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  • Abstract Number: 2784 • 2013 ACR/ARHP Annual Meeting

    Mononeuritis Multiplex Predicts The Need For Immunosuppressive Or Immunomodulatory Drugs For Eosinophilic Granulomatosis With Polyangiitis, Polyarteritis Nodosa and Microscopic Polyangiitis Patients Without Poor-Prognosis Factors

    Maxime Samson1, Xavier Puéchal2, Hervé Devilliers3, Camillo Ribi4, Pascal Cohen5, Boris Bienvenu6, Christian Pagnoux7, Luc Mouthon2, Loic Guillevin8 and French Vasculitis Study Group (FVSG)2, 1Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France; Internal Medicine and Clinical Immunology, Dijon University Hospital, Dijon, France, 2Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 3Dijon University Hospital, Department of internal medicine and systemic diseases, Dijon, France, 4Immunology and Allergology, Internal Medicine, University Hospitals of Geneva, Geneva, Switzerland, Geneva, Switzerland, 5National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 6Division of Internal Medicine, Centre Hospitalier Régional Universitaire de Caen, Côte de Nacre, Caen, France, Caen, France, 7Rheumatology, Mount Sinai Hospital, Toronto, Canada, Toronto, ON, Canada, 8Department of Internal Medicine,, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose: Patients with eosinophilic granulomatosis with polyangiitis (EGPA), polyarteritis nodosa (PAN) or microscopic polyangiitis (MPA) without poor-prognosis factors, as defined by their 1996 Five-Factor Scores…
  • Abstract Number: 2785 • 2013 ACR/ARHP Annual Meeting

    Urinary Inflammatory Cells Strongly Reflect the Disease Activity and Renal Function in Antineutrophil Cytoplasmic Autoantibody-Associated Vasculitis

    Yoko Wada1, Minoru Sakatsume2, Masaaki Nakano3 and Ichiei Narita1, 1Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan, 2Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan, 3School of Health Sciences, Faculty of Medicine, Niigata University, Niigata, Japan

    Background/Purpose: The antineutrophil cytoplasmic autoantibody (ANCA)- associated vasculitides (AAVs) include microscopic polyangiitis (MPA), granulomatosis with polyangitis (GPA; formerly Wegener’s), and eosinophilic granulomatosis with polyangitis (EGPA).…
  • Abstract Number: 2786 • 2013 ACR/ARHP Annual Meeting

    Review Of The Expert Panel Methodology In The Diagnostic and Classification Criteria For Vasculitis Study: A Pilot Study

    Cristina Ponte1, Anthea Craven2, Joanna Robson2, Peter C. Grayson3, Ravi Suppiah4, Richard A. Watts5, Peter A. Merkel6 and Raashid A. Luqmani2, 1Rheumatology and Metabolic Bone Diseases Department, Hospital de Santa Maria, CHLN and Rheumatology Research Unit, Instituto de Medicina Molecular, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal, 2Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 3Section of Rheumatology & the Clinical Epidemiology Unit, Boston University School of Medicine, Vasculitis Center, Boston, MA, 4Department of Rheumatology, Auckland District Health Board, Auckland, New Zealand, 5Rheumatology Department Ipswich Hospital and University of East Anglia, Ipswich, United Kingdom, 6Division of Rheumatology, Vasculitis Center, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: The Diagnostic and Classification Criteria for Vasculitis (DCVAS) Study is a multinational observational study to develop diagnostic criteria and to update classification criteria for…
  • Abstract Number: 2787 • 2013 ACR/ARHP Annual Meeting

    The Effect Of Smoking On The Clinical Expression Of ANCA-Associated Vasculitis

    Neil Basu1, Aladdin Mohammad2, Richard A. Watts3, Paul Gatenby4, Luis F. Flores-Suarez5 and Alfred Mahr6, 1Musculoskeletal Research Collaboration (Epidemiology Group), University of Aberdeen, Aberdeen, United Kingdom, 2Department of Rheumatology, Skåne University Hospital, Lund, Sweden, 3Rheumatology Department Ipswich Hospital and University of East Anglia, Ipswich, United Kingdom, 4ANU Medical School, The Canberra Hospital, Canberra, Australia, 5Primary Systemic Vasculitides Clinic, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico, 6Department of Internal Medicine, Hospital Saint-Louis, Paris, France

