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  • Abstract Number: 2090 • 2012 ACR/ARHP Annual Meeting

    Orchestrating the Orchestrators: Blockade of Flt3L Signaling-Dependent Dendritic Cells Protects Against Collagen Induced Arthritis

    Maria I. Martins Ramos1, Karpus O.N. Karpus2, Pleun Broekstra2, Saïda Aarrass3, Paul P. Tak4 and Maria C. Lebre3, 1Division of Clinical Immunology and Rheumatology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 2Department of Experimental Immunology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 3Clinical Immunology and Rheumatology & Experimental Immunology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 4Department of Experimental Immunology, Division of Clinical Immunology and Rheumatology, Academic Medical Center, University of Amsterdam and GlaxoSmithKline, Amsterdam, Netherlands

    Background/Purpose: Autoimmune diseases often result from inappropriate or unregulated activation of autoreactive T cells. The induction and maintenance of T cell tolerance to tissue antigens…
  • Abstract Number: 2091 • 2012 ACR/ARHP Annual Meeting

    The Effect of Pretreatment with Capsaicin On Measurement of Arthritis Pain by Dynamic Weight Bearing and Evoked Pain Responses in an Acute Murine Arthritis Model

    Hollis E. Krug1, Christopher W. Dorman2, Sandra Frizelle2 and Maren L. Mahowald3, 1Medicine, VA Health Care System, Minneapolis, MN, 2Research, Minneapolis VA Health Care System, Minneapolis, MN, 3Medicine, University of Minnesota Medical School and Minneapolis VA Health Care System, Minneapolis, MN

    Background/Purpose:  Murine models are important to study arthritis pain and new analgesics, however measuring pain in mice is challenging. The Dynamic Weight Bearing (DWB) device…
  • Abstract Number: 2092 • 2012 ACR/ARHP Annual Meeting

    No Significant Effect of Hepatitis B Virus Infection On Disease Activity, Synovitis or Joint Destruction in Rheumatoid Arthritis

    Chan Juan Zou, Yan Hua Li, Ying Qian Mo, Lang Jing Zhu, Dong Hui Zheng, Jian Da Ma, Xia Ouyang and Lie Dai, Division of Rheumatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China

    Background/Purpose: The prevalence of chronic hepatitis B virus (HBV) infection is high in China. 4% patients with HBV infection can present with polyarthritis and positive…
  • Abstract Number: 2093 • 2012 ACR/ARHP Annual Meeting

    Rates of Opportunistic Infections Among Rheumatoid Arthritis Patients Switching Biologic Therapy

    John Baddley1, Shuo Yang2, Klye Brizendine3, Scott DuVall4, Kevin L. Winthrop5, Mary J. Burton6, Nivedita M. Patkar7, Elizabeth S. Delzell8, Monika M. Safford9, Jasvinder A. Singh10, Iris E. Navarro11, Grant W. Cannon12, Ted R. Mikuls13, Lang Chen11, Kenneth G. Saag14, Kimberly Alexander15, Pavel Napalkov15, Aaron Kamauu16 and Jeffrey R. Curtis17, 1Medicine, University of Alabama at Birmingham, Birmingham, AL, 2Clinical Immunology/Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Infectious Disease, Birmingham, AL, 4VA Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 5Dept of Infectious Disease, Oregon Health & Science University, Portland, OR, 6VA Hospital, Jackson, MS, 7Immunology/Rheumatology, Univ of Alabama-Birmingham, Birmingham, AL, 8Epidemiology, University of Alabama at Birmingham, Birmingham, AL, 9Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, 10Department of Medicine, University of Alabama, Tuscaloosa, AL, 11Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 12Division of Rheumatology, George E. Wahlen VA Medical Center, Salt Lake City, UT, 13Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 14Div Clinical Immun & Rheum, Univ of Alabama-Birmingham, Birmingham, AL, 15Epidemiology, Genentech, Inc., South San Francisco, CA, 16Anolinx, Bountiful, UT, 17Rheumatology & Immunology, Univ of Alabama-Birmingham, Birmingham, AL

