ACR Meeting Abstracts

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  • Abstract Number: 1521 • 2012 ACR/ARHP Annual Meeting

    A Possible Contribution of Decreased Cathepsin V Expression to the Development of Dermal Fibrosis, Proliferative Vasculopathy, and Altered Keratinocyte Phenotype in Systemic Sclerosis

    Yoshihide Asano, Shinji Noda, Takehiro Takahashi, Sayaka Shibata, Kaname Akamata, Naohiko Aozasa, Takashi Taniguchi, Yohei Ichimura, Tetsuo Toyama, Hayakazu Sumida, Yoshihiro Kuwano, Koichi Yanaba and Shinichi Sato, Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan

    Background/Purpose: Cathepsin V (CTSV) is a proteolytic enzyme potentially modulating angiogenic processes, collagen degradation, and keratinocyte differentiation. Although our latest paper demonstrated that cathepsin B,…
  • Abstract Number: 1522 • 2012 ACR/ARHP Annual Meeting

    Differential Response to Endoplasmic Reticulum Stress Between Alveolar Epithelial Cells and Lung Fibroblasts in Systemic Sclerosis

    Jun Liang1, Tanjina Akter2, Ilia Atanelishvili3, Richard M. Silver4 and Galina S. Bogatkevich2, 1Department of Rheumatology, Medical University of SC, Charleston, SC, 2Department of Rheumatology, Medical University of South Carolina,Charleston,USA, Charleston, SC, 3Division of Rheumatology & Immunology, Medical University of South Carolina,Charleston,USA, Charleston, SC, 4Rheumatology, Medical University of SC, Charleston, SC

    Background/Purpose: Interstitial lung disease is a prevalent and worrisome complication of systemic sclerosis (SSc), which is now the leading cause of death in SSc. There…
  • Abstract Number: 1523 • 2012 ACR/ARHP Annual Meeting

    Systemic Vasculitis and Pregnancy: a Multicenter Study On Maternal and Neonatal Outcome of 43 Prospectively Followed Pregnancies

    Micaela Fredi1, Maria Grazia Lazzaroni1, Chiari Tani2, Véronique Ramoni3, Maria Gerosa4, Flora Inverardi5, Laura Andreoli1, Laura Trespidi6, Mario Motta7, Andrea Lojacono8, Renato Sinico9, Antonio Brucato10, Roberto Caporali11, Pier Luigi Meroni12, Carlomaurizio Montecucco13, Marta Mosca14 and Angela Tincani1, 1Rheumatology Unit, University of Brescia, Brescia, Italy, 2University of Pisa, Rheumatology Unit, Pisa, Italy, 3Rheumatology, IRCCS Policlinico San Matteo Foundation and University of Pavia, Pavia, Italy, 4Division of Rheumatology, Gaetano Pini Institute, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy, 5Rheumatology, Division of Rheumatology, IRCCS Policlinico San Matteo Foundation and University of Pavia, Pavia, Italy, 6Department of Obstetrics and Gynaecology, Fondazione Policlinico, Mangiagalli e Regina Elena,, Milan, 7Neonathology and NICU, Spedali Civili, Brescia, Italy, 8Obstetric and Gynecology of Brescia, Brescia, Italy, 9Clinical Immunology Unit and Renal Unit, Department of Medicine, Azienda Ospedaliera Ospedale San Carlo Borromeo, Milan, Italy, 10Internal Medicine, USC Internal Medicine, Ospedali Riuniti, Bergamo, Italy, 11Division of Rheumatology, IRCCS Policlinico San Matteo Foundation and University of Pavia, Pavia, Italy, 12Division of Rheumatology, Istituto Ortopedico Gaetano Pini, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy, 13Division of Rheumatology, Rheumatology, IRCCS Policlinico San Matteo Foundation and University of Pavia, Pavia, Italy, 14I, Rheumatology Unit, Internal Medicine, University of Pisa, Pisa, Italy

    Background/Purpose: Systemic Vasculitis (SV) are rare diseases that may affect females during childbearing age. Quite a few data are available in literature, and mostly from…
  • Abstract Number: 1524 • 2012 ACR/ARHP Annual Meeting

    The Use of the International Classification of Function, Disability and Health As a Conceptual Framework for Comparison of the Content of Core Outcome Instruments with the Patient Perspective in Vasculitis

