ACR Meeting Abstracts

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  • Abstract Number: 749 • 2013 ACR/ARHP Annual Meeting

    High Clinical Remission Rate With Relatively High Incidence  Of Serious Infection In Newly-Onset ANCA-Associated Vasculitides In Japan – A Report From The Nationwide Prospective Cohort Study

    Masayoshi Harigai1, Ken-ei Sada2, Takao Fujii3, Masahiro Yamamura4, Yoshihiro Arimura5 and Hirofumi Makino2, 1Dept of Pharmacovigilance, Tokyo Medical and Dental University, Tokyo, Japan, 2Department of Medicine and Clinical Science, Okayama University, Okayama, Japan, 3Department of the Control for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 4Center for Rheumatology, Okayama Saiseikai Hospital, Okayama, Japan, 5First Department of Internal Medicine, Kyorin University School of Medicine, Tokyo, Japan

    Background/Purpose: Clinical characteristics and antineutrophil cytoplasmic antibody (ANCA)-serology of ANCA-associated vasculitis (AAV) patients are substantially different between Western and Asian countries. We investigated effectiveness and…
  • Abstract Number: 750 • 2013 ACR/ARHP Annual Meeting

    Maintenance Treatment In Childhood Granulomatosis With Polyangiitis

    Marinka Twilt1, Rayfel Schneider2, Diane Hebert3, Elizabeth Harvey3, Ronald M. Laxer2, Sharon Dell4, Christoph Licht3 and Susanne M. Benseler2, 1Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 2Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 3Nephrology, The Hospital for Sick Children, Toronto, ON, Canada, 4Respiratory Medicine, The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Granulomatosis with Polyangiitis (GPA) is a rare but life threatening disease. Most children present with pulmonary bleeds and/or renal failure. Most treatment regimens are…
  • Abstract Number: 751 • 2013 ACR/ARHP Annual Meeting

    Fatigue, Pain, and Functional Disability Among Patients With Vasculitis

    Antoine G. Sreih1,2, Narender Annapureddy3 and Osama Elsallabi4, 1Medicine/Division of Rheumatology, The University of Pennsylvania, Philadelphia, PA, 2Medicine/Rheumatology, Rush University Medical Center, Chicago, IL, 3Rheumatology, Rush University Medical Center, Chicago, IL, 4Medicine, Creighton University, Omaha, NE

    Background/Purpose: Vasculitis is a heterogeneous group of diseases often resulting in severe morbidity affecting patients’ quality of life. These morbidities are generally attributed to disease…
  • Abstract Number: 752 • 2013 ACR/ARHP Annual Meeting

    Cardiovascular Outcomes Are Worse In Microscopic Polyangiitis Compared To Granulomatosis With Polyangiitis:  Data From An Inception Cohort Of Patients With Anti-Neutrophil Cytoplasm Antibody Associated Systemic Vasculitis

    Anna Mistry1, Joanna Robson2, Susan L Hogan3, Caroline Poulton3, Yichun Hu4, Ronald Falk5 and Raashid A. Luqmani6, 1Rheumatology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK, Oxford, United Kingdom, 2Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 3UNC Kidney Center, Chapel Hill, NC, 4UNC Kidney Centre, University of North Carolina, Chapel Hill, North Carolina, Chapel Hill, NC, 5Dept of Nephrology and Hypertension, UNC Kidney Center, Chapel Hill, NC, 6Rheumatology, Nuffield Orthopaedic Centre, Oxford, United Kingdom

    Background/Purpose: A greater than three-fold increase in cardiovascular mortality as been reported within the first five years of diagnosis of anti-neutrophil cytoplasmic antibody (ANCA) associated…
  • Abstract Number: 753 • 2013 ACR/ARHP Annual Meeting

    Validation Of The New Histopathological Classification Of ANCA Glomerulonephritis and Its Association With Renal Outcomes In a Paediatric Population

