ACR Meeting Abstracts

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  • Abstract Number: 191 • 2012 ACR/ARHP Annual Meeting

    Analysis of Genes Involved in Autoinflammatory Diseases in Adult Onset Still’s Disease

    Emma Garcia-Melchor1, Dolors Grados2, Eva Gonzalez-Roca1, Elena Riera3, Manel Juan1, Jordi Yagüe1, Juan Ignacio Aróstegui1, Javier Narváez4 and Alejandro Olivé5, 1Immunology Department, Hospital Clinic Barcelona, Barcelona, Spain, 2Rheumatology Department, Hospital Universitario Germans Trias i Pujol, Badalona, Spain, 3Rheumatology Department, Hospital Mutua de Terrassa, Terrassa, Spain, 4Rheumatology Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Spain, 5Rheumatology, Hospital Universitario Germans Trias i Pujol, Badalona, Spain

    Background/Purpose: Adult Onset Still’s Disease (AOSD) is a systemic inflammatory disease characterized by fever, skin rash, articular involvement, lymphadenopathy, hepatosplenomegaly and serositis. Due to the…
  • Abstract Number: 192 • 2012 ACR/ARHP Annual Meeting

    Clinical and Laboratory Findings in A Cohort of Italian Patients with Adult Onset Still’S Disease: The Role of IL-18 As A Disease Biomarker

    Roberta Priori1, Serena Colafrancesco2, Carlo Perricone2, Antonina Minniti2, Cristiano Alessandri2, Giancarlo Iaiani3 and Guido Valesini2, 1Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy, 2Rheumatology Unit, Sapienza University of Rome, Rome, Italy, 3Department of Infectious Diseases and Tropical Medicine, Sapienza University of Rome, Rome, Italy

    Background/Purpose: Adult Onset Still's Disease (AOSD) is a systemic inflammatory syndrome driven by interleukin (IL)-18. Since differential diagnosis between AOSD, sepsis and other inflammatory conditions…
  • Abstract Number: 193 • 2012 ACR/ARHP Annual Meeting

    Tocilizumab in Adult Still’s Disease : The Israeli Experience

    Ori Elkayam1, Nizar Jiries2, Zvi Dranitzki3, Shaye Kivity4, Merav Lidar5, Ofer Levy6, Mahmoud Abu-Shakra7, Hagit Sarvagil-Maman8, Hagit Padova8, Dan Caspi9 and Itzhak Rosner10, 1Rheumatology, Tel-Aviv Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel- Aviv, Israel, 2Rheumatology, Bnai Zion Medical Center, Israel, 3Medicine, Hadassah hebrew university, Jerusalem, Israel, 4Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, affliated to Sackler Faculty of Medicine, Tel-Aviv University Israel, Tel-Aviv, Israel, 5Medicine F, Sheba Medical Center, Ramat Gan, Israel, 6Rheumatology, Asaf Harofe Medical Center, 7Medicine and Rheumatology, Soroka Medical Centre and Ben Gurion University, Beer-Sheva, Israel, 8Rheumatology, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, 9Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 10Rheumatology, Bnai Zion Medical Center / Technion Faculty of Medicine, Haifa, Israel

    Background/Purpose: The objective of this study was to review the clinical and laboratory characteristics of patients with adult's Still disease treated with tocilizumab  (TCZ) in…
  • Abstract Number: 194 • 2012 ACR/ARHP Annual Meeting

    LONG-TERM Efficacy of Tocilizumab in A Patient with Amyloidosis and Interstitial Pneumonia Secondary to Multicentric Castleman’s Disease (MCD)

    Michihito Katayama1, Soichiro Tsuji1, Satoshi Teshigawara1, Eriko Kudo-Tanaka1, Maiko Yoshimura1, Akane Watanabe1, Akiko Yura2, Yoshinori Harada3, Yoshinori Katada3, Jun Hashimoto1, Masato Matsushita4, Yukihiko Saeki5 and Shiro Ohshima5, 1Dept of Rheumatology, Osaka-Minami Medical Center, Kawachinagano City, Japan, 2Dept of Allergology, Allergology,Osaka-Minami Medical Center, Kawachinagano City, Japan, 3Dept of Allergology, Kawachinagano City, Japan, 4Rheumatology, Osaka Minami Medical Center, Osaka, Japan, 5Dept of Clinical Research, Osaka-Minami Medical Center, Kawachinagano City, Japan

