de Valdecilla. IFIMAV. Santander. Spain, Santander, Spain, 3Rheumatology, Hospital Universitario de La Princesa, IIS Princesa, Madrid, Spain, 4Rheumatology, Hospital Universitario de La Princesa. IIS-Princesa, Madrid, Madrid, Spain, 5Rheumatology, Hospital Universitario 12 de Octubre. Madrid, MADRID, Spain, 6Rheumatology, Hospital Sierrallana. Torrelavega, Torrelavega, Spain, 7Rheumatology, Hospital Universitario Dr Negrín. Las Palmas, Las Palmas de Gran Canaria, Spain, 8Autoimmune Disease Unit, Hospital Universitario San Cecilio. Granada. Spain, Granada, Spain, 9Rheumatology, Hospital Universitario San Juan. Alicante, Alicante, Spain, 10Bone and Joint Research Unit, IIS-Fundación Jiménez Díaz, Madrid, Spain, 11Pediatric rheumatology, Hospital Virgen de las Nieves. Granada, Granada, Spain, 12Rheumatology, Hospital Marina Baixa. Villajoyosa, Villajoyosa, Spain, 13Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 14Rheumatology, Consorcio Hospital General Universitario. Valencia, Valencia, Spain, 15Rheumatology, University Hospital Virgen Macarena.Sevilla, Sevilla, Spain, 16Rheumatology, Hospital Universitario Juan Canalejo, La Coruña, Spain

    Background/Purpose: Aortitis can occur alone or associated with other conditions. It is often refractory to standard immunosuppressive therapy. IL-6 has been implicated in the mechanisms…
  • Abstract Number: 1690 • 2013 ACR/ARHP Annual Meeting

    Impaired Vitamin D Receptor Signaling Upregulates Transforming Growth Factor Beta (TGFβ) Signaling In Systemic Sclerosis

    Pawel Zerr1, Stefan Vollath1, Katrin Palumbo-Zerr1, Michal Tomcik2, Jingang Huang1, Alfiya Distler1, Christian Beyer1, Clara Dees1, Oliver Distler3, Georg Schett4 and Joerg H. W. Distler1, 1Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic, 3Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 4Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Vitamin D receptor (VDR) is a member of the nuclear receptor superfamily. Its ligand, 1,25-(OH)2D, is a metabolically active hormone derived from vitamin D3.…
  • Abstract Number: 1691 • 2013 ACR/ARHP Annual Meeting

    The STAT1 Signaling Pathway In Giant Cell Arteritis

    Bjorn Hartmann1, Joyce Liao2, Michael H. Weisman3, Kenneth J. Warrington4, Jorg J. Goronzy1 and Cornelia M. Weyand5, 1Medicine: Immunology and Rheumatology, Stanford University School of Medicine, Stanford, CA, 2Byers Eye Institute at Stanford, Stanford University, Palo Alto, CA, 3Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, 4Division of Rheumatology, Mayo Clinic, Rochester, MN, 5Medicine, Stanford University School of Medicine, Stanford, CA

    Background/Purpose: In giant cell arteritis (GCA), CD4 T cells, macrophages and multinucleated giant cells form granulomatous lesions in the walls of medium and large arteries.…
  • Abstract Number: 1692 • 2013 ACR/ARHP Annual Meeting

    Characterization Of Changes In Gene Expression and Inflammatory Proteins In Systemic Juvenile Idiopathic Arthritis Patients On Canakinumab Therapy

    Nanguneri R. Nirmala1, Nico Wulffraat2, Hermine Brunner3, Pierre Quartier4, Riva Brik5, Liza McCann6, Huri Ozdogan6, Lidia Rutkowska-Sak6, Rayfel Schneider3,7, Valeria Gerloni8, Liora Harel9, Maria Terreri3, Kristin Houghton3, Rik Joos6, Daniel Kingsbury3, Jorge M. Lopez-Benitez3, Arndt Brachat10, Stephan Bek10, Martin Schumacher10, Marie-Anne Valentin11, Hermann Gram10, Ken Abrams12, Alberto Martini6, Nicolino Ruperto6 and Daniel J. Lovell3, 1Novartis Institutes for Biomedical Research, Cambridge, MA, 2PRINTO, Genoa, Italy, 3Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati, OH, 4Necker-Enfants Malades Hospital, Paris, France, 5Pediatrics, Rambam Medical Center, Haifa, Israel, 6Paediatric Rheumatology International Trials Organization (PRINTO), Genova, Italy, 7Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati, OH, Canada, 8Istituto Gaetano Pini, Milan, Italy, 9Pediatric Rheumatology unit, Schneider Children's Medical Center, Tel Aviv University, Petach Tikvah, Israel, 10Novartis Institutes for Biomedical Research, Basel, Switzerland, 11Biomarker Development, Novartis Pharma AG, Basel, Switzerland, 12Novartis Pharmaceuticals Corporation, East Hanover, NJ

