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  • Abstract Number: 2638 • 2013 ACR/ARHP Annual Meeting

    Cryoglobulinemia Vasculitis With Or Without Associated Cryofibrinogenemia: A Different Phenotype?

    Martin Michaud1, Guillaume Moulis2, Jacques Pourrat1, Benedicte Puissant1, Antoine Blancher1 and Laurent Sailler3, 1Toulouse University Hospital, University of Toulouse, Toulouse, France, 2Toulouse University Hospital, Clinical Pharmacology Department, University of Toulouse, UMR INSERM-UPS 1027, Toulouse, France, 3Department of Internal Medicine, Toulouse University Hospital, Toulouse, France

    Background/Purpose: Cryoglobulin (CryoGl) and cryofibrinogen (CryoFg) are cryoproteins, both responsible for well-described systemic vasculitis. Nevertheless, cryoglobulinemia may be associated with cryofibrinogenemia. Such mixed cryoprotein vasculitis…
  • Abstract Number: 2639 • 2013 ACR/ARHP Annual Meeting

    Long-Term Outcome of Monoclonal (type 1) Cryoglobulinemia

    Antoine Néel1, François Perrin1, Olivier Decaux2, Thomas Dejoie3, Maxime Halliez3, Béatrice Mahé4, Thierry Lamy5, Fadi Fakhouri6, Patrick Jego2, Christian Agard1, Cécile Vigneau7, Lucienne Guenet8, Bernard Grosbois9, Philippe Moreau4 and Mohamed Hamidou1, 1Internal Medicine Department, Nantes University Hospital, Nantes, France, 2Department of Internal Medicine, Rennes University Hospital, Rennes, France, 3Biochemistry Laboratory, Nantes University Hospital, Nantes, France, 4Hematology, Nantes University Hospital, Nantes, France, 5Hematology, Rennes University Hospital, Rennes, France, 6Nephrology, Nantes University Hospital, Nantes, France, 7Nephrology, Rennes University Hospital, Rennes, France, 8Biochemistry Laboratory, Rennes University Hospital, Rennes, France, 9Internal Medicine Department, Rennes University Hospital, Rennes, France

    Background/Purpose: To investigate long-term outcome of symptomatic type 1 cryoglobulinemia and its determinants. Methods: Retrospective analysis of a prospective cohort from 2 French university hospitals.…
  • Abstract Number: 2640 • 2013 ACR/ARHP Annual Meeting

    VERY LONG-TERM Effects Of The “4 PLUS2 Infusion PROTOCOL” Of Rituximabalone In Patients With HCV-Associatedmixed Cryoglobulinemia With Diffusemembranoproliferative Glomerulonephritis,Severe Polyneuropathy and Necrotic Ulcersof Skin

    Dario Roccatello1, Savino Sciascia1, Simone Baldovino2 and Daniela Rossi1, 1Department of Rare, Immunologic, Hematologic and Immunohematologic Diseases, Centro di Immunopatologia e Documentazione su Malattie rare, Torino, Italy, 2Centro di Ricerche di Immunologia Clinica ed Immunopatologia e Documentazione su Malattie Rare (CMID), Università di Torino, Torino, Italy

    Background/Purpose: Mixed cryoglobulinemia syndrome (MCs) is a systemic vasculitischaracterized by multiple organ involvement due to the vascular deposition ofIgMk/IgG cryoglobulins. B cells expansion usually triggered…
  • Abstract Number: 2641 • 2013 ACR/ARHP Annual Meeting

    Earlier Admission To Specialized Care, Intensified Treatment and Improved Outcome In Patients With Autoimmune Connective Tissue Disorders and Vasculitides In Germany 2011 Compared To 1995

    Dörte Huscher1, Katinka Albrecht2, Katja Thiele2, Sascha Bischoff2, Jutta G. Richter3, Ina Kötter4, Wolfgang Ochs5 and Angela Zink1, 1German Rheumatism Research Centre and Charité University Medicine, Berlin, Germany, 2German Rheumatism Research Centre, Berlin, Germany, 3Department of Rheumatology, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany, 4ZIRS, Centre for Interdisciplinary Rheumatology Stuttgart, Stuttgart, Germany, 5Rheumatologist in private practice, Bayreuth, Germany

    Background/Purpose: Compared to rheumatoid arthritis and other arthritis-associated rheumatic diseases, autoimmune connective tissue disorders and vasculitides are still in the early stages of biological therapies.…
  • Abstract Number: 2642 • 2013 ACR/ARHP Annual Meeting

