ACR Meeting Abstracts

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Abstracts tagged "Scleroderma"

  • Abstract Number: 1741 • 2018 ACR/ARHP Annual Meeting

    Disease Duration and Autoantibodies Predict Distinct Skin Score Trajectories in Diffuse Cutaneous Systemic Sclerosis

    Svetlana I. Nihtyanova1, Alper Sari2, Voon H. Ong3 and Christopher P. Denton4, 1Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, University College London, London, United Kingdom, 2Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 3Division of Medicine, University College London, London, United Kingdom, 4University College London, London, United Kingdom

    Background/Purpose: Although severity of skin involvement and change in skin thickness over time vary substantially between patients with diffuse cutaneous systemic sclerosis (dcSSc), for the…
  • Abstract Number: 1820 • 2018 ACR/ARHP Annual Meeting

    Myeloablative Autologous Hematopoietic Stem Cell Transplantation for Severe Scleroderma: Long-Term Outcomes 6-11 Years after Entry on a Randomized Study Comparing Transplantation and Cyclophosphamide

    Keith Sullivan1, Ashley Pinckney2, Ellen Goldmuntz3, Beverly Welch4, Dinesh Khanna5, Robert W. Simms6, Suzanne Kafaja7, George Georges8, Jan Storek9, Mary Ellen Csuka10, Richard Nash11, Daniel E. Furst12, Leslie Crofford13, Peter McSweeney11, Maureen D. Mayes14 and Lynette Keyes-Elstein15, 1Duke University Medical Center, Durham, NC, 2Rho Federal Systems, Inc., Chapel Hill, NC, 3NIAID, NIH, Bethesda, MD, 4National Institutes of Health, Bethesda, MD, 5Division of Rheumatology, Department of Internal Medicine, University of Michigan Scleroderma Program, University of Michigan, Ann Arbor, MI, 6Rheumatology, Boston University School of Medicine, Boston, MA, 7David Geffen School of Medicine, UCLA, Los Angeles, CA, 8Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA, 9University of Calgary, Calgary, AB, Canada, 10Medicine, Medical College of Wisconsin, Milwaukee, WI, 11Colorado Blood Cancer Institute, Denver, CO, 12University of Washington, Seattle, WA, 13Division of Rheumatology and Immunology, Vanderbilt University Medical Center, Nashville, TN, 14Rheumatology, University of Texas McGovern Medical School, Houston, TX, 15Clinical Statistics, Rho Federal Systems, Inc., Chapel Hill, NC

    Background/Purpose: The Scleroderma: Cyclophosphamide or Transplantation (SCOT) trial demonstrated that for adults with severe scleroderma (ACR 1995 criteria) and internal organ involvement, myeloablative CD34+selected autologous…
  • Abstract Number: 2701 • 2018 ACR/ARHP Annual Meeting

    Botulinum Toxin in the Management of Raynaud’s Phenomenon

    Daniel Ennis1,2, Zareen Ahmad3, Keshini Devakandan1, Melanie A Anderson4 and Sindhu Johnson1, 1Toronto Scleroderma Program, Mount Sinai Hospital, Toronto Western Hospital, Division of Rheumatology, Department of Medicine, University of Toronto, Toronto, ON, Canada, 2Rheumatology, University of British Columbia, Vancouver, BC, Canada, 3Toronto Scleroderma Program, Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 4University Health Network Library Services, Toronto General Hospital, Toronto, ON, Canada

    Background/Purpose: The objectives of this study were to evaluate the effectiveness and safety of botulinum toxin injection in Raynaud’s phenomenon. Methods: Medline and Embase databases…
  • Abstract Number: 2708 • 2018 ACR/ARHP Annual Meeting

    Current Management of Early Diffuse Cutaneous Systemic Sclerosis in US Scleroderma Centers

    Rebecca B. Blank1, Jessica K. Gordon2, Jackie Szymonifka3, Shervin Assassi4, Elana J. Bernstein5, Flavia V. Castelino6, Robyn T. Domsic7, Faye N. Hant8, Monique Hinchcliff9, Kate Homer10, Ami A. Shah11, Victoria Shanmugam12, Virginia D. Steen13, Tracy M. Frech14 and Dinesh Khanna15, 1Internal Medicine, New York Presbyterian-Weill Cornell Hospital, New York, NY, 2Rheumatology, Hospital for Special Surgery, New York, NY, 3Hospital for Special Surgery, New York, NY, 4University of Texas McGovern Medical School, Houston, TX, 5Rheumatology, Columbia University, New York, NY, 6Rheumatology, Harvard Medical School, Boston, MA, 7Medicine - Rheumatology, University of Pittsburgh, Pittsburgh, PA, 8Rheumatology, Medical University of South Carolina, Charleston, SC, 9Division of Rheumatology, Northwestern University Medical School, Chicago, IL, 10Department of Internal Medicine, Rheumatology Division, Scleroderma Program, University of Michigan, Ann Arbor, MI, 11Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 12Rheumatology, The George Washington University, Washington, DC, 13Rheumatology, MedStar Georgetown University Hospital, Washington, DC, 14Division of Rheumatology, University of Utah, Salt Lake City, UT, 15Division of Rheumatology, Department of Internal Medicine, University of Michigan Scleroderma Program, University of Michigan, Ann Arbor, MI

