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Abstracts tagged "Infection"

  • Abstract Number: 744 • 2013 ACR/ARHP Annual Meeting

    Relationship Between Infectious Side Effects and Immunoglobulin Levels In The Maintenance Rituximab Vs Azathioprine For ANCA-Associated Vasculitides Trial

    Loic Guillevin1, Christian Pagnoux2, Alexandre Karras3, Chahera Khouatra4, Olivier Aumaître5, Pascal Cohen6, Olivier Decaux7, Hélène Desmurs-Clavel8, Pierre Gobert9, Thomas Quemeneur10, Claire Blanchard-Delaunay11, Pascal Godmer12, Xavier Puechal13, Pierre-Louis Carron14, Pierre-Yves Hatron15, Nicolas Limal16, Mohamed Hamidou17, Francois Maurier18, Thomas Papo19, Matthias Büchler20, Bernard Bonnotte21, Philippe Ravaud22 and Luc Mouthon23, 1Internal Medicine, Division of Internal Medicine, Hôpital Cochin, University Paris Descartes, Paris, France, 2Internal Medicine, Hôpital Cochin, PARIS, France, 3Nephrology, Hôpital Européen Georges Pompidou, APHP, Paris, France, 4CHU Lyon, Lyon, France, 5Division of internal Medicine, Centre Hospitalier Universitaire, Hôpital Gabriel Montpied, Clermont–Ferrand, Clermont–Ferrand, France, 6National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 7Department of Internal Medicine, Rennes University Hospital, Rennes, France, 8University of Lyon, LYON, France, 9Nephrology, Centre Hospitalier d'Avignon, Avignon, France, 10Internal medicine, CHR de Valenciennes, Valenciennes, France, 11Internal Medicine, Hôpital de Niort, Niort, France, 12Department of Internal Medicine, Centre Hospitalier Bretagne Atlantique de Vannes, Vannes, France, 13Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 14Internal Medicine, Centre Hospitalier de Grenoble, Grenoble, France, 15Department of Internal Medicine, Claude Huriez University Hospital, Lille, France, 16Department of Internal Medicine, Hôpital Henri Mondor, APHP, Creteil, France, 17Internal Medicine Department, Nantes University Hospital, Nantes, France, 18HP Metz Belle Isle Hospital, Department of Internal Medicine, Metz, France, 19Internal Medicine, University Paris-7, INSERM U699, APHP, Bichat Hospital, Paris, France, 20Nephrology, University Hospital of Tours, TOURS, France, 21Department of Internal Medicine, Centre Hospitalier de Dijon, Dijon, France, 22Epidemiology, Hopital Hotel Dieu, Paris Descartes University, Paris, France, 23Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France

    Background/Purpose: MAINRITSAN trial (NCT 00748644) results demonstrated that 500 mg of rituximab (RTX) every 6 months was superior to azathioprine (AZA) to maintain ANCA-associated–vasculitis (AAV)…
  • Abstract Number: 745 • 2013 ACR/ARHP Annual Meeting

    Rate Of Infection and Development Of Malignancy In Patients With ANCA-Associated Vasculitis Treated With Rituximab: A Meta-Analysis From Randomized Trials

    Carolina Mejia-Otero1, Carlos J. Lozada2 and Luis Arias-Urdaneta3, 1Internal Medicine, Mount Sinai Medical Center, Miami, FL, 2Dept of Medicine/Rheumatology, University of Miami Miller School of Medicine, Miami, FL, 3Rheumatology, Mount Sinai Medical Center, Miami Beach, FL

    Background/Purpose: Over the past 40 years failures to achieve remission in a proportion of patients and the potential development of significant adverse effects have been…
  • Abstract Number: 2679 • 2013 ACR/ARHP Annual Meeting

    Incidence Rates Of Serious Infections and Infection Subtypes Among Pediatric Systemic Lupus Erythematosus Patients Enrolled In Medicaid, According To Medication Use

