ACR Meeting Abstracts

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  • Abstract Number: 1854 • 2019 ACR/ARP Annual Meeting

    The Utility of Fat Lesions in Close Relation to Other Structural MRI Lesions in the Sacroiliac Joints for Diagnosing Patients with Axial Spondyloarthritis

    Sengül Seven1, Mikkel Østergaard 2, Lone Morsel-Carlsen 3, inge Juul Sørensen 1, Birthe Bonde 4, Gorm Thamsborg 5, Jens Jørgen Lykkegaard 1, Oliver Hendricks 6, Niklas Rye Jørgensen 7 and Susanne Juhl Pedersen 8, 1Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark, Glostrup, Denmark, 2Copenhagen Center for Arthritis Research, University of Copenhagen, Copenhagen, Denmark, 3Department of Radiology, Rigshospitalet, Glostrup, Denmark, Glostrup, Denmark, 4The Birthe Bonde Clinic of Physioterapy, Copenhagen, Denmark, Glostrup, Denmark, 5Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark, 6Danish Hospital for Rheumatic Diseases, Sønderborg, Denmark, Sønderborg, Denmark, 7Department of Clinical Biochemistry, Rigshospitalet, Glostrup, Denmark, Glostrup, Denmark, 8Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark

    Background/Purpose: Bone marrow edema on MRI of the sacroiliac joints (SIJ) plays an important role in the ASAS (Assessment of Spondyloarthritis International Society) classification criteria…
  • Abstract Number: 1855 • 2019 ACR/ARP Annual Meeting

    Evaluating the OMERACT Definitions of Ultrasound Gout Structural Lesions in the Diagnosis of Gout

    Sara Nysom Christiansen1, Mikkel Østergaard 2, Ole Slot 1 and Lene Terslev 3, 1Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Glostrup, Denmark, 2Copenhagen Center for Arthritis Research, University of Copenhagen, Copenhagen, Denmark, 3Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Copenhagen, Denmark

    Background/Purpose: To evaluate ultrasound (US) as a diagnostic tool for gout with positive urate crystal microscopy as the gold standard, using the OMERACT US working…
  • Abstract Number: 1856 • 2019 ACR/ARP Annual Meeting

    Tenosynovial Aspiration by Ultrasound Guidance: Correlation and Diagnostic Implications of Tenosynovial Analysis and Ultrasound Doppler Signal

    Fawad Aslam1, Bryant England 2, Amy Cannella 3, Veronika Sharp 4, Lily Kao 5, Jon Arnason 6, Jemima Albayda 7, Catherine Bakewell 8, Shruti Sanghvi 8, Robert Fairchild 9, Karina Torralba 10, Amy Evangelisto 11, Paul DeMarco 12, Narandra Bethina 13 and Eugene Kissin 14, 1Mayo Clinic, Arizona, Scottsdale, AZ, 2VA Nebraska-Western IA Health Care System & University of Nebraska Medical Center, Omaha, 3University of Nebraska Medical Center, Omaha, 4Santa Clara Valley Medical Center, San Jose, CA, 5Evergreen Medical Group, Santa Clara Valley Medical Center, San Jose, CA, 6University of Wisconsin Hospital and Clinics, Madison, 7Johns Hopkins University, Baltimore, MD, 8Intermountain Healthcare, Salt Lake City, UT, 9Stanford University, Palo Alto, CA, 10Loma Linda University School of Medicine, Loma Linda, CA, 11Arthritis, Rheumatic and Back Disease Associates, Moorestown, NJ, 12Arthritis & Rheumatism Associates PC, Wheaton, MD, 13University of Vermont Medical Center, Burlington, VT, 14Boston University, Boston, MA

    Background/Purpose: Rheumatologists commonly use synovial fluid analysis and, more recently, US to establish a diagnosis in patients with joint effusions.  Although tenosynovial (TS) effusions are…
  • Abstract Number: 1857 • 2019 ACR/ARP Annual Meeting

    High-resolution MRI Assessment of Flexor Tendon Pulleys in Psoriatic Arthritis for Disease Monitoring and Differentiation from Rheumatoid Arthritis Using a 16-channel Hand Coil

    Philipp Sewerin1, Daniel Benjamin Abrar 2, Dennis McGonagle 3, Miriam Frenken 2, Karl Ludgar Ratke 4, Stefan Vordenbaeumen 5, Ralph Brinks 6, Matthias Schneider 7, Benedikt Ostendorf 5 and Christoph Schleich 2, 1Department of Rheumatology & Hiller Research Unit, University Hospital Düsseldorf,, Duesseldorf, Germany, 2Institute for Diagnostic and Interventional Radiology, UKD, Heinrich Heine University, Duesseldorf, Germany, 3University of Leeds, Leeds, United Kingdom, 4Institute for Diagnostic and Interventional Radiology, UKD, Heinrich Heine University Düsseldorf, Duesseldorf, Germany, 5Policlinic and Hiller Research Unit of Rheumatology, UKD, Heinrich Heine University, Duesseldorf, Germany, 6Policlinic for Rheumatology & Hiller Research Centre for Rheumatology, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany, 7Policlinic for Rheumatology & Hiller Research Centre for Rheumatology, Heinrich-Heine-University Duesseldorf, Düsseldorf, Germany

