ACR Meeting Abstracts

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  • Abstract Number: 0404 • ACR Convergence 2021

    Perifollicular Hypopigmentation in Systemic Sclerosis: Associations with Clinical Features and Internal Organ Involvement

    Melody Chung1, Jamie Perin1, Carrie Richardson2, Christopher Mecoli3, Fred Wigley1 and Zsuzsanna McMahan4, 1Johns Hopkins University, Baltimore, MD, 2Rush University Medical Center, Chicago, IL, 3Johns Hopkins University School of Medicine, Baltimore, MD, 4Johns Hopkins Rheumatology, Baltimore, MD

    Background/Purpose: Among the autoimmune rheumatic diseases, there is precedent for utilizing cutaneous manifestations of systemic disease as clues to clinical phenotype and disease prognosis. Though…
  • Abstract Number: 0403 • ACR Convergence 2021

    Effect of Nintedanib on KL-6 in Patients with Systemic Sclerosis-Associated Interstitial Lung Disease

    Shervin Assassi1, Christopher Denton2, Maurizio Cutolo3, Tracy Luckhardt4, Claudia Diefenbach5, Carina Ittrich6, Margarida Alves7 and Masataka Kuwana8, 1University of Texas McGovern Medical School at Houston, Houston, TX, 2University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, United Kingdom, 3Laboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, IRCCS Polyclinic San Martino Hospital, Genoa, Italy, 4University of Alabama, Birmingham, AL, 5Boehringer Ingelheim Pharma GmBH, Biberach an der Riss, Germany, 6Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany, 7Boehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany, Ingelheim, Germany, 8Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan

    Background/Purpose: Krebs von den Lungen-6 (KL-6), a marker of lung epithelial and endothelial injury, has been associated with progression of interstitial lung disease associated with…
  • Abstract Number: 0402 • ACR Convergence 2021

    What Is the Patient’s Perspective on Symptoms Experience in Limited Cutaneous Systemic Sclerosis?

    Alain Lescoat1, Susan Murphy2, Yen Chen3, Nadia Vann1, David Cella4 and Dinesh Khanna3, 1Michigan Scleroderma Program, University of Michigan, Ann Arbor, MI, 2University of Michigan, Grosse Ile, MI, 3University of Michigan, Ann Arbor, MI, 4Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose: Limited cutaneous SSc (lcSSc) affects approximately 60-70% of SSc patients but drug development and therapeutic research has largely focused on the more severe diffuse…
  • Abstract Number: 0397 • ACR Convergence 2021

    Safety and Persistence of Monthly Intravenous Iloprost in Systemic Sclerosis

    Patrícia Martins1, Eduardo Dourado1, João Eurico Fonseca1, Vasco C Romão1 and Catarina Resende2, 1Rheumatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon Academic Medical Centre and European Reference Network on Rare Connective Tissue and Musculoskeletal Diseases Network (ERN-ReCONNET); Rheumatology Research Unit, Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal, 2Centro Hospitalar Universitário Lisboa Norte, Rheumatology Department, Lisbon, Portugal

    Background/Purpose: Vasculopathy is a crucial feature of systemic sclerosis (SSc). Raynaud’s phenomenon (RP) and digital ulcers (DU) greatly impact the patients’ quality of life. Intravenous…
  • Abstract Number: 0408 • ACR Convergence 2021

    A Histogram-based Densitometry Index to Support the Identification and the Assessment of Severity of Interstitial Lung Disease in Systemic Sclerosis: Applicability in Conventional and Low-dose Computed Tomography

    COSIMO BRUNI1, Alexandru Garaiman2, Lorenzo Tofani3, Suzana Jordan4, Carmen-Marina Mihai4, Rucsandra Dobrota4, Muriel ELHAI5, Mike Oliver Becker4, Marco Matucci-Cerinic3 and Oliver Distler6, 1University of Florence, Department of Rheumatology, Florence, Italy & Department of Rheumatology, University Hospital Zurich, University of Zurich, Switzerland, Florence, Italy, 2University Hospital Zurich, University of Zurich, Zurich, Switzerland, 3University of Florence, Florence, Italy, 4Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland, 5Department of Rheumatology, University Hospital Zurich, University of Zurich, Schlieren, Switzerland, 6Center of Experimental Rheumatology, Department of Rheumatology, University Hospital Zurich/University of Zurich, Zurich, Switzerland

