ACR Meeting Abstracts

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Abstracts tagged "glucocorticoids"

  • Abstract Number: 1958 • ACR Convergence 2022

    The Increased Risk of Staphylococcus Aureus Bacteremia in Rheumatoid Arthritis – What Is the Impact of Glucocorticoids, Biologic Disease-Modifying Anti-Rheumatic Drugs and Disease Activity: A Danish Nationwide Nested Case-Control Study in the DANBIO Registry

    Sabine Dieperink1, Bente Glintborg2, Frank Mehnert3, Mette Nørgaard3, Louise Bruun Oestergaard4, Thomas Benfield5, Christian Torp-Pedersen6, Andreas Petersen7 and Merete Lund Hetland1, 1Copenhagen University Hospital - Rigshospitalet, Glostrup, Denmark, 2Rigshospitalet, Glostrup, Virum, Denmark, 3Aarhus University Hospital, Aarhus, Denmark, 4Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark, 5Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark, 6Copenhagen University Hospital - North Zealand, Copenhagen, Denmark, 7Statens Serum Institut, Copenhagen, Denmark

    Background/Purpose: Staphylococcus aureus bacteremia (SAB) has high mortality.[1] We have previously identified an approximately doubled risk in patients with rheumatoid arthritis (RA),[2] but the role…
  • Abstract Number: 0955 • ACR Convergence 2022

    Unfavorable Pregnancy Outcome Is Significantly Associated with Corticosteroid Exposure During Pregnancy in Women with RA: Analysis of the Prospective GR2 Cohort

    SABRINA HAMROUN1, Marion Couderc2, Rene-Marc Flipo3, Laure Gossec4, Christophe Richez5, Rakiba Belkhir6, Aline Frazier-Mironer7, Valerie Devauchelle8, Hubert Marotte9, Jérémie SELLAM10, elisabeth gervais11, Alban DEROUX12, Cédric Lukas13, Emmanuelle Dernis14, Emmanuel Chatelus15 and Anna Molto16, 1Rheumatology Department, University Hospital of Cochin, Paris, Paris, France, 2University Hospital, Clermont-Ferrand, France, 3CHU Lille, Boulogne-Billancourt, France, 4Sorbonne Université, Paris, France, 5Université de Bordeaux, Bordeaux, France, 6Rheumatology departement, Bicêtre, Paris-Saclay university, Le Kremlin Bicêtre, France, 7APHP Hôpital Lariboisire, Paris, France, 8Université de Bretagne Occidentale, Brest, France, 9INSERM 1059, Saint-Etienne, France, 10Sorbonne Universite, AP-HP, Saint-Antoine hospital, Paris, France, 11chu poitiers, Poitiers, France, 12CHU Grenoble, Grenoble, France, 13University Hospital Centre Montpellier, University of Montpellier, Montpellier, France, 14LE MANS general hospital, LE MANS, France, 15University Hospital of Strasbourg, Strasbourg, France, 16Rheumatology Department, Cochin Hospital, APHP, Paris, France

    Background/Purpose: Rheumatoid arthritis (RA) is one of the most common chronic inflammatory diseases and regularly affects women of childbearing age. However, there is limited knowledge…
  • Abstract Number: 1987 • ACR Convergence 2022

    Prednisone Use and the Incidence of Hyperglycemia or Diabetes in Patients with Rheumatoid Arthritis; A 10-year Sub Analysis of the BeSt Study

    CF Allaart1, Sytske Anne Bergstra2, Tom Huizinga1 and Joy van der Pol3, 1Leiden University Medical Center, Leiden, Netherlands, 2LUMC, Leiden, Netherlands, 3Leiden University Medical Center, Utrecht, Netherlands

    Background/Purpose: Use of prednisone in rheumatoid arthritis has been questioned because it may trigger side effects such as hyperglycemia and diabetes. However, disease activity (DAS)…
  • Abstract Number: 0021 • ACR Convergence 2022

    DB-2306, a Novel Anti-TNFα Monoclonal Antibody Drug Conjugate, Is a Promising Novel Therapeutic Approach for Autoimmune Disease

