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  • Abstract Number: 700 • 2012 ACR/ARHP Annual Meeting

    Clinical Correlation of Flow-Mediated Endothelium-Dependent Vasodilatation in Systemic Sclerosis

    Takehiro Takahashi1, Yoshihide Asano1, Eisuke Amiya2, Masaru Hatano3, Atsuko Ozeki2, Aya Watanabe2, Shuichi Kawarasaki2, Tomoko Nakao2, Zenshiro Tamaki4, Takashi Taniguchi5, Yohei Ichimura5, Tetsuo Toyama1, Masafumi Watanabe6, Yasunobu Hirata2, Ryozo Nagai3 and Shinichi Sato7, 1Department of Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 2Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 3Cardiovascular Medicine, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 4Medicine, Rheumatology, Department of Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 5Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 6Cardiovascular Medicine, Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 7Department of Dermatology, Faculty of Medicine, University of Tokyo, Tokyo, Japan

    Background/Purpose: Systemic sclerosis (SSc) is a multisystem autoimmune disease characterized by initial vascular injuries and resultant fibrosis of skin and certain internal organs. Evidence has…
  • Abstract Number: 701 • 2012 ACR/ARHP Annual Meeting

    Vascular Differences Associated to Genetic Polymorphisms of Endothelial Nitric Oxide Synthase in Mexican Patients with Systemic Sclerosis. A Preliminary Report

    Maria Pilar Cruz-Dominguez1, Maria Angeles Martinez-Godinez2, Angel Miliar-Garcia2, Daniel Hector Montes-Cortes3, Olga Vera-Lastra4, Luis J. Jara-Quezada5 and Anabel Reyes-Salazar6, 1Division of Research, Hospital de Especialidades Centro Medico Nacional La Raza., Mexico, DF, Mexico, 2Postgraduate Studies and Research Section, Escuela Superior de Medicina. IPN,, Mexico, D.F., Mexico, 3Investigación, Hospital General CMN La Raza, IMSS, Mexico DF, Mexico, 4Internal Medicine, MD, Mexico City, Mexico, 5Direction of Education and Research, Hospital de Especialidades Centro Médico La Raza, IMSS, Mexico City, Mexico, 6Angiology, Hospital de especialidades Centro Medico National “La Raza”, IMSS, Mexico, D.F., Mexico

    Background/Purpose: Vascular dysfunction usually is observed before clinically detectable fibrosis of systemic sclerosis (SSc). The eNOS catalyses the synthesis of nitric oxide (NO), which maintains…
  • Abstract Number: 702 • 2012 ACR/ARHP Annual Meeting

    Arterial Stiffness Is Increased in Systemic Sclerosis: A Cross-Sectional Comparison with Matched Controls

    Gene-Siew Ngian1, Joanne Sahhar2, Ian Wicks3 and Sharon Van Doornum4, 1Department of Medicine (RMH/WH), The University of Melbourne, Parkville, Australia, 2Rheumatology Unit, Monash Medical Centre, Clayton, Australia, 3Rheumatology Unit, Royal Melbourne Hospital, Melbourne, Australia, 4Department of Medicine (RMH/WH), The University of Melbourne, The Royal Melbourne Hospital, Melbourne, Australia

    Background/Purpose: Atherosclerosis may be increased in systemic sclerosis (SSc)1. Increased arterial stiffness is a predictor of cardiovascular and all-cause mortality across a wide range of…
  • Abstract Number: 703 • 2012 ACR/ARHP Annual Meeting

    Vascular Ischemic Events in Systemic Sclerosis – A Cross-Sectional Comparision with Population-based Controls

    Annica Nordin1, Kerstin Jensen-Urstad2, Lena Björnådal3 and Elisabet Svenungsson3, 1Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden, 2Department of Clinical Physiology, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden, 3Department of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose:  To investigate the occurrence of ischemic vascular events and subclinical atherosclerosis in patients with systemic sclerosis (SSc) and matched population controls.  Methods:   111 SSc…
  • Abstract Number: 704 • 2012 ACR/ARHP Annual Meeting

    Decreased Number of Endothelial Progenitor Cells in Systemic Sclerosis Patients with Early Disease

    Fernando V. Andrigueti, Maria I. Arismendi, Pâmela C.C. Ebbing and Cristiane Kayser, Rheumatology Division, Universidade Federal de São Paulo, São Paulo, Brazil

    Background/Purpose: Microangiopathy and endothelial dysfunction are present in early phases of Systemic sclerosis (SSc), resulting in decreased blood flow and tissue ischemia. Several mechanisms including…
  • Abstract Number: 705 • 2012 ACR/ARHP Annual Meeting

    Adipose Derived Stem Cells As an Alternative Source of Cellular Repair for Vascular Dysfunction in Systemic Sclerosis

    Nevin Hammam1 and Hazem Orabi2, 1Rheumatology Department, Assiut University, Assiut, Egypt, 2University of California, San Francisco,, Knuppe Molecular Laboratory, San Francisco, CA

