ACR Meeting Abstracts

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Abstracts tagged "Crystal-induced arthritis"

  • Abstract Number: 0279 • ACR Convergence 2024

    Macrophage Intracellular Fates of Monosodium Urate and Calcium Pyrophosphate Crystals: Phagocytosis, Exchanged/expulsion and Dissolution of Crystals

    Charles Leroy1, Nghia Pham2, François Brial3, Brenda Kischkel4, gwénaêlle Jayat5, Elena Ishow6, Christèle Combes7, Leo Joosten4, Augustin Latourte8, Pascal Richette9 and Hang-Korng Ea10, 1Inserm 1132 / Université Paris Cité, levallois-perret, France, 2INSERM 1132, BIOSCAR, Lariboisière hospital, Paris, France, 3Inserm 1132/ Université Paris Cité, Paris, France, 4Radboudumc, Nijmegen, Netherlands, 5Université Paris cité / Inserm 1132, paris, France, 6Université de Nantes / Ceisam, Nantes, France, 7INP-ENSIACET, Toulouse, France, 8AP-HP, Paris, France, 9Lariboisière Hospital, Paris, France, 10Université Paris Cité, INSERM UMR 1132 BIOSCAR, Paris, France

    Background/Purpose: Gout, due to the presence of monosodium urate crystals (MSU) and calcium pyrophosphate (CPP) crystal deposition disease are both responsible for recurrent inflammation flares.…
  • Abstract Number: 0280 • ACR Convergence 2024

    Trends in Management and Consultations for Gout: A Study of 18 Million Adults Using the OpenSAFELY Platform

    Mark Russell1, Jon Massey2, Edward Roddy3, Brian MacKenna4, Seb Bacon4, Ben Goldacre4, Colm Andrews4, George Hickman4, Amir Mehrkar2, Arti Mahto5, Andrew Rutherford6, Samir Patel1, Maryam Adas7, Edward Alveyn7, deepak Nagra1, Katie Bechman7, Joanna Ledingham8, Joanna Hudson9, Sam Norton1, Andrew Cope7 and James Galloway10, 1King's College London, London, England, United Kingdom, 2University of Oxford, Oxford, England, United Kingdom, 3Keele University, Keele, England, United Kingdom, 4University of Oxford, Oxford, United Kingdom, 5King's College Hospital NHS Foundation Trust, London, United Kingdom, 6King's College Hospital NHS Foundation Trust, London, England, United Kingdom, 7King's College London, London, United Kingdom, 8Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom, 9King's College London, King's College London, United Kingdom, 10Centre for Rheumatic Diseases, King's College London, London, United Kingdom

    Background/Purpose: Data from before the COVID-19 pandemic had shown persistently poor care for people with gout in many countries worldwide. Whether this was further exacerbated…
  • Abstract Number: 0281 • ACR Convergence 2024

    Intra-articular Treatment Combining Sustained Release Colchicine Encapsulated in Microspheres, and Ropivacaine, Is Effective in Inflammatory Arthritis in Rats

    Julien GRASSOT1, Farah MARZOUKI2, Roxane HERVE3, Magali BECKLER4, Luca SEMERANO5, Natacha BESSIS6, Elodie RIVIERE7, Charles SANSON2, Gauthier POULIQUEN2, Philippe POULETTY8 and Marie-Christophe BOISSIER9, 1PK MED, LYON, Rhone-Alpes, France, 2PK MED, LYON, France, 3INSERM U1125, Bobigny, France, 4INSERM 1125, Bobigny, France, 5Avicenne Teaching Hospital APHP, Bobigny, France, 6INSERM, Université Sorbonne Paris Nord, PARIS, France, 7INSERM, Université Sorbonne Paris Nord, APHP, PARIS, France, 8PK MED, PARIS, France, 9University Sorbonne Paris Nord, Bobigny, France

    Background/Purpose: Gout is a common disease with a prevalence and incidence on the rise worldwide. However, approved treatments to treat acute gout flares have slow…
  • Abstract Number: 0282 • ACR Convergence 2024

    Electronic Health Record-Based Calcium Pyrophosphate Deposition Disease Registry: A Feasibility Study

