ACR Meeting Abstracts

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  • Abstract Number: 295 • 2019 ACR/ARP Annual Meeting

    Assessing the Vascularization of Salivary Glands in Patients with Sjögren’s Syndrome – An OMERACT Ultrasound Group Reliability Exercise

    Alojzija Hocevar1, Sandrine Jousse-Joulin 2, Nejc Perko 3, STEPHANIE FINZEL 4, PETRA HANOVA 5, ANNAMARIA IAGNOCCO 6, Nevsun Inanc 7, ESPERANZA NAREDO 8, WOLFGANG A. SCHMIDT 9, Lene Terslev 10, ALEN ZABOTTI 11, Matija Tomšič 12 and George A. W. Bruyn 13, 1Department of Rheumatology, University Medical Center Ljubljana, Slovenia, LJUBLJANA, Slovenia, 2Rheumatology Department, Cavale Blanche Hospital and Brest Occidentale University, Brest, France, 3Faculty of electrical engineering, University of Ljubljana, LJUBLJANA, Slovenia, 4Department of Rheumatology and Clinical Immunology, University Medical Centre, FREIBURG, Germany, 55Institute of Rheumatology and Department of Rheumatology, First Faculty of Medicine, Charles University, PRAGUE, Czech Republic, 6Academic Rheumatology Centre, Università degli Studi di Torino, TURIN, Italy, 7Marmara University, Faculty of Medicine, Division of Rheumatology, Istanbul, Turkey, ISTANBUL, Turkey, 8Rheumatology Department, Joint and Bone Research Unit. Hospital Universitario Fundación Jiménez Díaz, Universidad Autónoma, MADRID, Spain, 9Medical Center of Rheumatology, Immanuel Krankenhaus Berlin Buch, BERLIN, Germany, 10Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Copenhagen, Denmark, 11Department of Medical and Biological Sciences, Rheumatology Clinic, University Hospital Santa Maria della Misericordia, UDINE, Italy, 12Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia, LJUBLJANA, Slovenia, 13Department of Rheumatology, MC Groep Hospitals., Lelystad, Netherlands

    Background/Purpose: The vascularization of salivary glands (SG) in Sjögren's syndrome (SS) has not been extensively studied by imaging methods, and currently no agreement exists on…
  • Abstract Number: 296 • 2019 ACR/ARP Annual Meeting

    Prevalence of Elbow Arthritis in Patients with Rheumatoid Arthritis: A Prospective Ultrasound Study

    Diana Vossen 1, Valentin Schaefer2, Florian Recker 3, Isabelle Geffken 4, Eva Matuschek 5 and Wolfgang Hartung 6, 1Departement for Internal Medicine and Rheumatology, Rheinisches Rheumazentrum Meerbusch, St. Elisabeth-Hospital, Meerbusch, Germany; German Society for Rheumatology (Working Group Young Rheumatology), Meerbusch, Germany, 2Medical Clinic III , Rheumatology und clinical Immunology, University Hospital Bonn, Bonn, Germany, 31. Medical Clinic III , Rheumatology und clinical Immunology, University Hospital Bonn and 2. Department for Obstetrics and Gynecology, University Hospital Bonn, Bonn, Germany, 4Departement for Internal Medicine and Rheumatology, Rheinisches Rheumazentrum Meerbusch, St.Elisabeth Hospital, Düsseldorf, Germany, 5Department for Internal Medicine, Dreifaltigkeits-Krankenhaus Wesseling, bonn, Germany, 6Rheumatology und clinical Immunology, Asklepios Klinik, 93077 Bad Abbach, Bad Abbach, Germany

    Background/Purpose: Musculoskeletal ultrasound is an important imaging method in the diagnosis of arthritis, especially rheumatoid arthritis (RA). The prevalence of elbow joint arthritis in RA…
  • Abstract Number: 297 • 2019 ACR/ARP Annual Meeting

    Ultrasound and Magnetic Resonance Imaging Evaluation of the Fingers’ Joints of Psoriatic Arthritis Patients – Interim Analysis

