ACR Meeting Abstracts

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  • Abstract Number: 1878 • ACR Convergence 2021

    Tocilizumab in Caucasian Patients with Takayasu Arteritis: Multicenter Study of 54 Patients

    Diana Prieto-Peña1, Pilar Bernabeu2, Paloma Vela3, Javier Narvaez4, Jesús Carlos Fernández-López5, Mercedes Freire6, Beatriz González-Alvarez7, Roser Solans-Laqué8, José Luis Callejas9, Norberto Ortego10, Carlos Fernández-Díaz11, Esteban Rubio Romero12, Salvador Garcia-Morillo13, Mauricio Minguez14, Cristina Carballido14, Eugenio De Miguel15, Sheila Melchor16, Eva Salgado17, Beatriz Bravo18, Susana Romero-Yuste19, Juan Salvatierra20, Cristina Hidalgo21, Sara Manrique Arija22, Carlos Romero Gomez23, Patricia Moya24, Noelia Álvarez-Rivas25, Javier Mendizábal-Mateos26, Francisco Ortiz-Sanjuán27, Ivan Perez De Pedro28, Jose L Alonso-Valdivielso29, Laura Perez-Sanchez30, Rosa Roldan31, Nagore Fernandez-Llanio32, Ricardo Gómez de la Torre33, Silvia Suarez33, Mara Jess Montesa Cabrera34, MONICA DELGADO SANCHEZ35, Javier Loricera1, Belén Atienza-Mateo36, Miguel Ángel gonzalez-Gay37 and Ricardo Blanco38, 1Hospital Universitario Marqués de Valdecilla, santander, Spain, 2Hospital General Universitario de Alicante-ISABIAL, Alicante, Spain, 3Hospital General Universitario de Alicante, Alicante, Spain, 4Division of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 5Hospital Universitario Juan Canalejo, A Coruña, Spain, 6Rheumatology Service. CHU Coruña, La Coruña, Spain, 7H. NªSª de la Candelaria, Tenerife, Spain, 8Hospital Vall d'Hebron, Barcelona, Spain, 9Hospital San Cecilio, Granada, Spain, 10Medicine Department, Universidad de Granada, Granada, Spain, 11Hospital Universitario Reina Sofía, Murcia, Spain, 12HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO, Seville, Spain, 13H Virgen del Rocio, Sevilla, Spain, 14H. San Juan, Alicante, Spain, 15Hospital Universitario La Paz, Madrid, Spain, 16H. 12 de Octubre, Madrid, Spain, 17Complejo Hospitalario Universitario de Ourense, Ourense, Spain, 18Hospital Universitario Virgen de las Nieves, Granada, Spain, 19Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain, 20H San Juan, Alicante, Spain, 21Hospital Universitario Salamanca, Salamanca, Spain, 22Hospital Regional de Málaga, Málaga. Spain., Malaga, Spain, 23H. Regional de Malaga, Malaga, Spain, 24Hospital Sant Pau, Barcelona, Spain, 25Hospital San Agustín, Aviles, Spain, 26H. Navarra, Navarra, Spain, 27H. La Fe, Valencia, Spain, 28H. Carlos Haya, Malaga, Spain, 29H. Burgos, Burgos, Spain, 30IMIBIC/Reina Sofia Hospital/University of Córdoba, Córdoba, Spain, 31H. Reina Sofia, Cordoba, Spain, 32H. Arnau de Vilanova, Valencia, Spain, 33H. Asturias, Oviedo, Spain, 34Hospital Universitario Nuestra Seora de la Candelaria, Santa Cruz de Tenerife, Spain, 35H NªSª Candelaria, Tenerife, Spain, 36Group "Research in genetic epidemiology and atherosclerosis of systemic diseases and in bone metabolic diseases of the locomotor system", IDIVAL; and Department of Rheumatology, Hospital Universitario Marqués de Valdecilla, Santander, Spain, 37Research group on Genetic Epidemiology and Atherosclerosis in Systemic Diseases and in Metabolic Bone Diseases of the Musculoskeletal System, IDIVAL, Division of Rheumatology, Hospital Universitario Marqués de Valdecilla; School of Medicine, Universidad de Cantabria, Santander, Spain. Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa, 38Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain

