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  • Abstract Number: 1893 • ACR Convergence 2023

    Abnormalities Detected with [18F]-FDG-PET/CT Imaging in VEXAS Syndrome

    Albrecht Betrains1, Vincent Jachiet2, Yannick Dieudonne3, Jérémie Dion4, Estibaliz Lazaro5, Claire De Moreuil6, Samuel Ardois7, Sylvie Grosleron8, Jean-benoit Arlet9, Cécile-Audrey Durel10, Laure Delaval11, Sylvain Audia12, Cécile Golden13, Barbara Nicolas13, Vincent Langlois14, Antoinette Perlat7, Frédéric Vandergheynst15, Thomas Moulinet16, Maxime Samson17, Daniel Blockmans1, Olivier Kosmider18, Sophie Georgin-Lavialle19, Arsène Mekinian20 and Benjamin Terrier21, 1Department of General Internal Medicine, University Hospitals Leuven, Department of Microbiology, Immunology, and Transplantation, KU Leuven, Leuven, Belgium, 2Service de médecine interne et Inflammation-Immunopathology-Biotherapy Department (DMU i3), Sorbonne Université, AP-HP, Hôpital Saint Antoine, Paris, France, 3Department of Clinical Immunology and Internal Medicine, National Reference Centre for Systemic Autoimmune Diseases (CNR RESO), Strasbourg University Hospital, Strasbourg, France, 4Internal Medicine Department, Toulouse University Hospital, Toulouse, France, 5Bordeaux Hospital University, Pessac, France, 6CHU de Brest, Brest, France, 7CHU Rennes, Rennes, France, 8CH Agen-Nérac, Agen, France, 9Hôpital Georges-Pompidou APHP, Paris, France, 10CHU Lyon, Lyon, France, 11Hôpital Bichat APHP, Paris, France, 12Department of Internal Medicine and Clinical Immunology, Dijon-Bourgogne University Hospital, Dijon, France, 13CHU Dijon, Dijon, France, 14Service de Médecine Interne, Hôpital Jacques Monod, Le Havre, France, 15Université Libre de Bruxelles, Bruxelles, Belgium, 16Department of Internal Medicine, Centre hospitalier universitaire de Nancy, Nancy, France, 17Department of Internal Medicine and Clinical Immunology, Dijon University Hospital, Dijon, France, 18Hôpital Cochin APHP, Paris, France, 19AP-HP, Tenon hospital, Paris, France, 20Department of Internal Medicine, Hôpital Saint-Antoine, AP-HP, Paris, France, 21Department of Internal Medicine, Hôpital Cochin, AP-HP, Paris, France

    Background/Purpose: VEXAS syndrome (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) is anautoinflammatory syndrome caused by somatic mosaicism in the UBA1 gene. [18F]-FDG-PET/CT is often performed during…
  • Abstract Number: 1875 • ACR Convergence 2023

    Inter and Intra-observer Reliability of Assessment for Nailfold Capillary Abnormalities in Rheumatic Patients with Raynaud’s Phenomenon

    Chunxiao Wang1, Haiyan Xu2, Xiaoli Jiang3, Feifei Jiang4 and Yue Zhuang5, 1University of Electronic Science and Technology of China, Chengdu, China, 2Department of Endocrinology, Metabolism, Rheumatology and Immunology, Dazhou Hospital of Integrated Traditional Chinese and Western Medicine, Dazhou, China, 3Department of Neurology, Nanchong Gaoping District People's Hospital, Nanchong, China, 4Department of nephrology, rheumatology and immunology, Jinniu District People's Hospital of Chengdu, Chengdu, China, 5Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China

    Background/Purpose: To investigate the consistency of rheumatologists' assessment of nailfold capillaroscopy images of patients with Raynaud's phenomenon (RP). Methods: Nailfold video capillaroscopy(NVC), with a 200x…
  • Abstract Number: 1873 • ACR Convergence 2023

