2014 ACR/ARHP Program Book
Transcription
2014 ACR/ARHP Program Book
program book 2 0 1 4 Pre-meeting Courses: Friday, November 14 – Saturday, November 15, 2014 Annual Scientific Sessions: Saturday, November 15 – Wednesday, November 19, 2014 Exhibits: Sunday, November 16 – Tuesday, November 18, 2014 IMPORTANT LOCATIONS ACR Office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260; Telephone: (617) 954-3940 Attendee Lounge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ballroom Lobby Business Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Level 1: North Lobby Career Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Hall A: Discovery Center (Booth #731) Child Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Call for Location; Telephone: (617) 954-3451 Coat/Baggage Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Level 1: Northeast Lobby A (near 154) Concierge Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Level 1: North Lobby Discovery Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Hall A (Booth #731) Exhibit Hall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Hall A First Aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Level 1: North Lobby Foundation Booth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Hall A: Discovery Center (Booth #731) Foundation Donors’ Lounge. . . . . . . . . . . . . . . . . . . . . . . . . . . Boardroom (Suite 201) Hotel Reservations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Level: Registration Industry-Supported Symposia Information . . . . . . . . . . . . . . Level 1: North Lobby Innovation Theater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Hall A (Booths #139 and #1401) Lost and Found . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ACR Office (260) Membership Booth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Level: Registration Newsroom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252; Telephone: (617) 954-3943 Nursing Mothers’ Room. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162-A Overflow Rooms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109, 204 and 259 Poster Hall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Hall B Prayer Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Recharge Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Attendee Lounge, Technology Center and Wi-Fi Way Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Level: East Registration Restaurant Reservations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Level 1: North Lobby Ribbon Distribution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Level: Registration Shuttle Bus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Level 1 (near 156) Simple Tasks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Hall A: Discovery Center (Booth #731) Speaker Ready Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Technology Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Level 1: North Lobby Visitor Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Level 1: North Lobby Wheelchairs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O rder through ScootAround, Inc.; Telephone: (888) 441-7575 Wi-Fi Way . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exhibit Hall A Special Needs If you require special arrangements, please contact the ACR Office (260); Telephone: (617) 954-3940. Emergency Contact Information Space is provided on the back of your badge to list name and telephone numbers of your emergency contacts. Please complete this information before inserting your badge in your badge holder. *All important locations are located in the Boston Convention and Exhibition Center. 2 0 1 4 program book ABOUT THE ANNUAL MEETING Participation Statement This Annual Meeting is sponsored by the American College of Rheumatology for educational purposes only. The material presented is not intended to represent the only or the best methods appropriate for the medical conditions being discussed, but rather is intended to present the opinions of the authors or presenters, which may be helpful to other healthcare professionals arriving at their own conclusions and consequent application. Attendees participating in this medical education program do so with full knowledge that they waive any claim they may have against the College for reliance on any information presented during these educational activities. The College does not guarantee, warrant or endorse any commercial products or services. The ACR’s CME purpose is to provide comprehensive education to improve the knowledge and performance of physicians, scientists and other health professionals in order to improve the quality of care in those with or at risk for arthritis and rheumatic and musculoskeletal diseases. The Annual Meeting program’s content was developed through a planning process that included a practice gap analysis that identified educational needs in knowledge, competence and/or performance. Planners took professional activities, practice setting, ABIM recertification requirements and physician attributes into account and have designed this activity to obtain desired outcomes in terms of improved physician competence and performance. Global Learning Objectives At the conclusion of the 2014 ACR/ARHP Annual Meeting, participants should be able to: • Identify recent developments in the diagnosis and management of patients with rheumatic diseases; • Outline new technologies for the treatment of rheumatologic problems; • D escribe potential challenges in the delivery of care to patients with rheumatic diseases and to specify possible solutions; • Utilize new research data to improve the quality of care of patients with rheumatic diseases; and • Summarize recent rheumatology research findings. Printing of this publication is supported by Amgen, Inc. This publication was printed by an FSC validated printer on eco-friendly paper. TABLE OF CONTENTS POLICIES Copyright Materials Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Photographs and Video Recording Policy . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Media. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Embargo Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Abstract Reprint Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 MEETING INFORMATION Cell Phones, PDAs & Other Electronic Devices . . . . . . . . . . . . . . . . . . . . . . 13 Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Child Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Nursing Mothers’ Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Exhibit Hall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Meeting Room Capacity/Imortant First Safety Information. . . . . . . . . . . . 13 Photoograpy and Videotaping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Name Badges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 No Smoking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 MEETING NAVIGATION GUIDE Tracks and State CME Designations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Session Formats. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Abstract Formats. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ACR Basic Research Conference: Emerging Perspectives on the Microbiome in the Rheumatic Diseases – Day One of Two. . . . . . 23 ACR Clinical Research Conference: Patient-Centered Outcomes in Rheumatology – Day One of Two . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 ACR/ABIM Maintenance of Certification Learning Session – 2014 Update in Rheumatology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Saturday, November 15, 2014 Pre-Meeting Courses ACR Musculoskeletal Ultrasound Course for Rheumatologists – Day Two of Two. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 ACR Clinical Research Conference: Patient-Centered Outcomes in Rheumatology – Day Two of Two . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 ACR Practice Management Pre-meeting Course. . . . . . . . . . . . . . . . . . . . . 27 ACR Review Course. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 ACR Basic Research Conference: Emerging Perspectives on the Microbiome in the Rheumatic Diseases – Day Two of Two. . . . . . 29 ARHP Clinical Focus Course: Diagnostic Imaging Use in Differential Diagnosis for Common Rheumatic and Musculoskeletal Conditions. . . . 30 AAMC Medical Education Research Certificate (MERC) Workshop. . . . . . 31 Scientific Sessions Abstract Categories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ACR/ARHP Opening Lecture and Awards MEETING SERVICES Opening Lecture: P4 Medicine Is Transforming Health Care: A Longitudinal, Framingham-like Study of 100,000 Well Patients Over 20-25 Years. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Annual Meeting App. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Discovery Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Membership Booth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Lost and Found. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 ACR/ARHP Opening Reception. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Sunday, November 16, 2014 Newsroom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 ACR Sessions Attendee Lounge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Age Before Beauty: Colchicine, Aspirin, Methotrexate and Their Mechanisms of Action. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Concierge Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Pediatric Rheumatology Town Hall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Shuttle Bus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Year in Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Speaker Ready Room. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 ACR/ARHP Networking Event Wi-Fi Way and Recharge Access. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 ACR/ARHP First-time Attendee Orientation. . . . . . . . . . . . . . . . . . . . . . . . . 32 Rheumatology Research Foundation Donors’ Lounge . . . . . . . . . . . . . . . . 20 ACR Meet the Professor Sessions SPECIAL OFFERS Basic Immunology for Clinical Rheumatologists (001). . . . . . . . . . . . . . . . 32 SessionSelect. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 What Would Make the Meeting Better?. . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Medical Bag. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 POSTER SESSIONS Poster Session Presenter Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Poster Presenter No-shows. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Guided Poster Tours. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 ACR/ARHP Annual Meeting Program Pre-Meeting Program Friday, November 14, 2014 Pre-Meeting Courses ACR Musculoskeletal Ultrasound Course for Rheumatologists – Day One of Two. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2 ACR Advanced Rheumatology Coding Course: Developing Experts in Rheumatology Coding and ICD-10-CM. . . . . . . . . 23 2014 Program Book Crystal: Diagnosis and Management of Gout (002) . . . . . . . . . . . . . . . . . . 32 Cutaneous Vasculitis (003) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Fibromyalgia 2014: Update on Management (004) . . . . . . . . . . . . . . . . . . 33 Macrophage Activation Syndrome (005). . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Pain: Evaluation and Treatment of Back Pain (006) . . . . . . . . . . . . . . . . . . 33 Psoriatic Arthritis (007). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Reactive Arthritis: An Update (008). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Rheumatoid Arthritis: Challenging Cases (009). . . . . . . . . . . . . . . . . . . . . . 33 Systemic Lupus Erythematosus: Difficult to Treat Systemic Lupus Erythematosus (010). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 ACR Workshops Joint Injection Techniques (201). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Nail Calicoscopy (202). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Tai Chi in Rheumatic Disease (203). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 TABLE OF CONTENTS ACR Sessions Systemic Lupus Erythematosus: Novel Treatments (017). . . . . . . . . . . . . . 43 CARE: Maintenance of Certification Session One of Three – Vasculitits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Vaccinations for Patients on Biologic Therapies (018) . . . . . . . . . . . . . . . . 43 Current Understanding of Malignancies in Connective Tissue Diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 What is Not Central Nervous Angiitis: Making the Right Diagnosis (020). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Ethics and Rheumatology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 ACR Sessions Informative and Critical Peer Review for the ACR Journals: A Guide to Providing Excellent Peer Review of Manuscripts . . . . . . . . . . 34 Osteoporosis: Current Concepts for the Clinician. . . . . . . . . . . . . . . . . . . . 35 Practice Issues: Health Care Bounty Hunters: A Closer Look at RACs, Audits and Medical Documentation. . . . . . . . . . . 35 The Microbiome in Health and Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 When Pills Are Not Enough: Multidisciplinary Approaches to Pediaric Pain and Hyperrmobility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Vasculitis: Update (019). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 ACR Knowledge Bowl: Preliminary Round. . . . . . . . . . . . . . . . . . . . . . . . . . 42 Avoiding Electronic Health Record Errors and Their (Sometimes) Critical Consequences. . . . . . . . . . . . . . . . . . . . . . 44 Axial Spondyloarthritis Guidelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Gout Management in 2014. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 How the Gut Primes the Immune System. . . . . . . . . . . . . . . . . . . . . . . . . . 44 Practice Issues: The Road to I10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Abstracts (#1-814). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Rheumatology Research Foundation Memorial Lectureship to Honor Dr. Stephen E. Malawista, MD: Innate Immunity at the Core of Rheumatic Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 ACR Sessions The Butterfly Effect: Lupus Rashes and Their Mimics. . . . . . . . . . . . . . . . . 45 ACR Immunology Update: New Immunology of the Spondyloarthropathies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 ACR Workshops Advocacy: Meet the Expert. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Sarcoidosis in 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Clinical Anatomy and Physical Exam: Essential Tools in Lower Extremity Regional Pain Syndromes (209) . . . . . . . . . . . . . . . . . 45 ACR Poster Session A and Poster Tours Advanced Musculoskeletal Ultrasound (208) . . . . . . . . . . . . . . . . . . . . . . . 45 Social Media Boot Camp: Twitter Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 ACR Sessions ARHP Sessions Autoimmunity in Immunodeficiency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 ARHP Keynote Address: Happiness From the Inside Out. . . . . . . . . . . . . . 37 Educator: Medical Education: The Year in Review . . . . . . . . . . . . . . . . . . . 45 Exhbits and Innovation Theater New Frontiers in Osteoarthritis Treatment: The Role of Weight Loss, Surgery and Current Treatment Guidelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 See page 238 for the complete Innovation Theater Listing. ACR Workshops Beyond Musculoskeletal Ultrasound for Rheumatologists (204). . . . . . . . 37 Clinical Anatomy and Physical Exam: Essential Tools in Upper Extremity Regional Pain Syndromes (205). . . . . 37 Histopathology of Rheumatic Lung Disease (206). . . . . . . . . . . . . . . . . . . .38 Synovial Fluid Analysis and Crystal Identification (207). . . . . . . . . . . . . . . 38 ACR Sessions Bone Biology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 New ACR Recommendations for the Management of Rheumatoid Arthritis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 ARHP Sessions The Great Debate: Belimumab for the Treatment of Systemic Lupus Erythematosus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 ACR Concurrent Abstract Sessions Epidemiology and Public Health I: Drug and Vaccine Safety (#820-825). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Metabolic and Crystal Arthropathies I: Clinical Aspects (#826-831). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Miscellaneous Rheumatic and Inflammatory Diseases (#832-837). . . . . . 47 Rheumatoid Arthritis – Clinical Aspects I: Cardiovascular Disease Risk (#838-843). . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Immunology Boot Camp I: The Basics of Targeted Therapies . . . . . . . . . . 38 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy I: Safety of Biologics and Small Molecules in Rheumatoid Arthritis – Malignancy and Infection (#844-849). . . . . . . 48 What Can Brain Imaging Tell Us About Pharmacologic and Non-Pharmacologic Treatment of Chronic Pain?. . . . . . . . . . . . . . . . 38 Spondylarthropathies and Psoriatic Arthritis I – Novel Treatments Axial Spondyloarthritis (#850-855). . . . . . . . . . . . . . . . 49 ACR Plenary Session I: Discovery 2014 Systemic Lupus Erythematosus – Animal Models (#856-861). . . . . . . . . . 50 Affordable Care Act. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Abstracts (#815-819). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 ARHP Networking Event ARHP Networking Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 ACR Meet the Professor Sessions Ankylosing Spondylitis: 2014 Update (011). . . . . . . . . . . . . . . . . . . . . . . . . 43 Ankylosing Spondylitis: Disease Modification (012). . . . . . . . . . . . . . . . . . 43 Dermatological Manifestations of Rheumatic Diseases (013). . . . . . . . . . 43 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Cardiovascular Disease and Pregancy (#862-867). . . . . . . . . . . . . . . . . . . 50 Systemic Lupus Erythematosus – Human Etiology and Pathogenesis I: Pathways of Inflammation/Injury (#868-873). . . . . . 51 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Clinical Aspects and Therapeutics I: Systemic Sclerosis, Advances in Therapy (#874-879). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Vasculitis I (#880-885). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Hereditary Angioedema Update (014). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 ARHP Sessions Pediatric Systemic Lupus Erythematosus (015). . . . . . . . . . . . . . . . . . . . . . 43 Google Minefield: Empowering Patients to Evaluate Online Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Rheumatoid Arthritis: Biological Agents (016) . . . . . . . . . . . . . . . . . . . . . . 43 2014 Program Book 3 TABLE OF CONTENTS Practical Practice Management Session One: Improve Quality and Efficiency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Sports Medicine for the Rheumatology Provider. . . . . . . . . . . . . . . . . . . . 53 ACR/ARHP Combined Abstract Session: Epidemiology and Public Health (#970-975) . . . . . . . . . . . . . . . . . . . . . . . 67 Young Adults with Rheumatic Disease: The Patient Perspective. . . . . . . . 54 ARHP Sessions ARHP Concurrent Abstract Session Exemplary Abstracts (#886-891). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 ACR Workshops Magnetic Resonance Imaging in the Diagnosis and Management of Spondyloarthritis: A Clinician’s Guide (210). . . . . . 55 “Say What?”: Implications of Adolescent Development and Behavior in Communicating With Health Care Providers. . . . . . . . . .68 Current Trends in Self-Management and Rheumatologic Care: mHealth, eHealth, Digital Technology and Emerging Ethical Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Muscle Involvement in Rheumatic Diseases (211). . . . . . . . . . . . . . . . . . . 55 Multidisciplinary Management of Scleroderma. . . . . . . . . . . . . . . . . . . . . 68 Osteoporosis: Interpreting Dual Energy X-Ray Absorptiometry and Clinical Risk Factors: The New Fracture Risk Assessment Algorithm (212). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 ARHP Concurrent Abstract Session Physical Examination Skills for Improved Detection of Synovitis and Cervical Thoracolumbar Disorders (213). . . . . . . . . . . . . 55 ACR Sessions Therapeutic Targeting of the Innate Immune System. . . . . . . . . . . . . . . . . 55 Thieves’ Market: Show Me Your Best Cases . . . . . . . . . . . . . . . . . . . . . . . . 55 ACR Concurrent Abstract Sessions Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes I: Research Perspectives (#892-897) . . . . . . . . . 56 Health Services Research: Risk Assessment and Outcomes of Rheumatic Disease (#898-903). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Imaging of Rheumatic Diseases: Ultrasound (#904-909). . . . . . . . . . . . . . 57 Muscle Biology,Myositis and Myopathies (#910-915) . . . . . . . . . . . . . . . . 58 Osteoporosis and Metabolic Bone Disease – Clinical Aspects and Pathogenesis: Clinical Osteoporosis: Treatment and Safety (#916-921) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Pain: Basic and Clinical Aspects I (#922-927). . . . . . . . . . . . . . . . . . . . . . . . 59 Pediatric Rheumatology – Clinical and Therapeutic Aspects: Juvenile Idiopathic Arthritis (#928-933). . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Practical Practice Management Session Two: Navigate HIPAA and Prevent Audits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Osteoarthritis (#976-981). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Industry-Supported Post-Meeting Symposia. . . . . . . . . . . . . . . . . . . 69 Monday, November 17, 2014 ACR Sessions Educator: Cultivating the Competent Medical Educator: A Growing Concern. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Meniscus Biology in Osteoarthritis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Rheumatology Research Foundation Paul Klemperer, MD Memorial Lectureship: Gene-Environment Interactions as a Basis for Unravelling Adaptive Immunity and Preparing for Tolerizing Therapies in Rheumatoid Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 ARHP Sessions Stats Boot Camp: The Effect Size: What Is It and How Can You Use It?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Update on Findings from Large Registries: Emphasis on Health Disparities in Rheumatioid Arthritis. . . . . . . . . . . . . 70 What Are Biosimilars?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Rheumatoid Arthritis – Animal Models I (#934-939) . . . . . . . . . . . . . . . . . 61 ACR Meet the Professor Sessions Rheumatoid Arthritis – Clinical Aspects II: Remission and De-escalation of Therapy (#940-945) . . . . . . . . . . . . . . . . . . . . . . . . . 61 Ankylosing Spondylitis: 2014 Update (031). . . . . . . . . . . . . . . . . . . . . . . . . 70 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy II: Novel Therapies in Rheumatoid Arthritis – Early in Development (#946-951). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Controversies in Sjögren’s Syndrome (033). . . . . . . . . . . . . . . . . . . . . . . . . 70 Spondylarthropathies and Psoriatic Arthritis II – Novel Treatments Psoriatic Arthritis (#952-957). . . . . . . . . . . . . . . . . . . . 63 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Lupus Nephritis (#958-963). . . . . . . . . . 63 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics I (#964-969). . . . . . . . . . . . . 65 ACR Meet the Professor Sessions Crystal: Diagnosis and Management of Gout (021) . . . . . . . . . . . . . . . . . . 66 Infections with Biologics (022). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Inflammatory Eye Disease/Uveitis (023). . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Pediatrics: Difficult to Treat Juvenile Idiopathic Arthritis (024). . . . . . . . . 66 Polymyalgia Rheumatica (025). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Pulmonary Hypertension in the Rheumatic Diseases (026). . . . . . . . . . . . 66 Rheumatoid Arthritis: Biological Agents (027) . . . . . . . . . . . . . . . . . . . . . . 66 Rheumatology Practice 101: Starting Out in Practice for the Graduating Fellow (028) . . . . . . . . . . . . . 67 Systemic Lupus Erythematosus: Novel Treatments (029). . . . . . . . . . . . . . 67 Vitamin D and Bone Health (030). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 4 ACR/ARHP Combined Abstract Session 2014 Program Book Basic Immunology for Clinical Rheumatologists (032). . . . . . . . . . . . . . . . 70 Dermatological Manifestations of Rheumatic Diseases (034). . . . . . . . . . 70 Osteoarthritis: Update 2014 (035). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Pregnancy and Rheumatic Diseases (036). . . . . . . . . . . . . . . . . . . . . . . . . . 71 Reactive Arthritis: An Update (037). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Rheumatoid Arthritis: Challenging Cases (038). . . . . . . . . . . . . . . . . . . . . . 71 Systemic Lupus Erythematosus: Difficult to Treat Systemic Lupus Erythematosus (039). . . . . . . . . . . . . . . 71 Vasculitis: Update (040). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 ACR/ARHP Workshops Advanced Musculoskeletal Ultrasound (214) . . . . . . . . . . . . . . . . . . . . . . . 71 Complementary and Alternative Therapies in Rheumatic Disease (215). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Osteoporosis: Interpreting Dual Energy X-Ray Absorptiometry and Clinical Risk Factors: The New Fracture Risk Assessment Algorithm (216). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 The Rheumatologic Musculoskeletal Screening Exam, with Emphasis on Objective Disease-Specific Measurements (217) . . . . 72 TABLE OF CONTENTS ACR Sessions Psoriatic Arthritis (043). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 CARE: Maintenance of Certification Session Two of Three . . . . . . . . . . . . 72 Rheumatoid Arthritis: Biological Agents (044) . . . . . . . . . . . . . . . . . . . . . . 82 Hot Topics in Rheumatoid Arthritis: Comparative Effectiveness and Harms of Biologics, and Management of Disease-modifying Antirheumatic Drugs (DMARDs) and Biologics in the Perioperative Period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Rheumatoid Arthritis: Challenging Cases (045). . . . . . . . . . . . . . . . . . . . . . 82 Juvenile Dermatomyositis: Clinical, Pathogenic and Therapeutic State of the Art. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Systemic Sclerosis: Disease Staging and Subsetting in Clinical Practice (049). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Practical Use of Registries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Practice Issues: Practice Success in an Environment of Transition . . . . . . 73 Strategies for Academic Success: The Roadmap From Mentee to Mentor. . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Systems Biology of Lupus Nephritis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 The ACR Gout Management Guidelines: Have They Gotten Us to Where We Want to Be?. . . . . . . . . . . . . . . . . . . . 74 Scleroderma Mimics (046) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Still’s Disease and Autoinflammatory Syndromes (047). . . . . . . . . . . . . . . 82 Systemic Lupus Erythematosus: Central Nervous System (048) . . . . . . . . 82 Vasculitis Mimics (050) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 ACR Sessions Classification Criteria for Gout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Classification Criteria for Myositis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Neonatal Lupus: From Bench to Bedside. . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Rheumatology On the Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Telomeres, Telomerase and the Aging Immune System. . . . . . . . . . . . . . . 83 ACR/ARHP Poster Session B, Thieves’ Market Posters and Poster Tours ACR Workshops Abstracts (#982 – 1793) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Joint Injection Techniques (222). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 ACR Sessions Magnetic Resonance Imaging in the Diagnosis and Management of Spondyloarthritis: A Clinician’s Guide (223). . . . . . 83 Functional Genomics of Rheumatoid Arthritis: From Genes to Function to Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Synovial Fluid Analysis and Crystal Identification (224). . . . . . . . . . . . . . . 83 Legislative Update: Chat with Congress. . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 ACR Sessions Prosthetic Device Infections, Or Infection as a Threat to the Bionic Man. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Clinical Challenges in Sjögren’s Syndrome: Neurological Complications and Lymphoma Risk . . . . . . . . . . . . . . . . . . . 84 Social Media Boot Camp: Blogging for Beginners. . . . . . . . . . . . . . . . . . . . 75 Forefronts in Lupus Nephritis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 ARHP Session Insight into Lung Fibrosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 ARHP Distinguished Lectuer: Maintaining Health and Well-Being Despite Living with a Rheumatic Disease. . . . . . . . . . . . . 75 ACR Concurrent Abstract Sessions Exhbits and Innovation Theater Epidemiology and Public Health II: Osteoarthritis, Sedentary Behavior and more (#1800-1805). . . . . . . . . . . . . . . . . . . . . . . 84 See page 238 for the complete Innovation Theater Listing. Health Services Research: Improving Clinical Practice (#1806-1811). . . . . . 85 ACR Workshops Innate Immunity and Rheumatic Disease (#1812-1817) . . . . . . . . . . . . . . 85 Histopathology of Vasculitis (218) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Osteoarthritis – Clinical Aspects I: Imaging in Osteoarthritis (#1818-1823) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86 Knee Braces, Foot Orthoses, and Shoe Gear for Managing Knee Osteoarthritis (219). . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Musculoskeletal Ultrasound (220). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Renal Histopathology in Systemic Lupus Erythematosus and Vasculitis (221). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 ACR Sessions ACR Immunology Update: Innate Lymphoid Cells. . . . . . . . . . . . . . . . . . . . 76 ACR Knowledge Bowl: Final Round. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 ARHP Sessions Evidence of the Benefits and Risks of Cannabis and Cannabinoids for Treating Chronic Pain. . . . . . . . . . . . . . . . . . . . . . . . 77 Immunology Boot Camp II: The Basics of Autoimmunity and Immunodeficiency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Stats Boot Camp: Statistical Analysis of Ordinal Data. . . . . . . . . . . . . . . . . 77 ACR Plenary Session II: Discovery 2014 Pediatric Rheumatology – Clinical and Therapeutic Aspects: Pediatric Systemic Lupus Erythematosus (#1824-1829). . . . . . . . . . . . . . 86 Quality Measures and Quality of Care (#1830-1835). . . . . . . . . . . . . . . . . 87 Rheumatoid Arthritis – Clinical Aspects III: Malignancies, Vaccinations, Pregnancy and Surgery (#1836-1841). . . . . 88 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy III: Innovative Therapeutic Strategies in Rheumatoid Arthritis (#1842-1847) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Spondylarthropathies and Psoriatic Arthritis III – Clinical Aspects Psoriatic Arthritis (#1848-1853). . . . . . . . . . . . . . . . . . . . 90 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Complications of Systemic Lupus Erythematosus (#1854-1859) . . . . . . . 90 Vasculitis II (#1860-1865) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 ACR/ARHP Combined Abstract Session Abstracts (#1794-1799). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 ACR/ARHP Combined Abstract Session: Pediatric Rheumatology (#1866-1871). . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 ARHP Networking Event ARHP Sessions ARHP Networking at Noon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Alternative Medicine: Presenting the Evidence for Rheumatic Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 ACR Meet the Professor Sessions Adult Inflammatory Myopathy (041). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Biomarkers in Rheumatic Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Pediatric Rheumatology for Adult Rheumatologists (042). . . . . . . . . . . . . 81 2014 Program Book 5 TABLE OF CONTENTS Stats Boot Camp: A Call to Aims for Researchers! An Interactive Session to Obtain Feedback on Your Specific Aims Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 ARHP Sessions Thriving with Rheumatic Disease: Cultivating Resilience. . . . . . . . . . . . . . 93 ACR/ARHP Workshops From Inflammation to Atherosclerosis: The Case of Inflammatory Rheumatic Diseases. . . . . . . . . . . . . . . . . . . . 104 Dermatopathology of Rheumatic Diseases (225). . . . . . . . . . . . . . . . . . . . 93 Role of Nutrition in Rheumatic Diseases. . . . . . . . . . . . . . . . . . . . . . . . . . 104 Joint Injections (Knee, Ankle, Shoulder and Wrist) (226). . . . . . . . . . . . . . 93 The Emerging Demand for Medicinal Cannabis by Young Adults and Beyond. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 MDHAQ/RAPID3 and RHEUMDOC: Quantitative, Standard, Scientific Summaries of Patient History and Physical Exam, toward Better Clinical Decisions and Outcomes (227). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Musculoskeletal Ultrasonography: Basic (228). . . . . . . . . . . . . . . . . . . . . . 94 ACR Session Clinicopathologic Conference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 ACR Sessions ARHP Concurrent Abstract Session Health Disparities/Social Determinants of Health (#1932-1937). . . . . . . 104 Study Groups ACR Musculoskeletal Ultrasound Study Group. . . . . . . . . . . . . . . . . . . . . 105 Antiphospholipid Syndrome Task Force Study Group. . . . . . . . . . . . . . . . 105 Capillaroscopy in Rheumatic Diseases Study Group. . . . . . . . . . . . . . . . . 105 Childhood Vasculitis Study Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Career Opportunities in Rheumatology: Making a Choice. . . . . . . . . . . . . 94 Clinical Anatomy Study Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Curbside Consults – Ask the Experts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Crystal Study Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Fibrotic Complications of Scleroderma . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Degos Disease Study Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 The Role of Bone in the Pathogenesis of Osteoarthritis. . . . . . . . . . . . . . . 95 Hypermobility Study Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Treating Pain Doesn’t Have to Be a Pain: Practical Approaches to Pain Management. . . . . . . . . . . . . . . . . . . . . . . . 95 Interstitial Lung Disease Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 ACR Concurrent Abstract Sessions Myositis Study Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Epidemiology and Public Health III: Gout and Systemic Lupus Erythematosus (#1872-1877). . . . . . . . . . . . . . 95 Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes II: Clinical Perspectives (#1878-1883). . . . . . . . . 96 Genetics, Genomics and Proteomics I: Epigenetic Mechanisms in Autoimmunity (#1884-1889) . . . . . . . . . . . . . 96 Imaging of Rheumatic Diseases: X-Ray, MRI and CT (#1890-1895). . . . . . 97 Pediatric Rheumatology – Pathogenesis and Genetics (#1896-1901). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Macrophage Activation Syndrome (MAS) Study Group. . . . . . . . . . . . . . 107 Osteoarthritis Study Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Pediatric Rheumatologists Interested in Medial Education Study Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 The Why and How of Disease Criteria Study Group. . . . . . . . . . . . . . . . . 107 Veterans Affairs Rheumatology Study Group . . . . . . . . . . . . . . . . . . . . . . 107 Tuesday, November 18, 2014 ACR Sessions Glycosylation and Glycan Binding Proteins in Immune Function. . . . . . . 108 Rheumatoid Arthritis – Clinical Aspects IV: Promising Biomarkers (#1902-1907). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Hepatitis C in 2014. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy IV: Safety of Biologics and Small Molecules in Rheumatoid Arthritis – Cardiovascular and Other Systems (#1908-1913). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 ARHP Sessions Spondylarthropathies and Psoriatic Arthritis – Pathogenesis, Etiology: From Genes to Cytokines (#1914-1919). . . . . . . . . . . . . . . . . . 100 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Biomarkers in Systemic Lupus Erythematosus (#1920-1925). . . . . . . . . 100 Patient Access to Biologics Across the Globe . . . . . . . . . . . . . . . . . . . . . . 108 Clinical Features of Central Nervous System Lupus and Diagnosis of Cognitive Deficits and Psychiatric Disorders . . . . . . . . . . . . . . . . . . . . 108 Muscle and Adipose Tissue in Rheumatic Diseases: Location is Everything. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 ACR Meet the Professor Sessions Antiphospholipid Syndrome (061). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Clinical Aspects and Therapeutics II: Approaches to Cardiac and Vascular Manifestations in Systemic Sclerosis (#1926-1931). . . . . . 101 Controversies in Sjögren’s Syndrome (062). . . . . . . . . . . . . . . . . . . . . . . . 109 ACR Meet the Professor Sessions Pediatrics: Periodic Fevers in Children (065). . . . . . . . . . . . . . . . . . . . . . . 109 Antiphospholipid Syndrome (051). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Rheumatoid Arthritis: Outcome Measures in Clinical Practice (066). . . . . 109 Behçet’s Syndrome (052) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Immunodeficiency Syndromes (053). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Infections with Biologics (054). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Myopathy: Issues in Diagnosis and Treatment (055) . . . . . . . . . . . . . . . . 103 Pulmonary Manifestations of Rheumatic Disease (056). . . . . . . . . . . . . . 103 Footwear in Orthoarthritis (063) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Osteoporosis: Novel Treatments (064) . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Safety of Drugs Used to Treat Rheumatoid Arthritis (067). . . . . . . . . . . . 109 Systemic Lupus Erythematosus: Central Nervous System (068) . . . . . . . 