    Linda T. Hiraki1, Candace H. Feldman2, Mary Beth Son3, Jessica M. Franklin4, Michael A. Fischer4, Daniel H. Solomon5, Seoyoung C. Kim6, Wolfgang C. Winkelmayer7 and Karen H. Costenbader2, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard School of Public Health, Boston, MA, 2Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 3Division of Immunology, Boston Children's Hospital, Boston, MA, 4Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA, 5Division of Pharmacoepidemiology, Harvard Medical School, Brigham and Women's Hospital, Division of Rheumatology, Division of Pharmacoepidemiology, Boston, MA, 6Div. of Pharmacoepidemiology and Pharmacoeconomics, Div. of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 7Division of Nephrology, Stanford University School of Medicine, Stanford, CA

    Incidence Rates Of Serious Infections and Infection Subtypes Among Pediatric Systemic Lupus Erythematosus Patients Enrolled In Medicaid, According To Medication UseBackground/Purpose: We investigated incidence rates…
  • Abstract Number: 531 • 2013 ACR/ARHP Annual Meeting

    Influenza Infection Of MHC-I Transgenic Mice Reveals That Erap Is Necessary and Sufficient For Generation Of The B27-Specific Immunodominant Epitope

    Ali Akram1 and Robert Inman2, 1Institute of Medical Science and Department of Immunology, University of Toronto and University Health Network (UHN), Toronto, ON, Canada, 2Immunlogy and Institute of Medical Science, University of Toronto and Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: Although HLA-B27 and ERAP are known to confer susceptibility to spondyloarthritis (SpA), the role of these elements in modulating host response to infection is…
  • Abstract Number: 2358 • 2013 ACR/ARHP Annual Meeting

    Sarilumab, a Subcutaneously Administered, Fully Human Monoclonal Antibody Inhibitor Of The IL-6 Receptor Alpha: 12 Week Infection Rates By Level Of Circulating Neutrophils In Rheumatoid Arthritis and Ankylosing Spondylitis

    Kevin L. Winthrop1, Tanya Momtahen2, Stefano Fiore3, Steven P. Weinstein4, Janet van Adelsberg5, Richard Wu6 and Neil Graham7, 1Dept of Infectious Disease, Oregon Health & Science University, Portland, OR, 2Program Direction, Sanofi, Bridgewater, NJ, 3Clinical Science, Sanofi, Bridgewater, NJ, 4Clinical Development, Regeneron Pharmaceuticals Inc, Tarrytown, NY, 5Clinical Science, Regeneron Pharmaceutials, Inc., Tarrytown, NY, 6BioStatistics, Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 7Program Direction, Regeneron Pharmaceuticals, Inc., Tarrytown, NY

    Background/Purpose: Sarilumab is a human monoclonal antibody directed against the alpha subunit of the IL-6 receptor (IL-6Rα). IL-6 blockade is associated with a reduction in…
  • Abstract Number: 445 • 2013 ACR/ARHP Annual Meeting

    Post-Hoc Analysis Of Serious Infection Events and Selected Clinical Factors In Rheumatoid Arthritis Patients Treated With Tofacitinib

    J. J. Gomez-Reino1, A. Hazra2, C. Fosser2, S. Menon3, S. H. Zwillich2, R. Riese2 and S. Krishnaswami3, 1Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain, 2Pfizer Inc, Groton, CT, 3Clinical Pharmacology, Pfizer Inc, Groton, CT

    Background/Purpose: Tofacitinib is a novel oral Janus kinase (JAK) inhibitor for the treatment of rheumatoid arthritis (RA). Serious infections (requiring hospitalization or parenteral antibiotics; SIEs)…
  • Abstract Number: 2332 • 2013 ACR/ARHP Annual Meeting

    Assessment of Lipid Changes and Infection Risk In Diabetic and Nondiabetic Patients With Rheumatoid Arthritis Treated With Tofacitinib

    W. F. C. Rigby1, L. Takiya2, S. P. Wood3, H. Fan2 and T. V. Jones2, 1Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH, 2Pfizer Inc, Collegeville, PA, 3Pfizer Inc, Groton, CT