    Background/Purpose: Standard treatment for the diverse aspects of diffuse cutaneous systemic sclerosis (dcSSc) is not yet well defined although experts have described therapeutic algorithms.  The…
  • Abstract Number: 2711 • 2018 ACR/ARHP Annual Meeting

    Comparison of Gastric Antral Vascular Ectasia Associated with Systemic Sclerosis with That Associated with Other Diseases: Are There Differences?

    Rabeea Mirza1, Yuxuan Jin2, Donald F. Kirby3 and Soumya Chatterjee1,4, 1Rheumatic and Immunologic Disease, Cleveland Clinic, Cleveland, OH, 2Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, 3Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, 4Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH

     Background/Purpose: Gastric antral vascular ectasia (GAVE) is a pathologic angioectasia with a characteristic endoscopic appearance. Rugal folds with dilated blood vessels radiate from the antrum…
  • Abstract Number: 2935 • 2018 ACR/ARHP Annual Meeting

    A Practical Classification of Systemic Sclerosis Using Subset and Autoantibodies for the Purpose of Early Risk Stratification

    Svetlana I. Nihtyanova1, Emma C. Derrett-Smith2, Carmen Maria Fonseca3, Voon H. Ong2 and Christopher P. Denton4, 1Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, University College London, London, United Kingdom, 2Division of Medicine, University College London, London, United Kingdom, 3Department of Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom, 4University College London, London, United Kingdom

    Background/Purpose: The Le Roy et al. classification of SSc into limited and diffuse cutaneous subtype remains the most commonly used. Nevertheless, autoantibodies are much better…
  • Abstract Number: 2939 • 2018 ACR/ARHP Annual Meeting

    Clinical Features Associated with Severe Lower Bowel Involvement in Systemic Sclerosis

    Eric Dein1, Laura K. Hummers2, Christopher A. Mecoli3,4 and Zsuzsanna McMahan5, 1Department of Internal Medicine, Johns Hopkins Bayview, Baltimore, MD, 2Medical and Rheumatology, Johns Hopkins University, Baltimore, MD, 3Internal Medicine/Rheumatology, Johns Hopkins University, Baltimore, MD, 4Rheumatology, Johns Hopkins University, Baltimore, MD, 5Department of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Although up to 90% of scleroderma (SSc) patients are affected by gastrointestinal (GI) dysmotility, clinical features of patients with severe lower gastrointestinal involvement are…
  • Abstract Number: 124 • 2018 ACR/ARHP Annual Meeting

    M10, a Small Fragment of the Hepatocyte Growth Factor Receptor, Attenuates Fibrotic Changes in a Murine Model of Scleroderma Lung Disease and in Human Lung Fibroblasts

    Tanjina Akter1, Ilia Atanelishvili1, Atsushi Noguchi2, Galina S. Bogatkevich1 and Rick Silver3, 1Division of Rheumatology and Immunology, Department of Medicine, Medical University of South Carolina, Charleston, SC, 2Division of Rheumatology, Endocrinology and Nephrology,, Hokkaido University Graduate School of Medicine, Sapporo, Japan, 3Rheumatology, Medical University of SC, Charleston, SC

    Background/Purpose: Interstitial lung disease (ILD) is the major cause of mortality among scleroderma (systemic sclerosis, SSc) patients. Extracellular matrix (ECM) deposition is a hallmark of…
  • Abstract Number: 130 • 2018 ACR/ARHP Annual Meeting

    The Role of Cofilin, an Actin Associated Protein, in Activation of Systemic Sclerosis Vascular Smooth Muscle Cells

    Shadia Nada, Bashar Kahaleh and Nezam Altorok, Medicine/Rheumatology, University of Toledo, Toledo, OH

    Background/Purpose: Systemic sclerosis (SSc) is an autoimmune connective tissue disease characterized by activation of the immune system, vascular dysfunction and tissue fibrosis. Vascular dysfunction in…
  • Abstract Number: 811 • 2018 ACR/ARHP Annual Meeting

    Identification of Risk Factors for Gastric Antral Vascular Ectasia (GAVE) Among Systemic Sclerosis Patients