    Background/Purpose: High resolution computed tomography (conventional CT) represents the diagnostic gold standard for systemic sclerosis-related interstitial lung disease (SSc-ILD). A low-dose 9-slices (reduced) CT protocol…
  • Abstract Number: 0407 • ACR Convergence 2021

    The Clinical Role of T1 Mapping Cardiac Magnetic Resonance Imaging for Detecting Cardiac Involvement in the Early Stage of Systemic Sclerosis

    Munkhtuul Purevsuren1, Masae Uehara1, Masato Ishizuka1, Toru Hara1, Nobutaka Kakuda1, Taeko Tsuji1, Tadashi Yamazaki1, Miyazaki Miki2, Hayakazu Sumida2, Ayumi Yoshizaki2, Yoshihide Asano2, Shinichi Sato3, Masaru Hatano1 and Komuro Issei1, 11. Department of Cardiovascular Medicine, The University of Tokyo, Graduate School of Medicine, Tokyo, Japan., Tokyo, Japan, 22. Department of Dermatology, The University of Tokyo, Graduate School of Medicine, Tokyo, Japan., Tokyo, Japan, 3Department of Dermatology, The University of Tokyo, Graduate School of Medicine, Tokyo, Japan

    Background/Purpose: Systemic sclerosis (SSc) is characterized by skin and internal organs tissue fibrosis including the myocardium. Cardiovascular magnetic resonance (CMR) parametric mapping is a promising…
  • Abstract Number: 0405 • ACR Convergence 2021

    Retrospective Study on the Prognostic Value of Cardiac Magnetic Resonance Imaging Abnormalities in Systemic Sclerosis

    Hao Cheng Shen1, Catherine Faucher2, Anne Chin3, Carl Chartrand-Lefebvre3, Ragui Chehata4, Julia Cadrin-Tourigny5, Francois-Pierre Mongeon6, Jean-Paul Makhzoum7, Océane Landon-Cardinal8, Josiane Bourré-Tessier8, Éric Rich9, Jean-Richard Goulet8, Paul R Fortin10, Jean-Luc Senécal8 and Sabrina Hoa8, 1Department of Medicine, Université de Montréal, Montréal, QC, Canada, 2Department of Medicine, Université Laval, Québec, QC, Canada, 3Department of Radiology, Centre hospitalier de l’Université de Montréal, Montréal, QC, Canada, 4Department of Medicine, Université de Montréal, Montreal, Montréal, QC, Canada, 5Division of Non-Invasive Cardiology, Department of Specialized Medicine, Montreal Heart Institute; Department of Medicine, Université de Montréal, Montréal, QC, Canada, 6Division of electrophysiology, Department of Specialized Medicine, Montreal Heart Institute; Department of Medicine, Université de Montréal, Montréal, QC, Canada, 7Division of Internal Medicine, Hôpital Sacré-Coeur de Montréal; Department of Medicine, Université de Montréal, Montréal, QC, Canada, 8Division of Rheumatology, Centre hospitalier de l'Université de Montréal; Department of Medicine, Université de Montréal, Montréal, QC, Canada, 9Division of Rheumatology, Centre hospitalier de l’Université de Québec-Université Laval, Montréal, QC, Canada, 10CHU de Quebec - Universite Laval, Québec City, QC, Canada

    Background/Purpose: Cardiac involvement is a leading cause of death in systemic sclerosis (SSc). Cardiac MRI (CMR) is useful in the early assessment of cardiac disease.…
  • Abstract Number: 0409 • ACR Convergence 2021

    Factors Predicting Mortality in an Indian Cohort of Systemic Sclerosis

    T G Sundaram1, Durga P Misra1, Rudrarpan Chatterjee1, Sakir Ahmed2 and Vikas Agarwal3, 1Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India, 2Kalinga Institute of Medical Sciences, Bhubaneswar, India, 3Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

    Background/Purpose: Systemic sclerosis is characterised by high morbidity and mortality due to disease-related or treatment-related complications.Methods: Data of patients of systemic sclerosis between 1990 and…
  • Abstract Number: 0411 • ACR Convergence 2021

    Pharmacokinetics, Safety, and Efficacy of Subcutaneous Brodalumab for Systemic Sclerosis with Moderate-to-severe Skin Thickening: A Single-arm, Open-label, Multi-dose, Phase 1 Trial