    Ari Polachek1, Victoria Furer 2, Mirna Zureik 2, Sharon Nevo 2, Liran Mendel 2, David Levartovsky 3, Jonathan Wollman 4, Valerie Aloush 5, Mark Berman 6, Ilana Kaufman 6, Yael Lahat 2, Hagit Sarbagil-Maman 7, Sara Borok 6, Adi Broyde 6, Lihi Eder 8, Daphna Paran 1, Iris Eshed 9 and Ori Elkayam 10, 1Tel-Aviv Sourasky medical center, Tel Aviv, Israel, 2Sourasky Medical Center, Tel-Aviv, Israel, 3Sourasky medical center, Tel Aviv, Israel, 4Sourasky Medical Center, Herzelia, Israel, 5Tel Aviv Sourasky medical center, Tel Aviv, 6Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 7Tel-Aviv Sourasky medical center, Qiryat-Ono, Israel, 8Women’s College Hospital and the Department of Medicine, University of Toronto, Toronto, Canada, 9Sheba Medical Center, Tel-Aviv, Israel, 10Rheumatology Department, Tel Aviv Medical Center, and Sackler Faculty of Medicine, Tel Aviv University, Israel., Tel Aviv, Israel

    Background/Purpose: Psoriatic arthritis (PsA) is an inflammatory disease affecting up to 30% of psoriasis patients. PsA can involve both the peripheral and axial skeleton and…
  • Abstract Number: 298 • 2019 ACR/ARP Annual Meeting

    In CCP Positive “At Risk of Rheumatoid Arthritis” Individuals, the Presence of Sub-clinical Synovitis in 4-10joints Universally Results in Clinical Synovitis

    Laurence Duquenne1, Kulveer Mankia 2, Jacqueline Nam 2, Andrea Di Matteo 2, Leticia Garcia-Montoya 2 and Paul Emery 2, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, England, United Kingdom, 2Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, United Kingdom

    Background/Purpose: In a cohort of Anti-Cyclic Citrullinated Peptide Positive (Anti-CCP+) At-Risk of developing inflammatory arthritis (IA) individuals without clinical synovitis, previous univariable analysis showed that…
  • Abstract Number: 299 • 2019 ACR/ARP Annual Meeting

    Definition of New Ultrasound Enthesophytes Score: Application in a Consecutive Series of IBD Patients

    Pierluigi Macchioni 1, federica Martinis 2, Giorgia Citriniti3, Nicolò Girolimetto 3 and Carlo Salvarani 4, 1Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, 2Università di Verona, Verona, Italy, 3Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy, 4Division of Rheumatology, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy

    Background/Purpose: Recent studies have developed criteria for US definition of entheseal abnormalities (1), however no actual scores are available to determine the extension and severity…
  • Abstract Number: 300 • 2019 ACR/ARP Annual Meeting

    Proliferative Globular Synovitis, an Ultrasound Pattern Associated with Seropositive Rheumatoid Arthritis

    Ana Belén Azuaga-Piñango1, Beatriz Frade-Sosa 2, Roberto Gumucio 3, Katherine Cajiao-Sanchez 2, Stanislava Mandelikova 2, Virginia Ruiz-Esquide 4, Raul Castellanos-Moreira 2, Raimon Sanmarti 5, Juan Cañete 5 and Julio Ramirez 1, 1Hospital Clinic, Barcelona, Spain, Barcelona, Spain, 2Hospital Clinic, Barcelona, Spain, Barcelona, Catalonia, Spain, 3Rheumatology Department. Hospital Clínic Barcelona, Barcelona, Catalonia, Spain, 4Department of Rheumatology, Hospital Clínic, Barcelona, Barcelona, Catalonia, Spain, 5Department of Rheumatology, Hospital Clínic, Barcelona, Barcelona, Spain

    Background/Purpose: Rheumatoid Arthritis (RA) has a synovial ultrasound (US) pattern, while soft tissue involvement is more frequently found in Psoriatic Arthritis (PsA). No previous studies…
  • Abstract Number: 301 • 2019 ACR/ARP Annual Meeting