    Background/Purpose: Interleukin (IL)-1β plays a key role in the pathogenesis of systemic juvenile idiopathic arthritis (SJIA). Canakinumab (CAN), a selective, fully human, anti-IL-1β monoclonal antibody,…
  • Abstract Number: 1693 • 2013 ACR/ARHP Annual Meeting

    Initial Triple DMARD Therapy Is More Efficient Than Methotrexate Monotherapy In Recent Onset Rheumatoid Arthritis; 1-Year Data Of a Randomized Clinical Trial (tREACH)

    P.H.P. de Jong1, J.M.W. Hazes2, K.H. Han3, A.M. Huisman4, D. van Zeben5, P.A. van der Lubbe6, A.H. Gerards6, B. van Schaeybroeck7, P.B. de Sonnaville8, M.V. Krugten9, J.J. Luime2 and A.E.A.M. Weel3, 1Department of Rheumatology, Erasmus University Medical Center, Rotterdam, Netherlands, 2Rheumatology, Erasmus University Medical Center, Rotterdam, Netherlands, 3Rheumatology, Maasstad Hospital, Rotterdam, Netherlands, 4Rheumatology, Sint Franciscus Gasthuis, Rotterdam, Netherlands, 5Department of Rheumatology, Sint Franciscus Gasthuis, Rotterdam, Netherlands, 6Department of Rheumatology, Vlietland Hospital, Schiedam, Netherlands, 7Rheumatology, Albert Schweitzer Hospital, Dordrecht, Netherlands, 8Department of Rheumatology, Admiraal de Ruyter hospital, Goes, Netherlands, 9Department of Rheumatology, Admiraal de Ruyter Hospital, Vlissingen, Netherlands

    Background/Purpose: Recommended treatment for DMARD naïve patients is methotrexate (MTX) with or without glucocorticoids (GCs). Triple DMARD therapy however is not recommended, because well proven…
  • Abstract Number: 1694 • 2013 ACR/ARHP Annual Meeting

    A Randomised Trial Of A Brace For Patellofemoral Osteoarthritis Targeting Knee Pain and Bone Marrow Lesions

    David T. Felson1,2, Matthew J. Parkes1, Andrew D. Gait3, Elizabeth J. Marjanovic3, Mark Lunt4, Charles E. Hutchinson5, Laura Forsythe6, Timothy F. Cootes3 and Michael Callaghan1, 1Arthritis Research UK Centre for Epidemiology, Institute of Inflammation and Repair, University of Manchester, Manchester, United Kingdom, 2Clinical Epidemiology Unit, Boston University School of Medicine, Boston, MA, 3Imaging Sciences, School of Cancer & Enabling Sciences, University of Manchester, Manchester, United Kingdom, 4Arthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, United Kingdom, 5Warwick Medical School, University of Warwick, Coventry, United Kingdom, 6Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester, United Kingdom

    Background/Purpose: Patellofemoral (PF) braces have been shown to increase contract area in this joint, decreasing focal stress  and may also correct patellar malalignment. Bone marrow…
  • Abstract Number: 1695 • 2013 ACR/ARHP Annual Meeting

    Ustekinumab Is Effective In Inhibiting Radiographic Progression In Patients With Active Psoriatic Arthritis:  Integrated Data Analysis Of Two Phase 3, Randomized, Placebo-Controlled Studies