109 Systemic Sclerosis: Disease Staging and Subsetting in Clinical Practice (069). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Vasculitis – Factors That Influence Disease Patterns (070). . . . . . . . . . . . 110 Raynaud’s and Digital Ischemia (057). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 ACR/ARHP Workshops Safety of Drugs Used to Treat Rheumatoid Arthritis (058). . . . . . . . . . . . 103 Advanced Musculoskeletal Ultrasound: Image Optimization and Pathology Recognition (229) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Systemic Lupus Erythematosus: Lupus Nephritis (059) . . . . . . . . . . . . . . 103 Vasculitis – Factors That Influence Disease Patterns (060). . . . . . . . . . . . 103 6 Best Practices of Total Knee Arthroplasty – From Surgery to Rehabilitation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 2014 Program Book Basic Statistical Concepts for the Medical Researcher (230). . . . . . . . . . 110 TABLE OF CONTENTS Joint Injections (Knee, Ankle, Shoulder and Wrist) (231). . . . . . . . . . . . . 110 Psoriatic Arthritis (076). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Magnetic Resonance Imaging of Peripheral Joints in Rheumatology Practice (232) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Spondylarthropathy: An Update (077). . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 ACR Sessions Temporal Arteritis (079) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Bioenergetics and Energy Regulation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Vaccinations for Patients on Biologic Therapies (080) . . . . . . . . . . . . . . . 120 CARE: Maintenance of Certification Session Three of Three. . . . . . . . . . 110 ACR Sessions Educator: Direct Observation of Clinical Skills: Educationally Indicated, Therapeutically Required. . . . . . . . . . . . . . . . . 111 Clinical Issues Associated with the Use of Methotrexate. . . . . . . . . . . . . 120 Systemic Lupus Erythematosus: Lupus Nephritis (078) . . . . . . . . . . . . . . 119 Macrophages Gone Wild. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Hench Lectureship: Why Steroids Work in Some Inflammatory Diseases But Not in Others. . . . . . . . . . . . . . . . . 120 Myositis Mimics: Clinical and Molecular Diagnosis. . . . . . . . . . . . . . . . . . 111 New Regulatory T Cells. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Rheumatology Research Foundation: Special Session . . . . . . . . . . . . . . . 111 Uncovering the Role of Connective Tissues in Chronic Low Back Pain: From Bedside to Bench to Bedside. . . . . . . . 120 Risk and Risk Management of Cardiovascular Disease in Patients with Rheumatoid Arthritis and Other Systemic Rheumatic Diseases. . . 111 ACR/ARHP Poster Session C, Late-Breaking and Thieves’ Market Posters and Poster Tours . . . . . . . . . . . . . . . . 112 ARHP Sessions Etiology and Management of Peripheral Neuropathy in Patients with Rheumatic Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Abstracts (#1938 – 2780) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Pharmacotherapy: What’s New in Rheumatology . . . . . . . . . . . . . . . . . . 120 ACR Sessions Study Groups ACR-EULAR PMR Guidelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 ACR-EULAR Study Group: Toward A New Understanding of Myositis Through International Collaboration. . . . . . . . . . . . . . . . . . . 121 Metainflammation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Rheumatology Research Foundation Oscar S. Gluck Memorial Lectureship: Emerging Therapies in Bone Diseases: Cellular Basis and Challenges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Autoantibodies in Diagnosis and Follow-Up of Rheumatic Diseases Study Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 ARHP Sessions Biosimilars in Theumatology: Update Study Group . . . . . . . . . . . . . . . . . 121 Mycobacterium Infections in Immunocompromised Patients. . . . . . . . . 113 Closing the Gap – Psoriasis to Psoriatic Arthritis Study Group. . . . . . . . . 121 RheumChat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Global Musculoskeletal Health Initiatives Study Group. . . . . . . . . . . . . . 121 Stats Boot Camp: The Prevalence Ratio as an Alternative to the Odds Ratio for Cross-Sectional Studies. . . . . . . . . . . . . . . . . . . . . 114 High-Resolution Peripheral Quantitative Computed Tomography (HR-pQCT) Imaging in Arthritis Study Group . . . . . . . . . . . . . . . . . . . . . . 122 Exhbits and Innovation Theater Juvenile Arthritis Workgroup (JAW) Study Group. . . . . . . . . . . . . . . . . . . 122 See page 238 for the complete Innovation Theater Listing Latin American Study Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 ACR Workshops Neuroendocrine Immunology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 Behçet’s Disease Study Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Musculoskeletal Ultrasound (233). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Pediatric Rheumatology Imaging Study Group. . . . . . . . . . . . . . . . . . . . . 122 Renal Histopathology in Systemic Lupus Erythematosus and Vasculitis (234). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Polymyalgia Rheumatica Study Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 Sjögren’s Syndrome Study Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 X-Ray Challenges in Rheumatic Diseases (235). . . . . . . . . . . . . . . . . . . . . 114 ACR/ARHP Workshops ACR Sessions Mesenchymal Stem Cells: Biology and Use in Rheumatic Diseases. . . . .114 Protecting Bone Health in Pediatric Rheumatic Diseases. . . . . . . . . . . . . 114 ARHP Sessions Immunology Boot Camp III: Applying Principles of Immunology to Treatment Decisions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Pathways to Resilience: Biopsychosocial Mechanisms for the Generation of Positive Affect in Chronic Pain . . . . . . . . . . . . . . . 115 Providing Evidence for Mid-Level Providers in Rheumatology Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 ACR Plenary Session III: Discovery 2014 Abstracts (#2781-2786). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 ACR Meet the Professor Sessions Antiphospholipid Syndrome (071). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Challenging Cases in Osteoporosis Management (072). . . . . . . . . . . . . . 119 Crystal: Diagnosis and Management of Gout (073) . . . . . . . . . . . . . . . . . 119 Non-surgical Treatments for Osteoarthritis (074). . . . . . . . . . . . . . . . . . . 119 Osteoarthritis: Update 2014 (075). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Dermatopathology of Rheumatic Diseases (236). . . . . . . . . . . . . . . . . . . 123 Magnetic Resonance Imaging of Peripheral Joints in Rheumatology Practice (237) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Musculoskeletal Ultrasonography: Basic (238). . . . . . . . . . . . . . . . . . . . . 123 The Rheumatologic Musculoskeletal Screening Exam, with Emphasis on Objective Disease-specific Measurements (239). . . . . 123 ACR Session ACR Business Meeting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 ACR Sessions Educator: Innovative Educators, Novel Techniques: A Rheumatology Research Foundation Special Session. . . . . . . . . . . . . . 124 Novel Regulatory Cell Subsets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 Psoriatic Arthritis: Skin, Entheses and Joints. . . . . . . . . . . . . . . . . . . . . . . 124 ACR Concurrent Abstract Sessions ACR Late-Breaking Abstract Session. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 2014 Rheumatology Research Foundation Edmond L. Dubois, MD Memorial Lectureship (#2787-2791) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Biology and Pathology of Bone and Joint I: Bone Remodeling in Inflammation and Arthritis (#2792-2797). . . . . . . . . . . . . . . . . . . . . . . 125 2014 Program Book 7 TABLE OF CONTENTS Cytokines, Mediators, Cell-cell Adhesion, Cell Trafficking and Angiogenesis I (#2798-2803). . . . . . . . . . . . . . . . . . . 126 Pediatric Rheumatology – Clinical and Therapeutic Aspects: Miscellaneous Pediatric Rheumatic Diseases (#2899-2904). . . . . . . . . . 140 Miscellaneous Rheumatic and Inflammatory Diseases/Innate Immunity and Rheumatic Disease: Assessing Outcomes of Infections in Rheumatic Disease (#2804-2809). . . . . . . . . . . . . . . . . . 126 Rheumatoid Arthritis – Animal Models II (#2905-2910). . . . . . . . . . . . . . 140 Rheumatoid Arthritis – Clinical Aspects V: Mortality and Other Outcomes (#2810-2815) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Rheumatoid Arthritis – Human Etiology and Pathogenesis II: Citrullination, Autoantibodies and Genes (#2917-2922). . . . . . . . . . . . . 142 Rheumatoid Arthritis – Human Etiology and Pathogenesis I: Mechanisms of Joint Damage – 2013 Lee C. Howley, Sr. Prize (#2816-2820). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy VI: Biomarkers and Predictors of Rheumatoid Arthritis Disease Response and Outcomes (#2923-2928). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy V: Novel Therapies in Rheumatoid Arthritis – Late in Development (#2821-2826). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128 Spondylarthropathies and Psoriatic Arthritis IV – Clinical Aspects Axial Spondyloarthritis (#2827-2832) . . . . . . . . . . . . . . 129 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Novel Therapies for Systemic Lupus Erythematosus (#2833-2838). . . . 129 Systemic Lupus Erythematosus – Human Etiology and Pathogenesis II: Pathogenic Targets, Genetic Variants and Apoptosis (#2839-2844). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 T cell Biology and Targets in Autoimmune Disease (#2845-2850). . . . . . 131 Vasculitis III (#2851-2856). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Sjögren’s Syndrome I: Clinical Perspectives (#2929-2934). . . . . . . . . . . . 143 Spondylarthropathies and Psoriatic Arthritis V – Clinical Aspects and Treatment (#2935-2940). . . . . . . . . . . . . . . . . . . . . 144 ACR Meet the Professor Sessions Adult Inflammatory Myopathy (081). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Behçet’s Syndrome (082) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Calcium Crystal Arthritis (083) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Juvenile Dermatomyositis (084). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Myopathy: Issues in Diagnosis and Treatment (085) . . . . . . . . . . . . . . . . 145 Pregnancy and Rheumatic Diseases (086). . . . . . . . . . . . . . . . . . . . . . . . . 145 ACR/ARHP Combined Abstract Session Pulmonary Manifestations of Rheumatic Disease (087). . . . . . . . . . . . . . 145 ACR/ARHP Combined Abstract Session: Rehabilitation (#2857-2862) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Rheumatoid Arthritis: Challenging Cases (089). . . . . . . . . . . . . . . . . . . . . 145 ARHP Sessions Brief Action Planning (BAP): A Motivational Interviewing (MI) Technique to Enhance Patient Self-Management and Improve Outcomes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Osteoporosis: Emerging Treatments Both Pharmacological and Non-Pharmacological. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 The Psychosocial Impact and Treatment Options for Patients with Neuropsychiatric Lupus and Their Caregivers. . . . . . . . . . . . . . . . . 134 Raynaud’s and Digital Ischemia (088). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Temporal Arteritis (090) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 ARHP Sessions Multidisciplinary Management of the Juvenile Idiopathic Arthritis Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 Patient-Reported Outcomes Data for Comparative Effectiveness Research in Arthritis Care. . . . . . . . . . . . . . . . . . . . . . . . . . 146 State-of-the-Art Interventional Recommendations for Chronic Low Back Pain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 Treatment Considerations in Chronic Pain. . . . . . . . . . . . . . . . . . . . . . . . . 134 Successful Aging in Rheumatic Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . 146 ACR Workshops ARHP Concurrent Abstract Session Getting Electronic Health Records Right (240) . . . . . . . . . . . . . . . . . . . . . 134 Epidemiology/Public Health (#2941-2946). . . . . . . . . . . . . . . . . . . . . . . . 147 Systemic Sclerosis: How to Perform Skin Scores (241). . . . . . . . . . . . . . . 135 Industry-Supported Post-Meeting Symposia. . . . . . . . . . . . . . . . . . 147 Ultrasound Injection Guidance (242). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 ACR Sessions Autophagy in Rheumatic Diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Beyond Analgesics: State of the Evidence for Nutrition, Vitamins and Exercise Prescriptions in Osteoarthritis Management. . . . . . . . . . . 135 Update on Safety Issues in the Treatment of Rheumatic Diseases – From the FDA and Beyond. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 ACR Concurrent Abstract Sessions Antiphospholipid Syndrome (#2863-2868). . . . . . . . . . . . . . . . . . . . . . . . 135 B cell Biology and Targets in Autoimmune Disease (#2869-2874). . . . . . 137 Cytokines, Mediators, Cell-cell Adhesion, Cell Trafficking and Angiogenesis II (#2875-2880). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Education (#2881-2886) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 Epidemiology and Public Health IV: Rheumatoid Arthritis Pathogenesis (#2887-2892). . . . . . . . . . . . . . . . . . 138 Osteoarthritis – Clinical Aspects II: Osteoarthritis Risk Factors and Therapies (#2893-2898). . . . . . . . . . . . . 139 8 Rheumatoid Arthritis – Clinical Aspects VI: Impact of Treatment and Other Interventions (#2911-2916). . . . . . . . . 141 2014 Program Book Wednesday, November 19, 2014 ACR Sessions Co-Stimulation Pathways: Therapeutic Opportunities for the Rheumatic Diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Rheumatology Roundup: Highlights from the 2014 Annual Meeting . . . . 147 ARHP Sessions Physical and Occupational Therapy for Juvenile Dermatomyositis: Treatment Planning and Case Presentations. . . . . . . . . . . . . . . . . . . . . . 148 Rheumatic Manifestations of Malignancy. . . . . . . . . . . . . . . . . . . . . . . . . 148 ACR Sessions Complement in Rheumatic Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Moving Toward Personalized Medicine for Systemic Lupus Erythematosus Management: From Bench to Bedside. . . . . . . . . . . . . . 148 Primary Angiitis of the Central Nervous System and Its Mimics . . . . . . . 148 TABLE OF CONTENTS ACR Concurrent Abstract Sessions Biology and Pathology of Bone and Joint II: Cartilage Biology and Synovial Activation (#2947-2952). . . . . . . . . . . . . 149 Genetics, Genomics and Proteomics II: Genetics of Autoimmunity (#2953-2958). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 Metabolic and Crystal Arthropathies II: Mechanisms of Disease (#2959-2964) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 Pain: Basic and Clinical Aspects II/Orthopedics, Low Back Pain and Rehabilitation (#2965-2970). . . . . . . . . . . . . . . . . . . 151 Rheumatoid Arthritis – Clinical Aspects VII: New Aspects of Monitoring Disease (#2971-2976) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152 Sjögren’s Syndrome II: Insights into Pathophysiology (#2977-2982). . . . 152 Spondylarthropathies and Psoriatic Arthritis VI – Imaging and Biomarkers (#2983-2988). . . . . . . . . . . . . . . . . . . . . . . . . . . 153 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: CNS and Other Clinical Aspects (#2989-2994). . . . . . . . . . . . . . . . . . . . . 154 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Clinical Aspects and Therapeutics III: Updates in Predictors and Outcomes in Systemic Sclerosis (#2995-3000). . . . . . . . . . . . . . . . . 155 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics II (#3001-3006). . . . . . . . . 156 ARHP Sessions Exercise Adherence in Arthritis: The Role of Technology. . . . . . . . . . . . . 156 Nothing About Us Without Us: Engaging Patients in Rheumatology Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 ARHP Concurrent Abstract Sessions Clinical Practice/Patient Care (#3007-3012) . . . . . . . . . . . . . . . . . . . . . . . 157 Innovations in Rheumatologic Care (#3013-3018). . . . . . . . . . . . . . . . . . 157 ACR Sessions Inflammation and Atherothrombosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158 Advances in Molecular Profiling and Relevance to Autoimmune Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158 Non-Radiographic Axial Spondyloarthritis: The Controversy of Diagnosis and Optimal Treatment . . . . . . . . . . . . . . 159 ARHP Sessions Work and Worker Health: Easy Accommodations Keep People With Arthritis Employed. . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Industry-Supported Post-Meeting Symposia. . . . . . . . . . . . . . . . . . 159 ACR Poster Session A Antiphospholipid Syndrome (#1-18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160 Biology and Pathology of Bone and Joint: Osteoclasts, Osteoblasts and Bone Remodeling (#19-39). . . . . . . . . . . . 160 Epidemiology and Public Health: Osteoporosis, Non-Inflammatory Arthritis and More (#40-73) . . . . . . . . . . . . . . . . . . . 161 Genetics, Genomics and Proteomics I (#74-93) . . . . . . . . . . . . . . . . . . . . 161 Health Services Research (#94-118). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Imaging of Rheumatic Diseases: Ultrasound (#119-154). . . . . . . . . . . . . 163 Metabolic and Crystal Arthropathies: Clinical Aspects (#155-185). . . . . 165 Orthopedics, Low Back Pain and Rehabilitation (#186-199) . . . . . . . . . . 165 Osteoarthritis – Clinical Aspects: Imaging and Biomechanics (#200-222). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166 Osteoporosis and Metabolic Bone Disease – Clinical Aspects and Pathogenesis: Osteoporosis: Pathogenesis, Epidemiology and Diagnosis (#223-240) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167 Pain: Basic and Clinical Aspects (#241-268). . . . . . . . . . . . . . . . . . . . . . . . 167 Pediatric Rheumatology – Clinical and Therapeutic Aspects: Juvenile Idiopathic Arthritis (#269-304). . . . . . . . . . . . . . . . . . . . . . . . . . 168 Pediatric Rheumatology – Pathogenesis and Genetics (#305-321). . . . . 169 Rheumatoid Arthritis – Animal Models (#322-347) . . . . . . . . . . . . . . . . . 170 Rheumatoid Arthritis – Clinical Aspects: Novel Biomarkers and Other Measurements of Disease Activity (#348-432) . . . . . . . . . . . 170 Rheumatoid Arthritis – Human Etiology and Pathogenesis (#433-456) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy: Safety of Biologics and Small Molecules in Rheumatoid Arthritis (#457-519) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Sjögren’s Syndrome: Pathophysiology (#520-535). . . . . . . . . . . . . . . . . . 176 Spondylarthropathies and Psoriatic Arthritis – Clinical Aspects and Treatment I (#536-602). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Spondylarthropathies and Psoriatic Arthritis – Pathogenesis, Etiology (#603-633) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179 Systemic Lupus Erythematosus – Animal Models (#634-664). . . . . . . . . 