    Cervical Spine Involvement in Axial Spondyloarthritis. Radiographic Characteristics and Associated Factors

    pol Maymó1, Laura Berbel Arcobé2, Xabi Michelena3, José Antonio Narvaez2, Joan Miquel Nolla4, Lídia Valencia2, Judith Palacios4 and Xavier Juanola Roura1, 1Hospital Universitari de Bellvitge, Barcelona, Spain, 2H.U. Bellvitge, Barcelona, Spain, 3Vall Hebron University Hospital, Rheumatology Department, Barcelona, Spain, 4Department of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain

    Background/Purpose: The study of the cervical spine (CS) in axial spondyloarthritis (axSpA) and its radiographic characteristics including the zygapophyseal joints (ZJ) may be helpful for…
  • Abstract Number: 1888 • ACR Convergence 2023

    Solving the Final Puzzle of Gout Detection in DECT via Machine Learning-Based Mitigation of Pseudolesion-Related Challenges: Enhancing Diagnostic Accuracy

    Wan-Hee Yoo1, Eun Hae Park1, Dae-Woo Lee1, Riel Casto-Zunti2 and Yunjung Choi1, 1Jeonbuk National University Medical School, Jeonju, South Korea, 2University of Saskatchewan, Saskatoon, SK, Canada

    Background/Purpose: In a recent study, the low specificity of Dual-Energy CT (DECT) has raised concerns due to the frequent occurrence of pseudo lesions, also referred…
  • Abstract Number: 1877 • ACR Convergence 2023

    Diagnostic Yield of 18F-FDG PET-CT for Large Vessel Involvement in Patients with Suspected Giant Cell Arteritis and Negative Temporal Artery Biopsy

    Javier Narvaez1, Paula V. Estrada-Alarcón2, Paola Vidal-Montal3, Iván Sánchez-Rodriguez4, Aida Sabate-Llobera4, Montserrat Cortes-Romera4 and Joan Miquel Nolla5, 1Hospital Universitario de Bellvitge, Barcelona, Spain, 2Hospital de San Juan Despí Moisès Broggi, Barcelona, Spain, 3Department of Rheumatology. Hospital Universitario de Bellvitge, Barcelona, Spain, 4Department of Nuclear Medicine – PET IDI. Hospital Universitario de Bellvitge, Barcelona, Spain, 5Department of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain

    Background/Purpose: Every effort should be made to confirm a suspected diagnosis of giant cell arteritis (GCA). According to the 2018 update of the EULAR recommendations…
  • Abstract Number: 1863 • ACR Convergence 2023

    Immune-mediated Hypertrophic Pachymeningitis: Focusing on the Localization and Volume of Thickened Dura Mater Lesion

    Yasuhiro Shimojima1, Junji Ikeda2 and Yoshiki Sekijima1, 1Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto, Japan, 2Department of Medicine (Neurologu and Rheumatology), Shinshu University School of Medicine, Matsumoto, Japan

    Background/Purpose: Hypertrophic pachymeningitis (HP) is a rare inflammatory neurological disorder characterized by the thickened dura mater with extensive tissue fibrosis and immune-mediated inflammation. Notably, headaches…
  • Abstract Number: 1904 • ACR Convergence 2023

    Treat-to-Target in RA Clinical Practice: Global Evidence of Practice Gaps and Educational Needs

    Douglas White1, Maya Buch2, Suzanne Murray3, Diane Caballero4, Orsolya Nagy5 and Tsutomu Takeuchi6, 1Waikato Clinical School, University of Auckland, Hamilton, New Zealand, 2University of Manchester and NIHR Manchester Biomedical Research Centre, Manchester, United Kingdom, 3AXDEV Group Inc, Brossard, QC, Canada, 4AbbVie, Inc., Chicago, IL, 5AbbVie, Inc., Budapest, Hungary, 6Keio University School of Medicine and Saitama Medical University, Tokyo, Japan

    Background/Purpose: Treat-to-target (T2T) is a widely established and accepted approach in RA management, but its real-world implementation is suboptimal1. Further primary research is required to…
  • Abstract Number: 1901 • ACR Convergence 2023

    Which ASDAS-ESR Cut-offs for Disease Activity Correspond to ASDAS-CRP Cut-offs in Axial Spondyloarthritis? – Results from the EuroSpA Collaboration