    Background/Purpose: Systemic sclerosis (SSc) is autoimmune disease characterized by autoimmunity, diffuse fibrosis in the skin and internal organs, and vasculopathy in moderate size arteries and…
  • Abstract Number: 706 • 2012 ACR/ARHP Annual Meeting

    Excess Mortality From Atherosclerotic Cardiovascular Disease in Systemic Sclerosis Compared to Lupus and Rheumatoid Arthritis

    Amish J. Dave1, Bharathi Lingala2, David Fiorentino3, Eswar Krishnan4 and Lorinda Chung5, 1Stanford University, Stanford, CA, 2Dermatology, Stanford University, Redwood City, CA, 3Dermatology, Stanford University School of Medicine, Redwood City, CA, 4Medicine, Standford University, Palo Alto, CA, 5Rheumatology, Stanford Univ Medical Center, Palo Alto, CA

    Background/Purpose: Patients with autoimmune connective tissue diseases (CTD), including systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA), are at increased risk for atherosclerotic cardiovascular disease…
  • Abstract Number: 707 • 2012 ACR/ARHP Annual Meeting

    Risk of Cancer in Systemic Sclerosis: Meta-Analysis of Population-Based Cohort Studies

    Akira Onishi1, Daisuke Sugiyama2, Akio Morinobu3 and Shunichi Kumagai4, 1Rheumaology and Clinical Immunology, Kobe University Graduate School of Medicine, Kobe, Japan, 2Department of Preventive Medicine and Public Health, School of Medicine, Keio University, Tokyo, Japan, 3Department of Clinical Pathology and Immunology, Kobe University Graduate School of Medicine, Kobe, Japan, 4Center of Rheumatic Diseases, Shinko Hospital, Kobe, Japan

    Background/Purpose: The risk of cancer compared with general population has been elevated in several connective tissue diseases. However, the standardized incidence ratios (SIRs) for overall…
  • Abstract Number: 708 • 2012 ACR/ARHP Annual Meeting

    Histological Features of Localized Scleroderma‘en Coup De Sabre‘: A Study of 16 Cases

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

    Background/Purpose: Scleroderma is a chronic disease of unknown etiology characterized by skin fibrosis and is divided into two clinical entities: localized scleroderma and systemic sclerosis.…
  • Abstract Number: 709 • 2012 ACR/ARHP Annual Meeting

    Fingertip Skin Hardness in Limited Scleroderma: Durometry versus Manual Assessment

    Thomas Osborn1, Eric L. Matteson1, Floranne Ernste2, Cynthia S. Crowson3, Deana D. Hoganson4 and Irene Z. Whitt5, 1Rheumatology, Mayo Clinic, Rochester, MN, 2Division of Rheumatology, Mayo Clinic Rochester, Rochester, MN, 3Department of Health Sciences Research, Mayo Clinic, Rochester, MN, 4Rheumatology, Mercy Arthritis and Osteoporosis Center, Urbandale, IA, 5NIH/NIEHS/Environmental Autoimmunity Group, Bethesda, MD

    Background/Purpose: Skin manifestations of scleroderma involve the digits in nearly all patients. Assessment of change at the level of digital skin involvement is difficult. The Modified…
  • Abstract Number: 710 • 2012 ACR/ARHP Annual Meeting

    Optical Density Measure of the Papillary Dermis Discriminates As Abnormal Clinically Uninvolved Skin in Systemic Sclerosis and Correlates with Severity of Skin Thickness

    Giuseppina Abignano1, Sibel Z. Aydin2, Concepcion Castillo-Gallego3, Daniel Woods4, Adam Meekings5, Dennis McGonagle6, Paul Emery7 and Francesco Del Galdo8, 1Chapel Allerton Hospital Leeds Insitute of Molecular medicine, Division of Rheumatic and Musculoskeletal Disease, University of Leeds, Leeds Institute of Molecular Medicine and LMBRU, Leeds, United Kingdom, 2Unit of Rheumatology, Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey, 3Rheumatology, Hospital La Paz - IdiPaz, Madrid, Spain, 4Michelson Diagnostics Ltd, Kent, United Kingdom, 5Michelson Diagnostics Ltd, Kent, United Kingdom, Kent, United Kingdom, 6Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 7Division of Rheumatic and Musculoskeletal Disease, University of Leeds, Leeds Institute of Molecular Medicine and LMBRU, Leeds, United Kingdom, 8Musculoskeletal Diseases, University of Leeds, Leeds Institute of Molecular Medicine and LMBRU, Leeds, United Kingdom

    Background/Purpose: Skin involvement in systemic sclerosis (SSc) is often primary outcome in clinical trials and its severity inversely correlates with prognosis. Nevertheless, an objective quantitative…
  • Abstract Number: 671 • 2012 ACR/ARHP Annual Meeting