    Background/Purpose: The incidence of opportunistic infections (OIs) in patients on biologics is low, but may approach several cases per 100 person-years (PY). Data on risks…
  • Abstract Number: 2094 • 2012 ACR/ARHP Annual Meeting

    Reactivation of Hepatitis B Virus in Autoimmune Disease Patients Receiving Immunosuppressive Agents

    Daisuke Kobayashi1, Satoshi Ito1, Megumi Unno1, Ichiei Narita2 and Akira Murasawa1, 1Niigata Rheumatic Center, Niigata, Japan, 2Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan

    Background/Purpose: Reactivation of resolved hepatitis B in patients undergoing immunosuppressive therapy is now considered to be a complication of major clinical importance. Because this is…
  • Abstract Number: 2095 • 2012 ACR/ARHP Annual Meeting

    Identifying Arthralgia Patients At Risk for Rheumatoid Arthritis in the Rotterdam Early Arthritis Cohort

    M. van der Veer1, D. van Zeben2, A.E.A.M. Weel3, P.J. Barendregt3, A.H. Gerards4, Johanna M.W. Hazes5 and Jolanda J. Luime5, 1Department of Rheumatology, ErasmusMC, Rotterdam, Netherlands, 2Department of Rheumatology, Sint Franciscus Gasthuis, Rotterdam, Netherlands, 3Department of Rheumatology, Maasstad Hospital, Rotterdam, Netherlands, 4Department of Rheumatology, Vlietland Hospital, Schiedam, Netherlands, 5Rheumatology, Erasmus University Medical Center, Rotterdam, Netherlands

    Background/Purpose: Patients with rheumatoid arthritis (RA) frequently have a high disease burden and erosions at first presentation because of the insidious nature of the disease.…
  • Abstract Number: 2096 • 2012 ACR/ARHP Annual Meeting

    A Prediction Rule for the Progression to Rheumatoid Arthritis Applied in a Mexican Mestizo Cohort with Undifferentiated Arthritis

    Ana Arana Guajardo, Lorena Pérez Barbosa, David Vega Morales, Janett Riega Torres, Roberto Negrete López, Jacqueline Rodríguez Amado, Jorge Esquivel Valerio, Cassandra Skinner Taylor, Diana Flores Alvarado, Dionicio Galarza Delgado, Miguel Villarreal Alarcon and Mario Garza Elizondo, Rheumatology, Hospital Universitario, UANL, Monterrey, Mexico

    Background/Purpose: A high proportion of patients who present with recent-onset arthritis have undifferentiated arthritis (UA), as these patients do not fulfill the classification criteria for…
  • Abstract Number: 2097 • 2012 ACR/ARHP Annual Meeting

    Adiponectin Is Associated with Pro-Inflammatory Cytokines in Autoantibody Positive First-Degree Relatives (FDRs) of Patients with Rheumatoid Arthritis

    Jan M. Hughes-Austin1, Kevin D. Deane2, Lezlie A. Derber3, Gary O. Zerbe4, Dana M. Dabelea1, Jeremy Sokolove5, William H. Robinson6, V. Michael Holers7 and Jill M. Norris8, 1Epidemiology, Colorado School of Public Health / University of Colorado Anschutz Medical Campus, Aurora, CO, 2Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO, 3University of Colorado School of Medicine, Division of Rheumatology, Aurora, CO, 4Biostatistics and Informatics, Colorado School of Public Health / University of Colorado Anschutz Medical Campus, Aurora, CO, 5Medicine, VA Palo Alto Health Care System and Stanford University, Palo Alto, CA, 6Division of Immunology and Rheumatology, Stanford University School of Medicine, Stanford, CA, 7Rheumatology Division, University of Colorado School of Medicine, Aurora, CO, 8Epidemiology, Colorado School of Public Health, Aurora, CO