    Nils Bürgisser1, Denis Mongin2, Samia Mehouachi2, Delphine Sophie Courvoisier3 and Kim Lauper4, 1Division of Rheumatology and internal medicine, Geneva University Hospital, Switzerland, Geneva, Switzerland, 2Division of Rheumatology, Geneva University Hospital, Switzerland, Geneva, Switzerland, 3Division of Rheumatology, Geneva University Hospitals, Geneva, Switzerland, 4Geneva University Hospitals, Geneva, Switzerland

    Background/Purpose: Despite its prevalence, calcium pyrophosphate deposition disease (CPPD) remains insufficiently studied. Leveraging electronic health record (EHR) data, a rich source of patient information, could…
  • Abstract Number: 0284 • ACR Convergence 2024

    Identification of Calcium Pyrophosphate Deposition Using Ultrasonography in Patients with a Suspected Diagnosis of Seronegative Rheumatoid Arthritis

    Joanna Potera1, Angelo Gaffo2, Alvin Day3, Mariana Urquiaga2 and Amanda Alexander4, 1University of Alabama at Birmingham, Irondale, AL, 2University of Alabama at Birmingham, Birmingham, AL, 3Dept. of Veterans Affairs, Lexington, SC, 4University of Alabama at Birmingham, Homewood, AL

    Background/Purpose: Calcium pyrophosphate deposition disease is a common condition that can cause chronic polyarticular inflammatory joint disease, which sometimes resembles rheumatoid arthritis. Misdiagnosis is especially…
  • Abstract Number: 1071 • ACR Convergence 2024

    Rapid Access Microscopy and Real Time Case Discussion via a Secure Messaging App Improves Diagnostic Accuracy and Management of Acute Hot Swollen Joints

    Anouchka Lewis1, John Stack2, Oisin Corish2, Callum Swift2, Tomás Breslin2, Frank Lyons2, Eavan Muldoon2, Cian McDermott2, Sharon Cowley2, Helina Alemayehu2, Oliver Boughton2, Khaled Taha2 and Geraldine McCarthy2, 1The Mater Misericordiae University Hospital, Dublin, Ireland, 2Mater Misericordiae University Hospital, Dublin, Ireland

    Background/Purpose: Patients with acute swollen joints are often presumed to have septic arthritis, leading to treatment with intravenous antibiotics and arthroscopic washout. Previously at our…
  • Abstract Number: 1100 • ACR Convergence 2023

    A Comparison of Characteristics of Patients with Crystalline and Septic Arthritis Confirmed by Synovial Fluid Analysis: Towards the Development of a Diagnostic Rule

    Maria Salgado Guerrero1, Mariana Urquiaga1, Nishah Panchani2 and Angelo Gaffo3, 1University of Alabama at Birmingham, Birmingham, AL, 2Tinsley Harrison Internal Medicine Residency Program, University of Alabama at Birmingham, Arlington, TX, 3Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, AL; Birmingham VA Medical Center, Birmingham, AL

    Background/Purpose: Distinguishing crystalline from septic arthritis is a common challenge in patients admitted with acute joint inflammation. Arthrocentesis for synovial fluid analysis is considered the…
  • Abstract Number: 1101 • ACR Convergence 2023

    Systemic Inflammation Associated with Silent Deposition of Monosodium Urate Crystals in Asymptomatic Hyperuricemia

    Maria-Luisa Peral-Garrido1, Paula Boix-Navarro2, Silvia Gómez-Sabater3, Rocío Caño-Alameda3, Alejandra Bermúdez-García4, Teresa Lozano4, Ruth Sanchez-Ortiga4, Miguel Perdiguero4, Elena Caro-Martínez5, Carolina Ruiz-García6, Eliseo Pascual4, Rubén Francés2 and Mariano Andrés4, 1Vinalopó University Hospital, Novelda, Spain, 2Miguel Hernandez University, San Juan de Alicante, Spain, 3Rheumatology Department, Dr. Balmis University General Hospital, Alicante. Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain, 4Dr Balmis Alicante General University Hospital-ISABIAL, Alicante, Spain, 5San Vicente Hospital-HACLE, San Vicente del Raspeig, Spain, 6Campoamor Health Centre, Alicante, Spain

    Background/Purpose: Whether the presence of subclinical monosodium urate (MSU) crystal deposition leads to a pro-inflammatory state in asymptomatic hyperuricemia (AH) is unknown. We aimed to…
  • Abstract Number: 1115 • ACR Convergence 2023

