ACR Meeting Abstracts

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  • Abstract Number: 2650 • 2019 ACR/ARP Annual Meeting

    Predictors of Relapse in Giant Cell Arteritis: Data from an International Collaboration

    Laure Delaval 1, Raphael Porcher 2, Kenneth Warrington 3, Francesco Muratore 4, Cynthia Crowson 5, Daniel Blockmans 6, Christian Agard 7, Alexis Régent 8, Maxime Samson 9, Loic Guillevin 8, Carlo Salvarani 10 and Benjamin Terrier8, 1Department of Internal Medicine, Hôpital Cochin, Université Paris Descartes, Sorbonne Paris Cité, INSERM Unité 1016, Centre de Référence pour les Maladies Auto-immunes Rares, Paris, France, Paris, France, 2Hotel Dieu Hospital, Paris, France, 3Mayo Clinic Rochester, Rochester, MN, 4Division of Rheumatology, Azienda Unita’ Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Italy, 5Mayo Clinic Rochester, Rochester, 6Department of General Internal Medicine, University Hospitals Gasthuisberg, Leuven, Belgium, 7CHU Nantes, Nantes, France, 8National Referral Center for Rare Systemic Autoimmune Diseases Paris Cochin, Paris, France, 9Service de Médecine Interne et Immunologie Clinique, CHU Dijon Bourgogne, Hôpital François Mitterrand, Dijon ; Université Bourgogne-Franche Comté, INSERM, EFS BFC, UMR1098, F-21000 Dijon, Dijon, France, 10Division of Rheumatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy

    Background/Purpose: Roughly half of giant-cell arteritis (GCA) patients taking only glucocorticoids (GCs) relapse. The relapse rate seems to reflect, in part, the duration of GC intake, more…
  • Abstract Number: 2651 • 2019 ACR/ARP Annual Meeting

    Are There Phenotypic Overlaps Between Giant Cell Arteritis Subgroups?

    Berkan Armagan 1, Abdullah Yildirim 2, Alper Sarı 3, Bayram Farisoğulları 3, Emre Bilgin 3, Levent Kilic 4, Umut Kalyoncu 5, Şule Apras Bilgen 4 and Omer Karadag6, 1Department of Internal Medicine, Hacettepe University, Faculty of Medicine, Ankara, Turkey., Ankara, Turkey, 2Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Ankara, Turkey, 3Hacettepe University Vasculitis Centre, Ankara, Turkey, Ankara, Turkey, 4Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey, 5Hacettepe University Department of Rheumatology, Ankara, Turkey, 6Hacettepe University Vasculitis Centre, Ankara, Turkey / Vasculitis and Lupus Clinic, Addenbrooke’s Hospital, University of Cambridge, UK, Ankara, Turkey

    Background/Purpose: In parallel to the improvements in imaging, increasing data is accumulated regarding phenotypes of primary vasculitides. Giant cell arteritis (GCA) is a large vessel…
  • Abstract Number: 2652 • 2019 ACR/ARP Annual Meeting

    Comparison Between Transmural and Isolated Periadventitial And/or Adventitial Inflammation at Temporal Artery Biopsy: A Single Center Cohort of Biopsy-Positive GCA with Long Term Follow-up

    Elena Galli1, Francesco Muratore 2, Luigi Boiardi 3, Alberto Cavazza 4, Giovanna Restuccia 2, Luca Cimino 5 and Carlo Salvarani 6, 1Division of Rheumatology, University of Modena and Reggio Emilia, Modena, Italy, 2Division of Rheumatology, Azienda Unita’ Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Italy, 3Division of Rheumatology, Azienda Unita' Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Italy, 4Pathology Unit, Azienda Unita' Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Italy, 5Ophthalmology Unit, Azienda Unita' Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia, Italy, 6Division of Rheumatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy

    Background/Purpose: Temporal artery biopsy (TAB) showing transmural inflammation is considered the gold standard for the diagnosis of giant cell arteritis (GCA). In some cases, inflammation…
  • Abstract Number: 2653 • 2019 ACR/ARP Annual Meeting