    Differences in the SLE Clinical Phenotype by Age of Diagnosis

    T. Clark Powell1, Elizabeth E. Brown on behalf of PROFILE2, Gerald McGwin Jr.3, Luis M. Vila4, Yesenia C. Santiago-Casas4, Michelle Petri5, Rosalind Ramsey-Goldman6, John D. Reveille7, Sergio Duran8, Sergio M.A. Toloza9, Robin L. Brey10, Agustin Escalante11, Randy Q. Cron12, Robert P. Kimberly on behalf of PROFILE investigators13 and Graciela S. Alarcon14, 1Medicine, University of Alabama at Birmingham, Birmingham, AL, 2University of Alabama at Birmingham, Birmingham, AL, 3Epidemiology, University of Alabama at Birmingham, Birmingham, AL, 4Department of Medicine, Division of Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan, PR, 5Johns Hopkins University School of Medicine, Baltimore, MD, 6Medicine/Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 7Internal Medicine/Rheumatology, Univ of Texas Health Science Center at Houston, Houston, TX, 8UIECD, Guadalajara, Mexico, Guadalajara, Mexico, 9Medicine, Hospital San Juan Bautista, Catamarca, Argentina, 10Medicine/Neurology, UTHSCSA, San Antonio, TX, 11Dept. of Medicine-Rheumatology, University of Texas Health Science Center at San Antonio, San Antonio, TX, 12Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 13Clinical Immun & Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 14Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Systemic lupus erythematosus (SLE) is a prototypic autoimmune disease that is characterized by the presence of antinuclear autoantibodies, complement activation and the formation and…
  • Abstract Number: 672 • 2012 ACR/ARHP Annual Meeting

    Immune Complexes and Autoantibodies to Oxidized  Lipids in Systemic Lupus Erythematosus

    Yujin Ye1, Tianfu Wu1 and Chandra Mohan2, 1Division of Rheumatology/Internal Medicine, University of Texas, Southwestern Medical Center at Dallas, Dallas, TX, 2University of Houston, Houston, TX

    Background/Purpose: SLE is a chronic autoimmune inflammatory disease. Increasing evidence suggest that excess production of reactive oxygen species (ROS) may cause oxidative stress and favor…
  • Abstract Number: 673 • 2012 ACR/ARHP Annual Meeting

    Altered Soluble Mediators in Individuals with Incomplete Lupus (ILE) in the Lupus Autoimmunity in Relatives (LAUREL) Study

    Melissa E. Munroe1, Jill M. Norris2, Joel M. Guthridge3, Diane L. Kamen4, Kathy Moser Sivils5, Timothy B. Niewold6, Gary S. Gilkeson7, Michael H. Weisman8, Mariko L. Ishimori8, Daniel J. Wallace9, David R. Karp10, John B. Harley11 and Judith A. James12, 1Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Epidemiology, Colorado School of Public Health, Aurora, CO, 3Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 4Department of Medicine, Arthritis & Clinical Immunology Program, Oklahoma Medical Research Foundation, Charleston, SC, 5Oklahoma Medical Research Foundation, Oklahoma City, OK, 6Section of Rheumatology and Gwen Knapp Center for Lupus and Immunology Research, University of Chicago, Chicago, IL, 7Department of Medicine, Division of Rheumatology, Medical University of South Carolina, Charleston, SC, 8Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, 9Cedars-Sinai Medical Center, Los Angeles, CA, 10Rheumatic Diseases Division, UT Southwestern Medical Center, Dallas, TX, 11Division of Rheumatology and The Center for Autoimmune Genomics & Etiology, University of Cincinnati, Cincinnati Children's Hospital Medical Center; US Department of Veterans Affairs Medical Center, Cincinnati, OH, 12Oklahoma Medical Research Foundation; University of Oklahoma Health Sciences Center, Oklahoma City, OK

    Background/Purpose: SLE is a complex autoimmune disease marked by autoantibody production and immune dysregulation. Identification of at-risk populations is essential to minimize morbidity and mortality…
  • Abstract Number: 674 • 2012 ACR/ARHP Annual Meeting

    Altered Response to B Cell Receptor (BCR) Crosslinking in SLE: Correlation with Genetic Risk Variants Predicted to Impact BCR Signaling

    Nan-Hua Chang1, Timothy Li2, Paul R. Fortin3, Dafna D. Gladman4, Carolina Landolt-Marticorena5, Jorge Sanchez-Guerrero6, Murray B. Urowitz7 and Joan E. Wither8, 1Genetics and Development, Toronto Western Research Institute, Toronto Western Hospital, Toronto, ON, Canada, 2Genetics and developmental biology, Toronto Western Hospital, Toronto, ON, Canada, 3University of Laval, Quebec, QC, Canada, 4Centre for Prognosis Studies in The Rheumatic Diseases, Toronto Western Research Institute, University of Toronto, University Health Network, Toronto, ON, Canada, 5Rheumatology, University Health Network, University of Toronto, Toronto, ON, Canada, 6UHN Toronto Western Hospital, Toronto, ON, Canada, 7Division of Rheumatology, University Health Network, University of Toronto, Toronto, ON, Canada, 81E420/Div of Rheumatology, Toronto Western Research Institute, University of Toronto, University Health Network, Toronto, ON, Canada

    Background/Purpose:  Altered B cell signaling has been proposed to play an important role in susceptibility to SLE.  In mice, genetic manipulations or polymorphisms that attenuate…
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