    Nataliya Milman1, Peter A. Merkel2, Annelies Boonen3, Lee Strunin4, Ryan Borg4 and Peter Tugwell5, 1Rheumatology, Ottawa Hospital, Riverside Campus, Ottawa, ON, Canada, 2University of Pennsylvania, Philadelphia, PA, 3Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center, Maastricht, Netherlands, 4Community Health Sciences, Boston University School of Public Health, Boston, MA, 5Institute of Population Health, Center For Global Health, University of Ottawa, Ottawa General Hospital, Ottawa, ON, Canada

    Background/Purpose: The International Classification of Functioning, Disability and Health (ICF) is a general health model endorsed by the World Health Organization. It describes health along…
  • Abstract Number: 1525 • 2012 ACR/ARHP Annual Meeting

    Determinants of Poor Quality of Life in ANCA Associated Vasculitis (AAV)

    Neil Basu1, Andrew McClean2, Raashid A. Luqmani3, Lorraine Harper2, Oliver Flossmann4, David Jayne5, Mark Little6, Esther N. Amft7, Neeraj Dhaun8, John McLaren9, Vinod Kumar10, Lars Erwig11, Gareth T. Jones1, David M. Reid12 and Gary J. Macfarlane1, 1Musculoskeletal Research Collaboration (Epidemiology Group), University of Aberdeen, Aberdeen, United Kingdom, 2Nephrology, University of Birmingham, Birmingham, United Kingdom, 3Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, United Kingdom, 4Nephrology, Royal Berkshire Hospital, Reading, United Kingdom, 5Vasculitis and Lupus Clinic, Addenbrookes Hospital University of Cambridge, Cambridge, United Kingdom, 6Clinical Medicine, Trinity College Dublin, Dublin, Ireland, 7Rheumatic Diseases Unit, Western General Hospital, Edinburgh, United Kingdom, 8Nephrology, Edinburgh Royal Infirmary, Edinburgh, United Kingdom, 9Fife Rheumatic Diseases Unit, NHS Fife, Whyteman's Brae Hospital, Kirkcaldy, United Kingdom, 10Rheumatology, Ninewells Hospital, Dundee, United Kingdom, 11Division of Applied Medicine, University of Aberdeen, Aberdeen, United Kingdom, 12Musculoskeletal Research Collaboration (Medicine & Therapeutics), University of Aberdeen, Aberdeen, United Kingdom

    Determinants of Poor Quality of Life in ANCA Associated Vasculitis (AAV) Background/Purpose : Patients with ANCA associated vasculitis (AAV) report significantly reduced quality of life (QOL),…
  • Abstract Number: 1526 • 2012 ACR/ARHP Annual Meeting

    Patient Reported Outcomes in ANCA-Associated Vasculitis. A Prospective Comparison Between Birmingham Vasculitis Activity Score and Routine Assessment of Patient Index Data 3

    Osama ElSallabi1, Joel A. Block1 and Antoine Sreih2, 1Section of Rheumatology, Rush University Medical Center, Chicago, IL, 2Medicine/Rheumatology, Rush University Medical Center, Chicago, IL

    Background/Purpose: ANCA-associated vasculitis (AAV) is a rare group of diseases comprising Granulomatosis with polyangiitis (Wegener’s; GPA), Microscopic Polyangiitis (MPA), and Churg-Strauss Syndrome (CSS). These diseases…
  • Abstract Number: 1527 • 2012 ACR/ARHP Annual Meeting

    Patient Global Assessments for Disease Activity Are Predictive of Future Flare in Granulomatosis with Polyangiitis (Wegener’s)

    Gunnar Tomasson1, John C. Davis Jr.2, Gary S. Hoffman3, W. Joseph McCune4, Ulrich Specks5, Robert F. Spiera6, E. William St. Clair7, John H. Stone8 and Peter A. Merkel9, 1Department of Public Health Sciences, University of Iceland, Reykjavik, Iceland, 2Genentech, Inc, South San Francisco, CA, 3Rheumatic & Immunologic Dis, Cleveland Clinic, Cleveland, OH, 4Int Med/ Rheum, University of Michigan, Ann Arbor, MI, 5Mayo Clinic, Rochester, MN, 6Rheumatology, Hospital for Special Surgery, New York, NY, 7Medicine, Duke University Medical Center, Durham, NC, 8Rheumatology, Massachusetts General Hospital, Boston, MA, 9University of Pennsylvania, Philadelphia, PA

    Background/Purpose:  In granulomatosis with polyangiitis GPA), disease activity is assessed by physician-based measures. In some other rheumatic diseases, such as rheumatoid arthritis (RA) and ankylosing…
  • Abstract Number: 1528 • 2012 ACR/ARHP Annual Meeting