180 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Treatment and Management Studies (#665-719). . . . . . . . . . . . . . . . . . 181 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Clinical Aspects and Therapeutics: Systemic Sclerosis Measures and Outcomes (#720-743). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics (#744-774). . . . . . . . . . . . . 183 Vasculitis (#775-814). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184 ACR/ARHP Poster Session B B cell Biology and Targets in Autoimmune Disease: Rheumatoid Arthritis and Related Diseases (#982-1000). . . . . . . . . . . . 185 Biology and Pathology of Bone and Joint: Cartilage, Synovium and Osteoarthritis (#1001-1026). . . . . . . . . . . . . . . . . . . . . . . 186 Cytokines, Mediators, Cell-cell Adhesion, Cell Trafficking and Angiogenesis (#1027-1050) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187 Epidemiology and Public Health (ACR): Rheumatoid Arthritis and Systemic Lupus Erythematosus Outcomes (#1051-1082) . . . . . . . . 187 Epidemiology and Public Health (ARHP): Epidemiology and Public Health (#1083-1092). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188 Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes: Clinical Focus (#1093-1120). . . . 189 Genetics, Genomics and Proteomics II (#1121-1140). . . . . . . . . . . . . . . . 189 Health Services Research (ACR) (#1141-1165) . . . . . . . . . . . . . . . . . . . . . 190 Health Services Research (ARHP): Health Services Research (#1166-1168). . . . . . . . . . . . . . . . . . . . . . . . . . 191 Imaging of Rheumatic Diseases: Magnetic Resonance Imaging (MRI) (#1169-1193). . . . . . . . . . . . . . . . . 191 Innate Immunity and Rheumatic Disease: Signaling Mechanisms (#1194-1213) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192 Metabolic and Crystal Arthropathies: Mechanisms of Disease (#1214-1224) . . . . . . . . . . . . . . . . . . . . . . . . . . . 192 Miscellaneous Rheumatic and Inflammatory Diseases (#1225-1254). . . . . . . . . . . . . . . . . . . . . . . . 193 2014 Program Book 9 TABLE OF CONTENTS Muscle Biology, Myositis and Myopathies: Myositis Autoantibodies and Disease Phenotype (#1255-1273) . . . . . . 194 Osteoarthritis – Clinical Aspects: Epidemiology and Pathogenesis (#1274-1293) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194 Pediatric Rheumatology – Clinical and Therapeutic Aspects (ARHP): Pediatrics (#1294-1329). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195 Pediatric Rheumatology – Clinical and Therapeutic Aspects: Pediatric Lupus, Scleroderma and Myositis (ACR) (#1330-1331). . . . . . 196 Psychology/Social Sciences (ARHP) (#1332-1339) . . . . . . . . . . . . . . . . . . 196 Quality Measures and Quality of Care (#1340-1361). . . . . . . . . . . . . . . . 196 Rheumatoid Arthritis – Clinical Aspects (ACR): Comorbidities, Treatment Outcomes and Mortality (#1362-1443) . . . . . 197 Rheumatoid Arthritis – Clinical Aspects (ARHP): Clinical Practice/Patient Care (#1444-1453). . . . . . . . . . . . . . . . . . . . . . . 200 Rheumatoid Arthritis – Human Etiology and Pathogenesis (#1454-1477) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy: Novel therapies, Biosimilars, Strategies and Mechanisms in Rheumatoid Arthritis (#1478-1541) . . . . . . . . . . . . 201 Spondylarthropathies and Psoriatic Arthritis – Clinical Aspects and Treatment II (#1542-1603). . . . . . . . . . . . . . . . . . . . 203 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Biomarker, Translational and Nephritis Studies (#1604-1626). . . . . . . . 205 Systemic Lupus Erythematosus – Human Etiology and Pathogenesis: Autoimmune Disease Transition, Disease Subsets and Prediction of Flares, Cytokines and Autoantibodies (#1627-1673) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Clinical Aspects and Therapeutics: Systemic Sclerosis, Diagnostic and Therapeutic Aspects (#1674-1703) . . . . . . . . . . . . . . . . . . . . . . . . . . 207 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics (#1704-1732). . . . . . . . . . . 208 T cell Biology in Rheumatoid Arthritis and Other Arthritis (#1733-1753). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209 Vasculitis (#1754-1793). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209 ACR/ARHP Poster Session C B cell Biology and Targets in Autoimmune Disease: Systemic Lupus Erythematosus and Related Diseases (#1938-1956). . . 211 Cytokines, Mediators, Cell-cell Adhesion, Cell Trafficking and Angiogenesis (#1957-1980) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Education (ACR) (#1981-2005). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 Education (ARHP): Education/Community Programs (#2006-2013). . . . 213 Epidemiology and Public Health (ACR): Rheumatoid Arthritis Pathogenesis and Treatment (#2014-2044). . . . . 214 Epidemiology and Public Health (ARHP) (#2045-2054) . . . . . . . . . . . . . . 214 Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes: Research Focus (#2056-2083). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214 Genetics, Genomics and Proteomics (#2084-2102). . . . . . . . . . . . . . . . . 215 Health Services Research (#2103-2125) . . . . . . . . . . . . . . . . . . . . . . . . . . 216 Imaging of Rheumatic Diseases: Various Imaging Techniques (#2126-2150). . . . . . . . . . . . . . . . . . . . . . . . 217 Infections, Infection-related Biomarkers and Impact of Biologic Therapies (#2151-2163) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217 Innate Immunity and Rheumatic Disease: Mediators, Cells and Receptors (#2164-2185). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218 Miscellaneous Rheumatic and Inflammatory Diseases (#2186-2209). . . . 218 10 2014 Program Book Muscle Biology, Myositis and Myopathies: Immunological Aspects of Inflammatory Myopathy (#2210-2229) . . . . . 219 Osteoarthritis – Clinical Aspects: Therapeutics (#2230-2252). . . . . . . . . 220 Osteoporosis and Metabolic Bone Disease – Clinical Aspects and Pathogenesis: Osteoporosis: Treatment, Safety, and Long Term Outcomes (#2253-2268) . . . . . . . . . . . . . . . . . . . . . . . . . 221 Pediatric Rheumatology – Clinical and Therapeutic Aspects: Systemic Juvenile Idiopathic Arthritis, Spondyloarthropathy and Miscellaneous Pediatric Rheumatic Diseases (#2269-2304). . . . . . 221 Quality Measures and Quality of Care (#2305-2324). . . . . . . . . . . . . . . . 222 Rehabilitation Sciences (ARHP) (#2325-2334). . . . . . . . . . . . . . . . . . . . . . 223 Research Methodology (ARHP) (#2335-2338). . . . . . . . . . . . . . . . . . . . . . 223 Rheumatoid Arthritis – Animal Models (#2339-2364). . . . . . . . . . . . . . . 223 Rheumatoid Arthritis – Clinical Aspects (ACR): Impact of Various Interventions and Therapeutic Approaches (#2365-2429). . . . . . . . . . . 224 Rheumatoid Arthritis – Clinical Aspects (ARHP): Clinical Practice/Patent Care (#2430-2444) . . . . . . . . . . . . . . . . . . . . . . . 226 Rheumatoid Arthritis – Human Etiology and Pathogenesis (#2445-2466) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227 Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy: Therapeutic Strategies, Biomarkers and Predictors of Outcomes in Rheumatoid Arthritis (#2467-2530) . . . . 227 Sjögren’s Syndrome: Clinical Science (#2531-2552). . . . . . . . . . . . . . . . . 230 Spondylarthropathies and Psoriatic Arthritis – Clinical Aspects and Treatment III (#2553-2618). . . . . . . . . . . . . . . . . . . 230 Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Epidemiology, Women’s Health, Cardiovascular and CNS (#2619-2672). . . . . . . . . . . . . . . . . . . . . . . . . . . 232 Systemic Lupus Erythematosus – Human Etiology and Pathogenesis: T and B Cell Signaling and Genetic Variants (#2673-2696). . . . . . . . . . . 234 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Clinical Aspects and Therapeutics: Determinants of Disease, Classification and Response (#2697-2721). . . . . . . . . . . . . . . . . . . . . . . . 235 T cell Biology in Lupus, Vasculitis, Myositis and Other Autoimmunity (#2722-2743). . . . . . . . . . . . . . . . . . . . . . . . . . 235 Vasculitis (#2744-2780). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236 INNOVATION THEATER LISTING. . . . . . . . . . . . . . . . 238 INDUSTRY-SUPPORTED POST MEETING SYMPOSIA. . . . . . . . . . . . . . . . . . . . . . . 239 CERTIFICATES OF CME CREDIT OR PARTICIPATION Accredidation Statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246 Evaluations, CME Credit and Cerfiticates. . . . . . . . . . . . . . . . . . . . . . . . . . 246 When Claiming CME Credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246 Conflict of Interest and Disclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246 RECOGNITIONS ACR/ARHP Annual Meeting Leadership. . . . . . . . . . . . . . . . . . . . . . . . . . . 248 Exhibitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252 Supporter Acknowledgements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 256 INDICIES ACR/ARHP Annual Meeting Planning Committee Disclosures. . . . . . . . . 258 ACR/ARHP Abstract Category Chair and Reviwer Disclosures. . . . . . . . . 260 Invited Speaker Moderator Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268 ACR/ARHP Abstract Author Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 288 ACR/ARHP Abstract Moderator Disclosure Index. . . . . . . . . . . . . . . . . . . 346 The most comprehensive online collection of rheumatology-related images. Serving as a centralized resource for clinicians, researchers and health care professionals, the Rheumatology Image Bank provides invaluable assistance in self-study or the education of others. Start your visual exploration of rheumatology today at http://images.rheumatology.org! Stop by the ACR’s Discovery Center, located in Exhibit Hall A (Booth #731), or the Concierge Center, located in the North Lobby, and speak with staff to learn more about the Rheumatology Image Bank and all it can offer you. The ACR would like to thank the following company for their generous support of the Rheumatology Image Bank: COPYRIGHT MATERIALS POLICY The Annual Meeting is a private event. Programs presented at the meeting are for the education of attendees and purchasers of recorded presentations as authorized by the American College of information Rheumatology. Information displayed or presented at all sessions during the Annual Meeting is the property of the ACR or the presenter. Information may not be recorded, photographed, copied, photocopied, transferred to electronic format, reproduced or distributed without the written permission of the ACR and the presenter. Any use of the program content, which includes but is not limited to oral presentations, audiovisual materials used by speakers and program handouts, without the written consent of the ACR is prohibited. This policy applies before, during and after the meeting. The ACR will enforce its intellectual property rights and penalize those who infringe upon it. general Use of American College of Rheumatology’s Name The names, insignias, logos and acronyms of the ACR, the ARHP and the Rheumatology Research Foundation are proprietary marks. Use of the names in any fashion, by any entity, for any purpose, is prohibited without the written permission of the College. PHOTOGRAPHS AND VIDEO RECORDING POLICY As a courtesy to our presenters, ACR policy does not permit photographs or recordings during educational sessions, including poster sessions. The only exception to this is for registered media, who should review their registration materials for more information. MEDIA Credentialed media attend the Annual Meeting to cover stories for consumer, trade and other media outlets, and are easily identified by their black press ribbons. Media has access to all general sessions and limited access (at the discretion of speakers) to Meet the Professor and Workshop sessions. Media may use hand-held audio recorders and still cameras; moving video recording is also permitted with the permission of the presenter(s). The exception to this policy is that no photos or video are allowed in the Exhibit Hall. Press who would like general photos of the Exhibit Hall can obtain these after the meeting from the ACR. Attendees who have questions about the ACR’s media policies should contact the ACR Public Relations department at pr@rheumatology.org. 2014 Program Book 11 general information EMBARGO POLICY Accepted abstracts are made available to the public online in advance of the meeting and are published in a special supplement of Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. Academic institutions, private organizations and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part a scientific presentation or presentation of additional new information that will be available at the time of the meeting) is under embargo until 4:30 pm Eastern Time on Saturday, November 15, 2014. Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying financial and other sponsors about this policy. ABSTRACT REPRINT POLICY Copyright law covers all Annual Meeting abstracts published by the American College of Rheumatology. All rights reserved. No abstracts may be reproduced in any form or by any means, except as permitted under section 107 and 108 of the United States Copyright Act, without the prior permission of the publisher. For the purposes of this statement, the term “ACR abstracts” refers to all Annual Meeting abstracts as published in Arthritis & Rheumatology and posted online, including the abstracts accepted for presentation during ARHP sessions and the latebreaking category. For the purposes of this statement, the term “ACR posters” refers to the accepted abstracts as presented during the Annual Meeting. All ACR posters are the property of the ACR or the presenting author and cannot be reproduced or distributed without written permission from the ACR and the presenting author. For the purposes of this statement, the term “reproduce” includes all forms of reproduction including, but not limited to, print, electronic and photographed formats. For the purposes of this statement, the term “presenting author” refers to the author who is designated as the individual who will present the work during the ACR Annual Meeting, as identified through the abstract submission process. Approval Process Excerpts of ACR abstracts or ACR abstracts in their entirety may not be reproduced without the prior written permission of the publisher. Permission requests and other permission inquiries should be addressed to: Permissions Department c/o John Wiley & Sons, Inc. 111 River Street Hoboken, NJ 07030 Fax: (201) 748-6008 www.wiley.com/go/permissions aa ! Commercial entities seeking permission to reprint must obtain all materials from the author and/or publisher John Wiley & Sons, Inc. ACR cannot provide any materials. Reproducing ACR Abstracts and ACR Poster Presentations for Dissemination During the Annual Meeting Following approval (see approval process), an exhibiting organization may: • D isseminate copies of individual ACR abstracts from its exhibit space. Booklets of abstracts (e.g., two or more) may not be produced. • D isseminate information summaries (title/date/time/ poster number) of ACR abstracts from its exhibit space. Summaries may not reference company or product names. Requests for approval must be submitted in writing to abstractreprints@rheumatology.org. Presenting authors may disseminate individual copies of their ACR poster during their assigned poster presentation time. Dissemination must be limited to the area directly in front of their assigned poster space and may not interfere with other poster presentations. Reproducing ACR Abstracts and ACR Poster Presentations for Dissemination After the Annual Meeting Following approval (see approval process above), the ACR permits ACR abstracts to be reprinted and disseminated following the Annual Meeting. Booklets of abstracts (e.g., two or more) must include the following statement on the front of the booklet: Abstracts reprinted from the ACR/ARHP Annual Meeting held November 14-19, 2014. The American College of Rheumatology does not guarantee, warrant, or endorse any commercial products or services. Reprinted by (insert name of supporting company). Booklets cannot contain corporate or product logos or any advertisements. No exceptions. 12 2014 Program Book general information ACR Posters Following approval from the ACR and the presenting author, copies of ACR poster presentation images may be reproduced. IMPORTANT: The ACR does not retain and cannot provide poster presentation images. Requests to reproduce individual ACR posters or booklets of posters (e.g., two or more) must be submitted via e-mail to abstractprints@rheumatology.org. Poster reproduction requests must include the following: Abstract ID Number • Abstract title • Presenting author’s name • A copy of presenting author’s written approval (Please Note: An e-mail approval from the presenting author is acceptable). The following statement must be listed under each poster reprint: Poster reprinted from the ACR/ARHP Annual Meeting held November 14-19, 2014. The American College of Rheumatology does not guarantee, warrant, or endorse any commercial products or services. Reprinted by (insert name of supporting company). Use of the ACR Scientific Program Content Information displayed or presented at all sessions during the Annual Meeting is the property of the ACR or the presenter. Information may not be recorded, photographed, copied, photocopied, transferred to electronic format, reproduced or distributed without the written permission of the ACR and the presenter. Any use of the program content, which includes but is not limited to oral presentations, audiovisual materials used by speakers and program handouts, without the written consent of the ACR is prohibited. This policy applies before, during and after the meeting. The ACR will enforce its intellectual property rights and penalize those who infringe upon it. MEETING INFORMATION Cell Phones, PDAs & Other Electronic Devices As a courtesy to meeting attendees, electronic devices must be operated in silent/vibrate mode within educational sessions; devices that beep, ring, etc. are prohibited. Cell phone conversations are not permitted in meeting rooms. Children For safety reasons, strollers are not permitted in the exhibit hall and all children must be accompanied by an adult. Only registered attendees will be permitted into meeting rooms. Child Care KiddieCorp is providing child care services for our attendees during meeting hours. If you did not reserve space in advance, you can inquire about space availability by calling (617) 954-3451. Nursing Mothers’ Room During scientific session hours, a staffed Nursing Mothers’ room will be available in Room 162-A. This room will have a private seating area, a refrigerator and a bulletin board for information exchange, advice and suggestions. Exhibit Hall Located in Hall A, you will find the latest technology and services demonstrated or on display in the exhibit hall. See page 252 for more information. Exhibit Hall hours: Sunday, November 16. . . . . . . . . . . . . . . 10:00 AM – 5:00 PM Monday, November 17. . . . . . . . . . . . . . 10:00 AM – 5:00 PM Tuesday, November 18. . . . . . . . . . . . . . 