    Background/Purpose: It is well recognized that smoking has immuno-modulatory effects in several chronic inflammatory disorders. For ANCA-associated vasculitis (AAV), which includes granulomatosis with polyangiitis (GPA)…
  • Abstract Number: 2788 • 2013 ACR/ARHP Annual Meeting

    Reliability and Responsivenss Of The Standardized Universal Pain Evaluations For Rheumatology Providers For Children and Youth (SUPER-KIDZ)

    Nadia Luca1, Jennifer N. Stinson2, Susanne M. Benseler3, Brian M. Feldman4, Dorcas Beaton5,6 and Ahmed Bayoumi7, 1Pediatric Rheumatology, Hospital for Sick Children, Toronto, ON, Canada, 2Anesthesia and Pain Medicine, Hospital for Sick Children, Toronto, ON, Canada, 3Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 4Rheumatology, Hospital for Sick Children, Toronto, ON, Canada, 5Research, Mobility Program Clinical Research Unit, Li Ka Shing Knowledge Institute, St. Michaels Hospital, Toronto, ON, Canada, 6Scientist, Institute for Work & Health, Toronto, ON, Canada, 7General Internal Medicine, Keenan Research Centre of the Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, ON, Canada

    Background/Purpose:  Pain is the most common symptom in children and youth with juvenile idiopathic arthritis (JIA), however, currently there is no comprehensive validated pain measure…
  • Abstract Number: 2789 • 2013 ACR/ARHP Annual Meeting

    Enhancing Uveitis Screening Compliance In Juvenile Idiopathic Arthritis  Patients

    Melissa S Oliver1, Jennifer E. Weiss2, Suzanne C. Li3, Kathleen A. Haines2, Ginger L. Janow2, Esi Morgan DeWitt4 and Yukiko Kimura2, 1Pediatrics, UMDNJ New Jersey Medical School, Newark, NJ, 2Pediatric Rheumatology, Joseph M Sanzari Children’s Hospital, Hackensack University Medical Center, Hackensack, NJ, 3Pediatrics, Joseph M Sanzari Children’s Hospital, Hackensack University Medical Center, Hackensack, NJ, 4Department of Pediatrics, Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Chronic uveitis is one of the more severe morbidities associated with juvenile idiopathic arthritis (JIA). Risk of developing uveitis, and the frequency of uveitis…
  • Abstract Number: 2790 • 2013 ACR/ARHP Annual Meeting

    The Research In Arthritis In Canadian Children Emphasizing Outcomes (ReACCh Out) Cohort:  Are We Achieving Clinically Important Outcomes?

    Deborah M. Levy1, Shirley ML Tse1, Elizabeth Stringer2, Jaime Guzman3, Roberta A. Berard4, Karen Watanabe Duffy5, Dax Rumsey1, Mercedes O. Chan3, Rosie Scuccimarri6, Adam M. Huber7, Lori B. Tucker3, Rae SM Yeung1, Ciaran M. Duffy5, Kiem Oen8 and The ReACCh Out Investigators9, 1Rheumatology, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada, 2Department of Rheumatology, IWK Health Centre, Halifax, NS, Canada, 3Rheumatology, BC Children's Hospital and University of British Columbia, Vancouver, BC, Canada, 4Children's Hospital of Western Ontario, London, ON, Canada, 5Rheumatology, Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, ON, Canada, 6McGill University, Montreal, QC, Canada, 7Dalhousie University, Halifax, NS, Canada, 8Pediatrics, Children's Hospital of Winnipeg and University of Manitoba, Winnipeg, MB, Canada, 9The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada

    Background/Purpose:  Recent data suggests that achievement of inactive disease and early disease remission may result in improved outcomes for patients with juvenile idiopathic arthritis (JIA). …
  • Abstract Number: 2791 • 2013 ACR/ARHP Annual Meeting