    Background/Purpose: Tofacitinib is a novel, oral Janus kinase inhibitor for the treatment of rheumatoid arthritis (RA). Studies have shown an increased prevalence of diabetes mellitus…
  • Abstract Number: 376 • 2013 ACR/ARHP Annual Meeting

    The Risk Of Pneumococcal Infections After Immunisation With Pneumococcal Conjugate Vaccine Compared To Non-Vaccinated Inflammatory Arthritis Patients

    Johanna Bengtsson1, Pierre Geborek2, Tore Saxne3, Martin Englund4, Ingemar F. Petersson4, Jan-Åke Nilsson5, Göran Jönsson6 and Meliha C. Kapetanovic7, 1Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University and Skåne University Hospital, Lund, Sweden, Lund, Sweden, 2Section of Rheumatology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden, 3Section of Rheumatology, Deparment of Clinical Sciences, Lund, Lund University, Lund, Sweden, 4Department of Orthopedics, Clinical Sciences Lund, Lund University, Lund, Sweden, 5Rheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden, 6Lund Universoty, Dept of Clinical Sciences Lund, Section of Infectious Diseases, Lund, Sweden, 7Dept of Clinical Sciences Lund, Section of Rheumatology, Lund University, Lund, Sweden

    The risk of pneumococcal infections after immunisation with pneumococcal conjugate vaccine compared to non-vaccinated inflammatory arthritis patientsBackground/Purpose: The purpose was to examine the risk of…
  • Abstract Number: 2330 • 2013 ACR/ARHP Annual Meeting

    Relationship Between Lymphocyte Count and Risk Of Infection In Rheumatoid Arthritis Patients Treated With Tofacitinib

    R. F. van Vollenhoven1, R. Riese2, S. Krishnaswami2, T. Kawabata2, C. Fosser2, S. Rottinghaus2, M. Lamba2 and S. H. Zwillich2, 1Clinical Trials Unit Department of Rheumatology, The Karolinska Institute, Stockholm, Sweden, 2Pfizer Inc, Groton, CT

    Background/Purpose: Tofacitinib is a novel oral Janus kinase (JAK) inhibitor for the treatment of rheumatoid arthritis (RA). Cytokines involved in lymphocyte development, function and homeostasis…
  • Abstract Number: 305 • 2013 ACR/ARHP Annual Meeting

    Incidence of Herpes Zoster in Patients with Psoriatic Arthritis

    Devy Zisman1,2, Haim Bitterman1,3, Ilan Feldhamer4, Doron Comanesther4, Erez Battat4, Sari Greenberg-Dotan4, Sarit Cohen5 and Arnon-Dov Cohen4, 1Technion, The Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel, 2Rheumatology Unit, Carmel Medical Center, Haifa, Israel, 3Chief Physician's Office, Clalit Health Services, Haifa, Israel, 4Chief Physician's Office, Clalit Health Services, Tel Aviv, Israel, 5Carmel Medical Center, Haifa, Israel

    Background/Purpose: To assess the incidence of Herpes Zoster (HZ) in patients with psoriatic arthritis (PsA) and its relation to treatment regimen:Traditional disease-modifying anti-rheumatic drugs (c-DMARDs)…
  • Abstract Number: 2166 • 2013 ACR/ARHP Annual Meeting

    Infection Risk With Tumor Necrosis Factor Inhibitor Use In Polyarticular Juvenile Idiopathic Arthritis

    Caroline Y Chang1, Rika Meyer2 and Katherine AB Marzan1, 1Division of Rheumatology, Children's Hospital Los Angeles, Los Angeles, CA, 2Children's Hospital Los Angeles, Los Angeles, CA

    Background/Purpose: Tumor Necrosis Factor inhibitors (TNFi) are extremely effective in treating Juvenile Idiopathic Arthritis (JIA).  However, TNF-α is critical in immune function, raising concerns of…
  • Abstract Number: 273 • 2013 ACR/ARHP Annual Meeting

    Neutropenia With Tocilizumab Treatment Is Not Associated With Increased Infection Risk In Patients With Systemic Juvenile Idiopathic Arthritis

