ACR Meeting Abstracts

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  • Abstract Number: 580 • 2019 ACR/ARP Annual Meeting

    Association of Comorbidities with Disease Activity and Functional Impairment in Axial Spondyloarthritis: Results from a Nationwide Population-Based Study

    Imke Redeker1, Johanna Callhoff 2, Falk Hoffmann 3, Hildrun Haibel 4, Joachim Sieper 4, Angela Zink 5 and Denis Poddubnyy 6, 1Charité – Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, 2German Rheumatism Research Centre, Berlin, Germany, 3Carl von Ossietzky University, Oldenburg, Germany, 4Charité Universitätsmedizin Berlin, Germany, Berlin, Germany, 5German Rheumatism Research Centre and Charité University medicine, Berlin, Germany, 6Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany

    Background/Purpose: Data on the prevalence of comorbidities and their association with disease activity and functional impairment in axial spondyloarthritis (axSpA) are scarce. The aim of…
  • Abstract Number: 581 • 2019 ACR/ARP Annual Meeting

    Allograft Inflammatory factor-1 Drives Th17 Like Pathologic Signature and Predict Poor Response to TNF Inhibitor in Ankylosing Spondylitis

    Jeong Seok Lee1, Eunyoung Lee 2, Ji Yong Choi 3, Yeong-Wook Song 4, Eui-Cheol Shin 1 and Eun Young Lee 2, 1Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea, 2Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea, Seoul, Republic of Korea, 3Seoul National University College of Medicine, Seoul, Republic of Korea, 4Seoul National University Hospital, Seoul, Republic of Korea

    Background/Purpose: Ankylosing spondylitis (AS) is an inflammatory disease that commonly treated with TNF inhibitors for controlling active inflammation. To predict treatment response to TNF inhibitors…
  • Abstract Number: 582 • 2019 ACR/ARP Annual Meeting

    Rheumacheck – Spondyloarthritis: Comprehensive Fast-track Diagnosis Program. What Benefits Does It Offer in a Developing Country?

    Einer Sanchez Prado1, Alvaro Ruta 2, Jessica Torres Chichande 2, Santiago Ruta 3, Sebastian Magri 2, Facundo Salvatori 2 and Rodrigo Garcia Salinas 2, 1Hospital Italiano de La Plata, La Plata, 2Hospital Italiano de La Plata, La plata, Buenos Aires, Argentina, 3Rheumatology Department, Hospital San Martín de La Plata and Rheumatology Unit, Hospital Italiano de La Plata, Argentina., La Plata, Argentina

    Background/Purpose: In our region, the lack of knowledge, timely referral and access to laboratory tests and images are the main causes in the diagnostic delay…
  • Abstract Number: 583 • 2019 ACR/ARP Annual Meeting

    A Biomarker of Type VI Collagen Degradation (C6M) Is Associated with Changes in ASDAS MRI Measures of Inflammation in Patients with Axial Spondyloarthritis During TNF Inhibitor Therapy

    Signe Holm Nielsen1, Anne Bay-Jensen 2, Mikkel Østergaard 3, Anne Siebuhr 4, Morten Karsdal 5, inge Juul Sørensen 6, Ulrich Weber 7, Anne Gitte Loft 8, Gina Kollerup 9, Gorm Thamsborg 9, Ole Rintek Madsen 10, Jakob Møller 11 and Susanne Juhl Pedersen 12, 1Nordic Bioscience/Technical University of Denmark, Herlev, Denmark, 2Nordic Bioscience, Herlev, Denmark, 3Copenhagen Center for Arthritis Research, University of Copenhagen, Copenhagen, Denmark, 4Nordic Bioscience, Herlev, 5Nordic Bioscience, Copenhagen, Denmark, 6Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark, Glostrup, Denmark, 7Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sonderborg, Denmark, 8Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark, Århus, Denmark, 9Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark, 10Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Denmark, 11Department of Radiology, Herlev and Gentofte University Hospital, Herlev, Denmark, Copenhagen, Denmark, 12Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark

    Background/Purpose: Axial spondyloarthritis (AxSpa) is characterized by inflammation in the sacroiliac joints and spine and associated with extracellular matrix (ECM) remodelling of affected tissues. Type…
  • Abstract Number: 584 • 2019 ACR/ARP Annual Meeting

    Radiographic Association of Hip and SI Joints in Ankylosing Spondylitis Patients

    Juyeon Kang1, Seoung Wan Nam 2, Hyo-Kyung Sung 3, Kyung Bin Joo 4, Bon San Koo 5, Seunghun Lee 4 and Tae-Hwan Kim 1, 1Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 2Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea, 3Hanyang University Hospital for Rheumatic Diseases, Seoul, 4Dertment of Radiology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 5Department of Internal Medicine, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea

    Background/Purpose: The modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS) is a representative tool for assessing radiographic progression in spine of ankylosing spondylitis (AS) patients. However,…
  • Abstract Number: 585 • 2019 ACR/ARP Annual Meeting

    Effect of Testosterone on Spinal Ankylosis in Ankylosing Spondylitis : in Vivo and in Vitro

    Sungsin Jo1, Eun-Ju Lee 2, Juyeon Kang 1, Seunghun Lee 3, Jeehee Youn 4, Yong-Gil Kim 5 and Tae-Hwan Kim 1, 1Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 2Ulsan university, seoul, Republic of Korea, 3Dertment of Radiology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 4Hanyang University, seoul, Republic of Korea, 5Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea

    Background/Purpose: Ankylosing spondylitis (AS) is a predominantly male disease and spinal ankylosis more severely affect male AS1 suggesting role of testosterone on spinal ankylosis. In…
  • Abstract Number: 586 • 2019 ACR/ARP Annual Meeting

    Drug Concentrations and Anti-drug Antibodies Influence in Response to Adalimumab: Results from the BioEfficacySpA Clinical Trial

    José Marona1, Santiago Rodrigues-Manica 2, João Lagoas Gomes 1, Carina Lopes 3, Inês Iria 4, Miguel Bernardes 5, Helena Santos 6, Jose Tavares-Costa 7, João Madruga-Dias 8, Patrícia Pinto 9, Alexandra Bernardo 10, Sara Maia 11, Jaime Branco 2, João Gonçalves 4 and Fernando Pimentel-Santos 2, 1Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental; CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon., Lisbon, Portugal, 2CEDOC, NOVA-Medical School | Hospital Egas Moniz, CHLO, Lisbon, Lisbon, Portugal, 3Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental; CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon, Lisbon, Portugal, 4Faculdade de Farmácia da Universidade de Lisboa; Portugal, Lisbon, Portugal, 5Rheumatology, Centro Hospitalar de São João, Porto, Portugal, Porto, Portugal, 6Instituto Português de Reumatologia (IPR), Lisbon, Portugal, 7ULSAM, Ponte de Lima, Portugal, Ponte de Lima, Portugal, 8CHMT, Torres Novas, Portugal, Torres Novas, 9Rheumatology Department, CHVNG, Vila Nova de Gaia, Portugal, 10Rheumatology Department, CHSJ, Porto, Portugal, 11CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon, Lisbon, Portugal

    Background/Purpose: Almost all protein-based biotherapeutics can induce immunogenicity, which may result in loss of efficacy and/or increased risk of adverse reactions. Despite all the efforts…
  • Abstract Number: 587 • 2019 ACR/ARP Annual Meeting

    Increased Prevalence of Cardiac Disorders in Dutch Ankylosing Spondylitis Patients: The CARDAS Study

    Milad Baniaamam1, Sjoerd Heslinga 2, Thelma Konings 3, Otto Kamp 3, Vokko van Halm 3, Irene van der Horst-Bruinsma 2 and Mike Nurmohamed 4, 1Amsterdam Rheumatology and immunology Center, Rheumatology, Reade, Amsterdam|Amsterdam Rheumatology and immunology Center, Rheumatology, Amsterdam University Medical Center location VUmc, Amsterdam, Amsterdam, Netherlands, 2Amsterdam Rheumatology and immunology Center, Rheumatology, Amsterdam University Medical Center location VUmc, Amsterdam, Amsterdam, Netherlands, 3Amsterdam University Medical Center, location VUmc, Department of Cardiology, Amsterdam, Amsterdam, Netherlands, 4Amsterdam Rheumatology and immunology Center location Reade and Amsterdam UMC location VU medical center, Amsterdam, Netherlands

    Background/Purpose: The overall mortality rate in ankylosing spondylitis (AS) patients is increased by 60–90% compared with the general population. This higher mortality rate is predominately…
  • Abstract Number: 588 • 2019 ACR/ARP Annual Meeting

    The Gut Enthesis Axis Coming into Focus with the Description of Enriched Entheseal Resident Mucosal Associated Invariant T-cells (MAITs) Capable of IL17A and TNF Production

    Richard Cuthbert 1, Qiao Zhou 2, Abdulla Watad 3, Robert Dunsmuir 4, Peter Loughenbury 4, Almas Khan 4, Peter Milner 4, Charles Bridgewood 5 and Dennis McGonagle2, 1University of Leeds, Leeds, 2University of Leeds, Leeds, United Kingdom, 3Department of Medicine “B”, Zabludowicz Center for Autoimmune Diseases Sheba Medical Center, Ramat-Gan, Israel, 4Leeds Teaching Hospitals NHS Trust, Leeds, 5Leeds Institute of Rheumatic and Muscoskeletal Medicine(LIRMM), University of Leeds, Leeds, United Kingdom