    Telephone Consultation Usage In a Pediatric Rheumatology Clinic: Considerations In Optimizing Nursing Resources

    Julie Lemieux1, Audrey Tran2, Vincent Brienza3 and Roman Jurencak3, 1Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada, 2University of Western Ontario, London, ON, Canada, 3University of Ottawa, Ottawa, ON, Canada

    Background/Purpose: Telephone consultation is essential to the delivery of patient care in the ambulatory care clinics at the Children’s Hospital of Eastern Ontario (CHEO).  Our…
  • Abstract Number: 2792 • 2013 ACR/ARHP Annual Meeting

    Pediatric Rheumatology Care and Outcomes Improvement Network Demonstrates Performance Improvement On Juvenile Idiopathic Arthritis Quality Measures

    Julia G. Harris1,2, Esi Morgan DeWitt3, Ronald M. Laxer4,5, Stacy P. Ardoin6, Beth S. Gottlieb7, Judyann C. Olson1,2, Murray H. Passo8, Jennifer E. Weiss9, Daniel J. Lovell10, Tzielan C. Lee11, Sheetal S. Vora12,13, Nancy Griffin14, Jason A. Stock15, Lynn M. Darbie14 and Catherine A. Bingham16, 1Medical College of Wisconsin, Milwaukee, WI, 2Children's Hospital of Wisconsin, Milwaukee, WI, 3Department of Pediatrics, Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 4Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 5Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, 6Pediatric & Adult Rheumatology, Ohio State University College of Medicine, Columbus, OH, 7Pediatric Rheumatology, Cohen Children's Medical Center of New York, New Hyde Park, NY, 8Pediatrics, Medical University of South Carolina, Charleston, SC, 9Pediatric Rheumatology, Hackensack University Medical Center, Hackensack, NJ, 10Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 11Pediatric Rheumatology, Stanford University School of Medicine, Stanford, CA, 12University of North Carolina Chapel Hill, Chapel Hill, NC, 13Levine Children's Hospital and Carolinas Medical Center, Charlotte, NC, 14James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 15Biostatistics & Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 16Pediatric Rheumatology, Penn State Hershey Children's Hospital, Hershey, PA

    Background/Purpose: Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN) is a multi-site learning network designed to improve outcomes of juvenile idiopathic arthritis (JIA) care.  Teams…
  • Abstract Number: 2793 • 2013 ACR/ARHP Annual Meeting

    Towards Developing a Rheumatology-Specific Transition Of Care Program

    Rina Mina1, Janalee Taylor2, Pamela A. Heydt3, Terry M. Moore4, Julie V. Ranz5, Mary Beth Burns6, Paula G. Melson7, Abigail Nye6, Jill Segerman5, Yolanda Farhey8, John Houk9, Avis Ware9, Jennifer L. Huggins5 and Lisa Vaughn6, 1Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2William S. Rowe Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Rheumatology, Childrens Hospital Medical Center, Cincinnati, OH, 4Pediatric Rheumatology, Cincinnati Chiildren's Hospital Medical Center, Cincinnati, OH, 5Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 6Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 7Rheumatology, Children's Hosp Medical Center, Cincinnati, OH, 8University of Cincinnati, Cincinnati, OH, 9Immunology, Allergy and Rheumatology, University of Cincinnati, Cincinnati, OH

    Background/Purpose: Background: Because of their considerable medical challenges, adolescents and young adults with pediatric-onset rheumatic diseases are often reliant on the health care system, and…
  • Abstract Number: 2794 • 2013 ACR/ARHP Annual Meeting

    Characterisation Of Antigens Driving In Situ Autoantibody Production In Human Lupus Tubulointerstitial Nephritis (TIN)