    Background/Purpose: Castleman’s disease is a benign lymphoproliferative disorder characterized histologically by follicular hyperplasia and capillary proliferation with endothelial hyperplasia. In addition, overproduction of Interleukin-6 (IL-6)…
  • Abstract Number: 195 • 2012 ACR/ARHP Annual Meeting

    Inflammatory Arthritis in Patients with Myelodysplastic Syndrome: French Multicenter Retrospective Study

    Arsene Mekinian1, Olivier Decaux2, Geraldine Falgarone3, Thorsten Braun Sr.4, Eric Toussirot5, Loic Raffray6, Bruno Gombert7, Bruno de Wazieres8, Anne Laure Buchdaul9, Jean-Marc Ziza10, David Launay11, Guillaume Denis12, Serge Madaule13, Pierre Fenaux14 and Olivier Fain15, 1Internal Medicine, Jean Verdier Hospital, Bondy, FL, France, 2Department of Internal Medicine, Rennes University Hospital, Rennes, France, 3Rheumatology, Hopital avicenne, Paris, France, 4Hematology, Avicenne hospital, Bobigny, France, 5Université de Franche Comté , CHRU, CIC Biotherapy 506 and Rheumatology and EA 4266 Pathogens and Inflammation, Besançon, France, 6Internal Medicine, CHU de Bordeaux, Bordeaux, France, 7Internal Medicine, La Rochelle hospital, La Rochelle, France, 8Internal Medecine, CHU de Nimes, Nimes, France, 9Internal Medicine, Douai hospital, Douai, France, 10Rheumatology, Croix Saint Simon Hospital, Paris, France, 11Internal Medicine, Claude Huriez University Hospital, Lille, France, 12Internal Medicine, Rochefoucault hospital, Rochefoucault, France, 13Rheuamtology, Albi hospital, Albi, France, 14Hematology, Avicenne Hospital, France, 15Internal Medicine, Jean Verdier Hospital, Bondy, France

    Inflammatory arthritis in patients with myelodysplastic syndrome: French multicenter retrospective study.For the Société Nationale Française de Médecine Interne (SNFMI), the CRI (Club Rhumatismes Inflammation) and…
  • Abstract Number: 196 • 2012 ACR/ARHP Annual Meeting

    Sarcoidosis in Northern New England. Clinical Characteristics and Predictive Factors for More Aggressive Therapy

    Alireza Meysami1, Kevin F. Spratt2 and Christopher M. Burns3, 1Rheumatology, Dartmouth Hitchcock Medical Center, Lebanon, NH, 2Department of Orthopaedic Surgery, Geisel School of Medicine at Dartmouth, Lebanon, NH, 3Dartmouth Medical School, Lebanon, NH

    ·         Background/Purpose: Sarcoidosis is characterized by a variable clinical presentation. DMARDs and biologics have been used for resistant and/or organ-threatening disease. We analyzed the cases…
  • Abstract Number: 197 • 2012 ACR/ARHP Annual Meeting

    Collapsing Glomerulopathy in Collagen Vascular-Like Disease

    Rawad Nasr1, Christine Johns2 and Elie Gertner3, 1Rheumatology - Internal Medicine, University of Minnesota, Minneapolis, MN, 2Section of Nephrology, Regions Hospital, St Paul, MN, 3Section of Rheumatology, Regions Hospital and University of Minnesota Medical School, St. Paul, MN

    Background/Purpose: Background: Collapsing Glomerulopathy (CG) is an uncommon podocytopathy with distinct clinical and pathological characteristics. It is usually associated with HIV disease or parvovirus B19…
  • Abstract Number: 198 • 2012 ACR/ARHP Annual Meeting