    Stylianos Georgiadis1, Lykke Ørnbjerg1, Brigitte Michelsen2, Tore Kvien3, Daniela Di Giuseppe4, Johan Karlsson Wallman5, Jakub Zavada6, Sella Provan7, Ana Maria Rodrigues8, Maria Jose Santos9, Ziga Rotar10, Dan Nordstrom11, Anna-Mari Hokkanen12, Gary Macfarlane13, Gareth T. Jones13, Irene van der Horst-Bruinsma14, Pasoon Hellamand15, Mikkel Østergaard16 and Merete Hetland1, 1Copenhagen Center for Arthritis Research, Rigshospitalet, Copenhagen, Denmark, 2Rigshospitalet Glostrup; Diakonhjemmet Hospital; Sørlandet Hospital, Copenhagen, Denmark, 3Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway, 4Karolinska Institutet, Stockholm, Sweden, 5Lund University and Skåne University Hospital, Lund, Sweden, 6Institute of Rheumatology; Charles University, Prague, Czech Republic, 7Diakonhjemmet Hospital, Oslo, Norway, 8Sociedade Portuguesa de Reumatologia; Nova Medical School; Hospital dos Lusíadas, Lisbon, Portugal, 9Hospital Garcia de Orta, Almada, Lisboa, Portugal, 10University Medical Centre Ljubljana, Ljubljana, Slovenia, 11Helsinki University Hospital, Helsinki, Finland, 12Helsinki University and Helsinki University Hospital, Helsinki, Finland, 13Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen, Aberdeen, United Kingdom, 14Radboud University Medical Centre, Department of Rheumatology, Nijmegen, Netherlands, 15Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands, 16Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet; University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: When assessing disease activity in patients with axial spondyloarthritis (axSpA), the Ankylosing Spondylitis Disease Activity Score with C-reactive protein (ASDAS-CRP) is recommended over ASDAS…
  • Abstract Number: 1897 • ACR Convergence 2023

    In Pursuit of Excellence: Improving Systemic Sclerosis Quality of Care

    Aos Aboabat1, Samar Aboulenain1, Zareen Ahmad2, Medha Soowamber3 and Sindhu Johnson4, 1University of Toronto, Toronto, ON, Canada, 2Toronto Scleroderma Program, Mount Sinai Hospital, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada, 3Toronto Scleroderma Program, Mount Sinai Hospital, Toronto Western Hospital, University of Toronto, Woodbridge, ON, Canada, 4Division of Rheumatology, Department of Medicine, Schroeder Arthritis Institute, Krembil Research Institute, Toronto Western and Mount Sinai Hospitals; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Systemic sclerosis (SSc) is a complex autoimmune disease with significant morbidity and mortality. Quality indicators (QIs) for SSc care, previously published, are essential tools…
  • Abstract Number: 1884 • ACR Convergence 2023

    Which Cell Pattern in Immunological Bronchoalveolar Lavage (BAL) Is Associated with a High-resolution Computer Tomography (HRCT) Pattern at the Onset of Inflammatory Rheumatic Disease with Interstitial Lung Disease?

    tobias Hoffmann1, Martin Förster2, Peter Oelzner1, Claus Kroegel2, Ulf Teichgräber3, Diane Renz4, Joachim Böttcher1, Christian Schulze2, Gunter Wolf1, Marcus Franz2 and Alexander Pfeil1, 1Department of Internal Medicine III, Jena University Hospital – Friedrich Schiller University Jena, Jena, Germany, 2Department of Internal Medicine I, Jena University Hospital – Friedrich Schiller University Jena, Jena, Germany, 3Institute of Diagnostic and Interventional Radiology, Jena University Hospital – Friedrich Schiller University Jena, Jena, Germany, 4Institute of Diagnostic and Interventional Radiology, Department of Pediatric Radiology, Hannover Medical School, Hannover, Germany

    Background/Purpose: Inflammatory rheumatic diseases (IRD) are associated with interstitial lung disease (ILD). High-resolution Computer Tomography (HRCT) is recommended as goldstandard in the detection of IRD-ILD.…
  • Abstract Number: 1872 • ACR Convergence 2023

    Performance Analysis of a Deep Learning Algorithm to Detect Positive SIJ MRI According to the ASAS Definition in axSpA Patients