    Background/Purpose: Tocilizumab (TCZ) has shown to be effective for large vessel vasculitis including Takayasu arteritis (TAK) (1-3). Most evidence in TAK comes from Asian patients.…
  • Abstract Number: 1881 • ACR Convergence 2021

    Surgical Outcomes After Operative Procedures in Patients with Behcet’s Disease

    Youjin Jung and Eun bong Lee, Seoul National University Hospital, Seoul, Republic of Korea

    Background/Purpose: Behcet's disease (BD) is characterized by hyper-inflammatory response to trauma, which is called the pathergy phenomenon. Therefore, there are concerns about post-operative complications when…
  • Abstract Number: 1879 • ACR Convergence 2021

    Delayed Diagnosis of IgG4 Related Disease Is Associated with Worse Outcome: A Retrospective, Real-life Observational Study

    Elisheva Pokroy-Shapira1, Iftach Sagy2, Katya Meridor3 and Yair Molad4, 1Institute of Rheumatology, Rabin Medical Center, Beilinson Hospital, and Tel Aviv University, Petach Tikva, Israel, 2Clinical Research Center, Soroka University Medical Center, Beer Sheva and Ben Gurion University of the Negev, DVIRA, Israel, 3Tel Aviv Sourasky Medical Center, Kfar Saba, Israel, 4Rabin Medical Center, Beilinson Hospital, and Tel Aviv University, Petah-Tikva, Israel

    Background/Purpose: The purpose of this study was to characterize clinical and pathological features as well as disease outcome of an Israeli incident cohort of patients…
  • Abstract Number: 1885 • ACR Convergence 2021

    Biological Therapy in Refractory Neurobehçet’s Disease. Multicenter Study of 42 Patients

    Alba Herrero-Morant1, José Luis Martin-Varillas2, Vanesa Calvo-Río3, Santos Castañeda4, Olga Maíz5, Ana Blanco6, Julio Sánchez7, Norberto Ortego8, Enrique Raya9, Anahy Maria Brandy-Garcia10, Alejandro Olive-Marques11, Agueda Prior-Español12, Clara Moriano13, Elvira Díez14, Rafael Melero15, Jenaro Enrique Grana Gil16, Álvaro Seijas-López17, Ana Urruticoechea-Arana18, Ángel Ramos-Calvo19, Concepcion Delgado-Beltran20, Marta Loredo-Martinez20, Eva Salgado21, Francisca Sivera22, Ignacio Torre23, Javier Narvaez24, Jose Luis Andreu25, Olga Martinez26, Ricardo Gómez de la Torre27, Sabela Fernandez-Aguado28, Susana Romero-Yuste29, Gerard Espinosa30, Miguel Ángel gonzalez-Gay31 and Ricardo Blanco3, 1Hospital Universitario Marqués de Valdecilla, Santander, Spain, 2Hospital Sierrallana, Torrelavega, Spain, 3Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain, 4Hospital Universitario de la Princesa, Madrid, Spain, 5Hospital Universitario de Donostia, San Sebastián, Spain, 6Hospital Universitario de Donostia, San Sebastián, 7Hospital Universitario 12 de Octubre, Madrid, Spain, 8Medicine Department, Universidad de Granada, Granada, Spain, 9Hospital San Cecilio, Granada, Spain, 10Hospital Germans Trias i Pujol, Badalona, Spain, 11Rheumatology Service. Hospital Germans Trias i Pujol, Barcelona, Spain, 12Department of Rheumatology, Germans Trias i Pujol. University Hospital, Badalona, Spain, 13Hospital Universitario de León, León, Spain, 14Hospital de León, León, Spain, 15Complexo Hospitalario Universitario de Vigo, Vigo, Galicia, Spain, 16Hospital Universitario de A Coruña, A Corua, Spain, 17Hospital Universitario de A Coruña, A Coruña, Spain, 18H. Can Misses, Elvissa, Spain, 19Complejo Hospitalario de Soria, Soria, Spain, 20Hospital Clínico Lozano Blesa, Zaragoza, Spain, 21Complejo Hospitalario Universitario de Ourense, Ourense, Spain, 22Hospital Universitario de Elda, Alicante, Spain, 23Hospital Universitario de Basurto, Bilbao, Spain, 24Division of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 25Hospital Universitario Puerta de Hierro, Madrid, Spain, 26H. Salamanca, Zamora, Spain, 27H. Asturias, Oviedo, Spain, 28Hospital Universitario de Cabueñes, Gijón, Spain, 29Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain, 30Hospital Clinic, Barcelona, Spain, 31Research group on Genetic Epidemiology and Atherosclerosis in Systemic Diseases and in Metabolic Bone Diseases of the Musculoskeletal System, IDIVAL, Division of Rheumatology, Hospital Universitario Marqués de Valdecilla; School of Medicine, Universidad de Cantabria, Santander, Spain. Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