    A Novel Genetic Basis For Systemic Vasculitis: Polyarteritis Nodosa Caused By Recessive Mutations In An Immune-Related Gene

    Reeval Segel1,2, Pnina Elkan-Navon3, Sarah B. Pierce4, Tom Walsh4, Judith Barash5, Shay Padeh6, Avraham Zlotogorski7, Yackov Berkun8, Isabel Voth9, Philip Hashkes10, Liora Harel11, Eduard Ling12, Fatos Yalcinkaya13, Ozgur Kasapcopur14, Paul F. Renbaum15, Ariella Weinberg-Shukron15, Barbara Schormair16, Mordechai Shohat17, Alan A. Rubinow18, Elon Pras19, Juliane Winkelmann20, Mustafa Tekin21, Yair Anikster22, Mary-Claire King4 and Ephrat Levy-Lahad15, 1Medical Genetics and Pediatrics, Shaare Zedek Medical Center, Jerusalem, Israel, 2Hebrew University Medical School, Jerusalem, Israel, 3Pediatrics, Shaare Zedek Medical Center, Jerusalem, Israel, 4Medical Genetics, University of Washington, Seattle, WA, 5Pediatric Day Care, Kaplan Medical Center, Rehovot, Israel, 6Pediatrics, Sheba Medical Center, Ramat Gan, Israel, 7Department of Dermatology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel, 8Pediatrics, Hadassah Medical Center, Mount Scopus, Jerusalem, Israel, 9Department of Neurology, Technische Universitat Munchen Klinikum rechts der Isar, Munich, Germany, 10Pediatric Rheumatology, Shaare Zedek Medical Center, Jerusalem, Israel, 11Pediatric Rheumatology unit, Schneider Children's Medical Center, Tel Aviv University, Petach Tikvah, Israel, 12Rheumatology Unit, Soroka University Medical Center and Ben-Gurion University, Beer-Sheva, Beer Sheva, Israel, 13Pediatric Nephrology and Rheumatology, Ankara University, Ankara, Turkey, 14Ankara University, Ankara, Turkey, 15Medical Genetics, Shaare Zedek Medical Center, Jerusalem, Israel, 16Helmholtz Zentrum Munchen, Munich, Germany, 17Rafael Recanati medical genetics Institute, Rabin Medical Center, Beilinson Hospital, Petach Tikvah, Israel, 18Hadassah Medical Center, Jerusalem, Israel, 19Institute of Human Genetics, Sheba Medical Center, Ramat Gan, Israel, 20Genetics, Stanford University, San Francisco, CA, 21Dr. John T. Macdonald Foundation Department of Human Genetics and John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami, Miami, FL, 22Metabolic Disease Unit, Sheba Medical Center, Ramat Gan, Israel

    Background/Purpose: Polyarteritis nodosa (PAN) is a systemic necrotizing vasculitis. Disease pathogenesis and possible genetic factors are poorly understood.  We identified familial, mostly pediatric PAN, in…
  • Abstract Number: 2643 • 2013 ACR/ARHP Annual Meeting

    Midkine Is a Novel Prognostic Factor In Patients With Vasculitis Syndrome

    Yoshie Kusunoki1, Yutaka Okano1, Natsuko Kusunoki2, Natsuki Fujio2, Mai Kawazoe2, Emiko Shindo2, Kotaro Shikano2, Makoto Kaburaki2, Sei Muraoka2, Kanako Kitahara2, Kaichi Kaneko2, Nahoko Tanaka2, Tatsuhiro Yamamoto2, Kenji Takagi2, Tomoko Hasunuma2, Hirahito Endo2 and Shinichi Kawai2, 1Center for Arthritis and Rheumatic Diseases, Kawasaki Municipal Kawasaki Hospital, Kanagawa, Japan, 2Division of Rheumatology, Department of Internal Medicine, School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan

    Background/Purpose: Midkine (MK) is a heparin-binding growth factor, promotes growth, survival, and migration of various cells. Recently several reports show that MK may also play…
  • Abstract Number: 2644 • 2013 ACR/ARHP Annual Meeting

    Phase IB/Iia Study On Intravenous Administration Of Expanded Allogeneic Adipose-Derived Mesenchymal Stem Cells In Refractory Rheumatoid Arthritis Patients