    Diagnostic Predictors and Clinical Outcomes in Patients Presenting Solely with Lymphadenopathy

    Huifang Lu, Xerxes Pundole and Khanh Vu, General Internal Medicine, UT MD Anderson Cancer Center, Houston, TX

    Background/Purpose: Patients presenting solely with radiologic evidence of lymphadenopathy (LAD) to tertiary cancer centers are often diagnosed with malignancy or autoimmune diseases such as sarcoidosis.…
  • Abstract Number: 199 • 2012 ACR/ARHP Annual Meeting

    Joint, Hand and Feet Swelling As a Presenting Symptom of Hereditary Angioedema

    Maria J. Gutierrez1 and Timothy J. Craig2, 1Department of Pediatrics, Division of Pediatric Rheumatology. Department of Medicine, Section of Allergy and Immunology, Penn State College of Medicine Milton S. Hershey Medical Center, Hershey, PA, 2Department of Medicine. Division of Pulmonary, Allergy and Critical Care Medicine, Penn State College of Medicine Milton S. Hershey Medical Cente, Hershey, PA

    Background/Purpose: Hereditary Angioedema (HAE) is a rare disorder caused by deficiency or impaired function of C1 esterase inhibitor.  Early and accurate diagnosis of HAE is…
  • Abstract Number: 200 • 2012 ACR/ARHP Annual Meeting

    Rheumatic Manifestations and Connective Tissue Diseases in Autoimmune Hepatitis of the Child and the Adult

    Federico Zazzetti1, Nora C. Fernandez2, Javier Benavidez2, Luis A. Colombato3, Graciela R. Rodriguez4, Graciela Nardi5, Carolina Bru Morón6, Oscar L. Rillo7, Nelo A. Quadrini8, Stella M. Garay9, Mariana Fabi9, Teresita Gonzalez10 and Juan C. Barreira11, 1Rheumatology, Buenos Aires Hospital Britanico, Buenos Aires, Argentina, 2Hepatology, Buenos Aires British Hospital, Buenos Aires, Argentina, 3Gastroenterology, Buenos Aires British Hospital, Buenos Aires, Argentina, 4Rheumatology, Hospital Dr. Ignacio Pirovano, Buenos Aires, Argentina, 5Gastroenterology, Hospital Dr. Ignacio Pirovano, Buenos Aires, Argentina, 6Rheumatology, Hospital Dr. Enrique Tornú, Buenos Aires, Argentina, 7Rheumatology, Hospital General de Agudos "Dr. E. Tornú", Buenos Aires, Argentina, 8Gastroenterology, Hospital Dr. Enrique Tornú, Buenos Aires, Argentina, 9Rheumatology, Hospital IAEP Sor María Ludovica, La Plata, Argentina, 10Hepatology, Hospital IAEP Sor María Ludovica, La Plata, Argentina, 11Rheumatology, Buenos Aires British Hospital, Buenos Aires, Argentina

    Background/Purpose:  Autoimmune hepatitis (AIH) is a progressive fibrosing inflammatory disease of the liver of unknown etiology, leading to cirrhosis. Its course is usually fluctuating and…
  • Abstract Number: 201 • 2012 ACR/ARHP Annual Meeting

    High Rate of Autoimmune Manifestations During Idiopathic CD4 Lymphocytopenia

    Alexis Régent1, Brigitte Autran2, Guislaine Carcelain2, Benjamin Terrier3, Alain Krivitzky4, Eric Oksenhendler5, Nathalie Costedoat-Chalumeau6, Pascale Hubert2, Olivier Lortholary7, Nicolas Dupin8, Patrice Debré2, Loic Guillevin9 and Luc Mouthon1, 1Internal Medicine, Hopital Cochin, Paris, France, 2INSERM, UMR945, AP-HP, Hôpital Pitié-Salpêtrière, Laboratoire d'Immunologie Cellulaire Et Tissulaire, Paris, France, 3National Referral Center for Rare Systemic Autoimmune Diseases, Cochin Hospital, Paris, France, 4Département de médecine interne, Hôpital Avicenne, AP-HP, Bobigny, France, 5Département d'Immunologie Clinique, Hôpital Saint-Louis, AP-HP, Paris, France, 6Internal Medicine, Assistance Publique-Hôpitaux de Paris, Hopital Pitié-Salpétrière, Paris, France, 7Service de maladies infectieuses, Hôpital Necker-Enfants malades, AP-HP, Paris, France, 8Service de Dermatologie, Hôpital Cochin, AP-HP, Paris, France, 9Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France