    Takemichi Fukasawa1, Ayumi Yoshizaki2, Satoshi Ebata2 and Shinichi Sato2, 1Department of Dermatology, The University of Tokyo, Graduate School of Medicine, Tokyo, Japan, 2University of Tokyo Graduate School of Medicine, Tokyo, Japan

    Background/Purpose: The exact role of interleukin-17 in systemic sclerosis (SSc) has not been established. This trial assessed the pharmacokinetics (PK), safety, and efficacy of multiple…
  • Abstract Number: 0410 • ACR Convergence 2021

    Long-term Outcomes of Vascular Grafting of Medium Sized Vessels of the Wrist and Hand in Patients with Medication Refractory Systemic Sclerosis Related Raynaud’s Phenomenon at the University of Pennsylvania from 2009-2019

    Nora Sandorfi1, Chris Derk2 and Nora Hajnoczky3, 1University of Pennsylvania, Philadelphia, 2University of Pennsylvania, Philadelphia, PA, 3Albert Einstein Healthcare Network, Wallingford, PA

    Background/Purpose: Raynaud’s phenomenon (RP) seen in patients with an underlying autoimmune rheumatic disorder have both functional and structural dysfunction at the microvascular level and in…
  • Abstract Number: 0406 • ACR Convergence 2021

    Gender Differences in Clinical Features and Outcomes of Systemic Sclerosis: Analysis of Reuma.pt/SSc Registry

    Raquel Freitas1, Patrícia Martins2, Eduardo Dourado2, Tânia Santiago3, Francisca Guimarães4, Bruno Fernandes5, Salomé Garcia6, Beatriz Samões7, Ana Pinto8, Nuno Gonçalves9, Maria Lourenço10, Emanuel Costa11, Margarida Rocha12, Maura Couto13, Ana Catarina Duarte1, Filipe Araújo14, Inês Cordeiro2, Fátima Godinho1, Catarina Resende15, Maria Joo Salvador16, Ana Cristina Cordeiro1 and Maria José Santos17, 1Hospital Garcia de Orta, Rheumatology department, Almada, Portugal, 2Rheumatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon Academic Medical Centre and European Reference Network on Rare Connective Tissue and Musculoskeletal Diseases Network (ERN-ReCONNET); Rheumatology Research Unit, Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal, 3Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal, 4Unidade Local de Saúde do Alto Minho, Rheumatology department, Ponte de Lima, Portugal, 5Rheumatology Department, Centro Hospitalar Universitário de São João EPE, Braga, Portugal, 6Rheumatology Department, Centro Hospitalar Universitário de São João EPE, Porto, Portugal, 7Rheumatology Department, Centro Hospitalar Vila Nova de Gaia, VIla Nova de Gaia, Portugal, 8Local Health Unit of Guarda, Portugal, Barcelos, Portugal, 9Centro Hospitalar Lisboa Ocidental, Rheumatology Department; Hospital Central do Funchal, Lisboa, Portugal, 10Hospital Egas Moniz, Barcelos, Portugal, 11Hospital de Braga, Braga, Portugal, 12Centro Hospitalar Universitário Lisboa Norte, Rheumatology Department, Faro, Portugal, 13Centro Hospitalar Tondela - Viseu, Rheumatology Department, Linda a Velha, Portugal, 14Hospital de Sant'Ana, Rheumatology and Osteoporosis department, Parede, Portugal, 15Centro Hospitalar Universitário Lisboa Norte, Rheumatology Department, Lisbon, Portugal, 16Centro Hospitalar e Universitário de Coimbra, Rheumatology Department, Coimbra, Portugal, 17Rheumatology Department, Hospital Garcia de Orta, Almada, Portugal

    Background/Purpose: Systemic sclerosis (SSc) is a rare connective tissue disease of unknown etiology, with a broad spectrum of clinical and laboratory features. Evidence for the…
  • Abstract Number: 0400 • ACR Convergence 2021

    Item Development for the Assessment of Systemic Sclerosis-associated Raynaud’s Phenomenon (ASRAP) Questionnaire

    John Pauling1, Lesley Ann Saketkoo2, Dinesh Khanna3, Christopher Denton4, Tracy Frech5, Ariane Herrick6, Laura Hummers7, Ami Shah8 and Robyn Domsic9, 1Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom, 2University Medical Center - Comprehensive Pulmonary Hypertension Center, New Orleans, LA, 3University of Michigan, Ann Arbor, MI, 4University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, United Kingdom, 5University of Utah, Salt Lake City, UT, 6University of Manchester, Salford, United Kingdom, 7Johns Hopkins Univerisity, Baltimore, MD, 8Johns Hopkins Rheumatology, Baltimore, MD, 9University of Pittsburgh, Pittsburgh, PA