    JM Alvaro-Gracia1, Juan A. Jover2, Rosario Garcia-Vicuña3, Luis Carreño4, Alberto Alonso5, Sara Marsal6, Francisco J. Blanco7, Víctor M. Martínez-Taboada8, Peter C. Taylor9, Federico Díaz-González10 and Lydia Dorrego11, 1Unidad de Terapias Biológicas. Servicio de Reumatología, Hospital Universitario de La Princesa, Madrid, Spain, 2Rheumatology, Hospital Clínico San Carlos, Madrid, Spain, 3Rheumatology, Hospital Universitario de La Princesa. IIS La Princesa, Madrid, Spain, 4Rheumatology, Gregorio Marañón Hospital, Madrid, Spain, 5Hospital de Cruces, Bilbao, Spain, 6Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, Barcelona, Spain, 7INIBIC-Hospital Universitario A Coruña. Rheumatology Division. Genomic Group, A Coruña, Spain, 8Rheumatology, Hospital Universitario Marqués de Valdecilla. IFIMAV., Santander, Spain, 9NDORMS, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 10Hospital Universitario de Canarias, La Laguna. Tenerife, Spain, 11TiGenix, Tres Cantos, Spain

    Background/Purpose: Expanded adipose-derived stem cells (eASCs) are shown to have immune-modulatory effects both in vitro and in animal models of arthritis. eASCs are currently under…
  • Abstract Number: 2645 • 2013 ACR/ARHP Annual Meeting

    Pathological Roles Of The Anti-Oxidative Enzyme Peroxiredoxin 2 In Patients With Kawasaki Disease

    Rie Karasawa1, Toshiko Sato1, Mayumi Tamaki1, Mikiya Fujieda2, Kazuhide Ohta3 and Kazuo Yudoh1, 1Institute of Medical Science, St. Marianna University School of Medicine, Kawasaki, Japan, 2Department of Pediatrics, Kochi Medical School, Nankoku, Japan, 3Department of Pediatrics, Kanazawa Medical Center, Kanazawa, Japan

    Background/Purpose: Anti-endothelial cell antibodies (AECA) are autoantibodies that are detected frequently in vasculitis caused by, for example, Kawasaki disease (KD). However, AECA target molecules have…
  • Abstract Number: 2646 • 2013 ACR/ARHP Annual Meeting

    Cost-Effectiveness Analysis Of Triple Therapy Versus Etanercept Plus Methotrexate In Early Aggressive Rheumatoid Arthritis: Analysis Based On The TEAR Trial

    Hawre Jalal1, Jeffrey R. Curtis2, Stacey Cofield3, Larry W. Moreland4, James R. O'Dell5 and Kaleb Michaud6, 1Health Polisy and Management, University of Minnesota, Minneapolis, MN, 2Immunology/Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3University of Alabama at Birmingham, Birmingham, AL, 4University of Pittsburgh, Pittsburgh, PA, 5Veteran Affairs Nebraska Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE, 6Rheumatology, National Data Bank for Rheumatic Diseases & University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: The long-term cost-effectiveness of triple therapy (methotrexate [MTX], sulfasalazine [SSZ], hydroxychloroquine [HCQ]) disease modifying anti-rheumatic drugs (DMARDs) compared to a combination of MTX and…
  • Abstract Number: 2647 • 2013 ACR/ARHP Annual Meeting

    Recombinant Monoclonal Antibodies Derived From Single CD19+ Synovial B Cells Of RA Patients With Tertiary Lymphoid Structures Display a Strong Immunoreactivity Towards Citrullinated Histones

    Elisa Corsiero1, Michele Bombardieri2, Emanuela Carlotti1, Hedda Wardemann3, William H. Robinson4 and Costantino Pitzalis1, 1Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, QMUL, London, United Kingdom, 2Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Queen Mary University of London, London, United Kingdom, 3Max Planck Research Group Molecular Immunology, Max Planck Institute for Infection Biology, Berlin, Germany, 4Division of Immunology and Rheumatology, Stanford University School of Medicine, Stanford, CA

    Background/Purpose: Rheumatoid arthritis (RA) is characterised by breach of self-tolerance towards citrullinated proteins. Around 40% of patients display synovial tertiary lymphoid structures (TLS) with functional…
  • Abstract Number: 2648 • 2013 ACR/ARHP Annual Meeting

    Characterization Of Histidyl-tRNA Synthetase Specific Th Cell Response In Blood and Broncheoalveolar Lavage (BAL) Of Myositis Patients