    EULAR Recommendations for the Use of Imaging in the Diagnosis and Management of Crystal-induced Arthropathies in Clinical Practice

    Peter Mandl1, Maria-Antonietta D'Agostino2, Victoria Navarro-Compán3, Irina Gessl1, Garifallia Sakellariou4, Abhishek Abhishek5, Fabio Becce6, Nicola Dalbeth7, Hang-Korng Ea8, Emilio Filippucci9, Hilde Berner Hammer10, Annamaria Iagnocco11, Annette De Thurah12, Esperanza Naredo13, Sebastien Ottaviani14, Tristan Pascart15, Fernando Perez-Ruiz16, Irene Pitsillidou17, Fabian Proft18, Juergen Rech19, Wolfgang Schmidt20, Luca Sconfienza21, Lene Terslev22, Brigitte Wildner23, Pascal Zufferey24 and Georgios Filippou25, 1Department of Rheumatology, Medical University of Vienna, Vienna, Austria, 2Universita Cattolica del Sacro Cuore Rome, Courbevoie, France, 3Department of Rheumatology, La Paz University Hospital, IdiPaz, Madrid, Spain, 4Department of Internal Medicine and Therapeutics, Università di Pavia, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy, 5University of Nottingham, Nottingham, United Kingdom, 6Lausanne University Hospital (CHUV), Lausanne, Switzerland, 7University of Auckland, Auckland, New Zealand, 8Hôpital Lariboisière, APHP-Nord, Service de Rhumatologie, Université de Paris Cité, Paris, France, 9Polytechnic University of Marche, Jesi, Italy, 10Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway AND University of Oslo, Faculty of Medicine, Oslo, Norway, 11University of Turin, Roma, Italy, 12Aarhus University Hospital, Aarhus, Denmark, 13Hospital Fundación, Madrid, Spain, 14Assistance Publique Hopitaux de Paris, Paris, France, 15Department of Rheumatology, Saint-Philibert Hospital, Lille Catholic University, Lille, France, 16Rheumatology Division, Osakidetza, OSI-EE Cruces, Cruces University Hospital, Barakaldo, Spain, 17EULAR Patient Research Partner, Executive Secretary of Cyprus League Against Rheumatism, Nicosia, Cyprus, 18Department of Gastroenterology, Infectiology and Rheumatology (including Nutrition Medicine), Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany, 19University Clinic Erlangen, Erlangen, Germany, 20Rheumatology, Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology Berlin-Buch, Berlin, Germany, 21Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano AND IRCCS Istituto Ortopedico Galeazzi, 20161, Milan, Italy, 22Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark, 23University Library, Medical University of Vienna, Vienna, Austria, 24Rheumatology Department, University of Lausanne, CHUV, Lausenne, Switzerland, 25IRCCS Galeazzi - Sant'Ambrogio Hospital, Milan, Italy

    Background/Purpose: The multifaceted clinical presentation in crystal-induced arthropathies (CiA) poses challenges to imaging. Our goal was to formulate evidence-based recommendations on the use of imaging…
  • Abstract Number: 1118 • ACR Convergence 2023

    The Nomenclature of Calcium Pyrophosphate Deposition (CPPD) Disease – Results of a Systematic Literature Review for the Gout, Hyperuricemia and Crystal-Associated Disease Network (G-CAN) CPPD Nomenclature Project

    Silvia Sirotti1, Charlotte Jauffret2, Edoardo Cipolletta3, Daniele Cirillo4, Luca Ingrao4, Alessandro Lucia4, Antonella Adinolfi5, Debora Pireddu4, Emilio Filippucci6, Tristan Pascart2, Sara Tedeschi7, Robert Terkeltaub8, Nicola Dalbeth9 and Georgios Filippou1, 1IRCCS Galeazzi - Sant'Ambrogio Hospital, Milan, Italy, 2Saint-Philibert Hospital, Lille Catholic University, Lille, France, 3Polytechnic University of Marche, Ancona, Italy, 4Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy, 5Rheumatology Unit, Grande Ospedale Metropolitano Niguarda, Milano, Italy, 6Polytechnic University of Marche, Jesi, Italy, 7Brigham and Women's Hospital, Boston, MA, 8University of California San Diego, San Diego, CA, 9University of Auckland, Auckland, New Zealand