    Background/Purpose: When first described by the Center for Disease Control, idiopathic CD4 lymphocytopenia (ICL) was characterized by opportunistic infections in patients with a CD4 count≤300/mm3…
  • Abstract Number: 202 • 2012 ACR/ARHP Annual Meeting

    Diseases Associated with Markedly Elevated Ferritin Levels

    Reshma Marri1, Payal J. Patel2, Amita Thakkar3, Rochella A. Ostrowski4, Eric McBride1 and Rodney Tehrani5, 1Rheumatology, Loyola Univ Medical Ctr, Maywood, IL, 2Internal Medicine, Loyola Univ Medical Ctr, Maywood, IL, 3Loyola Univ Medical Ctr, Maywood, IL, 4Rheumatology, Loyola University Medical Center, Maywood, IL, 5Allergy, Immunology, and Rheumatology, Loyola University Medical Center, Maywood, IL

    Background/Purpose: Adult onset Still’s disease (AOSD) is a rare form of inflammatory arthritis with inflammatory systemic disease of unknown etiology.  It is a diagnosis of…
  • Abstract Number: 203 • 2012 ACR/ARHP Annual Meeting

    Clinical Course Factors Associated with Outcome of Monoarthritis : A Retrospective Study of 173 Cases

    Hyemin Jeong1, Eun-Jung Park1, Jiwon Hwang1, Ji Young Chai2, Joong Kyong Ahn3, Eun-Mi Koh4 and Hoon-Suk Cha1, 1Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea, 2Division of Rheumatology, Jesang Hospital, Seongnam-si Gyeonggi-do, South Korea, 3Department of Medicine, Kangbuk Samsung hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea, 4Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Seoul, South Korea

    Background/Purpose: To evaluate the clinical features and outcomes in patients with monoarthritis and to investigate predictive factors associated with the clinical course in terms of…
  • Abstract Number: 204 • 2012 ACR/ARHP Annual Meeting

    Characterization of Joint Disease in Mucopolysaccharidosis Type I Mice and the Effects of Enzyme Replacement Therapy

    Patricia Oliveira1, Guilherme Baldo2, Fabiana Mayer2, Barbara Martinelli2, Luise Meurer3, Roberto Giugliani2, Ursula Matte2 and Ricardo M. Xavier4, 1Rheumatology, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil, 2Genetics, Hospital de Clinicas de Porto Alegre, 3Pathology, Hospital de Clinicas de Porto Alegre, 4Rheumatology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil

    Background/Purpose: Mucopolysaccharidosis type I (MPS I) is a lysosomal disorder caused by deficiency of alpha-L-iduronidase, which leads to storage of glycosaminoglycans. Patients with MPS I…
  • Abstract Number: 205 • 2012 ACR/ARHP Annual Meeting

    Idiopathic Inflammatory Myositis Is Associated with an Increased Incidence of Systemic Sclerosis

    Shreyas H. Chaudhary1, Susanna Proudman2 and Vidya S. Limaye3, 1Medical Student University of Adelaide, Adelaide, Australia, 2Rheumatology Unit, Royal Adelaide Hospital, Adelaide, Australia, 3Royal Adelaide Hospital, Adelaide, Australia

    Background/Purpose: Systemic sclerosis (SSc) and idiopathic inflammatory myositis (IIM) are two systemic autoimmune connective tissue diseases with predominant effects on skin and muscle respectively .…
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