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  • Abstract Number: 595 • 2019 ACR/ARP Annual Meeting

    What Is the Impact of Discrepancy Between Central and Local Readers in Evaluation of MRI Scans on the Classification of Axial Spondyloarthritis? Data from the ASAS Classification Cohort Study

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

    Background/Purpose: Active MRI lesions typical of axSpA were reported in 61.6% and 2.2% of axSpA and not-axSpA patients, respectively, from the ASAS classification cohort (ASAS-CC)1.…
  • Abstract Number: 596 • 2019 ACR/ARP Annual Meeting

    Prostaglandin Receptor EP4 Drives Pathogenic Th17 Cell Development in Ankylosing Spondylitis and Is a New Marker of Disease Activity

    Anja Meyer1, Charlotte Klasen 1, Pauline Wittekind 1, Iris Waqué 1, Schafiq Nabhani 1 and David Kofler 1, 1University of Cologne, Cologne, Germany

    Background/Purpose: Th17 cells are involved in the pathogenesis of ankylosing spondylitis (AS). However, the mechanism underlying enhanced Th17 cell accumulation in AS remains unknown. The…
  • Abstract Number: 597 • 2019 ACR/ARP Annual Meeting

    High Prevalence of Sacroiliac Bone Marrow Edema on MRI in Post Partum Women: A Temporary Phenomenom

    Thomas Renson1, Ann-Sophie De Craemer 1, Liselotte Deroo 1, Anaïs Depicker 1, Manouk de Hooge 1, Nele Herregods 1, Lennart Jans 1, Kristien Roelens 1, Isabelle Dehaene 1, Philippe Carron 1, Filip Van den Bosch 1 and Dirk Elewaut 1, 1Ghent University Hospital, Ghent, Belgium

    Background/Purpose: Magnetic Resonance Imaging (MRI) is a sensitive method for detection of sacroiliitis. However, recently, concerns have been raised about its specificity. In contrast to…
  • Abstract Number: 598 • 2019 ACR/ARP Annual Meeting

    Identification of Potential Risk Factors for Spinal Structural Damage in Chinese Patients with Ankylosing Spondylitis

    Weiping Kong1, Caroline Jefferies 2, Tom Learch 2, Feng Zhu 1, Nan Zhang 1, Dier Jin 1, Yingze Zhang 1, Qingwen Tao 1, Xiaoping Yan 1, Michael Weisman 3 and Mariko Ishimori 2, 1China-Japan Friendship Hospital, Beijing, China (People's Republic), 2Cedars-Sinai Medical Center, Los Angeles, CA, 3David Geffen School of Medicine at UCLA, Los Angeles, CA

    Background/Purpose: Spinal structural damage can lead to physical dysfunction and decline of spinal mobility in patients with ankylosing spondylitis (AS). Although great progress has been…
  • Abstract Number: 599 • 2019 ACR/ARP Annual Meeting

    Muscle Physical Properties in Young Adult Axial Spondyloarthritis Patients, the MyoSpA Study

    Fernando Pimentel-Santos1, Agna Neto 2, Lúcia Domingues 3, Atlas Sardoo 3, Santiago Rodrigues-Manica 1, Rita Pinheiro Torres 4, Carolina Crespo 5, Alexandre Sepriano 6, Sofia Ramiro 7, Kalyani Nair 8, Júlia Costa 9, Patrícia Gomes-Alves 10, Alfonse Masi 11 and Jaime Branco 1, 1CEDOC, NOVA-Medical School | Hospital Egas Moniz, CHLO, Lisbon, Lisbon, Portugal, 2Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental; CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon; Hospital Central do Funchal, Madeira., Lisbon, Portugal, 3CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon, Lisbon, Portugal, 4Rheumatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental; CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Lisbon., Lisbon, Portugal, 5CEDOC, NOVA Medical School, Universidade Nova de Lisboa, Lisboa, Portugal, Lisbon, Portugal, 6Leiden University Medical Center, Leiden, Netherlands, 7Leiden University Medical Center and Zuyderland Medical Centre, Leiden, Netherlands, 8Bradley University and University of Illinois College of Medicine at Peoria, Illinois, USA, Peoria, IL, 9Instituto de Tecnologia Química e BiológicaAntónio Xavier, Universidade NOVA de Lisboa, Av. República, 2780-157 Oeiras, Portugal, Oeiras, Portugal, 10Instituto de Tecnologia Química e Biológica António Xavier, Universidade NOVA de Lisboa, Oeiras, Portugal, Oeiras, Portugal, 11University of Illinois College of Medicine at Peoria and Bradley University, Peoria Illinois, USA, Peoria, IL

    Background/Purpose: An important mechanism regarding axial spondyloarthritis (axSpA) susceptibility and progression is the biomechanical concept, suspected from axial myofascial hypertonicity and stiffness in ankylosing spondylitis…
  • Abstract Number: 600 • 2019 ACR/ARP Annual Meeting