    PANLAR Ultrasound Study Group Recommendations for the Use of Imaging in the Management of Patients with Gout

    Marwin Gutierrez 1, Carlos Pineda 1, Janitzia Vazquez-Mellado 2, Mario Moreno Alvarez 3, Javier Rosa 4, Anthony Reginato5, Mario Chavez 6, Magaly Alva Linares 7, Marcelo Audisio 8, José Alexandre Mendonca 9, Tomas Cazenave 10, Oscar Sedano 11, Lucio Ventura Ríos 12, Eugenio de Miguel 13, Gurjit Kaeley 14, Eduardo Scheines 10, Fritz Hofmann 15, Gabriel Aguilar 16, Christian Waimann 17, Florencia Marengo 17 and Santiago Ruta 18, 1Division of Musculoskeletal and Rheumatic Diseases, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Mexico, Mexico, Mexico, 2Rheumatology Department, Hospital General de Mexico, Mexico, Mexico, 3Rheumatology Department, Hospital General Luis Vernaza, Guayaquil, Ecuador., Guayaquil, Ecuador, 4Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina, Buenos Aires, Argentina, 5Division of Rheumatology, Providence VAMC, Associate Professor in Medicine, The Warren Alpert School of Medicine, Providence, 6Universidad Autónoma de Aguascalientes Aguascalientes, México., Aguascalientes, Mexico, 7Rheumatology Department, Hospital Edgardo Rebagliati Martins, Lima, Peru., Lima, Peru, 8Rheumatology Department, Hospital Nacional de Clínicas, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Argentina., Cordoba, Argentina, 9Rheumatology Department, Pontifical Catholic University of Campinas, Brazil, Campinas, Brazil, 10Rheumatology Section, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, Buenos Aires, Argentina, 11Reumatology Section, Hospital Marino Molina Scippa, Lima, Perú, Lima, Peru, 12Instituto Nacional de Rehabilitación "Luis Guillermo Ibarra Ibarra", México, Mexico, Mexico, 13Rheumatology Department, Hospital Universitario La Paz, Madrid, Spain, 14Division of Rheumatology, University of Florida College of Medicine, Jacksonville, FL., Florida, 15Diagnostik Group, Puerto Vallarta, México., Puerto Vallarta, Mexico, 16Centro Diagnóstico Rossi, Buenos Aires, Argentina, Buenos Aires, Argentina, 17Rheumatology Unit, Hospital Dr. Héctor Cura, Olavarría, Argentina., Olavarria, Argentina, 18Rheumatology Department, Hospital San Martín de La Plata and Rheumatology Unit, Hospital Italiano de La Plata, Argentina., La Plata, Argentina

    Background/Purpose: Gout is a metabolic disease caused by deposition of monosodium urate (MSU) monohydrate crystals in different tissues. Imaging may be useful to evaluate the…
  • Abstract Number: 302 • 2019 ACR/ARP Annual Meeting

    Clinical Impact of a Rheumatology Musculoskeletal Ultrasound Clinic at a U.S. Academic Center

    Sarah Chung1, Katherine Wysham 2, Elizabeth Jernberg 3, Ingeborg Sacksen 3, Scott Pollock 1 and Alison Bays 1, 1University of Washington Division of Rheumatology, Seattle, WA, 2Veterans Health Administration Puget Sound, Seattle WA, Seattle, 3University of Washington Division of Rheumatology, Seattle

    Background/Purpose: Routine use of musculoskeletal ultrasound (MSK-US) to aid in clinical decision-making for rheumatology patients is less common in the United States than in Europe,…
  • Abstract Number: 303 • 2019 ACR/ARP Annual Meeting

    Utility of Power Doppler Ultrasound–Detected Synovitis for the Prediction of Flare in Psoriatic Arthritis Patients in Clinical Remission

    Johana Zacariaz Hereter1, Josefina Marin 2, Maria Laura Acosta Felquer 2, Martin Brom 3, Javier Rosa 4, Ricardo Garcia Monaco 1 and Enrique Soriano 5, 1Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 2Hospital Italiano de Buenos Aires, buenos aires, Ciudad Autonoma de Buenos Aires, Argentina, 3Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina, Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 4Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina, Buenos Aires, Argentina, 5Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina., Buenos Aires, Buenos Aires, Argentina