    Background/Purpose: While adiponectin is generally considered an anti-inflammatory adipokine, it has also been shown to participate in active RA in inflammatory, matrix-destructive and fibrotic processes…
  • Abstract Number: 2098 • 2012 ACR/ARHP Annual Meeting

    Patient Report Outcomes Variance Between Centers Is Much Lower Than Physician and Laboratory Assessed Measures of Rheumatoid Arthritis Activity: Results From a Multinational Study

    Nasim A. Khan1, Horace Spencer2, Tuulikki Sokka3 and QUEST-RA4, 1Rheumatology, University of Arkansas for Medical Sciences and Central Arkansas Veterans Healthcare System, Little Rock, AR, 2University of Arkansas for Medical Sciences, Little Rock, AR, 3Rheumatology, Jyvaskyla Central Hospital, Jyvaskyla, Finland, 4Jyväskylä

    Background/Purpose:    Clinical trials and epidemiological rheumatoid arthritis (RA) studies often recruit patients from multiple centers. We studied the proportion of variance in the American…
  • Abstract Number: 2099 • 2012 ACR/ARHP Annual Meeting

    Patient Self-Assessments and Selected Patient Reported Outcomes May Reliably Identify Rheumatoid Disease Flare in Early Rheumatoid Arthritis Patients

    Vivian P. Bykerk1, Clifton O. Bingham III2, Ernest Choy3, Juan Xiong4, Gilles Boire5, Carol A. Hitchon6, Janet E. Pope7, J. Carter Thorne8, Boulos Haraoui9, Edward Keystone10 and Susan J. Bartlett11, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Rheumatology, Johns Hopkins University, Baltimore, MD, 3Section of Rheumatology, Cardiff University School of Medicine, Cardiff, United Kingdom, 4Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 5Rheumatology Division, Centre Hospitalier Universitaire de Sherbrooke, Université de Sherbrooke, Sherbrooke, QC, Canada, 6University of Manitoba, Winnipeg, MB, Canada, 7Medicine/Rheumatology, St. Joseph Health Care London, University of Western Ontario, London, ON, Canada, 8Southlake Regional Health Centre, Newmarket, ON, Canada, 9Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Montreal, QC, Canada, 10University of Toronto, Toronto, ON, Canada, 11Clinical Epidemiology, McGill University, Montreal, QC, Canada

    Background/Purpose: Significant RA worsening or flare may predict poorer outcomes and signal a need for treatment reassessment. However, there is little agreement about how to…
  • Abstract Number: 2100 • 2012 ACR/ARHP Annual Meeting

    Relative, Reliability-Adjusted Diagnostic Test Accuracy of Erosion Detection Between Magnetic Resonance Imaging and Radiography in Rheumatoid Arthritis

    Ruben Tavares1, Naveen Parasu2, Karen Finlay2, Erik Jurriaans2, Hao Wu1, Karen A. Beattie3, Maggie Larche4, Lawrence E. Hart5, William G. Bensen6, Raja S. Bobba4, Alfred A. Cividino3, Colin E. Webber7, Jean-Eric Tarride8 and Jonathan D. Adachi9, 1McMaster University, Hamilton, ON, Canada, 2Radiology, Hamilton Health Sciences, Hamilton, ON, Canada, 3Medicine, McMaster University, Hamilton, ON, Canada, 4Rheumatology, McMaster University, Hamilton, ON, Canada, 5Medicine (Rheumatology), St. Joseph's Health Care, Hamilton, ON, Canada, 6Department of Medicine, Division of Rheumatology, St. Joseph's Hospital and McMaster University, Hamilton, ON, Canada, 7Department of Nuclear Medicine, Hamilton Health Sciences, Hamilton, ON, Canada, 8Clinical Epidemiology and Biostatistics (CE&B) and Economics, Programs for Assessment of Technology in Health (PATH) Research Institute, Hamilton, ON, Canada, 9St Joseph's Healthcare Hamilton, Hamilton, ON, Canada