    Iain B. McInnes1, Christopher T. Ritchlin2, Proton Rahman3, Lluis Puig4, Alice B. Gottlieb5, Michael Song6, Bruce Randazzo6, Shu Li6, Yuhua Wang6, Alan M. Mendelsohn7 and Arthur Kavanaugh8, 1Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, United Kingdom, 2Allergy, Immunology and Rheumatology, University of Rochester, Rochester, NY, 3Faculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada, 4Universitat Autònoma de Barcelona, Barcelona, Spain, 5Tufts Medical Center, Boston, MA, 6Janssen Research & Development, LLC., Spring House, PA, 7Immunology, Janssen Research & Development, LLC., Spring House, PA, 8University of California San Diego, San Diego, CA

    Background/Purpose: We describe the effect of ustekinumab (UST), an IL-12/23 p40 inhibitor, on inhibition of progression of structural damage in patients with active psoriatic arthritis…
  • Abstract Number: 1696 • 2013 ACR/ARHP Annual Meeting

    Prevalence and Incidence of Systemic Lupus Erythematosus in a Population-Based Registry of American Indian and Alaska Native People in the United States, 2007-2009

    Elizabeth D. Ferucci1, Janet Johnston2, Jasmine Gaddy3, Lisa Sumner4, James Posever4, Tammy L. Choromanski1, Caroline Gordon5, S. Sam Lim6 and Charles G. Helmick7, 1Division of Community Health Services, Alaska Native Tribal Health Consortium, Anchorage, AK, 2Institute for Circumpolar Health Studies, Univeristy of Alaska Anchorage, Anchorage, AK, 3Medicine/Rheumatology, Oklahoma City Area Indian Health Service, Oklahoma City, OK, 4Medicine/Rheumatology, Phoenix Indian Medical Center, Phoenix, AZ, 5Rheumatology Research Group (East Wing), School of Immunity and Infection, University of Birmingham, Birmingham, United Kingdom, 6Emory University School of Medicine, Division of Rheumatology, Atlanta, GA, 7National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA

    Background/Purpose:   Estimates of the prevalence and incidence of systemic lupus erythematosus (SLE) have varied widely but have consistently been high in women and minority…
  • Abstract Number: 1697 • 2013 ACR/ARHP Annual Meeting

    Are Patients With Rheumatoid Arthritis Still At An Increased Risk Of Tuberculosis and What Is The Role Of Biological Treatment?

    Elizabeth V. Arkema1, Jerker Jonsson2, Eva Baecklund3, Maud Rutting4, Judith Bruchfeld5, Nils Feltelius4 and Johan Askling1,6, 1Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 2Swedish Institute for Communicable Disease Control, Solna, Sweden, 3Department of Medical Sciences, Rheumatology, Uppsala University Hospital, Uppsala, Sweden, 4Swedish Medical Products Agency, Uppsala, Sweden, 5Department of Medicine, Infectious Diseases Unit, Karolinska Institutet, Stockholm, Sweden, 6Rheumatology Unit, Karolinska University Hospital, Stockholm, Sweden

    Background/Purpose:   Anti-TNF therapy is a risk factor for clinical tuberculosis (TB), which has led to pre-treatment screening and increased vigilance. The extent to which…
  • Abstract Number: 1698 • 2013 ACR/ARHP Annual Meeting

    Sex-Related Differences and Trends In Mortality Of Juvenile-Onset Systemic Lupus Erythematosus (SLE) In The United States Over The Last Forty Years, 1971-2010

    Eric Y. Yen1, Jennifer M.P. Woo2 and Deborah K. McCurdy3, 1Pediatrics/Rheumatology, UCLA Division of Pediatric Rheumatology, Los Angeles, CA, 2Pediatric Rheumatology, Mattel Children's Hospital, University of California, Los Angeles, Los Angeles, CA, 3Pediatric Rheumatology, UCLA Division of Pediatric Rheumatology, Los Angeles, CA

    Background/Purpose:  To date, SLE-specific mortality studies in children and adolescents are few.  Estimations of mortality in adult cohorts of SLE patients have shown that male…
  • Abstract Number: 1699 • 2013 ACR/ARHP Annual Meeting

    Development Of Systemic Lupus Erythamatosus Among “Possible Systemic Lupus Erythamatosus ” Patients Seen In Consultation: Long-Term Follow-Up

    May Al Daabil1, Bonnie L. Bermas1, Tabatha Norton1, Hsun Tsao1, Patricia Ho1, Joseph F. Merola1, Peter H. Schur1, Elena M. Massarotti1 and Karen H. Costenbader2, 1Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Rheumatology consultation to rule out SLE is common. However, in a substantial proportion of patients, SLE can be neither confirmed nor ruled out at…
  • Abstract Number: 1700 • 2013 ACR/ARHP Annual Meeting

    Which Are The Most Common Disease Modifying Antirheumatic and Biologic Treatment Pathways For Rheumatoid Arthritis Patients?