    Frequency of Disease Flares Under Long-Term Anti-TNF Therapy in Patients with Early Axial Spondyloarthritis: Results from the Etanercept versus Sulfasalazine in Early Axial Spondyloarthritis Trial (ESTHER)

    Fabian Proft1, Murat Torgutalp 2, Anja Weiß 3, Mikhail Protopopov 4, Valeria Rios Rodriguez 5, Hildrun Haibel 1, Kay-Geert Hermann 5, Christian Althoff 5, Olaf Behmer 6, Joachim Sieper 1 and Denis Poddubnyy 7, 1Charité Universitätsmedizin Berlin, Germany, Berlin, Germany, 2Charité Universitätsmedizin Berlin, Germany and Ankara University Faculty of Medicine, Ankara, Turkey., Berlin, Germany, 3German Rheumatism Research Center (DRFZ), Berlin, Germany, 4Charité Universitätsmedizin Berlin, Germany, Berlin, Berlin, Germany, 5Charité Universitätsmedizin, Berlin, Germany, 6Pfizer Inc., Berlin, Germany, 7Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany

    Background/Purpose: Disease flares in axial spondyloarthritis (axSpA) might occur even in patients with otherwise stable disease receiving effective anti-inflammatory therapy such as TNF inhibitors. The…
  • Abstract Number: 601 • 2019 ACR/ARP Annual Meeting

    Development of an Optimized Online Self-Referral Tool for Early Recognition of Patients with Axial Spondyloarthritis – Data from the OptiRef Study

    Fabian Proft1, Laura Spiller 2, Mikhail Protopopov 3, Valeria Rios Rodriguez 2, Burkhard Muche 2, Judith Rademacher 2, Susanne Lüders 2, Anne Katrin Weber 2, Imke Redeker 4 and Denis Poddubnyy 5, 1Charité Universitätsmedizin Berlin, Germany, Berlin, Germany, 2Charité Universitätsmedizin, Berlin, Germany, 3Charité Universitätsmedizin Berlin, Germany, Berlin, Berlin, Germany, 4Charité – Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, 5Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany

    Background/Purpose: One of the major reasons for a long diagnostic delay in axial spondyloarthritis (axSpA) is the late referral of patients by primary care physicians…
  • Abstract Number: 602 • 2019 ACR/ARP Annual Meeting

    Comparison of Men and Women with Axial Spondyloarthritis in the US-Based Corrona Psoriatic Arthritis/Spondyloarthritis (PsA/SpA) Registry

    Philip Mease1, Mei Liu 2, Sabrina Rebello 2, Robert McLean 2, Blessing Dube 2, Meghan Glynn 3, Esther Yi 4, Yujin Park 5 and Alexis Ogdie 6, 1Swedish Medical Center/Providence St Joseph Health, and University of Washington, Seattle, WA, 2Corrona, LLC, Waltham, MA, 3Corrona, LLC, Waltham, 4Novartis Pharmaceuticals Corporation, East Hanover, NJ, 5Novartis Pharmaceuticals Corporation, East Hanover, 6Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Axial spondyloarthritis (axSpA) is a chronic inflammatory rheumatic disease that primarily affects the axial skeleton and frequently affects the peripheral joints and entheses. AxSpA…
  • Abstract Number: 603 • 2019 ACR/ARP Annual Meeting

    Are the Modified New York and ASAS Criteria Interchangeable in the Classification of Patients with Spondyloarthritis with Radiographic Sacroiliitis?

    Anne Boel1, Anna Moltó 2, Désirée van der Heijde 3, Adrian Ciurea 4, Maxime Dougados 5, Lianne Gensler 6, Maria José Santos 7, Eugenio de Miguel 8, Denis Poddubnyy 9, Martin Rudwaleit 10, Astrid van Tubergen 11, Floris van Gaalen 3 and Sofia Ramiro 12, 1Leiden University Medical Centre, Leiden, Netherlands, 2Paris Descartes University, Cochin Hospital, Rheumatology department, Paris, France, 3Leiden University Medical Center, Leiden, Netherlands, 4University Hospital Zürich, Zürich, Switzerland, 5Cochin Hospital, Paris, France, 6University San Francisco California, San Francisco, CA, 7Rheumatology department, Hospital Garcia de Orta, Almada, Portugal, 8Rheumatology Department, Hospital Universitario La Paz, Madrid, Spain, 9Charité - Universitätsmedizin Berlin and German Rheumatism Research Centre, Berlin, Germany, Berlin, Germany, 10Klinikum Bielefeld, Charité Berlin, Gent University, Bielefeld, Germany, 11Maastricht University Medical Centre and Care and Public Health Research Institute (CAPHRI), Maastricht, Netherlands, 12Leiden University Medical Center and Zuyderland Medical Centre, Leiden, Netherlands

