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Abstracts tagged "Crystal-induced arthritis"

  • 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].…
  • Abstract Number: 0814 • ACR Convergence 2023

    Treat-to-target Urate-lowering Therapy Reduces Gout Flare Burden: Post-hoc Analysis of a Multicenter, Randomized, Double-blind, Non-inferiority Trial

    Joshua Qu1, Lindsay Helget1, Maria Androsenko2, Hongsheng Wu3, Bridget Kramer1, Jefferey Newcomb4, Mary Brophy3, Anne Davis-Karim5, Bryant England1, Ryan Ferguson3, Michael Pillinger6, Tuhina Neogi7, Paul Palevsky8, James O'Dell1 and Ted R Mikuls9, 1University of Nebraska Medical Center, Omaha, NE, 2Department of VA, Newton, MA, 3Boston VA, Boston, MA, 4University of Nebraska, Omaha, NE, 5Albuquerque VA, Albuquerque, NM, 6New York University Grossman School of Medicine, New York, NY, 7Boston University School of Medicine, Boston, MA, 8University of Pittsburgh, Pittsburgh, PA, 9Division of Rheumatology and Immunology, University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: To optimally manage gout, the ACR recommends a treat-to-target (T2T) strategy, which entailsthe titration of urate-lowering therapy (ULT) to achieve and maintain a serum…
  • Abstract Number: 0815 • ACR Convergence 2023

    Intermittent Fasting Reduces Crystal-induced Inflammation

    Nghia Pham1, Twinu Wilson Chirayath2, Florence Castelli3, François Fenaille3, Anvi-Laetitia Nguyen3, François Brial4, Augustin Latourte4, Frédéric Lioté4, Pascal Richette5, Thomas Bardin6 and Hang Korng EA7, 1INSERM 1132, BIOSCAR, Lariboisière hospital, Paris, France, 2INSERM, Paris, France, 3Laboratoire d’études du métabolisme des médicaments UMS 28, CEA Saclay, Gif-sur-Yvette, France, 4INSERM 1132, BIOSCAR, Paris, France, 5Lariboisière Hospital, Paris, France, 6Université de Paris Cité, Paris, France, 7INSERM-BIOSCAR, Paris, France

    Background/Purpose: Inflammation induced by monosodium urate (MSU) and calcium pyrophosphate (CPP) crystals depends on interleukin (IL)-1β activated by the NLRP3 inflammasome. The inflammatory response can…
  • 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: 1900 • ACR Convergence 2022

    CoLchicine for Treatment of OsteoArthritis of the Knee (CLOAK)-A Double-blind, Placebo-controlled Trial

    Jonathan Samuels1, Michael Pillinger2, Michael Toprover3, Svetlana Krasnokutsky Samuels4, Apoorva Patil5, Fernando Bomfim6, Renata La Rocca Vieira6, David Wei5, Sydney Catron5, Maryfe coronel5, Annie Kim5 and Sarah Moussavi5, 1NYU Langone, Rye Brook, NY, 2NYU Grossman School of Medicine, New York, NY, 3Division of Rheumatology, New York University Grossman School of Medicine and Rheumatology Section, New York Harbor Health Care System, New York Campus of the U.S. Department of Veterans Affairs, New York, NY, 4Westmed, Rye Brook, NY, 5NYU Langone Health, New York, NY, 6NYU Langone, New York, NY

    Background/Purpose: Knee osteoarthritis (OA) is an inflammatory disease, with a probable role for IL-1b. Calcium and urate crystals may promote OA by activating the NLRP3…
  • Abstract Number: 2208 • ACR Convergence 2022

    Diagnostic Performance of Hip Ultrasound in Calcium Pyrophosphate Deposition Disease

    Carina Soto-Fajardo1, Fabian Carranza-Enriquez2, Sinthia Solorzano Flores2, Abish Angeles2, Paola Flores2, Raul Pichardo-Bahena2, Luis Javier Jara Quezada2, Angélica Peña Ayala2, Victor-Manuel Ilizaliturri-Sanchez2, Georgios Filippou3 and Carlos Pineda2, 1Instituto Nacional de Rehabilitacion "Luis Guillermo Ibarra Ibarra", Ciudad de México, Mexico, 2Instituto Nacional de Rehabilitacion, Ciudad de México, Mexico, 3Rheumatology Department, Luigi Sacco University Hospital, Siena, Italy