    Assessing Fatigue in Systemic Vasculitis From the Patient’s Perspective

    Peter C. Grayson1, Naomi Amudala2, Carol McAlear3, Renée Leduc4, Denise Shereff5, Rachel Richesson6, Liana Fraenkel7 and Peter A. Merkel8, 1Section of Rheumatology & the Clinical Epidemiology Unit, Boston University School of Medicine, Vasculitis Center, Boston, MA, 2Rheumatology & Vasculitis, Boston University Medical Center, Boston, MA, 3Vasculitis Clinical Research Consortium, University of Pennsylvania, Philadelphia, PA, 4Pediatrics Epidemiology Center, University of South Florida, Tampa, FL, 5Division of Bioinformatics and Biostatistics, University of South Florida, Tampa, FL, 6Epidemiology & Biostatistics, University of South Florida, Tampa, FL, 7Medicine, Section of Rheumatology, Yale University School of Medicine, Veterans Affairs Connecticut Healthcare System, New Haven, CT, 8University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Fatigue is considered an important disease burden by patients with vasculitis, yet mechanisms underlying fatigue are poorly understood. Physician-derived measures of vasculitis disease activity…
  • Abstract Number: 1529 • 2012 ACR/ARHP Annual Meeting

    Upper Airway Gene Expression Profiling in Granulomatosis with Polyangiitis

    Peter C. Grayson1, Katrina Steiling2, Paul A. Monach3, Ji Xiao4, Xiaohui Zhang2, Yuriy Alekseyev2, Stephano Monti4, Avrum Spira5 and Peter A. Merkel6, 1Section of Rheumatology & the Clinical Epidemiology Unit, Boston University School of Medicine, Vasculitis Center, Boston, MA, 2Computational Biomedicine, Boston University Medical Center, Boston, MA, 3Rheumatology, Boston University, Boston, MA, 4Computational Biomedicine, Boston University Medial Center, Boston, MA, 5Computational Biomedicine, Boston University School of Medicine, Boston, MA, 6University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Nasal disease occurs in the majority of patients with granulomatosis with polyangiitis (Wegener's, GPA) and is often a presenting symptom of the disease. The…
  • Abstract Number: 1530 • 2012 ACR/ARHP Annual Meeting

    Plasma Cell Analysis As a Biomarker for Disease Activity in Patients with Granulomatosis with Polyangiitis

    Bimba F. Hoyer1, Adriano Taddeo2, Maika Rothkegel2, Gerd Burmester3, Andreas H. Radbruch2 and Falk Hiepe4, 1Rheumatology/Immunology, Charite University Hospital, Berlin, Germany, 2Deutsches Rheumaforschungszentrum, Berlin, Germany, 3Department of Rheumatology and Clinical Immunology, Charité – University Medicine Berlin, Berlin, Germany, 4Med. Klinik m. Sp. Rheumatologie und klin. Immunologie, Charité University Hospital Berlin, Berlin, Germany

    Background/Purpose: B cells are thought to play an important role in granulomatosis with polyangiitis (GPA) due to the presence of autoantibodies reacting with specific neutrophil…
  • Abstract Number: 1531 • 2012 ACR/ARHP Annual Meeting

    Comparative Proteomic Analysis of Neutrophils Between Microscopic Polyangiitis and Granulomatosis with Polyangiitis

    Teisuke Uchida1, Kouhei Nagai2, Toshiyuki Sato2, Mitsumi Arito2, Nobuko Iizuka2, Manae Kurokawa2, Naoya Suematsu2, Kazuki Okamoto2, Shoichi Ozaki3 and Tomohiro Kato4, 1Clinical Proteomics and Molecular Medicine, St. Marianna University Graduate School of Medicine,, Kawasaki, Japan, 2Clinical Proteomics and Molecular Medicine, St. Marianna University Graduate School of Medicine, Kawasaki, Japan, 3Division of Rheumatology and Allergy, Department of Internal Medicine, St. Marianna University School of Medicine, St. Marianna University School of Medicine, Kawasaki, Japan, 4Clinical Proteomics and Molecular Medicine, St. Mariannna University Graduate School of Medicine., Kawasaki, Japan

    Background/Purpose: Both microscopic polyangiitis (MPA) and granulomatosis with polyangiitis (GPA) belong to ANCA-associated vasculitis (AAV), in which dysfunction of polymorphonuclear cells (PMN) is thought to…
  • Abstract Number: 1532 • 2012 ACR/ARHP Annual Meeting