    Marinka Twilt1, Damien Noone2, Wesley Hayes2, Paul Thorner3, Susanne M. Benseler4, Ronald M. Laxer4, Rulan Parekh2 and Diane Hebert2, 1Pediatric Rheumatology, Aarhus University Hospital, Aarhus, Denmark, 2Nephrology, The Hospital for Sick Children, Toronto, ON, Canada, 3Pathology, The Hospital for Sick Children, Toronto, ON, Canada, 4Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Anti-Neutrophil Cytoplasmic Antibody (ANCA) associated glomerulonephritides (ANCA GN) include granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA) and Churg-Strauss. A novel histopathologic classification for GPA…
  • Abstract Number: 754 • 2013 ACR/ARHP Annual Meeting

    Outcome Of Kidney Transplantation In Paediatric Patients With ANCA Associated Glomerulonephritis: A Single-Center Experience

    Marinka Twilt1, Damien Noone2, Wesley Hayes2, Paul Thorner3, Susanne M. Benseler4, Ronald M. Laxer4, Rulan Parekh2 and Diane Hebert2, 1Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 2Nephrology, The Hospital for Sick Children, Toronto, ON, Canada, 3Pathology, The Hospital for Sick Children, Toronto, ON, Canada, 4Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Kidney transplant outcomes for paediatric patients with end stage kidney disease (ESKD) secondary to ANCA GN, particularly granulomatosis with polyangiitis (GPA) and microscopic polyangiitis…
  • Abstract Number: 755 • 2013 ACR/ARHP Annual Meeting

    Survival Of Patients With ANCA-Associated Vasculitides In Chronic Dialysis In France From 2002 To 2011: Data From The National Rein Registry

    Manon Romeu1, Cécile Couchoud Sr.2, Jean-Christophe Delarozière3, Laurent Chiche Sr.4, Jean-Robert Harle5, Bertrand Gondoin6, Stéphane Burtey6, Philippe Brunet6, Yvon Berland6 and Noémie Jourde-Chiche Sr.7, 1Nephrology, Aix-Marseille Universite, APHM, Marseille, France, 2registre REIN, agence de la biomédecine, paris, France, 3public health, APHM, Marseille, France, 4Internal Medicine, CHU Marseille, Marseille, France, 5Internal Medicine, APHM, Marseille, France, 6Nephrology, APHM, Marseille, France, 7Nephrology, Aix-Marseille Université - APHM, Marseille, France

    Background/Purpose: Despite dramatic outcome improvement in ANCA-associated vasculitides (AAV), renal involvement is still leading to end-stage renal disease (ESRD) in 20-30% of patients. This study…
  • Abstract Number: 756 • 2013 ACR/ARHP Annual Meeting

    Clinical Value Of Commonly-Measured Laboratory Tests In Eosinophilic Granulomatosis With Polyangiitis (Churg-Strauss)

    Peter C. Grayson1, Paul A. Monach2, David Cuthbertson3, Simon Carette4, Gary S. Hoffman5, Nader A. Khalidi6, C. L. Koening7, Carol A. Langford8, Kathleen Maksimowicz-McKinnon9, Christian Pagnoux10, Philip Seo11, Ulrich Specks12, Steven R. Ytterberg13 and Peter A. Merkel14, 1NIAMS, National Institutes of Health, Bethesda, MD, 2Rheumatology, Boston University, Boston, MA, 3Department of Biostatistics, University of South Florida, Tampa, FL, 4Division of Rheumatology, University of Toronto, Toronto, ON, Canada, 5Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 6Internal Medicine/Rheumatology, McMaster University, Hamilton, ON, Canada, 7Internal Medicine, Salt Lake City Veterans Administration, Salt Lake City, UT, 8Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 9Rheumatology, Henry Ford Hospital, Detroit, MI, 10Rheumatology, Mount Sinai Hospital, Toronto, Canada, Toronto, ON, Canada, 11Rheumatology Division, Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 12Mayo Clinic, Rochester, MN, 13Rheumatology Division, Mayo Clinic, Rochester, MN, 14Division of Rheumatology, Vasculitis Center, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Serial measurement of absolute eosinophil count (Eos), serum immunoglobulin E (IgE), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) is common practice in the…
  • Abstract Number: 757 • 2013 ACR/ARHP Annual Meeting

    Impact Of Cardiac Magnetic Resonance Imaging On Eosinophilic Granulomatosis With Polyangiitis Outcomes: A Long-Term Retrospective Study On 42 Patients