    Background/Purpose: In rheumatoid arthritis (RA), erosion detection on radiography (X-ray) compared to magnetic resonance imaging (MRI) is characterized by low sensitivity and high specificity.  This…
  • Abstract Number: 2061 • 2012 ACR/ARHP Annual Meeting

    Physician Variation in Documentation of Rheumatoid Arthritis Quality Measures and Evaluation of Relationship with Radiographic Progression

    Sonali Desai1, Jinoos Yazdany2, Nancy A. Shadick3, Siri Lillegraven4, Chih-Chin Liu5, Michelle A. Frits6, Tabatha Norton7, Jonathan S. Coblyn8, Michael Weinblatt5 and Daniel H. Solomon9, 1Medicine/ Rheumatology, Boston, MA, 2Medicine, University of California, San Francisco, San Francisco, CA, 3Rheumatology/Immunology, Brigham and Women's Hospital, Boston, MA, 4Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 5Rheumatology & Immunology, Brigham & Women's Hospital, Boston, MA, 6Department of Medicine, Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 7Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 8Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 9Division of Rheumatology, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Documentation of quality measures (QMs) in rheumatoid arthritis (RA) has been proposed as a way to demonstrate quality of care, but data linking appropriate…
  • Abstract Number: 2062 • 2012 ACR/ARHP Annual Meeting

    Increasing Pneumococcal Vaccination for Immunosuppressed Patients: A Cluster Quality Improvement Trial

    Sonali Desai1, Lara Szent-gyorgyi2, Alexander Turchin3, Bing Lu4, Anna A. Bogdanova2, Michael Weinblatt5, Jonathan S. Coblyn6, Jeffrey O. Greenberg2, Allen Kachalia2 and Daniel H. Solomon7, 1Medicine/ Rheumatology, Boston, MA, 2Medicine, Boston, MA, 3Endocrinology, Boston, MA, 4Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 5Rheumatology & Immunology, Brigham & Women's Hospital, Boston, MA, 6Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 7Division of Rheumatology, Brigham and Women's Hospital, Boston, MA

    Increasing Pneumococcal Vaccination for Immunosuppressed Patients: A Cluster Quality Improvement TrialBackground/Purpose:   It is important for patients on immunosuppressive medications to receive pneumococcal vaccination. Prior…
  • Abstract Number: 2063 • 2012 ACR/ARHP Annual Meeting

    Detection of Inflammatory Arthritis and Musculoskeletal Conditions in a First Nations Community: Results of an Onsite Screening Program

    Cheryl Barnabe1, Carrissa Low Horn2, Margaret Kargard2, Stephen Mintsioulis2, Sharon Leclercq3, Dianne P. Mosher4, Hani S. El-Gabalawy5, Tyler White2 and Marvin J. Fritzler6, 1Medicine, Community Health Sciences, University of Calgary, Calgary, AB, Canada, 2Siksika Health Services, Siksika, AB, Canada, 3Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 4Med, University of Calgary, Calgary, AB, Canada, 5Arthritis Centre, University of Manitoba, Winnipeg, MB, Canada, 6Medicine, University of Calgary, Calgary, AB, Canada

    Background/Purpose: RA and SLE are more severe and at least twice as prevalent in the First Nations population of Canada compared to the Caucasian population.…
  • Abstract Number: 2064 • 2012 ACR/ARHP Annual Meeting

    Regular Measure of Disease Activity During the Routine Care of Rheumatoid Arthritis Patients Involves Some Extra Work but Positive Results

    Lissiane K. N. Guedes1, Ana Cristina Medeiros Ribeiro2, Karina Rossi Bonfiglioli3, Diogo Domiciano1, Carolina Reither Vizioli1, Gilmara Franco da Cunha1, Andressa Silva Abreu1, Filipi M. Mello1, Ana Luiza de Aguiar Foelkel4, Celio R. Gonçalves1 and Ieda Laurindo1, 1Rheumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2Reumatologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil, 3Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 4Rheumatology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil

    Background/Purpose: According to treat to target recommendations the use of validated composite measures of disease activity, which include joint assessments, is needed in routine clinical…
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