10:00 AM – 2:30 PM Meeting Room Capacity/Important Fire Safety Information Attendance at scientific sessions is on a first-come, first-served basis. Rooms which have reached the maximum capacity may be closed according to local fire and safety regulations. Standing in the aisle or against the walls is not permitted. If overcrowding occurs, staff/security personnel will close the session. Sessions closed due to overcrowding may be redirected to an overflow room or made available on SessionSelect within 24 hours following the session. See page 19 for more information on SessionSelect. Photography and Videotaping Photographers will be present at the meeting. Registration and attendance at, or participation in, ACR meetings and other activities constitutes an agreement by the registrant for the ACR’s use and distribution (both now and in the future) of the registrant or attendee’s image or voice in photographs, videotapes, electronic reproductions and audio tapes of such events and activities. Visual reproduction of sessions is prohibited without prior written permission of the ACR. The ACR reserves the rights to audio and video reproduction at the 2014 ACR/ARHP Annual Meeting. See copyrighted materials policy for more information on page 11. Name Badges For security reasons, your badge will be required for admittance to all sessions, exhibits, social events and shuttle buses. Please wear your badge so it can be easily seen at all times. Lost badges should be reported to the registration staff immediately. No Smoking All meeting facilities at the convention center, hotel meeting rooms and other venues have been designated as non-smoking areas. 2014 Program Book 13 M Pd PS general information MEETING NAVIGATION GUIDE Use the following track icons to help you identify the most relevant PS based on your specialty. PM content PS PRIMARY TRACKS PS PM Basic Science PS PM Business/Administration Clinical Practice PM Ed PrM Pd PS Educators PM Ed Pd PS FIT Pediatrics PrM PrM FIT Fellows-In-Training FIT Practice Management STATE CME DESIGNATIONS PS Management Pain The ACR designates certain sessions for pain PM management credit as required by the Medical Board of California (AB487). This designation is identified by the icon shown and will be placed next to the session title. Patient Safety The ACR designates certain sessions that will satisfy PS patient safety/risk management requirements of the Medical Board of Pennsylvania. This designation is identified by the icon shown and will be placed next to the session title. SESSION FORMATS ACR Sessions provide an update on the most recent developments in the field of rheumatology and provide instruction to improve patient care. Developments from other specialties and practical patient management skills will be emphasized. ARHP Sessions offer educational programs of interest to various health professionals. Concurrent sessions include invited speakers; peer-reviewed programs and lectures; and research and special interest abstract sessions. ACR and ARHP Concurrent Abstract Sessions provide a platform for the presentation of the most up-to-date basic science and clinical research data in the field of rheumatology. Sessions are grouped by topic or theme and include short oral presentations of high scoring accepted abstracts. 14 2014 Program Book Meet the Professor Sessions provide an opportunity for interaction and consultation with highly respected professionals who have expertise in a particular area. A separate registration is required. Networking Events provide unique opportunities to socialize and network with peers in smaller group settings. Clinical Science SECONDARY TRACKS PM Exhibits and Industry-Supported Sessions provide attendees with an opportunity to learn about the latest technological advances in the treatment of rheumatic diseases within the exhibit hall via various exhibitions and non-CME sessions in the Innovation Theater, as well as evening and post-meeting symposia. Poster Sessions include accepted abstracts not selected for oral presentation. Poster sessions are arranged by topic/category. Presenters are required to accompany their posters during designated poster presentation times. Pre-Meeting Courses offer attendees, with a specific interest, a unique learning opportunity. A separate registration is required. Study Groups bring together attendees with a common interest in one disease, a group of related disorders or a specialized field of study for discussion and dissemination of information. Workshops foster Hands-On learning, and provide an opportunity for interaction and consultation with highly respected professionals who have expertise in a particular area. A separate registration is required. ABSTRACT FORMATS Late-Breaking Session features truly late-breaking research. Oral Presentations are the main forum for didactic presentation of original research related to rheumatic diseases. Plenary Sessions highlight abstracts of significant novelty and importance. There will be three theme-based sessions offered. Poster Presentations feature poster displays of abstracts, while facilitating one-on-one interaction between the presenter and the audience. Poster Tours are small groups guided by experts in a particular field. Each tour will highlight selected posters of novel or recent developments within an abstract category. There is no additional cost to participate, although a separate registration is required. ABSTRACT CATEGORIES ACR Basic Science 1.B-cell Biology and Targets in Autoimmune Disease: B-lymphocyte differentiation, B-cell subsets, plasma cells, autoantigens, autoreactive B-cells and tissue injury. 2.Biology and Pathology of Bone and Joint: joint biology and biochemistry, cartilage and chondrocyte biology, basic studies of osteoarthritis, bone structure and function, bone mineral and matrix, osteoblasts and osteoclasts. general information 3.Cytokines, Mediators, Cell-cell Adhesion, Cell Trafficking and Angiogenesis: cytokines, chemokines and their receptors; downstream signaling effects and biologic pathways; cell-cell recognition and adhesion molecules, cell matrix interactions, matrix characteristics and properties, lymphoid organogenesis. ealth Services Research: delivery of care affecting 19. H patients with rheumatic disease; health systems and health care economic and ultization analysis. 4.Genetics, Genomics and Proteomics: techniques, strategies and observations related to disease susceptibility and expression; bioinformatics and systems biology. 21.Infection-related Rheumatic Disease: musculoskeletal manifestations of infectious disease, infectious arthritis and pathogenesis. 5. 6. I nnate Immunity and Rheumatic Disease: dendritic cells, antigen presentation, auto-inflammatory pathogenesis, pattern recognition receptors and their ligands, NK cells, complement and Fc receptors. P ain – Basic Aspects: studies on pain mechanisms, animal models of pain and pain physiology. 7.Pediatric Rheumatology – Pathogenesis and Genetics: pathological, genetic and other laboratory-based aspects of pediatric rheumatology conditions. 20. I maging of Rheumatic Diseases: radiography, nuclear medicine, magnetic resonance imaging (MRI), ultrasound and computed tomography (CT). etabolic and Crystal Arthropathies: crystal-induced 22. M arthritis, metabolic conditions including endocrine abnormalities. 23.Miscellaneous Rheumatic and Inflammatory Diseases: rheumatic manifestations and therapy of less common and even rare illnesses not included in other categories (e.g., RS3PE, reticulohistiocytosis, SAPHO). 24.Muscle Biology, Myositis and Myopathies: muscle biology, inflammatory and non-inflammatory muscle disease. 8.Rheumatoid Arthritis – Animal Models: animal models of inflammatory synovitis, mechanisms and treatment. 25.Orthopedics, Low Back Pain and Rehabilitation: orthopedic conditions and interventions, physical medicine techniques and outcomes, sports medicine. 9.Rheumatoid Arthritis – Human Etiology and Pathogenesis: genetics, susceptibility loci, etiology and pathogenesis. 26.Osteoarthritis – Clinical Aspects: patient-oriented studies of osteoarthritis, including treatment, diagnosis and outcomes. 10.Spondylarthropathies Psoriatic Arthritis – Pathogenesis, Etiology: etiology and pathogenesis, including genetics, reactive arthritis and animal models. 27.Osteoporosis and Metabolic Bone Disease – Clinical Aspects and Pathogenesis: patient-oriented studies of bone structure and integrity and its change in various disease states. 11. S ystemic Lupus Erythematosus – Animal Models: animal models, mechanisms and treatment. 12. S ystemic Lupus Erythematosus – Human Etiology and Pathogenesis: genetics, susceptibility loci, etiology and pathogenesis. 13.Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics: cellular and molecular mechanisms, biomarkers. 14. T -cell Biology and Targets in Autoimmune Disease: T-lymphocyte antigens and subpopulations, cognate interactions, T-lymphocyte activation and proliferation. CLINICAL 15.Antiphospholipid Syndrome: pathophysiology, presentation and management. 16. E ducation: research on curriculum design and implementation; educational research projects; and outcomes research on physician and trainee education including associated health training. 17.Epidemiology and Public Health: descriptive and/or analytical studies of populations. 18.Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes: regional pain syndromes, local diseases of muscle, ligament and tendon, fibromyalgia. 28. NEW! Pain – Clinical Aspects: studies on pain evaluation, pain management and pain-related functional imaging. 29.Pediatric Rheumatology – Clinical and Therapeutic Aspects: clinical aspects and treatment of inflammatory and non-inflammatory pediatric conditions. 30. NEW! Quality Measures and Quality of Care: development and use of tools to measure or quantify healthcare processes, outcomes, patient perceptions, organizational structures and/or systems relating to healthcare goals including safety, effectiveness, patient centricity, equity and timeliness. 31.Rheumatoid Arthritis – Clinical Aspects: clinical aspects of rheumatoid arthritis. Should not contain any treatment studies. 32.Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy: treatment of human rheumatoid arthritis including DMARDs, NSAIDs, glucocorticoids, new potential small molecules, biologics and gene therapy approaches. Human use only. 33.Sjögren’s Syndrome: pathophysiology, presentation and treatment. 2014 Program Book 15 Stop by the Discovery Center to learn what’s new at the College! We’re located in the center of the Exhibit Hall (Booth #731). L E A R N • G et details about our 2015 educational activities • F ind answers to your coding and billing questions • T alk with ACR staff about The Lupus Initiative, CME activities, registries, MOC tools, and more C O N N E C T • “ Get Social” by meeting with a social media mentor • S peak with key representatives from the ACR and ARHP journals E N G A G E S E E • H ear about the Foundation’s programs and initiatives • D emo popular online tools and resources • L earn about the latest advocacy efforts and how you can get involved iew and order the latest • V Rodnan Commemorative Gout Print • E nroll in the ACR Rheumatology Musculoskeletal Ultrasound Certification Program • C ollect complimentary product brochures, publications and patient education materials Discovery Center Hours: Sunday, November 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10:00 am – 5:00 pm Monday, November 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10:00 am – 5:00 pm Tuesday, November 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10:00 am – 2:30 pm general information 34.Spondylarthropathies and Psoriatic Arthritis – Clinical Aspects and Treatment: small molecule and biologic therapies of spondyloarthropathies, reactive arthritis and psoriatic arthritis. 35. S ystemic Lupus Erythematosus – Clinical Aspects and Treatment: diagnosis, clinical manifestations, outcomes, and treatment, including new small molecules, biologics and gene therapy. Human lupus only. 36. S ystemic Sclerosis, Fibrosing Syndromes, and Raynaud’s – Clinical Aspects and Therapeutics: clinical aspects of these syndromes and of treatments. 37. Vasculitis: genetics, etiology, pathogenesis, polygmatic rheumatica, presentation and management. ARHP 38.Clinical Practice/Patient Care: care of patients, practice management, medication monitoring/adherence and complementary and alternative strategies. 39. Education/Community Programs: patient education, professional education, community-based programs and public health programs. 40.Epidemiology and Public Health: descriptive and analytical studies of health status and health outcomes of populations and patient groups. 41.Health Services Research: health care systems and delivery, economic evaluations, quality improvements and analysis. 42.Pediatrics: pediatric practice and patient care. 43.Psychology/Social Sciences: social, emotional and behavioral factors affecting patients, families and providers. 44.Rehabilitation Sciences: physical therapy, occupational therapy, exercise programs, splinting/orthotics and other rehabilitation services. 45.Research Methodology: quantitative and qualitative studies, new assessment tools and methodology, new analytical techniques and research study management. MEETING SERVICES NEW! Annual Meeting App – Everything You Need, in One Place Search the program, retrieve syllabi, view abstracts and access recorded sessions on SessionSelect. See page 19 for more information on SessionSelect. Discovery Center – The Spot for All Things ACR, ARHP and the Foundation! Discovery Center Hours: Sunday, November 16. . . . . . . . . . . . . . . 1 0:00 AM – 5:00 PM Monday, November 17. . . . . . . . . . . . . . 10:00 AM – 5:00 PM Tuesday, November 18. . . . . . . . . . . . . . 10:00 AM – 2:30 PM Located in the center of Exhibit Hall A, Booth #731, the Discovery Center is designed to highlight all of the College’s exceptional programs and services. ACR’s professional staff is on hand to demonstrate online tools and resources, introduce new initiatives of the College that are under way, provide information and answer any questions you may have. The Discovery Center has it all in one place! See page 16 for more information. Look for these specific areas in the Discovery Center: • Advocacy Get the most up-to-date information on the legislative and regulatory issues affecting your profession. We have talking points on all ACR legislative priorities and tips on how to get more involved with the ACR’s advocacy efforts. You can also receive information on RheumPAC – the ACR’s political action committee. • E ducation Learn about ACR/ARHP educational offerings and upcoming meetings in 2015 and beyond. You can also demo online products, tools and training programs like SessionSelect, Advanced and Fundamentals of Rheumatology Courses and the popular Rheumatology Image Bank. • R heumatology Research Foundation Learn about the latest activities the Foundation is doing to ensure the future of rheumatology. View and order the latest poster in the Rodnan Commemorative Gout Print poster series, and hear about Foundation programs and initiatives. • P ractice Management & Coding Visit with ACR certified coders and practice management experts for any coding, billing, insurance or practice management questions. We have all the resources you need for an efficient rheumatology practice. You can also pick up the latest copy of the ACR’s monthly RheumWATCH. Take advantage of the new Annual Meeting App! • P ublications The editorial office staff of the Arthritis & Rheumatology and Arthritis Care & Research journals will be available to answer questions concerning online article submission and article review processes for the journals. 2014 Program Book 17 general information • S imple Tasks Learn how the ACR’s Simple Tasks campaign is educating lawmakers and referring physicians and others who influence rheumatology on the severity of inflammatory rheumatic diseases and the importance of rheumatologists and rheumatology health professionals in the treatment of those diseases. You can also learn how you can get involved in the Campaign in Action initiative. • Q uality & Informatics Learn how enrollment in the Rheumatology Clinical Registry can benefit you by providing Hands-On measurement tools and reports that enable you to comparatively assess the quality and outcome of rheumatologic care you provide. Plan on attending interactive demonstrations of this tool offered throughout the meeting. • C ertification Need help navigating Maintenance of Certification? We have answers to help steer your route to success with the American Board of Internal Medicine’s Maintenance of Certification program. An ABIM representative will be on site to help answer your questions. • M usculoskeletal Ultrasound Certification Interested in certifying in ultrasound? The ACR is providing a voluntary pathway for physicians, physician assistants and nurse practitioners who perform ultrasound as part of their practice in rheumatology to demonstrate competence to patients, peers and payers through its first certification program. Lost and Found Found items should be returned to the ACR Office, Room 260. If you are looking for a lost item, go to the ACR Office or call (617) 954-3940. Newsroom Located in Room 252, use of the Newsroom is limited to media representatives with press passes. Attendee Lounge Located in the Ballroom Lobby, attendees are welcome to relax and enjoy seating while networking with colleagues, checking e-mail and recharging their laptops or smartphones. Concierge Center Need directions to your next session or interested in discovering all things ACR? Stop by the Concierge Center located in the center of the North Lobby (Level 1). Staff is on hand to assist you and answer general questions about the Annual Meeting, ACR/ ARHP events, programs, resources and services of the College— and we’re happy to give directions to your next session, too. Concierge Center Hours: Friday, November 14. . . . . . . . . . . . . . . . Saturday, November 15 . . . . . . . . . . . . . Sunday, November 16. . . . . . . . . . . . . . . Monday, November 17. . . . . . . . . . . . . . Tuesday, November 18. . . . . . . . . . . . . . Wednesday, November 19. . . . . . . . . . . 6:30 AM –6:00 PM :30 AM –6:30 PM 6 6:30 AM –6:00 PM 6:30 AM –6:00 PM 6 :30 AM –6:00 PM 7:00 AM –1:00 PM • C areer Connection Employers and candidates are encouraged to take advantage of the online Career Connection to post position openings, search nationwide rheumatology career opportunities and much more. Career Fair On Friday, November 14 from 6:00 – 8:00 pm, potential employers and candidates can meet in the Grand Ballroom C-D-E at the Westin Boston Waterfront and enjoy complimentary hors d’oeuvres and beverages while discussing career opportunities. During this time, employers who have registered for the Career Fair can distribute handouts, flyers or business cards to potential candidates. aa A Take-Away Gift Just for You! Come by the Discovery Center and take home a meeting souvenir—get your picture taken with one of the landmarks of Boston and discover where the 2015 ACR/ARHP Annual Meeting will be held! Membership Booth Located in Registration (Exhibit Level), this is the place to go if you want to become a member, pay dues, reinstate your membership, learn more about member benefits and awards or volunteer to serve on a committee. 