    Adventitial Fibroblast, an Important Actor in Giant Cell Arteritis

    Simon Parreau1, Nicolas Vedrenne 2, Alexis Régent 3, Laurence Richard 4, Philippe Sindou 2, Luc Mouthon 3, Anne-Laure Fauchais 4, Marie-Odile Jauberteau 2 and Kim Heang Ly 1, 1Limoges University Hospital, Limoges, France, 2EA3842-CaPTuR, Limoges, 3National Referral Center for Rare Systemic Autoimmune Diseases Paris Cochin, Paris, France, 4Limoges University Hospital, Limoges

    Background/Purpose: Giant cell arteritis (GCA) is a systemic vasculitis affecting large vessels. The diagnosis is based on temporal artery biopsy (TAB) which shows an arterial…
  • Abstract Number: 2654 • 2019 ACR/ARP Annual Meeting

    Comparison of Aortitis and Non-Inflammatory Thoracic Aortic Aneurysms Undergoing Open Surgical Repair

    Laarni Quimson 1, Adam Mayer2, Sarah Capponi 2, Bryan Rea 3 and Rennie Rhee 4, 1University of Pennsylvania, Division of Internal Medicine, Philadelphia, PA, 2University of Pennsylvania, Internal Medicine/Pediatrics Residency Program, Philadelphia, PA, 3University of Pittsburgh, Department of Pathology, Pittsburgh, PA, 4University of Pennsylvania, Division of Rheumatology, Philadelphia, PA

    Background/Purpose: Aortitis is challenging to diagnose and is often detected on surgical pathology.  A subset of these patients could benefit from early medical therapy as…
  • Abstract Number: 2655 • 2019 ACR/ARP Annual Meeting

    Large Vessel Vasculitis: Diagnosis Is Very Frequent with Ultrasound Examination and Shows Responsiveness to Treatment

    Eugenio de Miguel1, Irene Monjo 2, Elisa Fernández 3, Diana Peiteado 4, Chamaida Plasencia 5 and Alejandro Balsa 5, 1Rheumatology Department, Hospital Universitario La Paz, Madrid, Spain, 2FIBHULP-IdiPAZ-Hospital La Paz-Rheumatology, Madrid, Spain, 3Rheumatology Department, La Paz University Hospital, Madrid, Madrid, Spain, 4Hospital Universitario La Paz, Madrid, 5Immuno-Rheumatology Research Group, IdiPaz & Rheumatology Department. La Paz University Hospital, Madrid, Spain

    Background/Purpose: Giant cell arteritis (GCA) is the most common systemic vasculitis in the elderly. In the EULAR recommendations of 2018 for the use of imaging…
  • Abstract Number: 2656 • 2019 ACR/ARP Annual Meeting

    The Veterans Health Administration (VHA) National Database Cohort: Incident Ophthalmic Complications in Giant Cell Arteritis (GCA) Patients with a Negative Temporal Artery Biopsy

    Sarah Chung1, Meredith Morcos 2, Scott Pollock 1 and Bernard Ng 3, 1University of Washington Division of Rheumatology, Seattle, WA, 2University of Washington Division of Rheumatology, Seattle, 3University of Washington, Veterans Affairs Puget Sound Health Care System, Seattle, WA

    Background/Purpose: This study aimed to identify the incidence of ophthalmic complication of giant cell arteritis (GCA) among subjects with negative temporal artery biopsy (TAB) and to…
  • Abstract Number: 2657 • 2019 ACR/ARP Annual Meeting

    The Association Between Bisphosphonates and Giant Cell Arteritis: A Retrospective Cohort Study

    Salman Mahmood1, Yuanyuan Ji 2, Yi Peng 2 and Zaki Abou Zahr 1, 1Hennepin Healthcare, Minneapolis, MN, 2Chronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, MN

    Background/Purpose: Bisphosphonates have been used to treat disorders of bone metabolism for several years. A common adverse reaction associated with their use constitutes a transient…
  • Abstract Number: 2658 • 2019 ACR/ARP Annual Meeting

