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Abstracts tagged "giant cell arteritis"

  • Abstract Number: 9L • 2015 ACR/ARHP Annual Meeting

    A Randomized Double-Blind Trial of Abatacept and Glucocorticoids for the Treatment of Giant Cell Arteritis

    Carol A. Langford1, David Cuthbertson2, Steven R. Ytterberg3, Nader A. Khalidi4, Paul A. Monach5, Simon Carette6, Philip Seo7, Larry W. Moreland8, Michael Weisman9, Curry L. Koening10, Antoine G. Sreih11, Robert F. Spiera12, Carol McAlear13, Kenneth J. Warrington14, Christian Pagnoux6, Kathleen Maksimowicz-McKinnon15, Lindsy J. Forbess16, Gary S. Hoffman1, Renee Borchin17, Jeffrey Krischer17 and Peter A. Merkel18, 1Rheumatology, Cleveland Clinic, Cleveland, OH, 2Biostatistics and Informatics, Department of Pediatrics, University of South Florida, Tampa, FL, 3Rheumatology Division, Mayo Clinic, Rochester, MN, 4McMaster University, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada, 5Rheumatology, Boston University School of Medicine, Boston, MA, 6Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 7Division of Rheumatology, Johns Hopkins, Baltimore, MD, 8Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 9Cedars-Sinai Medical Center, Los Angeles, CA, 10Division of rheumatology, George E. Wahlen Department of Veterans Affairs Medical Center Salt Lake City and University of Utah, University of Utah School of Medicine, Salt Lake City, UT, 11Department of Rheumatology, University of Pennsylvania, Philadelphia, PA, 12Rheumatology, Hospital for Special Surgery, New York, NY, 13Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 14Rheumatology, Mayo Clinic, Rochester, MN, 15Rheumatology, University of Pittsburgh, Pittsburgh, PA, 16Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, 17University of South Florida, Tampa, FL, 18Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Giant cell arteritis (GCA) is a large-vessel primary systemic vasculitis. Although glucocorticoids are effective in treating GCA, they are associated with substantial toxicity and…
  • Abstract Number: 1954 • 2015 ACR/ARHP Annual Meeting

    How Can We Use Ultrasound in the Diagnosis and Management of Patients with Giant Cell Arteritis?

    Cristina Ponte1,2, Sophie Vaggers1, Jan Sznajd1, Lorraine O'Neill1, Jennifer Piper3, Jessica Gunn1, Kulveer Mankia1 and Raashid Luqmani1, 1Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 2Rheumatology and Metabolic Bone Diseases Department, Rheumatology Research Unit - IMM, Lisbon Academic Medical Centre, Lisbon, Portugal, 3Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom

    Background/Purpose: Giant cell arteritis (GCA), the most common primary vasculitis, can cause irreversible blindness in 20-30% of untreated cases, but glucocorticoid therapy leads to significant…
  • Abstract Number: 2161 • 2015 ACR/ARHP Annual Meeting

    Ustekinumab for the Treatment of Refractory Giant Cell Arteritis

    Richard Conway1,2, Lorraine O'Neill3,4, Eileen O'Flynn3, Geraldine M. McCarthy5,6, Conor Murphy7, Douglas J. Veale8, Ursula Fearon9 and Eamonn S. Molloy10, 1CARD Newman Research Fellow, University College Dublin, Dublin, Ireland, 2Centre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, University College Dublin, Dublin, Ireland, 3Rheumatology, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland, 4Rheumatology, St. Vincent's University Hospital, Dublin 4, Ireland, 5Rheumatology, Mater Misericordiae University Hospital, Dublin 7, Ireland, 6University College Dublin, Dublin, Ireland, 7Department of Ophthalmology, Royal Victoria Eye and Ear Hospital, Dublin, Ireland, 8St Vincent's University Hospital, Centre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, Dublin 4, Ireland, 9St. Vincent's University Hospital, Centre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, Dublin 4, Ireland, 10St Vincent's University Hospital, Centre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, St Vincent's University Hospital, Dublin 4, Dublin 4, Ireland

    Background/Purpose: Giant cell arteritis (GCA) requires treatment with high dose corticosteroids. Many patients require chronic steroid therapy with associated significant side effects. There is a…
  • Abstract Number: 1958 • 2015 ACR/ARHP Annual Meeting

    Diagnostic Value of Ultrasonography-Derived Signs in Giant Cell Arteritis: Literature Review and Meta-Analysis

    Fanny BUSQUET1, Léa Rouxel2, Thomas Barnetche3 and Thierry Schaeverbeke4, 1intern of hospital, BORDEAUX, France, 2intern of hospital, Bordeaux, France, 3PHD, bordeaux, France, 4department head, Bordeaux, France