18 2014 Program Book Registration Registration counters are located in East Registration (Exhibit Level). Registration Hours: Friday, November 14. . . . . . . . . . . . . . . . Saturday, November 15 . . . . . . . . . . . . . Sunday, November 16. . . . . . . . . . . . . . . Monday, November 17. . . . . . . . . . . . . . Tuesday, November 18. . . . . . . . . . . . . . Wednesday, November 19. . . . . . . . . . . :30 AM –6:00 PM 6 6:30 AM –6:30 PM 6:30 AM –6:00 PM 7:00 AM –6:00 PM 7:00 AM –6:00 PM 7:00 AM –1:00 PM Get On-Demand Annual Meeting Education with SessionSelect! ATTENDEE BONUS! Your Annu al Meeting registratio n fee give s you FREE acce online con ss to the tent of the 2014 Annu al Meeting in Session Select for one year! Starting on Monday (November 17), you can view fully-synchronized presentations online, complete with speaker slides and audio, within 24 hours from the completion of the live session—just as if you were actually attending each session. Take advantage of the most convenient way to experience education from the Annual Meeting at your own pace. With SessionSelect you can: • S tay up to date on the most relevant information and research pertaining to rheumatic diseases pply session information to your practice to enhance your knowledge, competence •A and performance atch and learn 24/7—View content on your mobile device or download MP3 files •W for listening to audio on-the-go To learn more about SessionSelect or to view a demo, be sure to stop by the ACR’s Discovery Center, located in Exhibit Hall A (Booth #731), or the Concierge Center, located in the North Lobby, or go to www.ACRannualmeeting.org/SessionSelect. www.rheumatology.org/SessionSelect Recordings of individual sessions are subject to change. Ticketed sessions and pre-meeting courses are not included in complimentary access. CME credit is not available for viewing 2014 sessions online. general information Shuttle Bus Shuttle service will be provided to and from the Boston Convention and Exhibition Center and ACR hotels that are designated as non-walking hotels. On Friday, Saturday and Wednesday, service operates continuously. On Sunday through Tuesday, service operates from 6:30 - 10:30 am and 2:30 - 6:30 pm. Full shuttle service information will be posted in ACR hotel lobbies and at the shuttle bus entrances of the convention center. This service is complimentary for attendees and registered guests who booked their rooms through ACR Housing. Attendees who have booked their rooms on their own in contracted or noncontracted ACR hotels may purchase an ACR shuttle bus pass at the ACR registration counter for $50. Speaker Ready Room Located in Room 206, check-in is expected of all speakers and oral abstract presenters (excluding Meet the Professor and Workshop speakers, as well as poster presenters). Plan to check in at least 3 hours prior to your presentation time. In the Speaker Ready Room, you can review your presentation and approve the file to be uploaded to the central server. Professional audiovisual technicians will be available to assist you. Computers in the Speaker Ready Room will be configured with hardware and software exactly like the ones in the meeting rooms and will allow you to preview your presentation, identify problems and make corrections as necessary before your presentation. Speaker Ready Room Hours: Friday, November 14. . . . . . . . . . . . . . . . Saturday, November 15 . . . . . . . . . . . . . Sunday, November 16. . . . . . . . . . . . . . . Monday, November 17. . . . . . . . . . . . . . Tuesday, November 18. . . . . . . . . . . . . . Wednesday, November 19. . . . . . . . . . . Rheumatology Research Foundation Donors’ Lounge Experience the perks of supporting the Rheumatology Research Foundation while at the 2014 ACR/ARHP Annual Meeting in Boston! Attendees with access are invited to enjoy a hot breakfast every morning and gourmet coffee service throughout the day. Located in the Boardroom, the Donors’ Lounge is a great place to check your e-mail between sessions or catch up on work at our private computer stations. Donors are also invited to relax, watch television and network with their colleagues. Eligible donors will be able to get into the lounge with the 2014 Donors’ Lounge Access Pass. Passes will be distributed on site to individuals who have donated a total of $500 or more during fiscal year 2014 (July 1, 2013 through June 30, 2014). Donors’ Lounge Hours: Saturday, November 15 . . . . . . . . . . . . . Noon – 5:00 PM Sunday, November 16. . . . . . . . . . . . . . . 7:00 AM – 6:00 PM Monday, November 17. . . . . . . . . . . . . . 7:00 AM – 6:00 PM Tuesday, November 18. . . . . . . . . . . . . . 7 :00 AM – 6:00 PM Wednesday, November 19. . . . . . . . . . . 7:00 AM – 12:30 PM SPECIAL OFFERS AT THE ANNUAL MEETING SessionSelect – no need to miss a session! 6:30 AM –6:00 PM 6:30 AM –6:30 PM 6:30 AM –6:00 PM 6:30 AM –8:00 PM 6 :30 AM –6:00 PM 7 :00 AM –12:30 PM Wi-Fi Way and Recharge Access Complimentary Wi-Fi access is available in all rooms of the convention center. Recharge areas will be available in Wi-Fi Way (Exhibit Hall A), the Attendee Lounge (Ballroom Lobby) and the Technology Center (North Lobby). Within 24 hours of virtually every live session at the Annual Meeting, video recordings of the presentations, including oral abstracts, will be available through SessionSelect. As an attendee benefit, you get FREE online access for one year to hundreds of hours of Annual Meeting content–over $500 of added value. See page 19 for more information. Please Note: Recordings of individual sessions are subject to change. Ticketed sessions and pre-meeting courses are not included in complimentary access. CME credit is not available for viewing 2014 sessions through SessionSelect. What Would Make This Meeting Better? You’ve got ideas to share, and we’ve made it easy for you to share them. • Tweet your idea using the #ACR2014 hashtag. • S ubmit your session proposal or topic idea for the 2015 meeting at ACRannualmeeting.org. Medical Bag Don’t forget to pick up a Medical Bag prior to visiting the exhibits. Each bag contains special offers and invitations from our exhibitors and will be distributed from the exhibition entrance while supplies last. 20 2014 Program Book general information POSTER SESSIONS Poster presentations facilitate one-on-one interaction between the presenters and attendees. Posters are grouped by topic and will remain displayed in the poster hall (Exhibit Hall B) from 9:00 am - 4:00 pm, Sunday, November 16 - Tuesday, November 18. Poster presenters will be available at their poster from 9:00 11:00 am. One poster session will be held each day; however, there is no poster session on Wednesday. Poster presentations will be unopposed during the 10:00 - 11:00 am hour. The number on the poster boards refers to the abstract presentation number, and this number will change for each poster session. Late-breaking abstract posters will be available for viewing Sunday, November 16 - Tuesday, November 18. Late-breaking abstract presenting authors will be available at their posters on Tuesday, November 18 from 9:00 am - 11:00 pm Thieves’ Market posters will be presented on Monday, November 17 and Tuesday, November 18. NEW THIS YEAR! • T wo new ACR clinical science abstract categories have been introduced: “Pain: Clinical Aspects” and “Quality Measures and Quality of Care.” aa ! The abstract supplement will no longer be offered in the flash drive version. All attendees will be able to easily access the abstract supplement publication online. Posters must be mounted by 8:30 am of the designated poster session and dismantled after 4:00 pm as outlined in the abstract acceptance notification. Posters not dismantled by 5:00 pm each day will be recycled. Poster storage will not be available in the poster hall. In order to ensure a positive experience for both attendees and poster presenters, it is important to make sure that all posters are properly mounted and presenters are present from 9:00 - 11:00 am for poster presentations to answer questions from attendees. Poster presenter ribbons will be available in the Speaker Ready Room (Room 206). Poster Presenter No-shows Please Note: The ACR will be monitoring posters during the presentation hours in an effort to make certain the College is meeting the educational needs and expectations of attendees. Poster Sessions - Sunday, November 16 through Tuesday, November 18 from 9:00 am - 4:00 pm Set Up: . . . . . . . . . . . . . . . . . . . . . . . . . . . 7:00 – 8:30 AM Presentation: . . . . . . . . . . . . . . . . . . . . . 9:00 – 11:00 AM Poster Tours: . . . . . . . . . . . . . . . . . . . . . . 9:00 – 9:45 AM 10:15 – 11:00 AM Posters to remain up until 4:00 pm Poster pick up:. . . . . . . . . . . . . . . . . . . . . 4:00 – 6:30 PM ACR Removal: . . . . . . . . . . . . . . . . . . . . . 6:30 PM* *The ACR will remove and promptly recycle all posters not picked up by 6:30 pm each day. Guided Poster Tours Guided poster tours, led by experts in the field, will guide small groups of attendees during the poster presentation times to highlight novel or recent developments. Selected posters from various abstract categories will be included in the tours. Although there is no fee to participate, pre-registration is required and each tour is limited to 20 registered scientific attendees. If you would like to participate and have not registered, you can check tour availability and request a ticket at registration, located in East Registration on the Exhibit Level. If you registered in advance of the meeting, your ticket is located on the back of your name badge. Once you have your ticket, it is important that you collect your headset from the Poster Tour Kiosk and meet your group 10 minutes before your tour departs from the entrance of the poster hall, located in Exhibit Hall B. Poster tour reservations will be released to stand-by attendees five minutes before the tour. 2014 Program Book 21 FRIDAY 2 0 1 4 Great Meetings n o v e m b e r 1 4 , Come from Great Ideas! Call for Proposals: Submit your session idea or study group topic for the 2015 ACR/ARHP Annual Meeting at ACRannualmeeting.org TODAY! We are looking for proposals that: • Reflect clinical innovation and cutting edge research. • Convey best practices. • Present evidence-based medicine. • Stimulate discussion and challenge mind-sets. Tell us about learning models that: • Address challenges in your area of practice. • Create opportunities to share information across geographical demographics. • Encourage collaboration between subspecialities • Promote partnership among physicians and health professionals. Relevant topics may include: • Technological advances impacting practice. • World-wide trends in patient care. • Outcomes assessment and holistic treatment. Deadline for submissions is Friday, November 21, 2014 acr/arhp scientific sessions FRIDAY, NOVEMBER 14, 2014 PRE-MEETING COURSES PM PS ACR MUSCULOSKELETAL ULTRASOUND COURSE FOR RHEUMATOLOGISTS – DAY ONE OF TWO 7:45 am – 5:30 pm 109 A Admission to the ACR Musculoskeletal Ultrasound Course for Rheumatologists requires a separate registration. Registration includes complimentary Continental Breakfast and a boxed lunch. Upon completion of this session, participants should be able to: • demonstrate proper ultrasound exam technique and procedure guidance, applying standardized protocols • identify and describe normal sonographic anatomy and fundamental pathology for rheumatology indications • explain the requirements for documentation related to musculoskeletal ultrasound Moderator: Eugene Y. Kissin, MD 22 2014 Program Book Faculty: Catherine J. Bakewell, MD; Jurgen Craig-Muller, MD; Paul J. DeMarco, MD; Amy M. Evangelisto, MD; Janak R. Goyal, MD; Jay B. Higgs, MD; Gurjit S. Kaeley, MBBS, MRCP; Eugene Y. Kissin, MD; Minna J. Kohler, MD; Gary A. Kunkel, MD; Clara Lin, MD; Daniel G. Malone, MD; Bethany A. Marston, MD; Midori Jane Nishio, MD; Anthony M. Reginato, PhD, MD; Johannes Roth, MD; Jonathan Samuels, MD; Darren Tabechian, MD; Ralf G. Thiele, MD, RhMSUS; Karina Marianne Torralba, MD, MMED; Alicia Weeks, MD 7:00 – 7:45 am Continental Breakfast 7:45 am Introduction Eugene Y. Kissin, MD 8:00 am Principles of Musculoskeletal Ultrasound for Rheumatologists Jay B. Higgs, MD scientific sessions 9:30 am Lecture: Standard Scans, Sonographic Anatomy and Basic Sonographic Pathology Eugene Y. Kissin, MD 10:00 am Live Demonstration: Hand and Wrist Eugene Y. Kissin, MD 5:00 pm Hands-On Scanning: The Upper Extremity in Pediatrics Bethany A. Marston, MD and Johannes Roth, MD ACRPMADVANCED RHEUMATOLOGY CODING PS COURSE: DEVELOPING EXPERTS IN RHEUMATOLOGY CODING AND ICD-10-CM 9:00 am – 5:00 pm 257 A 10:15 am Hands-On Scanning: The Hand and Wrist All Faculty Admission to the ACR Certified Rheumatology Coder Course requires a separate registration. Registration includes complimentary Continental Breakfast and a boxed lunch. This course is not eligible for CME credit. 11:30 am – 12:30 pm Boxed Lunch 8:00 – 9:00 am Continental Breakfast 12:30 – 2:15 pm Speakers: Antanya Chung, CPC, CPC-I, CRHC, CCS-P and Melesia Tillman, CPC, CPC-I, CRHC, CHA The Elbow 12:30 pm Lecture: Standard Scans, Sonographic Anatomy and Basic Sonographic Pathology Amy M. Evangelisto, MD 1:00 pm Live Demonstration: Scanning of the Elbow Amy M. Evangelisto, MD 1:15 pm Hands-On Scanning: The Elbow All Faculty 2:15 – 2:30 pm Afternoon Break 2:30 – 4:30 pm The Shoulder 2:30 pm Lecture: Standard Scans, Sonographic Anatomy and Basic Sonographic Pathology Gurjit S. Kaeley, MBBS, MRCP 3:00 pm Live Demonstration: Scanning of the Shoulder Gurjit S. Kaeley, MBBS, MRCP 3:15 pm Hands-On Scanning: The Shoulder All Faculty 2 0 1 4 Hand and Wrist 4:30 pm Lecture: Pediatric Anatomy in Musculoskeletal Ultrasound Johannes Roth, MD 1 4 , 9:30 – 11:30 am Pediatrics FRIDAY 9:15 – 9:30 am Morning Break 4:30 – 5:30 pm n o v e m b e r 8:30 am Introduction to Typical Sonographic Findings and Tissue Characteristics in Rheumatology Clara Lin, MD Upon completion of this session, participants should be able to: • exhibit proficiency in adjudicating claims for accurate medical coding for diagnoses, procedures and services in physicianbased settings • demonstrate knowledge of medical coding rules and regulations including compliance and reimbursement • evaluate, revise and focus physician educational efforts and queries to meet documentation requirements for medical necessity and ICD-10-CM • identify the impact ICD-10-CM will have on organizations and workflow • implement strategies that will improve clinical documentation and facilitate a smooth transition to ICD-10-CM • recognize how ICD-10-CM documentation requirements will affect principal diagnosis selection, additional diagnosis reporting and diagnosis sequencing ACR BASIC RESEARCH CONFERENCE: PS PM EMERGING PERSPECTIVES ON THE MICROBIOME IN THE RHEUMATIC DISEASES – DAY ONE OF TWO 1:00 – 6:10 pm 210 B Admission to the Basic Research Conference requires a separate registration. Upon completion of this session, participants should be able to: • describe underlying principles and evidence demonstrating how the microbiome may affect immune development and thresholds of immune responsiveness 2014 Program Book 23 n o v e m b e r 1 4 , FRIDAY 2 0 1 4 scientific sessions • e xamine the technologic and bioinformatics tools that are used to provide quantitative data that enable correlations with host phenotypes and alterations (or dysbioses) within the microbiome • describe disease states that may be affected by microbial dysbioses 1:00 – 1:45 pm Keynote Lecture: Microbiome and Host Immune Defenses Speaker: Dan Littmann, MD, PhD 1:45 – 4:00 pm Session I: Overview of General Principles Moderator: Heidi H. Kong, MD, MHSc 1:45 pm Culture Independent Surveys of Microbiomes Rob Knight, PhD 2:15 pm Surveys of Human Populations and Families Jack Gilbert, PhD 2:45 pm Analysis and Models of Microbiomes Eric A. Franzosa, PhD 3:15 pm Multi-Omics Janet Jansson, PhD 3:45 pm Afternoon Break 4:00 – 6:10 pm Session II: The Microbiome and Regional Immunity Moderator: Susan A. Boackle, MD 4:00 pm Microbial Molding of Mucosal Immunity Hiroshi Kiyono, DDS, PhD 4:30 pm Microbiome and Lung Susan Lynch, PhD 5:00 pm Microbial Regulation of Responses in the Skin Heidi H. Kong, MD, MHSc 5:30 pm Immunity at the Barriers Yasmine Belkaid, PhD 6:00 pm Questions and Answers 6:10 – 7:00 pm Networking Reception Reception combined with ACR Clinical Research Conference participants. 