    Background/Purpose: Calcium Pyrophosphate Deposition Disease (CPPD) is a chronic and potentially incapacitating disease. The reference standard for its diagnosis is the identification of calcium pyrophosphate…
  • Abstract Number: 1145 • ACR Convergence 2022

    The Prostate Plays a Role in Serum Urate Levels and the Risk of Gout in Men

    Mariana Urquiaga1, Megan Leask1, Nicholas Sumpter1, Brooke Maxwell2, Sara Lewis2, Eric E. Kelley2 and Tony Merriman3, 1University of Alabama at Birmingham, Birmingham, AL, 2West Virginia University, Morgantown, WV, 3University of Otago, Dunedin, New Zealand

    Background/Purpose: Men have higher serum urate (SU) and increased prevalence of gout compared to pre-menopausal women. Xanthine oxidoreductase (XOR), encoded by the XDH gene, is…
  • Abstract Number: 1791 • ACR Convergence 2022

    Point-of-Care Multi-Energy Photon-Counting CT for Earlier Non-Invasive Diagnosis of Gout and Calcium Pyrophosphate Deposition Disease

    Fabio Becce1, Anais Viry2, Damien Racine2, David Rotzinger1, Tristan Pascart3, Georgios Filippou4, Jérôme Damet2 and Lucia Gallego Manzano2, 1Lausanne University Hospital (CHUV), Lausanne, Switzerland, 2Institute of Radiation Physics, Lausanne, Switzerland, 3Groupement Hospitalier de l'Institut Catholique de Lille, Lomme, France, 4Rheumatology Department, Luigi Sacco University Hospital, Siena, Italy

    Background/Purpose: While the definitive diagnosis of gout and calcium pyrophosphate deposition disease (CPPD) is still based on the identification of characteristic crystals in synovial fluid…
  • Abstract Number: 1801 • ACR Convergence 2022

    High Frequency of Structural Damage in the Lower Spine of Patients with Chondrocalcinosis

    Kalliopi Klavdianou1, Jona Kasfeld2, Martin Fruth3, Styliani Tsiami4, Juergen Braun5, Philipp Sewerin6, David Kiefer5 and Xenofon Baraliakos7, 1'Asklepieion' General Hospital, Department of Rheumatology, Voula, Athens, Greece, 2Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Herne, Germany, 3Blikk, Radiologie, Herne, Germany, 4Rheumazentrum Ruhrgebiet, Herne, Ruhr-University Bochum, Herne, Germany, 5Rheumazentrum Ruhrgebiet, Herne, Germany, 6Rheumazentrum Ruhrgebiet, Ruhr-Universität-Bochum, Herne, Germany, 7Rheumazentrum Ruhrgebiet Herne, Herne, Germany

    Background/Purpose: Calcium pyrophosphate dihydrate crystal deposition disease (CPPD, chondrocalcinosis) is known to affect fibrocartilaginous tissue in the large and smaller peripheral joints. The affection of…
  • Abstract Number: 1804 • ACR Convergence 2022

    Raman Spectroscopy Integrated with Polarized Light Microscopy for Diagnosis of Crystallopathies

    Tom Niessink1, Matthijs Janssen2, Cees Otto1 and Tim Jansen3, 1Medical Cell Biophysics group, University of Twente, Enschede, Netherlands, 2Rijnstate Hospital, Bennekom, Netherlands, 3Department of Rheumatology, VieCuri Medical Centre, Venlo, Netherlands

    Background/Purpose: The current golden standard in diagnosing gout and calcium pyrophosphate deposition is polarized light microscopy (PLM). However, small crystal sizes, the presence of other…
  • Abstract Number: 1813 • ACR Convergence 2022

    Patient-Reported Outcomes in CPPD Compared to Gout and Osteoarthritis

    Mary Grace Whelan1, Keigo Hayashi2 and Sara Tedeschi1, 1Brigham and Women's Hospital, Boston, MA, 2Brigham and Women's Hospital, Okayama, Japan

    Background/Purpose: Calcium pyrophosphate deposition (CPPD) disease prevalence is similar to gout and osteoarthritis (OA), yet CPPD outcomes research greatly lags behind these other forms of…
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