    Background/Purpose: Despite prior attempts at standardising terminology of calcium pyrophosphate deposition (CPPD) disease (including the 2011 EULAR recommendations for CPPD terminology and diagnosis), many different…
  • Abstract Number: 1121 • ACR Convergence 2023

    Cardiovascular Safety of Febuxostat in Patients with Gout or Hyperuricemia: A Systematic Review of Randomized Controlled Trials

    Roba Ghossan1, Ouidade Aitisha Tabesh2, Fouad Fayad2, Pascal Richette3 and Thomas Bardin4, 1COCHIN HOSPITAL, Paris, France, 2Hotel Dieu de France, Beirut, Lebanon, 3Lariboisière Hospital, Paris, France, 4Université de Paris Cité, Paris, France

    Background/Purpose: To this date, a causal relationship between febuxostat and cardiovascular disease remains controversial as comparison between trials can be challenging and may lead to…
  • Abstract Number: 0048 • ACR Convergence 2023

    Monosodium Urate Crystals Activate an Immune Tolerance Program That Restrains the Activation of Inflammatory Signaling in Macrophages During Gout Flares

    Mohnish Alishala1, Stephen Calderon1, Anyan Chen1, Monica Guma2, Christopher glass1 and Isidoro Cobo1, 1University of California San Diego, San Diego, CA, 2University of California San Diego, La Jolla, CA

    Background/Purpose: Gout is the most frequent form of inflammatory arthritis, with episodes of self-resolving acute inflammation in the joint caused by the deposition of monosodium…
  • Abstract Number: 0246 • ACR Convergence 2023

    Safety & Efficacy of SEL-212 in Patients with Gout Refractory to Conventional Treatment: Primary Outcomes from Two Randomized, Double Blind, Placebo-Controlled, Multicenter Phase 3 Studies

    Herbert Baraf1, Alan Kivitz2, Sheri Rhodes3, Sheldon Leung4, Olu Folarin4, Tania Gonzalez-Rivera5, Joanna Sobierska5, Jacquie Christie5, Anand Patel6, Wesley DeHaan4, Rehan Azeem4 and Peter Traber7, 1The Center for Rheumatology and Bone Research, George Washington University, Rheumatology, Bethesda, MD, 2Altoona Center for Clinical Research, Duncansville, PA, 3Selecta Biosciences, Atlanta, GA, 4Selecta Biosciences, Inc., Watertown, MA, 5Swedish Orphan Biovitrum (Sobi), Stockholm, Sweden, 6Pioneer Research Solutions, Houston, TX, 7Selecta Biosciences, Gladwyne, PA

    Background/Purpose: In patients with refractory gout, the inability to maintain serum uric acid (sUA) levels < 6 mg/dL leads to severe clinical manifestations for which…
  • Abstract Number: 0315 • ACR Convergence 2023

    Identification of Calcium Crystals in End-Stage Osteoarthritis with Raman Spectroscopy

    Tom Niessink1, Tim Welting2, Matthijs Janssen3, Cees Otto4 and Tim Jansen5, 1University of Twente, Utrecht, Netherlands, 2MUMC+, Maastricht, Netherlands, 3Viecuri MC / Venlo, Wijgmaal, Belgium, 4University of Twente, Enschede, Netherlands, 5VieCuri MC, Venlo, Netherlands

    Background/Purpose: Calcium containing crystals in osteoarthritis (OA) are of interest as they potentially stimulate the NRLP-3 inflammasome and may become treatable with novel therapeutics. Previous…
  • Abstract Number: 0812 • ACR Convergence 2023

    Length of Synovial Fluid Monosodium Urate Crystals According to Sonographic Articular Deposits: Advancing in the Crystallization Process

    Elena Sansano1, Mª Carmen López-González2, Cristina Rodríguez-Alvear3, Irene Calabuig-Sais3, Agustín Martínez-Sanchís3, Eliseo Pascual3 and Mariano Andrés3, 1Miguel Hernandez University, Alicante, Spain, 2General University Hospital Dr. Balmis, Alacante, Spain, 3Dr Balmis Alicante General University Hospital-ISABIAL, Alicante, Spain

    Background/Purpose: We described bands of fibers having deposited orderly arrayed monosodium urate (MSU) crystals suggesting the need for protein templates to start crystallization [PMID 9709185].…
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