    Bertrand Dunogué1, Pascal Cohen2, Benjamin Terrier3, Julien Marmursztejn4, Denis Duboc4, Olivier Vignaux5 and Loic Guillevin3, 1Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 2National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 3Internal Medicine, Cochin University Hospital, Paris, France, 4Cardiology, Cochin University Hospital, Paris, France, 5Radiology, Cochin University Hospital, Paris, France

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA) cardiomyopathy carries a poor prognosis, and is the main cause of 1st-year and long-term mortality. Morbidity due to chronic…
  • Abstract Number: 758 • 2013 ACR/ARHP Annual Meeting

    Eosinophilic Granulomatosis With Polyangiitis (Churg-Strauss Syndrome) – Re-Analysis Of The French Vasculitis Study Group Cohort Using Different Disease Definitions and Cluster Analysis

    Christian Pagnoux1, Pascal N. Tyrrell2, Chiara Baldini3, Simon Carette1, Jean-Francois Cordier4, Loic Guillevin5 and French Vasculitis Study Group FVSG6, 1Division of Rheumatology, University of Toronto, Toronto, ON, Canada, 2Department of Medical Imaging, University of Toronto, Toronto, ON, Canada, 3University of Pisa, Rheumatology Unit, Pisa, Italy, 4Division of Pneumology, Hôpital Louis-Pradel, Hospices Civils de Lyon, Lyon 1, Lyon, France, 5Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 6Internal Medicine, Service de médecine interne, Centre de Références des Vascularites, Université Paris Descartes, APHP, Hôpital Cochin, 75005 Paris, France., Paris, France

    Background/Purpose: Because only 25–40% of the patients are ANCA+ and biopsy is not always taken or helpful, EGPA diagnosis can be challenging. Previous cohort analyses…
  • Abstract Number: 759 • 2013 ACR/ARHP Annual Meeting

    Eosinophilic Granulomatosis With Polyangiitis (Churg–Strauss Syndrome): Comparison Of The Independent French Vasculitis Study Group and Italian–Pisa Patient Cohorts and Cross-Validation Of Cluster Analysis

    Chiara Baldini1, Pascal N. Tyrrell2, Manuela Latorre3, Simon Carette4, Nader A. Khalidi5, Veronica Seccia6, Loic Guillevin7 and Christian Pagnoux4, 1University of Pisa, Rheumatology Unit, Pisa, Italy, 2Department of Medical Imaging, University of Toronto, Toronto, ON, Canada, 3University of Pisa, Pneumology Unit, Pisa, Italy, 4Division of Rheumatology, University of Toronto, Toronto, ON, Canada, 5Internal Medicine/Rheumatology, McMaster University, Hamilton, ON, Canada, 6Unit of Otorhinolaryngology, Department of Neuroscience, University of Pisa, Pisa, Italy, Pisa, Italy, 7Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France

    Background/Purpose: Previous analyses of the FVSG- and Pisa-cohort EGPA patients identified several covariates associated with poor outcomes and suggested differences between ANCA+ and ANCA– EGPA-patient…
  • Abstract Number: 760 • 2013 ACR/ARHP Annual Meeting

    Cluster Analysis To Explore Clinical Subclassification Of Eosinophilic Granulomatosis With Polyangiitis (Churg–Strauss)

    Thomas Neumann1, Frank Moosig2, Augusto Vaglio3, Jochen Zwerina4, Renato Alberto Sinico5, Wojciech Szczeklik6, Paolo Bottero7, Phillip Bremer8, Andrea Gioffredi9, Barbara Sokolowska6, Luca Di Toma5, Federica Maritati9, Julian Großkreutz10, Claus Kroegel11, Matthieu Resche-Rigon12 and Alfred Mahr13, 1Jena University Hospital, Internal Medicine III, Jena, Germany, 2Vasculitis Clinic, Klinikum Bad Bramstedt & University Hospital of Schleswig Holstein, Bad Bramstedt, Germany, 3Unit of Nephrology, University Hospital of Parma, Parma, Italy, 4Ludwig Bolzmann institut of osteology at the 4th medical departmen, Hanusch Hospital, Vienna, Austria, 5Clinical Immunology Unit and Renal Unit, Department of Medicine, Azienda Ospedaliera Ospedale San Carlo Borromeo, Milan, Italy, 6Department of Medicine, Jagiellonian University Medical College, Krakow, Poland, 7llergy and Clinical Immunology Unit, Magenta Hospital, Magenta, Italy, 8University Hospital Schleswig Holstein and Klinikum Bad Bramstedt, Bad Bramstedt, Germany, 9Department of Clinical Medicine, Nephrology and Health Sciences, University of Parma, Parma, Italy, 10Department of Neurology, Jena University-Hospital, Jena, Germany, 11Jena University Hospital, Internal Medicine I, Jena, Germany, 12Biostatistics, Hopital Saint-Louis, Paris, France, 13Department of Internal Medicine, Hospital Saint-Louis, Paris, France