    Background/Purpose: To evaluate the value of 3 Tesla (T) magnetic resonance imaging (MRI) changes of flexor tendon pulleys for the differentiation of psoriatic (PsA) and…
  • Abstract Number: 1858 • 2019 ACR/ARP Annual Meeting

    Beta-2-Glycoprotein-I IgA Antibodies Predict Coronary Plaque Burden, Progression and Moderate the Effect of Inflammation on Atherosclerosis in Rheumatoid Arthritis

    George Karpouzas1, Sarah Ormseth 1, Elizabeth Hernandez 1, Viet Bui 1 and Matthew Budoff 1, 1Harbor-UCLA Medical Center and Los Angeles Biomedical Institute, Torrance, CA

    Background/Purpose: Beta-2-glycoprotein-I(b2GPI), an apolipoprotein abundant in plasma, is readily expressed in human atherosclerotic plaque. Anti-b2GPI-IgA antibodies (Ab) have been previously reported in both rheumatoid arthritis…
  • Abstract Number: 1859 • 2019 ACR/ARP Annual Meeting

    Joint Tenderness and Ultrasound Inflammation in DMARD-naïve Early Rheumatoid Arthritis Patients

    Nina Sundlisater1, Anna-Birgitte Aga 2, Hilde Hammer 1, Till Uhlig 3, Tore Kvien 3, Espen Haavardsholm 3 and Siri Lillegraven 4, 1Diakonhjemmet Hospital, Department of Rheumatology, Oslo, Norway, 2Diakonhjemmet Hospital, Department of Rheumatology, Oslo, Oslo, Norway, 3Diakonhjemmet Hospital, Dept. of Rheumatology / University of Oslo, Faculty of Medicine, Oslo, Norway, 4Diakonhjemmet Hospital, Dept. of Rheumatology, Oslo, Norway

    Background/Purpose: A tender joint count is part of most disease activity scores and remission criteria in rheumatoid arthritis (RA). A recent study in established RA…
  • Abstract Number: 1860 • 2019 ACR/ARP Annual Meeting

    Using Electronic Visits (E-Visits) to Achieve Goal Serum Urate Levels in Patients with Gout in a Rheumatology Practice: A Pilot Study

    Chio Yokose1, April Jorge 1, Kristin D'Silva 1, Naomi Serling-Boyd 1, Mark Matza 2, Mazen Nasrallah 2, Sarah Keller 1, Amar Oza 1, Hyon K. Choi 1, Marcy Bolster 1 and Deborah Collier 1, 1Massachusetts General Hospital, Boston, MA, 2Massachusetts General Hospital, Boston

    Background/Purpose: Gout is a highly prevalent form of inflammatory arthritis associated with increased morbidity and mortality, and the burden of gout on the healthcare system…
  • Abstract Number: 1861 • 2019 ACR/ARP Annual Meeting

    Use of a Novel Electronic Auto-notification Process to Manage Transitions of Care in Rheumatic Patients on DMARD Therapy

    Megan Bielawski1, Eric Newman 2 and Lisa Schroeder 1, 1Geisinger Medical Center, Danville, PA, 2Geisinger, Danville, PA

    Background/Purpose: Effective communication is essential in caring for medically complex patients with rheumatologic diseases. In our prior study of rheumatoid arthritis patients and hospital admissions,…
  • Abstract Number: 1862 • 2019 ACR/ARP Annual Meeting

    Treat to Target Opportunities – Design, Testing, and Adoption of a Novel EHR-Integrated Electronic System to Engage Rheumatologists and Capture Decision Making

    Eric Newman1, Jonida Cote 1 and Joseph Chronowski 1, 1Geisinger, Danville, PA

    Background/Purpose: Treat to Target (T2T) opportunities and rheumatologist decision making are not defined, captured, or reportable within existing electronic health record (EHR) software. We developed…
  • Abstract Number: 1863 • 2019 ACR/ARP Annual Meeting

    Improving Pneumococcal Vaccination Rates in High Risk Rheumatology Patients

    Heena Sheth1, Grimes Vera 2, Diana Rudge 2, Gary Fischer 2, Larry W. Moreland 1 and Rohit Aggarwal 3, 1University of Pittsburgh, Pittsburgh, PA, 2UPMC, Pittsburgh, 3University of Pittsburgh Medical Center, Pittsburgh, PA