    Xi Li, Yu Zhang, Bing Li and Haiqing Hua, Duality Biologics, Shanghai, China

    Background/Purpose: Small molecule immune modulators, such as glucocorticoids (GCs), are highly effective in treatment for various inflammatory diseases. However, prolonged systemic administration of GCs is…
  • Abstract Number: 0960 • ACR Convergence 2022

    Serum C3 Level and Glucocorticoid Dose Are Risk Factors for Preterm Birth in Patients with Systemic Lupus Erythematosus

    Hiromi Shimada1, Risa Wakiya1, shusaku nakashima2, Mikiya Kato1, taichi miyagi3, Yusuke Ushio4, Koichi Sugihara5, Rina Mino6, mao mizusaki6, Kanako Chujo7, Tomohiro Kameda1 and Hiroaki Dobashi8, 1Kagawa University, Kagawa, Japan, 2Division of Hematology, Rheumatology and Respiratory Medicine, Department of Internal Medicine, Faculty of Medicine, Kagawa, Japan, 3Kagawa University, Kidagun, Japan, 4Division of Hematology, Rheumatology and Respiratory Medicine, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Miki, Kita District, Kagawa, Japan, 5Kagawa University, Miki-cho, Kita-gun, Japan, 6Kagawa University, Division of Hematology, Rheumatology and Respiratory Medicine, Department of Internal Medicine, Faculty of Medicine, Miki-cho, Kita-gun, Japan, 7Kagawa University, Miki, Kita District, Kagawa, Japan, 8Division of Hematology, Rheumatology and Respiratory Medicine, Department of Internal Medicine, Faculty of Medicine, Kagawa, Kagawa, Japan

    Background/Purpose: Women with Systemic lupus erythematosus (SLE) have more difficulty in achieving a successful pregnancy than healthy women, because of higher risks for adverse pregnancy…
  • Abstract Number: 1994 • ACR Convergence 2022

    Is Glucocorticoid Bridging Associated with Later Glucocorticoid and Biological DMARD Use in Patients with Rheumatoid Arthritis?

    Lotte van Ouwerkerk1, Sytske Anne Bergstra2, Tjardo Maarseveen1, Rachel Knevel1, Tom Huizinga1 and CF Allaart1, 1Leiden University Medical Center, Leiden, Netherlands, 2LUMC, Leiden, Netherlands

    Background/Purpose: Glucocorticoids (GC) are rapidly effective in suppressing disease activity in rheumatoid arthritis (RA), and are often used as 'bridging' therapy while slower acting conventional…
  • Abstract Number: 0128 • ACR Convergence 2022

    Advantages of Alternate-Day Glucocorticoid Treatment Strategy for IgG4-Related Disease: A Preliminary Retrospective Study ID: 1287015

    Sho Fukui1, Takehiro Nakai2, Satoshi Kawaai3, Yukihiko Ikeda2, Masei Suda4, Atsushi Nomura5, Hiromichi Tamaki2, Mitsumasa Kishimoto6, Sachiko Ohde7 and Masato Okada2, 1Kyorin University Hospital, Tokyo, Japan, 2St. Luke's International Hospital, Tokyo, Japan, 3St. Luke's International Hospital, Chuo-ku, Tokyo, Japan, 4Suwa Central Hospital, Nagano, Japan, 5St. Luke's International Hospital, Nagareyama, Japan, 6Kyorin University School of Medicine, Yokohama, Japan, 7Center for Clinical Epidemiology, St.Luke's International University, Tokyo, Japan

    Background/Purpose: Alternate-day glucocorticoid (GC) treatment is an effective treatment option that can reduce GC-associated adverse events in patients with rheumatoid arthritis and other autoimmune rheumatic…
  • Abstract Number: 0995 • ACR Convergence 2022

    Association of Glucocorticoid Use with Healthcare Utilization Among Persons with Systemic Lupus Erythematosus

    Patricia Katz1, Sofia Pedro2, Jiyoon Choi3 and Kaleb Michaud4, 1UCSF, San Rafael, CA, 2Forward, The National Databank for Rheumatic Diseases, Wichita, KS, 3Bristol Myers Squibb, Lawrenceville, NJ, 4University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: Glucocorticoids (GCs) have long been a mainstay of treatment for systemic lupus erythematosus (SLE). While GCs do provide benefit, there are potential side effects…
  • Abstract Number: 1996 • ACR Convergence 2022