    Background/Purpose: Neurobehçet’s disease (NBD) is a severe complication of Behcet's disease (BD). Despite well-established therapies, with glucocorticoids and conventional immunosuppressants (cIS) a significant proportion of…
  • Abstract Number: 1887 • ACR Convergence 2021

    Evidence-Based Behçet’s Disease Activity Scale (EBDA) – A New Instrument with Improved Acuity for Major Organ Disease Activity and Remission Depth Assessment

    Maria Caterina Lagdameo1, Hyungrok Do2 and Johannes Nowatzky1, 1Division of Rheumatology, New York University School of Medicine, New York, NY, 2Department of Population Health, NYU School of Medicine, New York

    Background/Purpose: Most current Behçet’s disease (BD) activity assessment tools are strongly based on patient-reported symptoms and findings allowing a wide range of observer-dependent interpretations and…
  • Abstract Number: 1886 • ACR Convergence 2021

    Validation of Angiographic Patterns of Disease in a Turkish Cohort of Patients with Takayasu’s Arteritis

    K. Bates Gribbons1, SEMA KAYMAZ-TAHRA2, Fatma Alibaz3, Ertugrul Cagri bolek4, Omer Karadag5, Burak Ince6, Murat Inanc7, Sinem Kocaer8, Fatos Onen9, KENAN AKSU10, Gokhan Keser11, Askin Ates12, Ayten Yazici13, Ayse Cefle13, Nilufer Alpay Kanitez14, Ahmet Omma15, Onay Gercik16, Servet Akar17, Veli Cobankara18, Nazife Sule Yasar Bilge19, Timucin Kasifoglu20, Mete Kara11, Kaitlin Quinn21, Peter Grayson22, Peter Merkel23 and Haner Direskeneli24, 1McGovern Medical School, Colleyville, TX, 2Marmara University Faculty of Medicine, Rheumatology, Istanbul, Turkey, 3Marmara University, School of Medicine, Rheumatology, Istanbul, Turkey, 4Vasculitis Translational Research Program, NIAMS, NIH, US, Lanham, MD, 5Hacettepe University, Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Ankara, Turkey, 6Istanbul Faculty of Medicine, Istanbul University, Division of Rheumatology, İstanbul, Turkey, 7Istanbul University Faculty of Medicine, Istanbul, Turkey, 8Dokuz Eylul University, Izmer, Turkey, 9Dokuz Eylul University, Izmir, Turkey, 10EGE UNIV. FACULTY of MEDICINE, IZMIR, Turkey, 11Ege University, İzmir, Turkey, 12Ankara University, Ankara, Turkey, 13Kocaeli University, Kocaeli, Turkey, 14Koc University School of Medicine, Istanbul, Turkey, 15Ankara City Hospital, Istanbul, Turkey, 16Izmir Katip Celebi University, Izmir, Turkey, 17Izmir Katip Celebi University, Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Izmir, Turkey, 18Pamukkale University, Denizli, Turkey, 19Eskisehir Osmangazi University Medical Faculty, Eskisehir, Turkey, 20Osmangazi University Department of Rheumatology, Eskişehir, Turkey, 21National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Washington, DC, 22National Institutes of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, MD, 23University of Pennsylvania, Philadelphia, PA, 24Marmara University, Istanbul, Turkey