    Background/Purpose: The episodic and uniquely personalised nature of Raynaud’s phenomenon (RP) has led to reliance upon self-report to capture how patients ‘feel’ and ‘function’. Existing…
  • Abstract Number: 0381 • ACR Convergence 2021

    How Do Clinical and Socioeconomic Factors Impact on Work Disability in Early Axial Spondyloarthritis? Five-year Data from the DESIR Cohort

    Elena Nikiphorou1, Annelies Boonen2, Bruno Fautrel3, Pascal Richette4, Robert Landewé5, Désirée van der Heijde6 and Sofia Ramiro1, 1Leiden University Medical Center, Leiden, Netherlands, 2Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre+ (MUMC+), Maastricht, Limburg, Netherlands, 3Pitié Salpêtrière Hospital, APHP, Sorbonne Université, Paris, France, 4Lariboisiere Hospital, Paris, France, 5Amsterdam Rheumatology & Clinical Immunology Center, Amsterdam, Netherlands; Zuyderland MC, Heerlen, Netherlands, 6Department of Rheumatology, Leiden University Medical Center, Meerssen, Netherlands

    Background/Purpose: There remains substantial unmet need to study work disability (WD) in early axSpA. Previous studies suggest that treatment interventions alone do not improve work…
  • Abstract Number: 0352 • ACR Convergence 2021

    Native American and African American Rheumatic Disease Patients Exhibit Accelerated Biological Aging Compared to European Americans

    Joseph Kheir, Carla Guthridge, Nicolas Dominguez, Wade DeJager, Sarah Cooper, Joel Guthridge and Judith James, Oklahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose: The universal process of aging is associated with increased risk of disease and death as a result of changing physiologic and molecular processes. In…
  • Abstract Number: 0289 • ACR Convergence 2021

    Developing a Score to Predict Preclinical Interstitial Lung Disease in Patients with Rheumatoid Arthritis – a Cross-Sectional Study from the ESPOIR Cohort

    Pierre Antoine Juge1, Benjamin Granger2, Marie-Pierre Debray3, Esther Ebstein4, Fabienne Louis-sidney5, Joanna Kedra6, Raphaël Borie7, Arnaud Constantin8, Bernard Combe9, Rene-Marc FLIPO10, Xavier Mariette11, Olivier Vittecoq12, Alain Saraux13, Guillermo CARVAJAL-ALEGRIA14, Jean Sibilia15, Francis Berenbaum16, Caroline Kannengiesser17, Catherine Boileau17, Bruno Crestani18, Bruno Fautrel19 and Philippe Dieudé20, 1Hopital Bichat-Claude Bernard, Service de Rhumatologie, Paris, France, 2Département de Santé Publique, Hopital de la Pitié Salpétrière, Paris, France, 3Hopital Bichat, Service de Radiologie, Paris, France, 4Hopital Bichat, Service de Rhumatologie, Paris, 5University Hospital Martinique, Fort de France, Martinique, 6Sorbonne Universit, Institut Pierre Louis d'Epidmiologie et de Sant Publique, Paris, France, 7Hopital Bichat, Service de Pneumologie, Paris, 8Toulouse University Hospital, Toulouse Cedex 9, France, 9CHU Montpellier Montpellier University, Montpellier, France, 10Lille University Hospital, Lille, France, 11Université Paris- Saclay, Rheumatology, Paris, France, 12CHU de Rouen, Service de Rhumatologie, Rouen, France, 13CHU de Brest, Brest Cedex, France, 14CHU de Brest, Service de Rhumatologie, Brest, 15CHU de Strasbourg, Service de Rhumatologie, Strasbourg, France, 16Sorbonne Universit - hopital Saint-Antoine, Paris, France, 17CHU de Bichat, Service de Génétique, Paris, France, 18Hopital Bichat, Paris University, Paris, France, 19Pitié Salpêtrière Hospital, APHP, Sorbonne Université, Paris, France, 20CHU de Bichat, Service de Rhumatologie, Paris, France

    Background/Purpose: Interstitial lung disease (ILD) can be detected in 20% to 60% of patients with rheumatoid arthritis (RA) on high-resolution computed-tomography (HRCT) chest scan and…
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