    Joeri Nicolaes1, Evi Tselenti2, Theodore Aouad3, Clementina López Medina4, Antoine Feydy5, Hugues Talbot3, Bengt Hoepken6, Natasha De Peyrecave7 and Maxime Dougados8, 1KU Leuven, Department of Electrical Engineering (ESAT), Center for Processing Speech and Images; UCB Pharma, Anderlecht, Belgium, 2Veramed, London, United Kingdom, 3CentraleSupélec, Universite Paris-Saclay, Inria, Gif-sur-Yvette, France, 4Rheumatology Department, Cochin Hospital; INSERM (U1153): Clinical Epidemiology and Biostatistics, University of Paris; Rheumatology Department, Reina Sofia Hospital, Cordoba / IMIBIC / University of Cordoba, Cordoba, Spain, 5INSERM (U1153): Clinical Epidemiology and Biostatistics, University of Paris; Radiology Department, Cochin Hospital, Paris, France, 6UCB Pharma, Monheim, Germany, 7UCB Pharma, Brussels, Belgium, 8Rheumatology Department, Cochin Hospital; INSERM (U1153): Clinical Epidemiology and Biostatistics, University of Paris, Paris, France

    Background/Purpose: Magnetic resonance imaging (MRI) of the sacroiliac joints (SIJ) is an essential tool in the evaluation of patients with axial spondyloarthritis (axSpA). In-depth knowledge…
  • Abstract Number: 1870 • ACR Convergence 2023

    Assessing the Appropriateness of Imaging Modalities in Primary Care for Low Back Pain and Their Impact on Outcomes: A Retrospective Observational Study in a Single Center in Trenton

    Damira Sereda1, Cristine Arcilla2, Kudret Arslan3 and Daniel Goldsmith4, 1Capital Health Medical Canter, Trenton, NJ, 2Capital Health Regional Medical Center, Ewing Township, NJ, 3Capital Health Medical Center, Trenton, NJ, 4Capital Health Regional Medical Center, Trenton, NJ

    Background/Purpose: Low back pain (LBP) is a leading cause of doctor visits and disability. The annual direct expenditures for LBP management exceed $80 billion, not…
  • Abstract Number: 1869 • ACR Convergence 2023

    FDG-PET/CT for Diagnosing Polymyalgia Rheumatica Before, During and After a Short-term Prednisolone Cessation – a Prospective Study of 101 Patients

    Andreas Wiggers Nielsen1, Ib Tønder Hansen2, Berit Dalsgaard Nielsen3, Søren Geill Kjær4, Jesper Blegvad-Nissen4, Christian Møller Sørensen3, Ellen-Margrethe Hauge1, Lars Christian Gormsen2 and Kresten Krarup Keller1, 1Aarhus University Hospital, Aarhus, Denmark, 2Aarhus University Hospital, Aarhus N, Denmark, 3Department of Internal Medicine, Horsens, Denmark, 4Diagnostic Centre, Silkeborg, Denmark

    Background/Purpose: Polymyalgia rheumatica (PMR) can be challenging to diagnose since other diseases may present with similar symptoms. As a result, a significant number of patients…
  • Abstract Number: 1357 • ACR Convergence 2023

    Systemic Lupus Erythematosus and Assisted Reproductive Technology: A Case Series and Systematic Literature Review

    Erinn Coe1, Emily Petrinec1 and Omer Pamuk2, 1Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH, 2Division of Rheumatology, Case Western Reserve University/University Hospitals, Cleveland, OH

    Background/Purpose: Systemic lupus erythematosus (SLE) is one of the most common autoimmune diseases in women of childbearing age and female sex hormones are known to…
  • Abstract Number: 1915 • ACR Convergence 2023

    Scleritis and Development of Autoimmune Disease: A Case Series

    Tessalyn Morrison1, Moriah Gottman2, Marcia Friedman3 and Daniela Ghetie4, 1University of Vermont, Burlington, VT, 2Oregon Health & Science University, Milwaukie, OR, 3Alpine Immune Sciences, Inc., Beaverton, OR, 4Oregon Health & Science University, Portland, OR

    Background/Purpose: Scleritis involves inflammation of the sclera caused by trauma, infections, or autoimmune conditions. The purpose of our study was to understand the relationship between…
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