    Background/Purpose: Previous studies using computer-driven methods have identified subsets of patients with Takayasu’s arteritis based on angiographic patterns of disease. These subsets were consistent between…
  • Abstract Number: 1889 • ACR Convergence 2021

    Arthritogenic T Cells Harbor a Transcriptional Program of T Cell Activation and a Repertoire Pruned by Endogenous Superantigen

    JUDITH F ASHOURI, Elizabeth McCarthy, Steven Yu, Noah Perlmutter, Charles Lin, Chun Jimmie Yu and Arthur Weiss, University of California San Francisco, San Francisco, CA

    Background/Purpose: It is widely accepted that activation of specific CD4 T cells through their TCRs by self-antigen (Ag) is necessary for rheumatoid arthritis (RA) onset.…
  • Abstract Number: 1891 • ACR Convergence 2021

    Variable Effects of Testosterone on Male versus Female Derived Macrophages in Inflammatory Arthritis

    Kiana Chen1, Xi Lin1, Lianping Xing2, H. Mark Kenney3, Richard Bell4, Edward Schwarz5 and Homaira Rahimi5, 1University of Rochester School of Medicine and Dentistry, Rochester, NY, 2University of Rochester Medical Center, Webster, NY, 3University of Rochester Medical Center, Rochester, NY, 4Hospital for Special Surgery, New York, NY, 5University of Rochester, Rochester, NY

    Background/Purpose: Rheumatoid arthritis (RA) is a chronic inflammatory joint disease that is female predominant. The TNF-transgenic (TNF-Tg) mouse model of RA also develops a sexually…
  • Abstract Number: 1892 • ACR Convergence 2021

    Promotion of Autoimmune Arthritis via Tryptophan Metabolism and Production of the Bacterial-Derived Tryptophan Metabolite Indole

    Brandon Trent1, Meagan Chriswell2, Widian Jubair1 and Kristine Kuhn1, 1University of Colorado Anschutz Medical Campus, Aurora, CO, 2UC Denver SOM, Denver, CO

    Background/Purpose: Significant changes in gut bacterial richness and diversity occur during the development of inflammatory arthritis, in both murine models and human patients; however, the…
  • Abstract Number: 1888 • ACR Convergence 2021

    Usefulness of 2019 ACR/EULAR Classification Criteria (AECC) for IgG4-Related Disease Differs Between Clinical Phenotypes of IgG4-RD

    Gözde Kübra Yardımcı1, Bayram Farisogulları2, Gizem Ayan1, Levent Kilic1, Sule Apraş Bilgen1 and Omer Karadag3, 1Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey, 2Division of Rheumatology, Department of Internal Medicine Faculty of Medicine, Hacettepe University, Ankara, Turkey, 3Hacettepe University, Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Ankara, Turkey

    Background/Purpose: ACR/EULAR Classification criteria for IgG4-related disease (IgG4-RD) newly published [1]. On the other hand, four distinctive phenotypes of IgG4-RD have been described [2]. We…
  • Abstract Number: 1849 • ACR Convergence 2021

    False Positive Anti-Topoisomerase I (Scl-70) Antibody Results: A Case Series from a Scleroderma Referral Center

    Brian Lam1, Rana Taherian1, Julio Charles1, Maureen Mayes2, Shervin Assassi3 and Brian Skaug4, 1Division of Rheumatology, University of Texas McGovern Medical School at Houston, Houston, TX, 2Division of Rheumatology and Clinical Immunogenetics, University of Texas McGovern Medical School, Houston, TX, 3University of Texas McGovern Medical School at Houston, Houston, TX, 4University of Texas McGovern Medical School Houston, Houston, TX

    Background/Purpose: Systemic sclerosis (SSc) is a progressive autoimmune disease with high morbidity and mortality, making early diagnosis and management critical. Anti-Topoisomerase I antibody (anti-Topo I,…
  • Abstract Number: 1897 • ACR Convergence 2021