    Andrew Kinloch1, Scott Henderson1, Natalya Kaverina2, Anthony Chang3, D. James Haddon4, Justin Jarrel4, Carole Henry Dunand2, Patrick C. Wilson5, Paul Utz4 and Marcus R. Clark6, 1Rheumatology and Knapp Center of Lupus and Immunology Research, University of Chicago, Chicago, IL, 2Rheumatology and Knapp Center for Lupus and Immunology Research, University of Chicago, Chicago, IL, 3Pathology, University of Chicago, Chicago, IL, 4Medicine, Stanford University School of Medicine, Stanford, CA, 5Rheumatology and Knapp center for Lupus and Immunology Research, University of Chicago, Chicago, IL, 6Rheumatology and Knapp Center for Lupus Research, University of Chicago, Chicago, IL

    Background/Purpose: We have demonstrated that the degree of tubulointerstitial nephritis (TIN) on diagnostic biopsy predicts progression to renal failure. TIN is associated with tertiary lymphoid…
  • Abstract Number: 2795 • 2013 ACR/ARHP Annual Meeting

    B Cell Derived Cytokines Induce Glomerular Injury in Mice

    Alfred Kim1, Shreeram Akilesh2, Jeffrey Miner3 and Andrey Shaw4, 1IM/Div of Rheumatology, Washington Univ School of Med, St. Louis, MO, 2Pathology, University of Washington, Seattle, WA, 3Renal Division, Washington University School of Medicine, Saint Louis, MO, 4Pathology & Immunology/HHMI, Washington University School of Medicine, Saint Louis, MO

    Background/Purpose: Renal involvment remains the leading cause of mortality for SLE patients, and is associated with proteinuria and foot process effacement. In subsets of LN…
  • Abstract Number: 2756 • 2013 ACR/ARHP Annual Meeting

    Serum Periostin Is Associated With Prevalent Knee Osteoarthritis and Predicts Disease Progression In Women: The Ofely Study

    Jean-Charles Rousseau1, Elisabeth Sornay-Rendu1, Cindy Bertholon1, Patrick Garnero2 and Roland Chapurlat3, 1INSERM UMR 1033, Lyon, France, 2INSERM, UMR 1033, Lyon and Cisbio Bioassays, Bagnols/Cèze, France, 3Service de Rhumatologie et Pathologie Osseuse, INSERM UMR 1033 and Université de Lyon, Hôpital Edouard Herriot, Lyon, France

    Background/Purpose: Periostin (POSTN) is a secreted vitamin K-dependent (Gla-containing) protein produced by osteoblasts and chondrocytes. The aim of this study was to investigate the relationships…
  • Abstract Number: 2757 • 2013 ACR/ARHP Annual Meeting

    Metabolomics For The Identification Of Urinary Biomarkers In Knee Osteoarthritis Progression

    Puja Saxena1, Richard F. Loeser2, Wimal Pathmasiri3, Susan Sumner3, Daniel Beavers4, David J. Hunter5 and Stephen P. Messier6, 1Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, 2Section Of Molecular Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 3Systems and Translational Sciences, NIH Eastern Regional Comprehensive Metabolomics Resource Core, Research Triangle Park, NC, 4Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, 5Rheumatology, Institute of Bone and Joint Research, Kolling Institute, University of Sydney, Sydney, Australia, 6Department of Health and Exercise Science, Wake Forest University, Winston-Salem, NC

    Background/Purpose: Obesity is an important risk factor for knee OA, not only due to effects of excess adipose tissue on joint loading, but also due…
  • Abstract Number: 2758 • 2013 ACR/ARHP Annual Meeting

    Quantifying The Risk Of Incident Type II Diabetes Following Oral Glucocorticoid Therapy In Patients With Rheumatoid Arthritis: Association With Dose and Duration Of Use

    William G. Dixon1, Mohammad Movahedi2, Marie-Eve Beauchamp3, David W. Ray4 and Michal Abrahamowicz3, 1The University of Manchester, Manchester, United Kingdom, 2Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom, 3Division of Clinical Epidemiology, McGill University, Montreal, QC, Canada, 4Institute of Human Development, Institute of Human Development, The University of Manchester, Manchester, United Kingdom

    Background/Purpose: Glucocorticoid (GC) therapy is widely used in patients with rheumatoid arthritis (RA). Its association with incident type II diabetes mellitus (DM) is accepted, but…
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