    Giant Cell Arteritis Diagnostic Workup Among Medicare Beneficiaries

    Alicia Rodriguez-Pla1, Lili Zhou 2, Erin Ashbeck 3 and C. Kent Kwoh 4, 1University of Arizona/Banner Health Medical Center, Tucson, AZ, 2The University of Arizona Arthritis Center, University of Arizona, Tucson, AZ, Tucson, AZ, 3The University of Arizona Arthritis Center, University of Arizona, Tuccson, AZ, Tucson, AL, 4University of Arizona, Tucson, AZ

    Background/Purpose: Giant cell arteritis (GCA) has traditionally been diagnosed by a combination of symptoms, clinical findings, laboratory results, and temporal artery biopsy. More recently, imaging…
  • Abstract Number: 2659 • 2019 ACR/ARP Annual Meeting

    Giant-Cell Arteritis Associated with Myeloproliferative Neoplasms: A Retrospective Case–Control Study

    Matthias Papo1, Laure Delaval 1, Hubert de BOYSSON 2, Jean-François Viallard 3, Aurélie Foucher 4, Sébastien Humbert 5, Pierre Duffau 6, Anne Contis 7, Christian Agard 8, Claude Bachmeyer 9, Bruno Gombert 10, Loic Guillevin 11, Maxime Samson 12 and Benjamin Terrier 11, 1Department of Internal Medicine, Hôpital Cochin, Université Paris Descartes, Sorbonne Paris Cité, INSERM Unité 1016, Centre de Référence pour les Maladies Auto-immunes Rares, Paris, France, Paris, France, 2University Hospital of Caen, Caen, France, 3CHU Bordeaux, Bordeaux, France, 4Department of Internal Medicine and Infectious Diseases, Centre Hospitalier Universitaire de la Réunion Saint Pierre, Reunion Island, France., Saint-Pierre, France, 5Department of internal medicine, CHU Jean Minjoz, Besancon, France, Besancon, France, 6Department of Internal Medicine and Clinical Immunology , Hôpital Saint-André, CHU de Bordeaux , Bordeaux , France., Bordeaux, Aquitaine, France, 7Department of Internal Medicine and Clinical Immunology , Hôpital Saint-André, CHU de Bordeaux , Bordeaux , France, Bordeaux, France, 8CHU Nantes, Nantes, France, 9Department of Internal Medicine, Tenon Hospital (AP-HP), Paris, France, Paris, France, 10Rheumatology Department, Groupe Hospitalier de la Rochelle Ré Aunis, La Rochelle, France., La Rochelle, France, 11National Referral Center for Rare Systemic Autoimmune Diseases Paris Cochin, Paris, France, 12CHU Dijon, Dijon, France

    Background/Purpose: Giant-cell arteritis (GCA) is a large-vessel vasculitis affecting patients >50 years, whose origin remains widely unelucidated. Recent studies demonstrated that myeloid disease-related somatic mutations…
  • Abstract Number: 2660 • 2019 ACR/ARP Annual Meeting

    Rationalizing the Use of MRI of the Scalp Arteries in the Diagnosis of Giant Cell Arteritis Through Multivariable Predictive Modelling

    Mats Junek1, Angela Hu 2, Karen Beattie 3, Kimberly Legault 3, Stephanie Garner 4, Ryan Rebello 3 and Nader A. Khalidi 3, 1McMaster University, Oakville, 2University of Toronto, Toronto, ON, Canada, 3McMaster University, Hamilton, ON, Canada, 4McMaster University, Hamilton, Canada

    Background/Purpose: It has been historically difficult to develop effective diagnostic strategies and criteria in giant cell arteritis (GCA).  While temporal artery biopsy was previously thought…
  • Abstract Number: 2661 • 2019 ACR/ARP Annual Meeting

    A Ten-Year Retrospective Review of Temporal Artery Biopsy Lengths in Alberta

    Raymond Chu1, Caylea Foster 2, Mohsin Ali 3, Todd Chaba 1, Jason Soo 1, Alison Clifford 1, Jan Willem Cohen Tervaert 1 and Elaine Yacyshyn 1, 1University of Alberta, Edmonton, Canada, 2University of Calgary, Calgary, Canada, 3Harvard, Boston, MA

    Background/Purpose: Temporal arteritis or giant cell arteritis (GCA) is a large vessel vasculitis that involves extracranial arteries. The historical gold standard for diagnosis is a…
  • Abstract Number: 2662 • 2019 ACR/ARP Annual Meeting

    Temporal Artery Biopsy Lengths in Alberta: Which Surgical Subspecialty Achieves Optimal Biopsy Lengths?