    A Randomized Double-Blind Controlled Trial of Intensive Serum Urate Lowering with Oral Urate-Lowering Therapy for Erosive Gout

    Nicola Dalbeth1, Anthony Doyle1, Karen Billington1, Gregory Gamble1, Paul Tan1, Kieran Latto1, Trish Parshu Ram1, Ravi Narang1, Rachel Murdoch1, David Bursill1, Borislav Mihov1, Lisa Stamp2 and Anne Horne1, 1University of Auckland, Auckland, New Zealand, 2University of Otago, Christchurch, Christchurch, New Zealand

    Background/Purpose: Bone erosion is a common consequence of tophaceous gout, and leads to joint deformity and disability. In small case series, intensive urate-lowering with intravenous…
  • Abstract Number: 1896 • ACR Convergence 2021

    Initial Results from the Implementation of a National Hydroxychloroquine Safe Prescribing Dashboard Within the Veterans Health Administration

    Anna Montgomery1, Gary Tarasovsky2, Iziegbe Ehiorobo3, Mary Whooley2, Jennifer Barton4, Khushboo Sheth5, Kimberly Reiter6, Meredith Keller7, Lorinda Chung8, Lori Bennett9, Jo Dana2, Elizabeth Wahl10 and Gabriela Schmajuk3, 1Department of Veterans Affairs, Tiburon, CA, 2San Francisco VA Healthcare System, San Francisco, CA, 3University of California San Francisco, San Francisco, CA, 4Portland VA Healthcare System, Portland, OR, 5Stanford University/VA Palo Alto, Atherton, CA, 6Raymond G Murphy VA Medical Center, Albuquerque, NM, 7New Mexico VA Health Care System, Albuquerque, NM, 8Stanford University, Palo Alto, CA, 9Charleston VAHCS, Charleston, SC, 10VA Puget Sound Health Care System, Seattle, WA

    Background/Purpose: Hydroxychloroquine (HCQ) is a commonly used medication for patients with lupus erythematosus, rheumatoid arthritis, and other autoimmune conditions. However, HCQ daily doses of ≥…
  • Abstract Number: 1894 • ACR Convergence 2021

    Natural Language Processing Tool for Extraction of Patient-Reported Outcomes from a National Multi-Electronic Health Records Registry

    Marie Humbert-Droz1, Zara Izadi2, Gabriela Schmajuk2, Milena Gianfrancesco2, Jinoos Yazdany2 and Suzanne Tamang3, 1Stanford University, Stanford, 2University of California San Francisco, San Francisco, CA, 3Stanford Center for Population Health Sciences, Redwood City, CA

    Background/Purpose: Patient reported outcomes (PROs) are increasingly used to track disease activity and facilitate shared decision making in patients with RA. Assessments of disease activity…
  • Abstract Number: 1900 • ACR Convergence 2021

    Urate Lowering Therapy in the Treatment of Gout: A Multicenter, Randomized, Double-blind Comparison of Allopurinol and Febuxostat Using a Treat-to-Target Strategy

    James O'Dell1, Tuhina Neogi2, Michael Pillinger3, Paul Palevsky4, Jeff Newcomb1, Mary Brophy5, Hongsheng Wu5, Annie Davis-Karim6, Ryan Ferguson5, David Pittman6, Robert Terkeltaub7, Amy Cannella1, Bryant England1, Lindsay Helget1, Ted Mikuls1 and Tomas Taylor8, 1University of Nebraska Medical Center, Omaha, NE, 2Boston University School of Medicine, Boston, MA, 3New York University Grossman School of Medicine, New York,, NY, 4Pittsburgh University, Pittsburgh, PA, 5Boston VA, Boston, MA, 6Albuquerque VA, Albuquerque, NM, 7VA/UCSD, San Diego, CA, 8White River Junction VA, White River Junction, VT

    Background/Purpose: Urate lowering therapy (ULT) is a cornerstone treatment in the management of gout. A paucity of data exists about the relative efficacy and safety…
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