24 2014 Program Book ACR CLINICAL RESEARCH CONFERENCE: PATIENT-CENTERED OUTCOMES IN RHEUMATOLOGY – DAY ONE OF TWO PM PS 1:00 – 6:00 pm 205 B Admission to the ACR Clinical Research Conference requires a separate registration. Upon completion of this session, participants should be able to: • define the role of patient-centered outcomes from the perspectives of clinical researchers, patients, caregivers and other stakeholders • define the contribution of patient-centered outcomes in a learning health care system • describe the case for patient-reported outcomes in clinical care and identify strategies to overcome barriers to use • identify and select key variables to consider in selection of patient-reported outcomes measures • incorporate patient-reported outcomes results into shared decision making in their respective clinical settings 1:00 – 4:00 pm Session I: Methodology and Development Moderators: Esi Morgan DeWitt, MD, MSCE 1:00 pm Patient-Centered Outcome Research: Why Methods Matter Sherine E. Gabriel, MD, MSc 1:15 pm Modern Methods in Patient-Reported Outcomes Measure Development Karon Cook, PhD 2:00 pm Advances in Comparative Effectiveness Research Methods in Rheumatoid Arthritis Jeffrey R. Curtis, MD, MPH, MS 2:30 pm Patient-Centered Outcomes Research Institute (PCORI) and Patients as Partners in Research Joe V. Selby, MD, MPH 3:00 pm “Nothing About Me Without Me”: Including the Patient in Outcomes Research Leslie Kelly-Hall 3:30 pm Questions and Answers 3:45 pm Afternoon Break 4:00 – 6:00 pm Session II: Translating Patient-Centered Outcomes to the Real World Setting Moderator: Sherine E. Gabriel, MD, MSc scientific sessions 4:00 pm The Role of Patient-Centered Outcomes in a Learning Health System L. Charles Bailey, MD, PhD 2:40 – 3:00 pm Afternoon Break 4:30 pm How New Treatments Show They Are Working Laure Gossec, MD, PhD Speaker: Seetha U. Monrad, MD Session II: Questions from 2014 Update 4:30 – 6:00 pm Session III: Questions from 2014 Update 6:00 – 7:00 pm Networking Reception Reception combined with ACR Basic Research Conference participants. PM PS ACR/ABIM MAINTENANCE OF CERTIFICATION LEARNING SESSION – 2014 UPDATE IN RHEUMATOLOGY 1:00 – 6:00 pm 258 B Admission to the ACR/ABIM Maintenance of Certification Learning Session requires a separate registration. Learn in an interactive environment as clinical experts lead you through 30 case-based questions from ABIM’s 2014 Update in Rheumatology Module. After the session, submit your answers online to the ABIM to receive 10 medical knowledge points for the Maintenance of Certification program. PRE-MEETING COURSES PM PS ACR MUSCULOSKELETAL ULTRASOUND COURSE FOR RHEUMATOLOGISTS – DAY TWO OF TWO 7:15 am – 5:50 pm 109 A Admission to the ACR Musculoskeletal Ultrasound Course for Rheumatologists requires a separate registration. Registration includes complimentary Continental Breakfast and a boxed lunch. Moderator: Eugene Y. Kissin, MD Faculty: Catherine J. Bakewell, MD; Jurgen Craig-Muller, MD; Paul J. DeMarco, MD; Amy M. Evangelisto, MD; Janak R. Goyal, MD; Jay B. Higgs, MD; Gurjit S. Kaeley, MBBS, MRCP; Eugene Y. Kissin, MD; Minna J. Kohler, MD; Gary A. Kunkel, MD; Clara Lin, MD; Daniel G. Malone, MD; Bethany A. Marston, MD; Midori Jane Nishio, MD; Anthony M. Reginato, PhD, MD; Johannes Roth, MD; Jonathan Samuels, MD; Darren Tabechian, MD; Ralf G. Thiele, MD, RhMSUS; Karina Marianne Torralba, MD, MMED; Alicia Weeks, MD Upon completion of this session, participants should be able to: • assess strengths and weaknesses in rheumatology medical base knowledge • state major developments in rheumatology over the past ten years • satisfy a self-evaluation requirement for the American Board of Internal Medicine Maintenance of Certification program Upon completion of this session, participants should be able to: • demonstrate proper ultrasound exam technique and procedure guidance, applying standardized protocols • identify and describe normal sonographic anatomy and fundamental pathology for rheumatology indications • explain the requirements for documentation related to musculoskeletal ultrasound 1:00 pm Introduction Carol A. Langford, MD, MHS 6:45 – 7:15 am Continental Breakfast 1:10 – 2:40 pm Session I: Questions from 2014 Update Speaker: Carol A. Langford, MD, MHS 2 0 1 4 5:45 pm Wrap-Up Sherine E. Gabriel, MD, MSc and Esi Morgan DeWitt, MD, MSCE 1 5 , SATURDAY, NOVEMBER 17, 2014 5:30 pm Questions and Answers SATURDAY Speaker: Erika H. Noss, MD, PhDSATURDAY, NOVEMBER 15, 2014 n o v e m b e r 5:00 pm Learning Health System and Patient-Centered Outcomes in Pediatric Rheumatology Esi M. Morgan DeWitt, MD, MSCE 3:00 – 4:30 pm 7:15 am Opening Remarks Eugene Y. Kissin, MD 7:30 – 9:15 am The Hip 7:30 am Lecture: Standard Scans, Sonographic Anatomy and Basic 2014 Program Book 25 n o v e m b e r 1 5 , SATURDAY 2 0 1 4 scientific sessions Sonographic Pathology Midori Jane Nishio, MD of Procedures Janak R. Goyal, MD 8:00 am Live Demonstration: Scanning of the Hip Midori Jane Nishio, MD 3:45 pm Panel Discussion – Implementing Musculoskeletal Ultrasound in the Practice of Rheumatology Catherine Bakewell, MD; Paul J. DeMarco, MD; Eugene Y. Kissin, MD; and Ralf G. Thiele, MD, RhMSUS 8:15 am Hands-On Scanning: The Hip All Faculty 9:15 – 9:30 am Morning Break 9:30 – 11:30 am The Knee 9:30 am Lecture: Standard Scans, Sonographic Anatomy and Basic Sonographic Pathology Gary A. Kunkel, MD 10:00 am Live Demonstration: Scanning of the Knee Gary A. Kunkel, MD 10:15 am Hands-On Scanning: The Knee All Faculty 11:30 am – 12:30 pm Boxed Lunch 12:30 pm – 2:30 pm Foot and Ankle 12:30 pm Lecture: Standard Scans, Sonographic Anatomy and Basic Sonographic Pathology Ralf G. Thiele, MD, RhMSUS 1:00 pm Live Demonstration: Scanning of Foot and Ankle Ralf G. Thiele, MD, RhMSUS 1:15 pm Hands-On Scanning: Foot and Ankle All Faculty 2:30 pm ACR Musculoskeletal Ultrasound Course for Rheumatologists – Billing, Coding and Report Generation Paul J. DeMarco, MD 3:00 pm – 3:15 pm Afternoon Break 3:15 pm – 5:00 pm Ultrasound Needle Guidance 3:15 pm Lecture: Evidence Base and Technique of Ultrasound Guidance 26 2014 Program Book 4:15 pm Hands-On Scanning: Ultrasound Guidance of Procedures All Faculty 5:00 – 5:50 pm Pediatrics 5:00 pm Lecture: The Lower Extremity in Pediatrics Johannes Roth, MD 5:20 pm Hands-On Scanning: Pediatrics Bethany A. Marston, MD and Johannes Roth, MD ACR CLINICAL RESEARCH CONFERENCE: PATIENT-CENTERED OUTCOMES IN RHEUMATOLOGY – DAY TWO OF TWO PM PS 7:45 am – 4:30 pm 205 B Admission to the ACR Clinical Research Conference requires a separate registration. Registration includes complimentary Continental Breakfast and a boxed lunch. Upon completion of this session, participants should be able to: • define the role of patient-centered outcomes from the perspectives of clinical researchers, patients, caregivers and other stakeholders • define the contribution of patient-centered outcomes in a learning health care system • describe the case for patient-reported outcomes in clinical care and identify strategies to overcome barriers to use • identify and select key variables to consider in selection of patient reported outcomes measures • incorporate patient-reported outcomes results into shared decision making in their respective clinical settings 7:00 – 7:45 am Continental Breakfast 7:45 – 8:00 am Introduction Speakers: Sherine E. Gabriel, MD, MSc and Esi Morgan DeWitt, MD, MSCE 8:00 – 9:30 am Session III: Research Perspective Moderator: Kenneth G. Saag, MD, MSc scientific sessions 8:00 am Patient-Centered Outcomes Research in ANCA-Associated Vasculitis Peter A. Merkel, MD, MPH 2:00 – 4:30 pm 8:30 am Patient-Centered Outcomes Research in Pediatrics Angelo Ravelli, MD 2:00 pm The Patient-Reported Outcomes Measurement Information System in Rheumatology James P. Witter, MD, PhD Session VI: Patient-Reported Outcomes (PROs) Measures in Research and Clinical Trials Moderator: Dinesh Khanna, MD 9:30 am Use of Patient-Reported Outcomes in Rheumatology Clinical Practice Clifton O. Bingham III, MD 3:20 pm Abstract Presentations 3:50 pm Questions and Answers 10:00 am Passive Patient-Reported Outcomes: Biosensors and Social Media to Track Patient Outcomes Brennan Spiegel, MD, MSHS 10:45 am Shared Decision Making: Incorporating Patient-Centered Outcomes Liana Fraenkel, MD, MPH 11:15 am Family Communication – The Next Frontier for Improving Patient Satisfaction Richard Siegrist, Jr., MBA, MS, CPA 11:45 am Big Data and the Point of Care Kenneth D. Mandl, MD, MPH 12:15 – 1:00 pm Boxed Lunch 1:00 – 2:00 pm Session V: Patient Perspective Moderator: Sherine E. Gabriel, MD, MSc 1:00 pm Importance of Patient-Centered Outcomes From the Patient’s Viewpoint Kelly Young, BA 1:30 pm Parent Engagement in Care and Research Judy K. Crosby, JD 2 0 1 4 Moderator: Nora G. Singer, MD 1 5 , 2:50 pm Incorporating Patient-Centered Outcomes (PCOs) in Product Development: Industry Perspective Arijit X. Ganguli, MBA, PhD Session IV: Clinical Care Perspective: Practical Tools for Using Patient-Reported Outcomes (PROs) SATURDAY 2:30 – 2:50 pm Afternoon Break 9:30 am – 1:00 pm 10:30 – 10:45 am Morning Break n o v e m b e r 9:00 am Patient-Centered Outcomes Research in Scleroderma Dinesh Khanna, MD, MSc 4:00 pm Wrap-Up Sherine E. Gabriel, MD, MSc and Esi Morgan DeWitt, MD, MSCE PS PM ACR PRACTICE MANAGEMENT PRE-MEETING COURSE 8:00 am – 4:00 pm 257 A Admission to the ACR Practice Management Pre-meeting Course requires a separate registration. Registration includes complimentary Continental Breakfast and a boxed lunch. Moderator: Nilsa Cruz 7:00 – 8:00 am Continental Breakfast 8:00 – 9:00 am Customer Service That Rocks: Boost Patient Satisfaction Speaker: Brandi Young, DNP Upon completion of this session, participants should be able to: • identify steps to achieve outstanding patient satisfaction results and discover reliable methods for dealing with demanding patients • outline breaking through ordinary communication and outdated work habits and improve overall customer service from check-in to check-out • discuss specific techniques to implement for over-the-phone or in-person communications to calm upset patients 9:00 – 9:30 am Morning Break 2014 Program Book 27 scientific sessions n o v e m b e r 1 5 , SATURDAY 2 0 1 4 9:30 – 10:30 am Take Your Appeals to the Next Level Speaker: Mark Painter Upon completion of this session, participants should be able to: • identify how to customize appeal letters for Level II appeals so no higher level appeals are rejected • identify the steps to appeal for all carriers, which forms to use and proven strategies for successful appeals • discuss how to craft effective appeals letters and get your PS PM claims paid Upon completion of this session, participants should be able to: • discuss why it is important to move from a back-end collections strategy to a front-end strategy • identify all that should be collected at the time of service and the difference it will make in collections (e.g., co-insurance, co-pay, self-pay) • define the practice collection process and what it means to the practice bottom line • identify tactics, tools and technologies to optimize collections from self-pay patients and reduce days in accounts receivable 10:30 – 11:30 am Managing Denials in a Complex Reimbursement Environment Speaker: Mark Painter Upon completion of this session, participants should be able to: • identify how to set up a tracking mechanism to collect data on denials • improve front and back office processes to prevent future denials • determine root causes, patterns and process breakdowns responsible for denials, and explaining how establishing corrective steps may reduce the volume of denied claims and write-offs 11:30 am – 12:30 pm Boxed Lunch 12:30 – 1:30 pm Ins and Outs of an Effective Compliance Plan Speaker: Anita Henderson Sumpter, MBA, MHA, CPC, CMOM Upon completion of this session, participants should be able to: • discuss how to structure an “effective” anti-corruption compliance program. • identify the vital elements of an effective compliance program • discuss the role of a compliance office in fighting fraud and implementing a compliance program 1:30 – 2:00 pm Afternoon Break 2:00 – 3:00 pm Increase Team Performance and Productivity Speaker: Mark Painter Upon completion of this session, participants should be able to: • discuss how to reduce staff conflict and build a team with a common purpose and shared vision • identify the elements of building a high-performance team • discuss the key principles of team dynamics, such as balance, conflict management and team alignment to provide practical insight into productivity and team success 28 3:00 – 4:00 pm Improve Time-of-Service Collections From the Front End 2014 Program Book Speaker: Jessica Farrell, PharmD ACR REVIEW COURSE 8:00 am – 4:00 pm Exhibit Hall C Admission to the ACR Review Course requires a separate registration. Registration includes complimentary Continental Breakfast and a boxed lunch. Moderators: Simon M. Helfgott, MD and Kristine M. Lohr, MD, MS 6:30 – 8:00 am Continental Breakfast 8:00 – 8:45 am Pregnancy Management and Outcome in Systemic Lupus Erythematosus Speaker: Lisa R. Sammaritano, MD Upon completion of this session, participants should be able to: • review the key clinical issues related to pregnancy in the lupus patient • discuss some of the more common clinical challenges facing the rheumatologist and obstetrician • formulate some recommendations regarding the management of pregnancy and the role of the rheumatologist 8:45 – 9:30 am The Diagnosis and Management of Macrophage Activation Syndrome Speaker: Alexei A. Grom, MD Upon completion of this session, participants should be able to: • identify the clinical features of macrophage activation syndrome • review the steps required to establish the diagnosis, using lab and clinical criteria • discuss treatment options for macrophage activation syndrome 9:30 – 10:15 am Interstitial Lung Disease in Rheumatic Disease: A Focused Review Speaker: Aryeh Fischer, MD Upon completion of this session, participants should be able to: • evaluate patterns of interstitial lung disease (ILD) and the clinical landscape of ILD disease in rheumatic diseases scientific sessions • r eview the evaluation of rheumatic patients with ILD and the evaluation for occult rheumatic diseases in those presenting with presumed idiopathic ILD • outline the management of ILD in patients with rheumatic disease 10:15 – 10:45 am Morning Break Speaker: Soumya Raychaudhuri, MD, PhD Management of Salivary Gland Involvement in Sjögren’s Syndrome Speaker: Alan N. Baer, MD Upon completion of this session, participants should be able to: • describe salivary gland anatomy and methods to assess function and structure • recognize symptoms and signs of salivary gland disease and MALT lymphoma in Sjögren’s syndrome • recommend management of salivary hypofunction and MALT lymphoma in Sjögren’s syndrome 12:15 – 1:15 pm Boxed Lunch 1:15 – 2:00 pm Management of Pseudogout: Insights for Clinicians Speaker: Geraldine M. McCarthy, MD Upon completion of this session, participants should be able to: • describe the clinical features of calcium pyrophosphate dihydrate (CPPD) crystal-associated arthropathy • formulate a diagnostic approach to CPPD arthropathy and screening for predisposing metabolic disease • manage CPPD arthropathy 2:00 – 2:45 pm Assessing Disease and Managing Large Vessel Vasculitis Speaker: Kenneth J. Warrington, MD Upon completion of this session, participants should be able to: • recognize the presentations of Takayasu arteritis and giant cell arteritis • describe vascular involvement in large vessel vasculitis • recommend short- and long-term management of large vessel vasculitis 2:45 – 3:15 pm Afternoon Break ACR BASIC RESEARCH CONFERENCE: PS PM EMERGING PERSPECTIVES ON THE MICROBIOME IN THE RHEUMATIC DISEASES – DAY TWO OF TWO 2 0 1 4 11:30 am – 12:15 pm Upon completion of this session, participants should be able to: • discuss interactions of medications used to treat rheumatoid arthritis and malignancy • discuss the risks and benefits of rheumatoid arthritis treatment in the setting of malignancy • modify rheumatoid arthritis treatment in the setting of malignancy 1 5 , Upon completion of this session, participants should be able to: • review how genomics affects the clinician’s understanding of specific rheumatic diseases such as rheumatoid arthritis • discuss the future role of genomics and how it may fit into the rheumatology practice of tomorrow Speaker: Iain B. McInnes, PhD SATURDAY Genomics for the Clinician Rheumatoid Arthritis Therapy After Diagnosis of Malignancy n o v e m b e r 10:45 – 11:30 am 3:15 – 4:00 pm 8:00 am – 4:30 pm 210 B Admission to the ACR Basic Research Conference requires a separate registration. Registration includes complimentary Continental Breakfast and a boxed lunch. Upon completion of this session, participants should be able to: • describe underlying principles and evidence demonstrating how the microbiome can affect immune development and thresholds of immune responsiveness • examine the technologic and bioinformatics tools that are used to provide quantitative data that enable correlations with host phenotypes and alterations (or dysbioses) within the microbiome • describe disease states that may be affected by microbial dysbioses 7:00 – 8:00 am Continental Breakfast 8:00 – 10:30 am Session III: Mechanisms of Immune Activation and Regulation Moderator: Kevin D. Deane, MD, PhD 8:00 am Mechanisms of Immune Activation and Regulation Andrew Gewirtz, PhD 8:30 am Microbiome and Gut T Cell Signaling June L. Round, PhD 9:00 am Microbiota and Tumor Immunity Romina Goldszmid, PhD 9:30 am The Microbiome as a Potential Risk Factor for Psoriatic Arthritis Anne Barton, PhD 2014 Program Book 29 scientific sessions 10:00 am Questions and Answers 10:10 – 10:30 am Morning Break 10:30 am – 1:30 pm Session IV: Microbiome and Rheumatic Disease n o v e m b e r 1 5 , SATURDAY 2 0 1 4 Moderator: Gregg J. Silverman, MD 10:30 am Microbiome and Psoriatic Arthritis James T. Rosenbaum, MD 11:00 am Microbiome and Rheumatoid Arthritis Jose U. Scher, MD 11:30 am Microbiome and Inflammatory Bowel Disease Jonathan Braun, MD, PhD Noon GALT Mediated Regulation of Immunologic Tolerance and Systemic Lupus Erythematosus Jo Spencer, PhD 12:30 pm Questions and Answers 12:45 – 1:30 pm Boxed Lunch 1:30 – 4:30 pm Session V: Prospects for Manipulating Disease Through the Microbiome Moderator: Jose U. Scher, MD 1:30 pm Consequences for Disease and Health of Shifting the Microbiome: Antibiotics, Probiotics and Nutriceuticals David A. Mills, MS, PHD 2:00 pm Treatment of Inflammatory Bowel Disease With Nematodes Joel Weinstock, MD 2:30 pm Manipulating the Urogenital Microbiome of Women Gregor Reid, PhD, MBA 30 ARHP CLINICAL FOCUS COURSE: DIAGNOSTIC PS PM IMAGING USE IN DIFFERENTIAL DIAGNOSIS FOR COMMON RHEUMATIC AND MUSCULOSKELETAL CONDITIONS 8:00 am – 4:30 pm 254 A Admission to the ARHP Clinical Focus Course requires a separate registration. Registration includes complimentary Continental Breakfast and a boxed lunch. Moderator: Karen Huisinga, MN, ARNP Upon completion of this session, participants should be able to: • review the concepts of common, patient-specific rheumatic differential diagnosis • develop basic knowledge of diagnostic imaging focusing on plain film, MRI and ultrasound • define the role, utilization and limitations of diagnostic imaging in plain film, MRI and ultrasound in the clinical setting • identify the appropriate imaging modality to apply in the clinical setting 7:00 – 8:00 am Continental Breakfast 8:00 am Introduction Karen Huisinga, MN, ARNP 8:15 – 9:00 am Diagnostic Imaging: A Tool for Differential Diagnosis Michael D. Ross, PT, DHSc, OCS 9:00 – 11:00 am Plain Film 9:00 am Outlining the Value of Plain Film Michael D. Ross, PT, DHSc, OCS 9:45 – 10:00 am Morning Break 10:00 am Plain Film Case Presentation Michael D. Ross, PT, DHSc, OCS 10:45 am Plain Film Questions and Answer 3:00 – 3:15 pm Afternoon Break 11:00 am – 1:30 pm 3:15 pm Fecal Transplants Michael J. Sadowsky, PhD 11:00 am Outline the Value of Ultrasound Patrick Astourian, MPAS, PA-C 3:45 pm Abstract Presentations 11:45 am – 12:30 pm Boxed Lunch 4:20 pm Wrap-Up Heidi H. Kong, MD, MHSc and Rob Knight, PhD 12:30 pm Ultrasound Case Presentations Patrick Astourian, MPAS, PA-C 2014 Program Book Ultrasound scientific sessions 1:15 pm Ultrasound Case Questions and Answer SCIENTIFIC SESSIONS 1:30 – 3:30 pm ACR/ARHP OPENING LECTURE AND AWARDS Magnetic Resonance Imaging (MRI) 4:30 – 6:15 pm 1:30 pm Outlining the Value of MRI Stacy Smith, MD Exhibit Hall C Moderators: Joseph Flood, MD, ACR President and Karen L. Smarr, PhD, ARHP President 2:15 – 2:30 pm Afternoon Break 4:30 pm ACR Presidential Address 2:30 – 3:15 pm MRI Case Presentations Stacy Smith, MD 5:00 pm Recognition of 2014 ACR Masters 3:15 – 3:30 pm MRI Case Questions and Answer Recognition of 2014 ARHP Merit Awards Recipients Recognition of 2014 ACR Awards of Distinction Recipients PM PS AAMC MEDICAL EDUCATION RESEARCH CERTIFICATE (MERC) WORKSHOP 9:00 am – 4:00 pm This workshop is not eligible for CME credit. 