    Fabrizio De Benedetti1, Hermine Brunner2, Eileen M. Baildam3, Ruben Burgos-Vargas3, Gerd Horneff3, Hans-Iko Huppertz3, Kirsten Minden4, Barry L. Myones2, Karen Onel5, Jianmei Wang6, Kamal N. Bharucha7, Daniel J. Lovell2, Alberto Martini8 and Nicolino Ruperto3, 1IRCCS Ospedale Pediatrico Bambino Gesú, Rome, Italy, 2PRCSG, Cincinnati, OH, 3PRINTO, Genoa, Italy, 4Children’s University Hospital Charite/German Rheumatism Research Centre Berlin, Berlin, Germany, 5Pediatric Rheumatology, University of Chicago Hospitals, Chicago, IL, 6Roche Products Ltd., Welwyn Garden City, United Kingdom, 7Genentech, South San Francisco, CA, 8Pediatria II, Istituto Giannina Gaslini, Genova, Italy

    Background/Purpose: In the phase 3 TENDER trial of tocilizumab (TCZ) in patients with systemic juvenile idiopathic arthritis (sJIA), decreases in neutrophil count were commonly observed.…
  • Abstract Number: 1804 • 2013 ACR/ARHP Annual Meeting

    Effect of Mycophenolate On the White Blood Cell Count and the Frequency of Infection in Systemic Lupus Erythematosus

    Ananta Subedi1, Hong Fang2 and Michelle Petri2, 1Good Samaritan Hospital, Baltimore, MD, 2Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Leukopenia is a common manifestation of SLE. Addition of immunosuppressive therapy is of concern, in that it could worsen leukopenia; increase the risk of…
  • Abstract Number: 1461 • 2013 ACR/ARHP Annual Meeting

    Corticosteroid Use In Rheumatoid Arthritis Patients On Infliximab: Treatment Implications Based On A REAL-WORLD Canadian Population

    Boulos Haraoui1, Algis V Jovaisas2, William G. Bensen3, Rafat Y. Faraawi4, John T. Kelsall5, Sanjay Dixit6, Emmanouil Rampakakis7, John S. Sampalis7, Francois Nantel8, Susan M. Otawa9, Allen J. Lehman9 and May Shawi10, 1Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada, 2Division of Rheumatology, University of Ottawa, Ottawa, ON, Canada, 3Department of Medicine, Division of Rheumatology, Clinical Professor, McMaster University, Hamilton, ON, Canada, 4Rheumatologist, KW Musculoskeletal Research Inc., Kitchener, ON, Canada, 5Mary Pack Arthritis Centre, Vancouver, Vancouver, BC, Canada, 6McMaster University, Hamilton, ON, Canada, 7JSS Medical Research, Montreal, QC, Canada, 8Janssen Inc., Toronto, ON, Canada, 9Medical Affairs, Janssen Inc., Toronto, ON, Canada, 10Medical Affairs, Janssen Canada Inc, Toronto, ON, Canada

    Background/Purpose: The Canadian Rheumatology Association1 recommends that addition of corticosteroids (CS) should be considered only for the shortest period possible in rheumatoid arthritis (RA) patients…
  • Abstract Number: 1370 • 2013 ACR/ARHP Annual Meeting

    Prednisone Is a Risk Factor For Pneumocystis Jirovecii Pneumonia In Patients With Rheumatic Diseases: A Case-Control Study With 36 Cases

    Wieneke van den Hombergh1, Annelies van Ede2, J. Fransen3, Femke BG lamers-Karnebeek3, Saskia Kuipers4 and Matthijs Janssen5, 1Rheumatology, UMC st. Radboud, Nijmegen, Netherlands, 2Rheumatology, UMC st Radboud, Nijmegen, Netherlands, 3Rheumatology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 4Microbiology, UMC st Radboud, Nijmegen, Netherlands, 5Department of Rheumatology, Rijnstate Hospital, Arnhem, Netherlands

     Background/Purpose: Pneumocystis jirovecii is a fungal pathogen that causes pneumonia in immunocompromized hosts. Prednisone is frequently suggested as a risk factor for developing pneumocystis pneumonia (PCP) in patients with rheumatic diseases. If prednisone…
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