    Background/Purpose: Giant Cell Arteritis (GCA) is the most common form of systemic inflammatory vasculitis in elderly people, with prevalence still increasing, and for which there…
  • Abstract Number: 1960 • 2015 ACR/ARHP Annual Meeting

    a Structured and Extensive Training Program on Vascular Ultrasound, Results in an Excellent Agreement Between Ultrasound and Temporal Artery Biopsy in the Diagnosis of Giant Cell Arteritis

    Stavros Chrysidis1, Ulrich Fredberg2, Uffe Møller Døhn3, Tove Lorenzen4, Lene Terslev5, Knud Larsen6 and Andreas P Diamantopoulos7, 1Department of Rheumatology, Hospital of Southwest Denmark, Esbjerg, Denmark, 2Department of Internal Medicine, Diagnostic Centre Region Hospital Silkeborg Denmark, Silkeborg, Denmark, 3Center for Rheumatology and Spine Diseases, Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet - Glostrup, University of Copenhagen, Glostrup, Denmark, 4Diagnostic Centre, Region Hospital Silkeborg, Silkeborg, Denmark, 5Copenhagen University Hospital at Glostrup, Copenhagen, Denmark, 6otolaryngology, Southwest hospital, Esbjerg, Denmark, 7Rheumatology, Haugesund Hospital for Rheumatic Diseases, Haugesund, Norway

    Background/Purpose: There is an increased use of vascular ultrasound (US) for diagnosing giant cell arteritis (GCA).  Consequently, extensive and structured training of ultrasonographers performing vascular…
  • Abstract Number: 1962 • 2015 ACR/ARHP Annual Meeting

    Inter-Rater Analysis of Ultrasound and Histological Findings in Patients with Suspected Giant Cell Arteritis

    Raashid Luqmani1, Ellen Lee2, Surjeet Singh3, Michael Gillett2, Wolfgang A. Schmidt4, Mike Bradburn2, Bhaskar Dasgupta5, Andreas P Diamantopoulos6, Wulf Forrester-Barker7, William Hamilton8, Shauna Masters9, Brendan McDonald10, Eugene McNally7, Colin T. Pease11, Jennifer Piper7, John Salmon12, Allan Wailoo2, Konrad Wolfe13, Andrew Hutchings14 and TABUL Sonographers Group and TABUL Pathologists Group, 1Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 2School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom, 31Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 4Medical Center for Rheumatology and Clinical Immunology Berlin-Buch, Immanuel Krankenhaus Berlin, Berlin, Germany, 5Rheumatology, Southend University Hospital, Essex, United Kingdom, 6Department of Rheumatology, Hospital of Southern Norway Trust, Kristiansand, Norway, 7Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 8Primary Care, University of Exeter, Exeter, United Kingdom, 9Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, United Kingdom, 10Department of Neuropathology and Ocular Pathology, Oxford University Hospitals NHS Trust, Oxford, United Kingdom, 11Rheumatology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 12Ophthalmology, Oxford University Hospitals NHS Trust, Oxford, United Kingdom, 13Department of Pathology, Southend University Hospital, Essex, United Kingdom, 14Health Services Research Unit, London School of Hygiene and Tropical Medicine, London, United Kingdom

    Background/Purpose: Ultrasound is emerging as an alternative test to performing a temporal artery biopsy in the diagnosis of giant cell arteritis (GCA). Little is known…
  • Abstract Number: 1965 • 2015 ACR/ARHP Annual Meeting

    T Cell Activation, Proliferation and Differentiation Markers Lack Diagnostic Accuracy for Detecting Active GCA and PMR

    Kornelis S.M. van der Geest1, Wayel H. Abdulahad2, Qi Wang2, Mirjam Roffel2, Gerda Horst2, Abraham Rutgers2, Annemieke M.H. Boots2 and Elisabeth Brouwer2, 1Dept. of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands, 2Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands

    Background/Purpose: The most important biomarker in GCA and PMR patients is increased erythrocytes sedimentation rate (ESR) and/ or increased serum level of C-reactive protein (CRP).…
  • Abstract Number: 1966 • 2015 ACR/ARHP Annual Meeting

    Active PMR and GCA Is Associated with Changes in Monocyte Subset Composition

    Qi Wang1, Kornelis S.M. van der Geest2, Wayel H. Abdulahad1, Johanna Westra3, Annemieke M.H. Boots1 and Elisabeth Brouwer1, 1Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands, 2Hanzeplein 1, Hpc: Aa21, University Medical Center Groningen, University of Groningen, Groningen, Netherlands, 3Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands

    Background/Purpose: Giant cell arteritis (GCA) and polymyalgia rheumatica (PMR) are two closely related syndromes affecting older people. Proinflammatory cytokine IL-6 is found increased in both…
  • Abstract Number: 1969 • 2015 ACR/ARHP Annual Meeting

    Can We Predict the Relapse of Giant Cell Arteritis?