    Background/Purpose: Mucosal associated invariant T-cells (MAITs) are innate-like T lymphocytes that express a semi-invariant TCR repertoire that are activated by microbial ligands or cytokines including…
  • Abstract Number: 589 • 2019 ACR/ARP Annual Meeting

    Smoking, Alcohol Intake and Body Mass Index in Prediction of Disease Activity over Time in Early Axial Spondyloarthritis – Results from the SPondyloArthritis Caught Early (SPACE) Cohort

    Sofia Exarchou 1, Carl Turesson1, Ulf Lindström 2, Roberta Ramonda 3, Robert B.M. Landewé 4, Hanne Dagfinrud 5, Floris van Gaalen 6, Désirée van der Heijde 6 and Lennart Jacobsson 7, 1Lund University, Malmö, Sweden, 2University of Gothenburg, Gothenburg, Sweden, 3University of Padova, Padova, Italy, 4Amsterdam University Medical Center, Amsterdam, Netherlands, 5University of Oslo, Oslo, Norway, 6Leiden University Medical Center, Leiden, Netherlands, 7Dept of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden,, Gothenburg, Sweden

    Background/Purpose: In ankylosing spondylitis (AS), smokers have been found to have both higher disease activity and greater syndesmophyte progression, and a higher body mass index…
  • Abstract Number: 590 • 2019 ACR/ARP Annual Meeting

    What Is the Impact of MRI on the Performance of the ASAS Classification Criteria in Patients Presenting with Undiagnosed Back Pain?

    Walter P. Maksymowych1, Raj Carmona 2, Jonathan Chan 3, James Yeung 4, Sibel Zehra Aydin 5, Liam Martin 6, Ariel Masetto 7, Dianne Mosher 8, Olga Ziouzina 6, Stephanie Keeling 9, Sherry Rohekar 10, Rana Dadashova 11, Joel Paschke 11, Amanda Carapellucci 11 and Robert Lambert 12, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2McMaster University, Hamilton, Canada, 3Artus Health Clinic, Vancouver, BC, Canada, 4Yeung Rheumatology, Vancouver, Canada, 5University of Ottawa Faculty of Medicine, Rheumatology,Ottawa Hospital Research Institute, 1967 Riverside Drive, Ottawa, ON, K1H 7W9, CANADA, Ottawa, Canada, 6University of Calgary, Calgary, Canada, 7Université de Sherbrooke, Sherbrooke, QC, Canada, 8University of Calgary, Calgary, AB, Canada, 9University of Alberta, Edmonton, AB, Canada, 10Western University, London, ON, Canada, 11CARE Arthritis, Edmonton, Canada, 12University of Alberta, Edmonton, Canada

    Background/Purpose: Classification criteria for axSpA comprise an imaging and a clinical arm, the former requiring radiographic or MRI evidence of sacroiliitis. Several cohorts have reported…
  • Abstract Number: 591 • 2019 ACR/ARP Annual Meeting

    Longitudinal Assessment of MRI of the Sacroiliac Joints in the ASAS Classification Cohort: Evolution of Diagnostic Features and Predictive Utility for Axial Spondyloarthritis

    Walter P. Maksymowych1, Xenofon Baraliakos 2, Manouk de Hooge 3, Iris Eshed 4, Susanne Juhl Pedersen 5, Ulrich Weber 6, Joachim Sieper 7, Stephanie Wichuk 8, Denis Poddubnyy 9, Martin Rudwaleit 10, Désirée van der Heijde 11, Robert B.M. Landewé 12, Joel Paschke 13, Robert Lambert 8 and Mikkel Østergaard 14, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2Rheumatology Department, Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Bochum, Germany, 3Ghent University Hospital, Ghent, Belgium, 4Sheba Medical Center, Tel Aviv, Israel, 5Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark, 6Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sonderborg, Denmark, 7Charité Universitätsmedizin Berlin, Germany, Berlin, Germany, 8University of Alberta, Edmonton, Canada, 9Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany, 10Klinikum Bielefeld, Charité Berlin, Gent University, Bielefeld, Germany, 11Leiden University Medical Center, Leiden, Netherlands, 12Amsterdam University Medical Center, Amsterdam, Netherlands, 13CARE Arthritis, Edmonton, Canada, 14Copenhagen Center for Arthritis Research, University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: Follow up of the ASAS Classification Cohort (CC) indicated a high positive predictive value for the ASAS classification criteria derived from baseline patient and…
  • Abstract Number: 592 • 2019 ACR/ARP Annual Meeting

    Replacement of Radiographic Sacroilitis by MRI Structural Lesions: What Is the Impact on Classification of Axial Spondyloarthritis in the ASAS Classification Cohort?