    Individual Patient Data Meta-analysis on Continued Use of Glucocorticoids After Their Use as Bridging Therapy in Patients with Rheumatoid Arthritis

    Lotte van Ouwerkerk1, Patrick Verschueren2, Pascal de Jong3, Paul Emery4, Josef Smolen5, Robert Landewé6, Willem Lems7, Maarten Boers8, Tom Huizinga1, CF Allaart1 and Sytske Anne Bergstra9, 1Leiden University Medical Center, Leiden, Netherlands, 2University Hospital Leuven, Leuven, Belgium, 3ErasmusMC, Hendrik Ido Ambacht, Netherlands, 4Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 5Medical University of Vienna, Vienna, Austria, 6Amsterdam University Medical Center, Meerssen, Netherlands, 7Amsterdam University Medical Centers, Amsterdam, Netherlands, 8Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands, 9LUMC, Leiden, Netherlands

    Background/Purpose: Short-term (< 3 months) treatment with glucocorticoids (GC) ("bridging") is recommended in the EULAR 2019 rheumatoid arthritis (RA) recommendations when starting a csDMARD in…
  • Abstract Number: 0178 • ACR Convergence 2022

    Muscle Fibres Play a Critical Role in Therapeutic Response of Myositis to Glucocorticoids Through Polarisation of the Inflammatory Infiltrate by a Paracrine Mechanism

    Margherita Giannini1, Daniela Rovito2, Léa Debrut3, Céline Keime4, Beatrice Lannes5, Anne-Laure Charles3, Delphine Duteil2, Bernard Geny6, Daniel Metzger2, Gilles Laverny2 and Alain Meyer1, 1Service de Physiologie et explorations fonctionnelles, CHU, Strasbourg ; Centre de Référence des Maladies Autoimmunes Rares, CHU, Strasbourg ; UR3072, Centre de Recherche en Biomédecine, University of Strasbourg, Strasbourg, France, 2University of Strasbourg, CNRS UMR7104, INSERM U1258, IGBMC, F-67400, Illkirch, France, 3UR3072 Centre de Recherche en Biomédecine, University of Strasbourg, Strasbourg, France, 4University of Strasbourg, CNRS UMR 7104, INSERM UMR-S 1258, IGBMC, F-67400, Illkirch, France, 5Département de pathologie, Centre de référence des maladies neuromusculaires, CHU Strasbourg, University of Strasbourg, Strasbourg, France, 6Service de Physiologie et explorations fonctionnelles, CHU, Strasbourg ; UR3072 Centre de Recherche en Biomédecine, University of Strasbourg, Strasbourg, France

    Background/Purpose: Glucocorticoids (GC) are the first line treatment for myositis patients. They improve muscle strength, yet muscle recovery is generally partial and long lasting treatment…
  • Abstract Number: 0997 • ACR Convergence 2022

    Withdrawal of Maintenance Glucocorticoid versus Other Immunosuppressants Among Patients with Systemic Lupus Erythematosus in Long Term Clinical Remission: Interim Analysis of a Non-inferiority Randomised Controlled Trial

    Aishwarya Gopal1, Chengappa Kavadichanda2, Devender Bairwa3, Molly Mary Thabah4 and Vir Singh Negi5, 1Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, Puducherry, India, 2JIPMER, Pondicherry, Puducherry, India, 3Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, Puducherry, India, 4JIPMER, Puducherry, Puducherry, India, 5AIIMS Bilaspur, Puducherry, Puducherry, India

    Background/Purpose: Attempts to stop glucocorticoids among Systemic Lupus Erythematosus(SLE) patients in long term remission have been successful. Continuing other immunosuppressive (IS) agents indefinitely is currently…
  • Abstract Number: 2000 • ACR Convergence 2022

    Tapering of Long-term, Low Dose Glucocorticoids in Senior Rheumatoid Arthritis Patients: Follow up of the Pragmatic, Multicentre, Placebo-controlled GLORIA Trial