    Alojzija Hocevar, Rok Ješe, Ziga Rotar, Sonja Praprotnik, Matija Tomšič and Saša Čučnik, Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Background/Purpose: Relapses during glucocorticoid (GC) tapering are frequent in giant cell arteritis (GCA). Anemia at the time of GCA diagnosis was a predictor of flare…
  • Abstract Number: 1970 • 2015 ACR/ARHP Annual Meeting

    Incidence and Predictors of Thoracic Aortic Damage in Biopsy-Proven Giant Cell Arteritis: A Single-Institution Cohort Study

    Matthew J. Koster1, Cristian Labarca2, Cynthia S. Crowson3, Eric L. Matteson1 and Kenneth J. Warrington1, 1Rheumatology, Mayo Clinic, Rochester, MN, 2Rheumatology, Clinica Alemana Universidad del Desarrollo, Santiago, Chile, 3Health Sciences Research, Mayo Clinic, Rochester, MN

    Background/Purpose: Patients with giant cell arteritis (GCA) are at an increased risk for aortic structural damage; however, the timing and predisposing characteristics for development of…
  • Abstract Number: 1971 • 2015 ACR/ARHP Annual Meeting

    Healthcare Utilization and Direct Medical Costs of Giant Cell Arteritis

    Matthew J. Koster1, Sara J. Achenbach2, Cynthia S. Crowson2, Eric L. Matteson1, Hilal Maradit Kremers2 and Kenneth J. Warrington1, 1Rheumatology, Mayo Clinic, Rochester, MN, 2Department of Health Sciences Research, Mayo Clinic, Rochester, MN

    Title: Healthcare Utilization and Direct Medical Costs of Giant Cell Arteritis Background/Purpose: Giant cell arteritis (GCA) is the most common systemic vasculitis in patients aged…
  • Abstract Number: 1974 • 2015 ACR/ARHP Annual Meeting

    Do Patients with Giant Cell Arteritis Meet the 2011 United Kingdom Department of Health Guidance on Physical Activity?

    Joanna Robson1, Karolina Lada2, Anne Miller3, Wilby Williamson1, Julia Newton2 and Raashid Luqmani4, 1Rheumatology, University of Oxford, Oxford, United Kingdom, 2University of Oxford, Oxford, United Kingdom, 3Nuffield Orthopaedic Center, Oxford., Oxford, United Kingdom, 4Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom

    Background/Purpose: Physical inactivity is the fourth leading risk factor for global mortality accounting for 6% of deaths. Patients with giant cell arteritis (GCA) are at…
  • Abstract Number: 1975 • 2015 ACR/ARHP Annual Meeting

    Risk of Mortality of Patients with Giant Cell Arteritis: A Systematic Review and Meta-Analysis

    Catherine Hill1, Rachel Black2, Johannes Nossent3, Carlee Ruediger4, Jem Ninan5 and Susan Lester6, 1Rheumatology Unit, The Queen Elizabeth Hospital, Woodville, Australia, 2Medicine, University of Adelaide, Adelaide, Australia, 3Medicine, University of Western Australia, WA, Australia, 4Rheumatology, The Queen Elizabeth Hospital, Woodville, Australia, 5Rheumatology, Modbury Hospital, Modbury, Australia, 6Rheumatology, Basil Hetzel Institute, QEH, Woodville South, Australia

    Background/Purpose: Previous studies of mortality associated with GCA have shown conflicting results.We conducted a systematic review and meta-analysis of observational studies to compare the mortality…
  • Abstract Number: 113 • 2015 ACR/ARHP Annual Meeting

    Longitudinal, Incremental Direct Medical Costs of Giant Cell Arteritis for the First Five Years Following Diagnosis: A General Population-Based Cohort Study

    Natalie McCormick1, Carlo Marra2 and J Antonio Avina-Zubieta3, 1Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada, 2Pharm Sciences, Univ of British Columbia, Vancouver, BC, Canada, 3Arthritis Research Canada / University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: Giant cell arteritis (GCA) is the most common form of adult vasculitis, but estimates of the healthcare costs of GCA are extremely scarce.  We…
  • Abstract Number: 1979 • 2015 ACR/ARHP Annual Meeting

    Baseline Data on Patients Enrolled in a Randomized, Double-Blind Trial of Tocilizumab in Giant Cell Arteritis

    Katie Tuckwell1, Neil Collinson1, Micki Klearman2, Sophie Dimonaco1, John H. Stone3 and on behalf of the GiACTA Investigators, 1Roche Products Ltd., Welwyn Garden City, United Kingdom, 2Genentech, South San Francisco, CA, 3Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: GiACTA, a randomized, double-blind, placebo-controlled trial of the interleukin-6 receptor alpha inhibitor tocilizumab (TCZ) in patients (pts) with giant cell arteritis (GCA), is the…
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