    Walter P. Maksymowych1, Pedro Machado 2, Robert Lambert 3, Xenofon Baraliakos 4, Mikkel Østergaard 5, Joachim Sieper 6, Stephanie Wichuk 3, Denis Poddubnyy 7, Martin Rudwaleit 8, Désirée van der Heijde 9, Robert B.M. Landewé 10, Joel Paschke 11, Susanne Juhl Pedersen 12 and Ulrich Weber 13, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2University College London, London, United Kingdom, 3University of Alberta, Edmonton, Canada, 4Rheumatology Department, Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Bochum, Germany, 5Copenhagen Center for Arthritis Research, University of Copenhagen, Copenhagen, Denmark, 6Charité Universitätsmedizin Berlin, Germany, Berlin, Germany, 7Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany, 8Klinikum Bielefeld, Charité Berlin, Gent University, Bielefeld, Germany, 9Leiden University Medical Center, Leiden, Netherlands, 10Amsterdam University Medical Center, Amsterdam, Netherlands, 11CARE Arthritis, Edmonton, Canada, 12Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, Copenhagen, Hovedstaden, Denmark, 13Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sonderborg, Denmark

    Background/Purpose: xClassification of axial spondyloarthritis is based on the application of either an imaging or clinical arm. Radiographic or MRI evidence of sacroiliitis can be…
  • Abstract Number: 593 • 2019 ACR/ARP Annual Meeting

    Performance of the ASAS Classification Criteria Presenting with Undiagnosed Back Pain: Data from the Screening in Axial Spondyloarthritis in Psoriasis, Iritis, and Colitis Cohort

    Walter P. Maksymowych1, Raj Carmona 2, Jonathan Chan 3, James Yeung 4, Sibel Zehra Aydin 5, Liam Martin 6, Ariel Masetto 7, Dianne Mosher 8, Olga Ziouzina 6, Stephanie Keeling 9, Sherry Rohekar 10, Rana Dadashova 11, Joel Paschke 11, Amanda Carapellucci 11 and Robert Lambert 12, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2McMaster University, Hamilton, Canada, 3Artus Health Clinic, Vancouver, BC, Canada, 4Yeung Rheumatology, Vancouver, Canada, 5University of Ottawa Faculty of Medicine, Rheumatology,Ottawa Hospital Research Institute, 1967 Riverside Drive, Ottawa, ON, K1H 7W9, CANADA, Ottawa, Canada, 6University of Calgary, Calgary, Canada, 7Université de Sherbrooke, Sherbrooke, QC, Canada, 8University of Calgary, Calgary, AB, Canada, 9University of Alberta, Edmonton, AB, Canada, 10Western University, London, ON, Canada, 11CARE Arthritis, Edmonton, Canada, 12University of Alberta, Edmonton, Canada

    Background/Purpose: Classification criteria for axial spondyloarthritis (axSpA) that capture the spectrum of disease present challenges due to the frequency of back pain, the relative infrequency…
  • Abstract Number: 594 • 2019 ACR/ARP Annual Meeting

    Enhanced Performance of the ASAS Classification Criteria by Deletion of Non-Discriminatory Clinical Items: Data from the Screening in Axial Spondyloarthritis in Psoriasis, Iritis, and Colitis Cohort

    Walter P. Maksymowych1, Raj Carmona 2, Jonathan Chan 3, James Yeung 4, Sibel Zehra Aydin 5, Liam Martin 6, Ariel Masetto 7, Dianne Mosher 8, Olga Ziouzina 6, Stephanie Keeling 9, Sherry Rohekar 10, Rana Dadashova 11, Joel Paschke 11, Amanda Carapellucci 11 and Robert Lambert 12, 1University of Alberta/CARE ARTHRITIS, Edmonton, AB, Canada, 2McMaster University, Hamilton, Canada, 3Artus Health Clinic, Vancouver, BC, Canada, 4Yeung Rheumatology, Vancouver, Canada, 5University of Ottawa Faculty of Medicine, Rheumatology,Ottawa Hospital Research Institute, 1967 Riverside Drive, Ottawa, ON, K1H 7W9, CANADA, Ottawa, Canada, 6University of Calgary, Calgary, Canada, 7Université de Sherbrooke, Sherbrooke, QC, Canada, 8University of Calgary, Calgary, AB, Canada, 9University of Alberta, Edmonton, AB, Canada, 10Western University, London, ON, Canada, 11CARE Arthritis, Edmonton, Canada, 12University of Alberta, Edmonton, Canada

    Background/Purpose: xThe ASAS classification criteria for axial spondyloarthritis (axSpA) have overall sensitivity/specificity of 82.9%/84.4% but component imaging and clinical arms differ in performance (66.2%/97.3% and…
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