    Background/Purpose: To improve Pneumococcal Vaccination rates in high risk Rheumatology patients on immunosuppressive therapy.Methods: The study was a quality improvement project based on the pre-post-intervention…
  • Abstract Number: 1864 • 2019 ACR/ARP Annual Meeting

    Gaps in Care for Patients with SLE: Data from the ACR’s RISE Registry

    Gabriela Schmajuk1, Zara Izadi 2, Michael Evans 3 and Jinoos Yazdany 4, 1UCSF, SFVAMC Division of Rheumatology, San Francisco, CA, 2UCSF Division of Rheumatology, San Francisco, 3University of California San Francisco, San Francisco, 4UCSF Division of Rheumatology, San Francisco, CA

    Background/Purpose: Although multiple national quality measures focus on the management and safety of rheumatoid arthritis, few measures address the care of patients with SLE. We…
  • Abstract Number: 1865 • 2019 ACR/ARP Annual Meeting

    Improving Lupus Care Index Documentation in Patients with Childhood-Onset Systemic Lupus Erythematosus (cSLE)

    Fatima Barbar-Smiley1, Stephanie Lemle 1, Cagri Yildirim-Toruner 1, Edward Oberle 1, Darby McDonald 1, Vidya Sivaraman 2 and Stacy Ardoin 1, 1Nationwide Children's Hospital, Columbus, OH, 2Nationwide Children's Hospital and The Ohio State University, Columbus, OH

    Background/Purpose: Systemic lupus erythematosus (SLE) affects both adults and children with an estimated prevalence in children of 8/100,000. More than 1000 deaths related to SLE…
  • Abstract Number: 1866 • 2019 ACR/ARP Annual Meeting

    Gene Expression Meta-Analysis Reveals Commonalities in Gene Activation and Enrichment of Immune Pathways and Cell Types in Dermatomyositis Target Tissues

    Jessica Neely1, Dmitry Rychkov 1, Manish Paranjpe 1, Michael Waterfield 2, Susan Kim 1 and Marina Sirota 2, 1University of California, San Francisco, San Francisco, CA, 2University of California, San Francisco, San Francisco

    Background/Purpose: Dermatomyositis (DM) is a complex immune-mediated disease resulting in muscle and skin inflammation.  Prior studies of gene expression in DM have revealed a type…
  • Abstract Number: 1867 • 2019 ACR/ARP Annual Meeting

    Body Composition in Myositis Patients Is Negatively Changed Compared to Healthy Controls and the Changes Are Associated with Disease Activity and Duration, Skeletal Muscle Involvement and Physical Activity and Nutritional Status

    Sabina Oreska1, Maja Spiritovic 2, Petr Cesak 3, Ondrej Marecek 3, Hana Storkanova 4, Barbora Hermankova 3, Katerina Kubinova 5, Martin Klein 4, Lucia Vernerová 4, Olga Ruzickova 4, Karel Pavelka 1, Ladislav Senolt 1, Herman Mann 1, Jiří Vencovský 1 and Michal Tomcik 1, 1Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Prague, Czech Republic, Prague 2, Czech Republic, 2Faculty of Physical Education and Sport, Department of Physiotherapy, Charles University, Prague, Czech Republic, Prague 2, Hlavni mesto Praha, Czech Republic, 3Faculty of Physical Education and Sport, Department of Physiotherapy, Charles University, Prague, Czech Republic, Prague, Czech Republic, 4Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Prague, Czech Republic, Prague, Czech Republic, 5Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Prague, Czech Republic, Prague 2

    Background/Purpose: Skeletal muscle, pulmonary and articular involvement in idiopathic inflammatory myopathies (IIM) limit the mobility/self-sufficiency of patients, and can have a negative impact on body…
  • Abstract Number: 1868 • 2019 ACR/ARP Annual Meeting

    Clinical Correlations of Autoantibodies Against Heat Shock Cognate 71 kDa Protein in Patients with Juvenile Dermatomyositis

    Rie Karasawa1, James N. Jarvis 2, Toshiko Sato 1, Megumi Tanaka 1, Mark Hicar 2, Kazuo Yudoh 1, Terrance O’Hanlon 3, Payam Noroozi-Farhadi 3 and Lisa G. Rider 4, 1Institute of Medical Science, St. Marianna University School of Medicine, Kawasaki, Japan, 2University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 3NIEHS, NIH, Bethesda, MD, 4Environmental Autoimmunity Group, Clinical Research Branch, NIEHS, NIH, Bethesda, MD

    Background/Purpose: Juvenile dermatomyositis (JDM) is an inflammatory myopathy characterized by prominent vascular and perivascular inflammation in affected skeletal muscles. The mechanisms of vessel injury in…
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