    Naomi Serling-Boyd1, Shufeng Li2, David Fiorentino2, Laren Becker3, Nielsen Fernandez-Becker3, John Clarke4 and Lorinda Chung5,6, 1Medicine, Stanford University School of Medicine, Stanford, CA, 2Dermatology, Stanford University School of Medicine, Stanford, CA, 3Gastroenterology, Stanford University School of Medicine, Palo Alto, CA, 4Gastroenterology, Stanford University School of Medicine, Stanford, CA, 5VA Palo Alto Health Care System, Palo Alto, CA, 6Immunology and Rheumatology, Stanford University School of Medicine, Palo Alto, CA

    Background/Purpose: Gastric Antral Vascular Ectasia (GAVE) is a vascular manifestation of systemic sclerosis (SSc) characterized by erythematous streaks and longitudinal rugal folds in the stomach…
  • Abstract Number: 902 • 2018 ACR/ARHP Annual Meeting

    Longitudinal Trends in Clinical Disease Features after Myeloablative Autologous Stem-Cell Transplantation or Cyclophosphamide in Severe Scleroderma

    Lynette Keyes-Elstein1, Ellen Goldmuntz2, Ashley Pinckney3, Leslie Crofford4, Daniel E. Furst5, Maureen D. Mayes6, Peter McSweeney7, Richard Nash7, Beverly Welch8 and Keith Sullivan9, 1Biostatistics, Rho Federal Systems, Inc, Chapel Hill, NC, 2NIAID, NIH, Bethesda, MD, 3Rho Federal Systems, Inc., Chapel Hill, NC, 4Division of Rheumatology and Immunology, Vanderbilt University Medical Center, Nashville, TN, 5UCLA, Los Angeles, CA, 6Rheumatology, University of Texas McGovern Medical School, Houston, TX, 7Colorado Blood Cancer Institute, Denver, CO, 86610 Rockledge Dr., NIAID/NIH, Bethesda, MD, 9Duke University Medical Center, Durham, NC

    Background/Purpose: The Scleroderma: Cyclophosphamide or Transplantation (SCOT) study established the long-term superiority of hematopoietic stem cell transplant (HSCT) over cyclophosphamide (CYC) [Sullivan KM, et al.…
  • Abstract Number: 919 • 2018 ACR/ARHP Annual Meeting

    A Machine Learning Classifier for Assigning Individual Patients with Systemic Sclerosis to Intrinsic Molecular Subsets

    Jennifer Franks1, Viktor Martyanov1, Guoshuai Cai2, Yue Wang3, Tammara A. Wood1 and Michael L. Whitfield4, 1Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 2Environmental Health Sciences, Arnold School of Public Health at University of South Carolina, Columbia, SC, 3Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 4Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH

    Background/Purpose: High-throughput gene expression profiling of skin biopsies from patients with systemic sclerosis (SSc) has identified four “intrinsic” gene expression subsets conserved across multiple cohorts…
  • Abstract Number: 750 • 2017 ACR/ARHP Annual Meeting

    Diltiazem Gel As a New Local Treatment for Scleroderma Digital Ulcers

    Mohammad Ali Nazarinia1, Elmira Esmaeilzadeh2 and Saeedeh Shenavandeh2, 1Shiraz Geriatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran, Shiraz, Iran (Islamic Republic of), 2Department of Internal Medicine, Division of Rheumatology, Shiraz University of Medical Sciences, Shiraz, Iran., Shiraz, Iran (Islamic Republic of)

    Background/Purpose: Assessing the effect of Diltiazem gel on healing process of scleroderma digital ulcers and comparing its effect with Nitroglycerin ointment and placebo. Methods: Ninety…
  • Abstract Number: 1680 • 2017 ACR/ARHP Annual Meeting

    Higher Baseline Monocyte Count Is Associated with More Extensive Skin Involvement and Higher Mortality in Systemic Sclerosis

    Vishnu Mohan1, Purvesh Khatri2, Samuel Theodore1, Julio Charles1, Hau Pham1, Deepthi Nair1, Madeleine Scott2, John D. Reveille1, Maureen D. Mayes1 and Shervin Assassi1, 1University of Texas McGovern Medical School, Houston, TX, 2Stanford University, Stanford, CA

    Background/Purpose: Macrophages are the primary inflammatory cell type present in the systemic sclerosis (SSc) skin. Circulating monocytes can give rise to profibrotic inflammatory cells such…
  • Abstract Number: 2666 • 2017 ACR/ARHP Annual Meeting

    The Clinical Utility of Flow-Mediated Dilation in Systemic Sclerosis Digital Ulcer Assessment

    Tracy M. Frech1, Daniel Machin2, Maureen Murtaugh3 and Anthony Donato2, 1Division of Rheumatology, University of Utah, Salt Lake City, UT, 2University of Utah and Salt Lake Veterans Affair Medical Center, Salt Lake City, UT, 3University of Utah, Salt Lake, UT

    Background/Purpose: Systemic sclerosis (SSc, scleroderma) patients can have the end-stage vasculopathy manifestation of a digital ulcer (DU).  Brachial artery flow mediated dilation (FMD) is an…
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