    Abdullah Almayali1, Maarten Boers2, Linda Hartman3, Daniela OPRIS-BELINSKI4, Reinhard Bos5, Marc Kok6, Jose Pereira da Silva7, Eduard N Griep8, Ruth Klaasen9, CF Allaart10, Paul Baudoin11, Hennie Raterman12, Zoltan Szekanecz13, Frank Buttgereit14, Pavol MASARYK15, Willem Lems16, Maurizio Cutolo17 and Marieke ter Wee3, 1Amsterdam University Medical Centers, Vrije Universiteit, Purmerend, Noord-Holland, Netherlands, 2Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands, 3Amsterdam University Medical Centers, Vrije Universiteit, Amsterdam, Netherlands, 4Carol Davila University, Bucharest, Romania, 5Medical Centre Leeuwarden, Department of Rheumatology, Leeuwarden, Netherlands, 6Department of Rheumatology and Clinical immunology, Maasstad Hospital, Rotterdam, Netherlands, 7University of Coimbra, Rheumatology, Columbia, Portugal, 8Department of Rheumatology, Antonius Hospital, Leeuwarden, Netherlands, 9Department of Rheumatology, Meander Medical Center, Amersfoort, Netherlands, 10Leiden University Medical Center, Leiden, Netherlands, 11Reumazorg Flevoland, Almere, Netherlands, 12Department of Rheumatology, Northwest Clinics, Alkmaar, Netherlands, 13Division of Rheumatology, Faculty of Medicine, Debrecen, Hungary, 14Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin / DRFZ Berlin, Berlin, Germany, 15National Institute for the Rheumatic Diseases, Piešťany, Slovakia, 16Amsterdam University Medical Centers, Amsterdam, Netherlands, 17Laboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, IRCCS San Martino Polyclinic Hospital, Genova, Italy

    Background/Purpose: Guidelines suggest glucocorticoids (GC) should be used as bridge therapy in rheumatoid arthritis (RA), but many patients are on chronic treatment, and the effects…
  • Abstract Number: 0458 • ACR Convergence 2022

    Predictive Models for Thromboembolic Events in Giant Cell Arteritis: A US Veterans Health Administration Population-Based Study

    Despina Michailidou1, Tianyu Zhang2, Andreas Diamantopoulos3, Pavlos Stamatis4 and Bernard Ng5, 1Division of Rheumatology, University of Washington, Seattle, WA, 2Department of Biostatistics, University of Washington, Seattle, WA, 3Akershus University Hospital, Lørenskog, Norway, 4Department of Clinical Sciences Lund, Rheumatology, Lund University, Sweden, Larissa, Larisa, Greece, 5Rheumatology Section, VA Puget Sound Healthcare System, Seattle, WA

    Background/Purpose: Giant cell arteritis (GCA) is an independent risk factor for thromboembolic events. The purpose of our study was to identify prognostic factors for thromboembolic…
  • Abstract Number: 1041 • ACR Convergence 2022

    Tofacitinib in Refractory Uveitis – an Observational Study

    Nikhil Gupta1 and Deepankur Mahajan2, 1Centre for Arthritis and Rheumatological diseases in Delhi, New Delhi, India, 2Mahajan Eye Centre, New Delhi, India

    Background/Purpose: To evaluate the effect of generic tofacitinib in refractory uveitis patients.Methods: It was a prospective observational study of 23 patients of refractory anterior uveitis.…
  • Abstract Number: 2010 • ACR Convergence 2022

    Lowering Expectations: Glucocorticoid Tapering Among Veterans with Rheumatoid Arthritis Achieving Low Disease Activity on Stable Biologic Therapy

    Beth Wallace1, Bryant England2, Joshua Baker3, Gary Kunkel4, Tawnie Braaten5, Jorge Rojas6, Alison Petro2, Punyasha Roul7, Ted Mikuls8, Brian Sauer9 and Grant Cannon10, 1Michigan Medicine, VA Ann Arbor Healthcare System, Ann Arbor, MI, 2University of Nebraska Medical Center, Omaha, NE, 3University of Pennsylvania, Philadelphia, PA, 4University of Utah, Salt Lake City, UT, 5University of Utah Hospitals and Clinics and VA Salt Lake City Health Care System, Salt Lake City, UT, 6George E. Wahlen Department of Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, 7UNMC, Omaha, NE, 8Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE, 9Salt Lake City VA/University of Utah, Salt Lake City, UT, 10Retired, Salt Lake City, UT

    Background/Purpose: Up to 80% of RA patients use glucocorticoids (GC) at some time in their illness. Current ACR guidelines note that difficulty tapering GC promotes…
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