    Raymond Chu1, Caylea Foster 2, Mohsin Ali 3, Todd Chaba 1, Jason Soo 1, Alison Clifford 1, Jan Willem Cohen Tervaert 1 and Elaine Yacyshyn 1, 1University of Alberta, Edmonton, Canada, 2University of Calgary, Calgary, Canada, 3Harvard, Boston, MA

    Background/Purpose: Temporal arteritis or giant cell arteritis (GCA) is a large vessel vasculitis that involves extracranial arteries. Diagnosis requires a combination of clinical manifestations including…
  • Abstract Number: 2663 • 2019 ACR/ARP Annual Meeting

    Maintained Benefit in Health-Related Quality of Life of Patients with Giant Cell Arteritis Treated with Tocilizumab Plus Prednisone Tapering: Results from the Open-Label, Long-Term Extension of a Phase 3 Randomized Controlled Trial

    John Stone1, Jian Han 2, Sebastian Unizony 1, Martin Aringer 3, Daniel Blockmans 4, Elisabeth Brouwer 5, Maria C. Cid 6, Bhaskar Dasgupta 7, Jürgen Rech 8, Carlo Salvarani 9, Robert Spiera 10 and Min Bao 2, 1Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 2Genentech, South San Francisco, CA, 3Division of Rheumatology, Department of Medicine III, University Medical Center & Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany, Dresden, Germany, 4Department of General Internal Medicine, University Hospitals Gasthuisberg, Leuven, Belgium, 5Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 6Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Institut d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain, 7Southend University Hospital, NHS Foundation Trust, Westcliff-on-Sea, United Kingdom, 8Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU) and Universitätsklinikum Erlangen, Erlangen, Germany, 9Division of Rheumatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy, 10Hospital for Special Surgery, New York, NY

    Background/Purpose: Patients with giant cell arteritis (GCA) treated with tocilizumab (TCZ) plus prednisone tapering achieved higher rates of sustained glucocorticoid (GC)-free remission and had lower…
  • Abstract Number: 2664 • 2019 ACR/ARP Annual Meeting

    Color Doppler Ultrasound for the Diagnosis of Giant Cell Arteritis in Montreal: A Canadian Single Center Experience

    Jean-Paul Makhzoum1, Meriem Belhocine 1, Michelle Goulet 1, Maxime Rheaume 1, Tara Starnino 2, Stephanie Ducharme-Benard 2, Guillaume Febrer 3, Yves Troyanov 4, Nathalie Routhier 5, Rosalie-Selene Meunier 5, Isabelle Chagnon 5, Michel Laurier 5, Maggy Helou 5, Nathalie Morency 6 and Anne-Marie Mansour 1, 1Vasculitis Clinic, Hopital du Sacre-Coeur de Montreal, Montreal, QC, Canada, 2Vasculitis Clinic, Hopital du Sacre-Coeur de Montreal, Montreal, Canada, 3Vascular Surgery, Department of Surgery, Hopital du Sacre-Coeur de Montreal, Montreal, Canada, 4Division of Rheumatology, Department of Medicine, Hôpital du Sacre-Coeur de Montreal, Montreal, QC, Canada, 5Internal Medicine, Department of Medicine, Hopital du Sacre-Coeur de Montreal, Montreal, Canada, 6Division of Rheumatology, Department of Medicine, Montreal, Canada

    Background/Purpose: Giant Cell Arteritis (GCA) remains challenging to diagnose as false negative temporal artery biopsy (TAB) can occur. Color doppler ultrasonography (CDUS) of the temporal,…
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