    Inka Albrecht1, Eddie James2, Maryam Fathi3, Maryam Dastmalchi4, Jessica Herrath1, Vivianne Malmström5 and Ingrid E. Lundberg6, 1Department of Medicine, Solna, Unit of Rheumatology, Karolinska University Hospital, Department of Medicine, Solna, Unit of Rheumatology, Stockholm, Sweden, 2Benaroya Research Institute, Seattle, WA, 3Karolinska Institutet, Department of Medicine , Respiratory Medicine Unit, Stockholm, Sweden, 4Department of Medicine, Karolinska University Hospital, Department of Medicine, Solna, Unit of Rheumatology, Stockholm, Sweden, 5Rheumatology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 6Rheumatology Unit, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose:  Idiopathic inflammatory myopathy is a rare chronic inflammatory disease that is associated with the presence of autoantibodies pointing to a contribution of adaptive immune…
  • Abstract Number: 2649 • 2013 ACR/ARHP Annual Meeting

    Rituximab For The Treatment Of IgG4-Related Disease: A Prospective Clinical Trial

    Mollie Carruthers1, Mark Topazian2, Arezou Khosroshahi3, Thomas Witzig4, Judith Oakley5, Philip Hart6, Lauren Kelly5, Lori Bergstrom6, Suresh Chari6 and John Stone7, 1Rheumatology, Massachusetts General Hospital, Boston, MA, 2Gastroenterology, Mayo Clinic, Rochester, MA, 3Rheumatology, Emory University School of Medicine, Atlanta, GA, 4Hematology & Oncology, Mayo Clinic, Rochester, MN, 5Clinical Research Program, Massachusetts General Hospital, Boston, MA, 6Gastroenterology, Mayo Clinic, Rochester, MN, 7Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: IgG4-related disease (IgG4-RD) is a multi-organ, fibro-inflammatory disorder. An open label pilot trial of rituximab (RTX) in IgG4-RD conducted at twocentershas enrolled 29 of…
  • Abstract Number: 2650 • 2013 ACR/ARHP Annual Meeting

    Silent Ischemic Heart Disease In Patients With Primary Antiphospholipid Syndrome

    Antonio R. Cabral1, Gregoria Gómez-Hernández2, Martha Morelos-Guzmán3, Tatiana Rodriguez-Reyna4, Carlos Alberto Núñez-Alvarez5 and Jorge Vazquez-Lamadrid3, 1Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion, Mexico City, Mexico, 2Internal Medicine, Instituto Nacional De Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, Mexico, 3Radiology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico, 4Immunology and Rheumatology, National Institute of Medical Sciences and Nutrition, Mexico City, Mexico, 5Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

    Background/Purpose:   Premature atherosclerosis in PAPS is still a matter of debate Patients and Methods:   To determine the prevalence of ischemic heart disease in…
  • Abstract Number: 2651 • 2013 ACR/ARHP Annual Meeting

    The Association Between Antiphospolipid Antibodies and Related Clinical Outcomes: A Critical Review Of The Literature

    Cecilia B. Chighizola1, Laura Andreoli2, Alessandra Banzato3, Guilherme Ramires de Jesus4, Guillermo J. Pons-Estel5, Doruk Erkan6 and On Behalf of APS Action7, 1Rheumatology, Istituto Auxologico Italiano, University of Milan, Cusano Milanino, Italy, 2Rheumatology Unit, University of Brescia, Brescia, Italy, 3Department of Cardiac Thoracic and Vascular Sciences, Department of Cardiac Thoracic and Vascular Sciences, University of Padua, Padua, Italy, 4Department of Obstetrics, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 5Servicio de Enfermedades Autoinmunes, Department of Autoimmune Diseases, Institut Clìnic de Medicina i Dermatologia, Hospital Clìnic, Barcelona, Spain, 6Rheumatology, Hospital for Special Surgery, New York, NY, 7APS ACTION, New York, NY

    Background/Purpose: AntiPhospholipid Syndrome Alliance For Clinical Trials and InternatiOnal Networking (APS ACTION) is an international network that has been created to design and conduct APS…
  • Abstract Number: 2652 • 2013 ACR/ARHP Annual Meeting

    Ovarian Reserve In Women With Primary Antiphospholipid Syndrome

    Lucas Yamakami1, Paulo Serafini2, Daniel B. Araujo3, Eloisa Bonfá4, Elaine P. Leon5, Edmund C. Baracat6 and Clovis A. Silva7, 1Gynecology Department, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil, 2MD; PhD, Sao Paulo, Brazil, 3Rheumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil, 4Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 5Rheumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 6Gynecology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 7Pediatric Rheumatology Unit, University of São Paulo, São Paulo, Brazil

    Background/Purpose: Aging, smoking, obesity and surgery have been found to influence the quantity and quality of primordial follicles in ovaries and, ultimately, the ovarian reserve.…
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