    Serum Angiopoietin-2 Level Reflects the Disease Activity and Renal Function in Antineutrophilic Cytoplasmic Antibody-Associated Vasculitis

    Yoko Wada1, Hiroe Sato1, Takeshi Nakatsue1, Shuichi Murakami1, Takeshi Kuroda2, Masaaki Nakano3 and Ichiei Narita1, 1Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan, 2Health Administration Center, Niigata University, Niigata, Japan, 3School of Health Sciences, Faculty of Medicine, Niigata University, Niigata, Japan

    Background/Purpose: Angiopoietin-2 (Ang-2) has emerged as a key mediator of endothelial cell activation. Ang-1 and Ang-2 are antagonistic ligands which bind with similar affinity to…
  • Abstract Number: 1533 • 2012 ACR/ARHP Annual Meeting

    Increased Circulating FoxP3+ T-Cells in Patients with Granulomatosis with Polyangiitis Are Attributed to an Increase in the Non-Suppressor FoxP3Low CD45RO+ TReg Cell Subpopulation

    Wayel H. Abdulahad1, Coen A. Stegeman2, Minke G. Huitema1, Abraham Rutgers1, Peter Heeringa3, Pieter C. Limburg4 and Cees G.M. Kallenberg1, 1Rheumatology and Clinical Immunology, University Medical Center Groningen, Groningen, Netherlands, 2Nephrology, University Medical Center Groningen, Groningen, Netherlands, 3Pathology and Medical Biology, University Medical Center Groningen, Groningen, Netherlands, 4Department of Laboratory Medicine, University Medical Center Groningen, Groningen, Netherlands

    Background/Purpose: Human FoxP3+T-cells are functionally heterogeneous, and can be classified into three phenotypically distinct subpopulations based on the expression levels of FoxP3 and the memory…
  • Abstract Number: 1534 • 2012 ACR/ARHP Annual Meeting

    IgG4 Plasma Cell Infiltration in Granulomatosis with Polyangiitis (formerly Wegener’s) Lung Biopsies

    Mollie Carruthers1, Shweta Shinagare2, Arezou Khosroshahi1, Vikram Deshpande2 and John H. Stone1, 1Rheumatology, Massachusetts General Hospital, Boston, MA, 2Pathology, Massachusetts General Hospital, Boston, MA

    Background/Purpose: Granulomatosis with polyangiitis (GPA) and IgG4-related disease (IgG4-RD) are both immune-mediated conditions that can involve multiple organ systems. In GPA, IgG4-positive plasma cell infiltration…
  • Abstract Number: 1535 • 2012 ACR/ARHP Annual Meeting

    Genetic Background of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis in a Japanese Population: Association of STAT4 with Myeloperoxidase Antineutrophil Cytoplasmic Antibody-Positive Vasculitis

    Aya Kawasaki1, Naoya Inoue1, Chihiro Ajimi1, Ikue Ito1, Ken-ei Sada2, Shigeto Kobayashi3, Hidehiro Yamada4, Hiroshi Furukawa5, Makoto Tomita6, Takayuki Sumida7, Shigeto Tohma8, Nobuyuki Miyasaka9, Shoichi Ozaki4, Hiroshi Hashimoto10, Hiroshi Makino2, Masayoshi Harigai11 and Naoyuki Tsuchiya1, 1Molecular and Genetic Epidemiology Laboratory, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan, 2Department of Medicine and Clinical Science, Okayama University, Okayama, Japan, 3Department of Internal Medicine, Juntendo University Koshigaya Hospital, Tokyo, Japan, 4Internal Medicine, St. Marianna University, Kawasaki, Japan, 5Clinical Research Center for Allergy and Rheumatology, Sagamihara Hospital, National Hospital Organization, Sagamihara, Japan, 6Clinical Research Center, Tokyo Medical and Dental University, Tokyo, Japan, 7Department of Internal Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan, 8Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, National Hospital Organization, Sagamihara, Japan, 9Department of Medicine and Rheumatology and Global Center of Excellence Program, Tokyo Medical and Dental University, Tokyo, Japan, 10Juntendo University School of Medicine, Tokyo, Japan, 11Dept of Pharmacovigilance, Tokyo Medical and Dental University, Tokyo, Japan

    Background/Purpose: In antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), geographic difference in the type of vasculitis is well known. While granulomatosis with polyangiitis (GPA) is the…
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