    Background/Purpose: Results from descriptive studies of eosinophilic granulomatosis with polyangiitis (EGPA) suggest distinct clinical subclasses that may be determined by anti-neutrophil cytoplasmic antibody (ANCA) status.…
  • Abstract Number: 761 • 2013 ACR/ARHP Annual Meeting

    Apremilast For The Treatment Of Behçet’s Syndrome: A Phase II Randomized, Placebo-Controlled, Double-Blind Study

    Gulen Hatemi1, Melike Melikoglu2, Recep Tunc3, Cengiz Korkmaz4, Banu Turgut Ozturk5, Cem Mat6, Peter A. Merkel7, Kenneth Calamia8, Ziqi Liu9, Lilia Pineda9, Randall M. Stevens9, Hasan Yazici2 and Yusuf Yazici10, 1Rheumatology, Istanbul University, Cerrahpasa Medical Faculty, Rheumatology, Istanbul, Turkey, 2Istanbul University, Cerrahpasa Medical Faculty, Rheumatology, Istanbul, Turkey, 3Necmettin Erbakan University, Meram Medical Faculty,Division of Rheumatology, Konya, Turkey, 4Eskisehir Osmangazi University, Eskisehir, Turkey, 5Selçuk University, Konya, Turkey, 6Istanbul University, Cerrahpasa Medical Faculty, Dermatology, Istanbul, Turkey, 7Division of Rheumatology, Vasculitis Center, University of Pennsylvania, Philadelphia, PA, 8Mayo Clinic, Jacksonville, FL, 9Celgene Corporation, Warren, NJ, 10Department of Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY

    Apremilast for the Treatment of Behçet's Syndrome: A Phase II Randomized, Placebo-Controlled, Double-Blind StudyBackground/Purpose: Mucocutaneous manifestations of Behçet's syndrome (BS) can be resistant to conventional…
  • Abstract Number: 762 • 2013 ACR/ARHP Annual Meeting

    Inhibition Of TGF-Beta Signaling In Articular Chondrocytes Leads To OA-Like Pathological Defects and Pain-Related Behavior Change In Mice

    Jia Li1, Jie Shen2, Shan Li1, John Dickerson1, Jeffrey Kroin1, Hee-Jeong Im1 and Di Chen1, 1Rush University, Chicago, IL, 2University of Rochester, Rochester, NY

    Background/Purpose: TGF-β signaling plays an important role in chondrocyte differentiation and osteoarthritis (OA) pathogenesis.  However TGF-β downstream target genes and signaling mechanism in OA development…
  • Abstract Number: 763 • 2013 ACR/ARHP Annual Meeting

    The Risk Of Myocardial Infarction In Systemic Sclerosis: A Population-Based Cohort Study

    Iman Hemmati1, Hyon K. Choi2,3, Kamran Shojania3,4, Eric C. Sayre3 and J. Antonio Avina-Zubieta3,5, 1Deparment of Medicine and Rheumatology, University of British Columbia, Vancouver, BC, Canada, 2Section of Rheumatology and the Clinical Epidemiology Unit, Boston University School of Medicine, Boston, MA, 3Arthritis Research Centre of Canada, Richmond, BC, Canada, 4Rheumatology, University of British Columbia, Vancouver, BC, Canada, 5Rheumatology, Arthritis Research Centre of Canada, Richmond, BC, Canada

    Background/Purpose: An increased risk of premature atherosclerosis has been well described in patients with rheumatoid arthritis and systemic lupus erythematosus. However, there is limited data…
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