    Background/Purpose: Patients with axial spondyloarthritis (axSpA) with radiographic sacroiliitis may be classified using the modified New York (mNY) criteria as ankylosing spondylitis and using the…
  • Abstract Number: 604 • 2019 ACR/ARP Annual Meeting

    Do Illness Perceptions and Coping Change over Time in Patients Recently Diagnosed with Axial Spondyloarthritis? A 2-Year Follow-Up Study in the SPACE Cohort

    Miranda van Lunteren1, Robert B.M. Landewé 2, Camilla Fongen 3, Roberta Ramonda 4, Désirée van der Heijde 1 and Floris van Gaalen 1, 1Leiden University Medical Center, Leiden, Netherlands, 2Amsterdam University Medical Center, Amsterdam, Netherlands, 3Diakonhjemmet Hospital, Oslo, Norway, 4University of Padova, Padova, Italy

    Background/Purpose: We have previously shown that in patients with recently diagnosed axial SpA (axSpA), illness perceptions had a negative impact on the relationship between back…
  • Abstract Number: 605 • 2019 ACR/ARP Annual Meeting

    Macrophage Migration Inhibitory Factor Is a Critical Regulator in a Mouse Model of Spondyloarthritis

    Akihiro Nakamura1, Fanxing Zeng 1, Sayaka Nakamura 1, Richard Bucala 2 and Nigil Haroon 3, 1University Health Network, Toronto, Canada, 2Yale University School of Medicine, New Haven, CT, 3Toronto Western Hospital, Krembil Research Institute, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Spondyloarthritis (SpA) is a chronic rheumatic disease characterized by severe inflammation in the spine, peripheral joints, intestine, skin and eyes. Although current treatment modalities…
  • Abstract Number: 606 • 2019 ACR/ARP Annual Meeting

    Effectiveness of TNFi After a First Switch in Patients with Early Axial Spondyloarthritis: A Longitudinal Analysis of the DESIR Cohort

    Marion Pons 1, Sylvie Chevret 2, Karine Briot 3, Maria-Antonietta D’Agostino 4, Christian Roux 5, Maxime Dougados 6 and Anna Moltó5, 1Rheumatology department, Cochin Hospital, Paris, Paris, Ile-de-France, France, 2INSERM U-1153, CRESS Paris-Sorbonne, Paris, Paris, Ile-de-France, France, 3Rheumatology department, Cochin Hospital, Paris, France, Paris, Ile-de-France, France, 4Department of Rheumatology, APHP, Hôpital Ambroise Paré, Paris, France, 5Paris Descartes University, Cochin Hospital, Rheumatology department, Paris, France, 6Cochin Hospital, Paris, France

    Background/Purpose: Contradictory data has been reported on the effectiveness of a second and third line of TNFi in early axial spondyloarthritis (axSpA). The objective of…
  • Abstract Number: 607 • 2019 ACR/ARP Annual Meeting

    Expansion of Peripheral Cytotoxic T Cells in Co-morbid Inflammatory Bowel Disease and Spondyloarthritis

    Adam Lefferts1, Emilie Regner 2, Andrew Stahly 3, Rebecca O'Rourke 1, Kenneth Jones 2 and Kristine Kuhn 1, 1University of Colorado, Anschutz Medical Campus, Aurora, CO, 2University of Colorado, Anschutz Medical Campus, Denver, CO, 3University of Colorado, Aurora, CO

    Background/Purpose: Background: The clinical overlap of axial spondyloarthritis (axSpA) and Crohn’s disease (CD) has given rise to the hypothesis that these conditions may share pathophysiologic…
  • Abstract Number: 608 • 2019 ACR/ARP Annual Meeting

    Prevalence of Radiographic Entheseal Lesions at the Hip and Pelvic Region in Patients with Ankylosing Spondylitis versus Controls

    Freke Wink1, Thomas Diemel 2, Suzanne Arends 2 and Anneke Spoorenberg 2, 1Medical Center Leeuwarden, Leeuwarden, Netherlands, 2University Medical Center Groningen, Groningen, Netherlands

    Background/Purpose: Enthesitis is one of the features of ankylosing spondylitis (AS). High prevalence of structural and inflammatory ultrasound lesions of peripheral entheses are found in…
  • Abstract Number: 609 • 2019 ACR/ARP Annual Meeting

    Baseline Characteristics and Natural History of Radiographic versus Non-radiographic Axial Spondyloarthritis: 5 Years Follow-up of the Desir Cohort

    Clementina López-Medina1, Anna Moltó 2, Pascal Claudepierre 3 and Maxime Dougados 4, 1Cochin Hospital, Rheumatology Department, Paris, France, 2Paris Descartes University, Cochin Hospital, Rheumatology department, Paris, France, 3Rheumatology, CHU Henri Mondor Créteil, Paris, France, 4Cochin Hospital, Paris, France

    Background/Purpose: There is still a debate concerning the concept of non-radiographic (nr-axSpA) axial Spondyloarthritis (e.g. to consider it as a distinct entity from r-axSpA (Ankylosing…
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