    Sofia Pedro1, Frederick Wolfe1, James O' Dell2 and Kaleb Michaud3, 1National Data Bank for Rheumatic Diseases, Wichita, KS, 2Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 3Rheumatology, National Data Bank for Rheumatic Diseases & University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: While guidelines and cost effectiveness analyses assume limited pathways for RA treatment, there is little known about what occurs in clinical practice. We sought…
  • Abstract Number: 1702 • 2013 ACR/ARHP Annual Meeting

    Identification of Multiple Genetic Susceptibility Loci in Takayasu’s Arteritis

    Guher Saruhan-Direskeneli1, Travis Hughes2, Patrick S. Coit2, Joel M. Guthridge3, Judith A. James4, Peter A. Merkel of behalf of the Vasculitis Clinical Research Consortium5, Haner Direskeneli on behalf of the Turkish Takayasu Study Group6 and Amr H. Sawalha2, 1Department of Physiology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 2Division of Rheumatology, University of Michigan, Ann Arbor, MI, 3Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 4Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 6Department of Rheumatology, Marmara University, Faculty of Medicine, Istanbul, Turkey

    Background/Purpose: Takayasu’s arteritis is a rare inflammatory disease of large arteries. The etiology of Takayasu’s arteritis remains poorly understood, but genetic contribution to the disease…
  • Abstract Number: 1703 • 2013 ACR/ARHP Annual Meeting

    High Density Genotyping Of Immune-Related Disease Genes Identifies 7 New Susceptibility Loci For Behçet’s Disease

    Masaki Takeuchi1,2, Nobuhisa Mizuki2, Akira Meguro2, Michael J. Ombrello3, Colleen Satorius4, Yohei Kirino2, Tatsukata Kawagoe2, Duran Ustek5, Ilknur Tugal-tutkun6, Emire Seyahi7, Yilmaz Ozyazgan7, Shigeaki Ohno8, Atsuhisa Ueda2, Yoshiaki Ishigatsubo2, Ahmet Gül6,9, Daniel L. Kastner4 and Elaine Remmers4, 1Medical Genetics Branch, Inflammation Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 2Yokohama City University Graduate School of Medicine, Yokohama, Japan, 3Translational Genetics and Genomics Unit, National Institute of Arthritis Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 4Inflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 5Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey, 6Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey, 7Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey, 8Hokkaido University Graduate School of Medicine, Hokkaido, Japan, 9Department of Internal Medicine, Rheumatology Division, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

    Background/Purpose: Genome-wide association studies have revealed susceptibility genes for many genetically complex diseases. The Immunochip is a custom array with 196,524 markers in 186 loci…
  • Abstract Number: 1704 • 2013 ACR/ARHP Annual Meeting

    Mapping The Shared and Distinct HLA Alleles For Seropositive and Seronegative Rheumatoid Arthritis

    Buhm Han1, Stephen Eyre2, Dorothee Diogo1, John Bowes3, Yukinori Okada1, Leonid Padyukov4, Robert M. Plenge5, Lars Klareskog6, Jane Worthington7, Peter K. Gregersen8, Paul de Bakker9 and Soumya Raychaudhuri1, 1Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, 2Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester, United Kingdom, 3Arthritis Research UK Epidemiology Unit, The University of Manchester, Manchester, United Kingdom, 4Rheumatology Unit, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 5Division of Rheumatology, Immunology and Allergy and Division of Genetics, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, 6Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, 7Arthritis Research UK Epidemiology Unit, Arthritis Research UK Epidemiology Unit, The University of Manchester, Manchester, United Kingdom, 8Genomics and Human Genetics, Feinstein Institute for Medical Research, Manhasset, NY, 9Medical Genetics, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: Investigators have long speculated that the two subtypes of rheumatoid arthritis (RA), anti-citrullinated protein autoantibody positive (ACPA+) and negative (ACPA-), have distinct underlying genetic…
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