    Background/Purpose: Power Doppler ultrasound (PDUS) has been shown to detect subclinical synovitis in psoriatic arthritis (PsA). The aim of this study was to evaluate PDUS…
  • Abstract Number: 304 • 2019 ACR/ARP Annual Meeting

    The ACR’s Rheumatology Informatics System for Effectiveness (RISE) Demonstrates Improvements in Many Measures of Quality of Care Between 2015 and 2017

    Zara Izadi1, Gabriela Schmajuk 2, Julia Kay 3, Michael Evans 1 and Jinoos Yazdany 3, 1UCSF Division of Rheumatology, San Francisco, 2UCSF, SFVAMC Division of Rheumatology, San Francisco, CA, 3UCSF Division of Rheumatology, San Francisco, CA

    Background/Purpose: The ACR’s Rheumatology Informatics System for Effectiveness (RISE) is an EHR‐enabled registry that represents over 36% of the U.S. clinical rheumatology workforce and calculates…
  • Abstract Number: 305 • 2019 ACR/ARP Annual Meeting

    Naming Is Everything! the Cost of Inappropriate “Lupus Panel” Testing

    Caleb Anderson1, Roger Stitt 2 and Robert O'Brian 1, 1Walter Reed National Military Medical Center, Bethesda, MD, 2US Army, Ft Eustis

    Background/Purpose: Greater emphasis has been placed on cost saving measures due to ballooning healthcare cost in the U.S.  ACGME now evaluates trainee ability to practice…
  • Abstract Number: 306 • 2019 ACR/ARP Annual Meeting

    Infrequent Screening but High Prevalence of Antinuclear Antibodies in Patients with Neuropsychiatric Disorders

    Jihad Ben Gabr1 and Andras Perl 1, 1SUNY Upstate Medical University, Syracuse, NY

    Background/Purpose: The American College of Rheumatology (ACR) established case definitions of 19 specific neuropsychiatric syndromes seen in patients with systemic lupus erythematosus (SLE) (1).  Therefore,…
  • Abstract Number: 307 • 2019 ACR/ARP Annual Meeting

    ANA-lysis: Utility of Repeated Antinuclear Antibody Testing in a Single Center

    Ai Li Yeo1, Jason Ong 1, Kathryn Connelly 2, Suong Le 2, Ronnie Ptsaznik 2, Jane Ross 2, Eric Morand 3 and Michelle Leech 1, 1Monash University, Melbourne, Australia, 2Monash Health, Melbourne, Australia, 3Monash University, Melbourne, Victoria, Australia

    Background/Purpose: Reducing unnecessary laboratory investigations is a health economic priority. Anti-nuclear antibody (ANA) testing is performed as part of the diagnostic work up for autoimmune…
  • Abstract Number: 308 • 2019 ACR/ARP Annual Meeting

    Quality Control of Antinuclear Antibody Detection by Indirect Immunofluorescence and Flow Cytometry-based Recombinant Antigen Assays

    Konrad Dziamski1 and Andras Perl 1, 1SUNY Upstate Medical University, Syracuse, NY

    Background/Purpose: Indirect immunofluorescence (IF) is the recommended initial test for detection of antinuclear antibodies (ANA) by the American College of Rheumatology (Ann Rheum. Dis 69:1420-2),…
  • Abstract Number: 309 • 2019 ACR/ARP Annual Meeting

    Increasing Capacity and Reducing Costs of Rituximab Administration

    Zachary Wallace1, Tyler Harkness 1, Kimberly Blumenthal 1, Hyon K. Choi 2, John Stone 3 and Rochelle Walensky 1, 1Massachusetts General Hospital, Boston, 2Massachusetts General Hospital, Boston, MA, 3Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Rituximab (RTX) is associated with a large cost burden on the healthcare system and treatment delays that often exceed one month because the long…
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