204 A 9:00 am – Noon Formulating Research Questions and Designing Studies Speaker: Karen Richardson-Nassif, PhD Upon completion of this session, participants should be able to: • write a FINER (feasible, interesting, novel, ethical, relevant) educational research question • specify an educational research area of interest • evaluate whether they need Institutional Review Board approval for their study • select the correct design for their research question 5:30 – 6:15 pm Measuring Educational Outcomes With Reliability and Validity Speaker: Karen Richardson-Nassif, PhD Upon completion of this session, participants should be able to: • identify three types of reliability (inter-rater, test-retest and internal consistency) • match types of reliability with appropriate statistical measures • describe the relationship between reliability and validity • describe multiple forms of evidence for validity • select an approach to reliability and validity assessment for a particular study PS Speaker: Leroy Hood, MD, PhD Upon completion of this session, participants should be able to: • review systems medicine and how its technologies and strategies are changing medicine • describe how P4 medicine differs from evidence-based medicine • explain the power of a longitudinal, Framingham-like 100,000 person wellness study for optimizing wellness for each individual and for studying wellness to disease transitions at the earliest stage ACR/ARHP OPENING RECEPTION 6:15 – 9:00 pm Ballroom East and West Noon – 1:00 pm Boxed Lunch 1:00 – 4:00 pm PM Opening Lecture: P4 Medicine Is Transforming Health Care: A Longitudinal, Framingham-like Study of 100,000 Well Patients Over 20-25 Years 2 0 1 4 4:15 pm Wrap-Up 1 6 , Recognition of 2014 Rheumatology Research Foundation Corporate Roundtable Donors SUNDAY Audience Response Interactive Session n o v e m b e r Recognition of 2014 ACR Distinguished Fellows Awards Recipients 3:30 – 4:30 pm SUNDAY, NOVEMBER 16, 2014 ACR SESSIONS 7:30 – 8:30 am 253 B PM PS Age Before Beauty: Colchicine, Aspirin, Methotrexate and Their Mechanisms of Action Moderator: Wael N. Jarjour, MD Speaker: Bruce N. Cronstein, MD 2014 Program Book 31 scientific sessions Upon completion of this session, participants should be able to: • review methotrexate-putative mechanisms of action in rheumatoid arthritis and gene expression data in methotrexate-naïve patients before and after treatment • review hydroxychloroquine mechanisms of action including discussion of effects on autophagy and TLR signaling in rheumatoid arthritis and lupus • review rituximab-recognized mechanisms of action and immune phenotypic changes in rheumatoid arthritis PS PM 104 B Pediatric Rheumatology Town Hall n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Moderator: Anna Huttenlocher, MD Upon completion of this session, participants should be able to: • delineate the American Board of Pediatrics Maintenance of Certification program • clarify the ACGME milestones for pediatrics • identify current work initiated for pediatric rheumatology by the ACR 7:30 am Update on the Modifications to the American Board of Pediatrics Maintenance of Certification Program C. Egla Rabinovich, MD, MPH 7:50 am Update on Accreditation Council for Graduate Medical Education Pediatric Milestones Marilynn G. Punaro, MD 8:10 am American College of Rheumatology Update and Pediatric Awards Polly J. Ferguson, MD PM PS Exhibit Hall C Year in Review Moderator: Chester V. Oddis, MD Upon completion of this session, participants should be able to: • discuss selected recent publications on the pathophysiological basis of rheumatic diseases by literature review of important publications • describe selected treatment modalities for rheumatic diseases from the recent published literature • evaluate how these new advances may impact the practice of rheumatology 7:30 am Clinical Perspective S. Louis Bridges Jr., MD, PhD 8:00 am Basic Science Perspective Cornelia M. Weyand, MD, PhD 32 2014 Program Book NETWORKING EVENT 7:30 – 8:30 am 102 A ACR/ARHP First-time Attendee Orientation First-time annual meeting attendees are invited to an orientation to learn the ‘ins and outs’ of the annual meeting. Dr. Audrey Uknis, ACR Immediate Past President and Dr. Jan Richardson, ARHP Immediate Past President, will assist you in planning how to get the most out of your first annual meeting. This session is not eligible for CME credit. Coffee and tea will be provided. Moderators: Audrey B. Uknis, MD and Jan K. Richardson, PT, PhD, OCS PS PM ACR MEET THE PROFESSOR SESSIONS 7:45 – 9:15 am Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. Westin – Paine (Lobby) *Basic Immunology for Clinical Rheumatologists (001) Speaker: John Atkinson, MD Upon completion of this session, participants should be able to: • describe how the immune system functions in normal individuals • identify abnormalities of immune regulation that lead to autoimmunity Westin – Otis (Lobby) Crystal: Diagnosis and Management of Gout (002) PM PS Speaker: Theodore R. Fields, MD Upon completion of this session, participants should be able to: • recall the various published guidelines for diagnosis of gout, including the most recent and appreciate the input that, when appropriate, can be added with ultrasound and Dual Energy CT scanning • appreciate the challenges in gout patient education and medication adherence • recall the 2012 ACR guidelines for gout management and appreciate those issues that still remain controversial or unresolved • discuss the types of agents in the pipeline for future gout therapy and potential future approaches to gout management scientific sessions Westin – Hancock (Lobby) Westin – Alcott (Mezzanine) Reactive Arthritis: An Update (008) Cutaneous Vasculitis (003) Speaker: Ruth Ann Vleugels, MD, MPH Speaker: John D. Reveille, MD Upon completion of this session, participants should be able to: • use the cutaneous exam to help distinguish between small and medium-sized vasculitides • observe the histopathological features of cutaneous vasculitis, which lead directly to clinical disease observable on the skin • identify vasculitis mimickers with cutaneous involvement • define the role of dermatologists in the diagnosis, work-up and management of cutaneous vasculitides Upon completion of this session, participants should be able to: • identify various causes of reactive arthritis • discuss mechanisms of disease pathogenesis • describe current treatment options for reactive arthritis Westin – Douglas (Mezzanine) *Rheumatoid Arthritis: Challenging Cases (009) Speaker: Daniel Furst, MD, MPH Fibromyalgia 2014: Update on Management (004) PM PS Speaker: Daniel J. Clauw, MD Westin – Faneuil (Mezzanine) 2 0 1 4 Speaker: Maria Dall’Era, MD Upon completion of this session, participants should be able to: • review established data from the medical literature in order to improve clinical practice related to the treatment of systemic lupus erythematosus • examine management strategies for refractory cutaneous manifestations of systemic lupus erythematosus • discuss management of progressive or relapsing lupus nephritis PS PM • discuss management of severe cytopenias *Macrophage Activation Syndrome (005) Speaker: Alexei A. Grom, MD Upon completion of this session, participants should be able to: • recognize the signs and symptoms of macrophage activation syndrome (MAS) in rheumatology • r ecognize markedly distinct nature of the systemic form of juvenile idiopathic arthritis and the fact that MAS most frequently occurs in patients with this disease • discuss current treatment approaches in MAS Pain: Evaluation and Treatment of Back Pain (006) 1 6 , *Systemic Lupus Erythematosus: Difficult-to-Treat Systemic Lupus Erythematosus (010) Westin – Stone (Lobby) Westin – Webster (Lobby) SUNDAY Upon completion of this session, participants should be able to: • identify newly proposed biological mechanisms for fibromyalgia and centralized pain • discuss the role of central nervous system dysfunction in the pathogenesis of fibromyalgia • describe the drug and non-drug treatments that are effective in fibromyalgia n o v e m b e r Upon completion of this session, participants should be able to: • discuss the management of patients with refractory rheumatoid arthritis • identify novel treatment options for those failing conventional therapies • create effective management plans for complicated rheumatoid arthritis patients Westin – Revere (Lobby) ACR WORKSHOPS 7:45 – 9:45 am PM PS Speaker: Rajiv Dixit, MD Upon completion of this session, participants should be able to: • describe the clinically relevant anatomy of the lumbar spine • clinically evaluate a patient with acute or chronic back pain or a patient with an associated nerve root compression syndrome • formulate a rational and cost effective management plan with a clear understanding of surgical indications Westin – Adams (Mezzanine) *Psoriatic Arthritis (007) Speaker: Dafna D. Gladman, MD Upon completion of this session, participants should be able to: • discuss advances in diagnosis and classification of psoriatic arthritis • determine if patients with psoriatic arthritis should be treated aggressively • determine treatment options for patients with psoriatic arthritis Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. 152 *Joint Injection Techniques (201) Speaker: Atul A. Deodhar, MD and Kenneth S. O’Rourke, MD Upon completion of this session, participants should be able to: • discuss indications and contraindications for joint aspirations and injections • identify and avoid common mistakes in joint injection procedures • perform common joint and soft tissue injections on upper and lower extremities 2014 Program Book 33 scientific sessions 161 *Nailfold Capillaroscopy (202) Speaker: Maurizio Cutolo, MD 154 n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Upon completion of this session, participants should be able to: • distinguish between normal nailfold capillary array and early/advanced microvascular changes that allows the early differential diagnosis between primary and secondary Raynaud’s phenomenon by using nailfold videocapillaroscopy (NVC) • identify the early scleroderma pattern, the predictive/ prognostic value of NVC for the SSc clinical complications (by models/indexes) as linked to the NVC patterns • quantify the microvascular lesions • d istinguish between the difference of combined predictive value of the NVC patterns and nuclear antibodies, the links with peripheral blood changes, as well as the effects of systemic sclerosis therapeutic treatments on NVC patterns Tai Chi in Rheumatic Disease (203) Speaker: Mary L. Jurisson, MD Upon completion of this session, participants should be able to: • describe the practice of tai chi and qigong and advise patients of its evidence-based benefits and risks • practice 1 or 2 qigong exercises independently • describe some of the simplified curricula ACR SESSIONS 8:30 – 10:00 am 52 A PM PS CARE: Maintenance of Certification Session One of Three – Vasculitis All annual meeting scientific attendees will receive access to the CARE: MOC module on their ACR profiles. Successful completion of the 30 case-based question online module with a score of 70% or higher will enable submission to the ABIM to receive ten (10) medical knowledge points for the Maintenance of Certification program. Ten (10) vasculitis questions will be covered at this session. Attendance at the session(s) is not required to participate in the online module. Moderator: Carol A. Langford, MD, MHS Speaker: Carol A. Langford, MD, MHS Upon completion of this session, participants should be able to: • assess strengths and weaknesses in rheumatology medical knowledge • review the diagnosis, management and treatment of rheumatic diseases that are part of the ABIM’s rheumatology MOC examination blueprint • satisfy a self-evaluation of medical knowledge requirement for the ABIM MOC program Ballroom East PS PM Current Understanding of Malignancies in Connective Tissue Diseases Moderator: Dinesh Khanna, MD Upon completion of this session, participants should be able to: • review the mechanisms of cancer-associated autoimmune diseases • discuss data related to associations of scleroderma and idiopathic inflammatory myopathies with malignancy and relationships with autoantibodies 8:30 am Idiopathic Inflammatory Myopathies – Whom Should We Screen for Malignancy? Frederick W. Miller, MD, PhD 9:00 am Scleroderma – Whom Should We Screen for Malignancy? Ami A. Shah, MD, MHS 9:30 am Cancers and Autoimmune Disease – What Is the Link? Antony Rosen, MD PM PS 254 A Ed Ethics and RheumatologyPM Pd PS PM Ed Eth PM PrM Pd PS FIT PrM FIT Moderators: Robert H. Shmerling, MD and Jane Kang, MD Upon completion of this session, participants should be able to: • develop knowledge and skills to address ethical conflicts that arise in rheumatologic practice and research • recognize how social and cultural perspectives affect the approach to ethical decision making • identify key ethical issues concerning social media for health professionals in general and rheumatologists in particular 8:30 am Ethical Challenges in Rheumatologic Research Arthur L. Caplan, PhD 9:00 am Ethics Concerns of the ACR Membership C. Ronald MacKenzie, MD 9:30 am Ethical Challenges Posed By Social Media Elizabeth A. Kitsis, MD, MBE 257 A PM PS Informative and Critical Peer Review for the ACR Journals: A Guide to Providing Excellent Peer Review FIT PrM Pd PS PM Ed of Manuscripts Moderators: Joan M. Bathon, MD, Editor, Arthritis & Rheumatology and Marian T. Hannan, DSc, MPH, Editor, Arthritis Care & Research Upon completion of this session, participants should be able to: • p eer-review scientific manuscripts within a field of interest • a ssess one’s own work prior to submission in terms of clarity of message and importance of the findings 34 2014 Program Book scientific sessions • d escribe the requirements and scientific preferences of the journals of the ACR 8:30 am Outline and Key Points of Conducting a Review Joan M. Bathon, MD and Marian T. Hannan, DSc, MPH 8:50 am Panel Presentation: Reviewing Clinical Science Articles Karen H. Costenbader, MD, MPH PM 9:00 am Panel Presentation: Reviewing Translational Articles Richard J. Bucala, MD, PhD 258 B The Microbiome in Health and Disease Moderator: Robert A. Colbert, MD, PhD Exhibit Hall C Osteoporosis: Current Concepts for the Clinician Moderator: Margaret R. Wilkes, MD Upon completion of this session, participants should be able to: • discuss etiologies, diagnosis and management of low bone density in premenopausal women • describe secondary causes of low bone density in men and treatment strategies for male osteoporosis • review current data for best practice regarding utilization of bone turnover markers and duration of antiresorptive therapy in the treatment of osteoporosis 8:30 am The Skin Microbiome Elizabeth A. Grice, PhD 2 0 1 4 PS PM 1 6 , 9:30 am Questions and Answers SUNDAY 9:20 am Panel Presentation: Reviewing From a Biostatistics Perspective Michael P. LaValley, PhD Upon completion of this session, participants should be able to: • review the skin microbiome system and its role in dermatologic and systemic diseases • e valuate the interactions between the microbiome and host gender in disease predisposition • examine the role of the microbiome in inflammatory arthritides n o v e m b e r 9:10 am Panel Presentation: Reviewing Genetics/Genome-Wide Association Study Articles S. Louis Bridges Jr., MD, PhD 9:00 am Gender, Microbiome and Autoimmunity Jayne Danska, PhD 9:30 am The Microbiome in Inflammatory Arthritides Jose U. Scher, MD PM 104 B PS When Pills Are Not Enough: Multidisciplinary Approaches to Pediatric Pain and Hypermobility PM PM Ed PS Pd PS PrM FIT Moderators: Laura E. Schanberg, MD and Kenneth N. Schikler, MD 8:30 am Osteoporosis in Young Women Elizabeth J. Shane, MD 9:00 am Osteoporosis in Men Benjamin Z. Leder, MD 9:30 am Antiresorptive Therapies and Utilization of Bone Turnover Markers in the Management of Osteoporosis Karen E. Hansen, MD, MS 160 B • e xplain how to effectively respond to allegations of overpayments • identify ways to improve workflow to handle the everincreasing number of multi-payer audits • identify automated tools for tracking the status of individual claims • a ppraise the types of audits to expect and key areas that each audit program may target (i.e., medical necessity, documentation, etc.) PS PM PS Practice Issues: Health Care Bounty Hunters: A Closer Look at RACs, Audits and Medical Documentation Moderator: Douglas White, MD, PhD Speaker: Anita Henderson Sumpter, MBA, MHA, CPC, CMOM Upon completion of this session, participants should be able to: • discuss the scope and purpose of the RAC, ZIPC and CERT contractors and audits trends for each program Upon completion of this session, participants should be able to: • describe novel insights in juvenile fibromyalgia diagnosis and prognosis • effectively diagnose hypermobility syndromes and discuss prognosis • recognize the value and the role of medications in the management of non-inflammatory musculoskeletal pains in children and adolescents 8:30 am Juvenile Fibromyalgia: Diagnosis, Severity and Prognosis Susmita Kashikar-Zuck, PhD 9:00 am The Spectrum of Pediatric Hypermobility – A Geneticist’s Viewpoint Brad Tinkle, MD, PhD 2014 Program Book 35 scientific sessions 9:30 am Integrated Management of Non-Inflammatory Musculoskeletal Pain in Children Kenneth Goldschneider, MD ACR POSTER SESSION A AND POSTER TOURS 8:30 am – 4:00 pm Poster presenters will be available from 9:00 – 11:00 am (abstracts # 1 – 814). Poster tours will be held 9:00 – 9:45 am and 10:15 – 11:00 am. Morning snacks will be available from 9:00 – 10:30 am. Poster Hall (Exhibit Hall B) n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Guided Poster Tours Guided poster tours allow scientific attendees to ask questions and gain insights from some of the best-known rheumatology leaders. Tours are complimentary; however, registration is required and is limited to scientific attendees. If you preregistered for a tour, you should have received a ticket with your meeting materials. Once you have your ticket, check in at the tour desk 15 minutes prior to the start of your tour to receive your headset. Your reservation will be held only until five minutes prior to the start of the tour. After this time, your reservation is not guaranteed and may be released to standby attendees. If you did not pre-register, tickets may be available in the registration area (Exhibit Level: East Registration). Alternatively, you may go directly to the poster tour desk and wait for a standby ticket. Standby tickets will be assigned on a first-come, first-served basis five minutes prior to the start of each tour. Each tour participant will receive a wireless headset which will be registered against the participants’ registration ID. Participants will be charged $50 if the headset is not returned within 15 minutes of the end of the tour. 9:00 – 9:45 am Fellows Only: How to Navigate the Poster Hall (301) Tour Guide: Calvin R. Brown, Jr, MD Pain: Basic and Clinical Aspects (302) Tour Guide: Anne-Marie Malfait, MD, PhD Past President’s Picks Poster Tour (303) Tour Guide: Mary K. Crow, MD Past President’s Picks Poster Tour (304) Tour Guide: Michael Weinblatt, MD Rheumatoid Arthritis Treatment – Small Molecules, Biologics and Gene Therapy Poster Tour (305) Tour Guide: Iain B. McInnes, PhD Systemic Lupus Erythematosus: Clinical Aspects Poster Tour (306) Tour Guide: Diane L. Kamen, MD, MS 10:15 – 11:00 am Antiphospholipid Syndrome Poster Tour (307) Tour Guide: Pier Luigi Meroni, MD 36 2014 Program Book Metabolic and Crystal Arthropathies Poster Tour (308) Tour Guide: N. Lawrence Edwards, MD Past President’s Picks Poster Tour (309) Tour Guide: David G. Borenstein, MD Rheumatoid Arthritis: Clinical Aspects Poster Tour (310) Tour Guide: Jennifer Barton, MD Systemic Lupus Erythematosus: Clinical Aspects Poster Tour (311) Tour Guide: Megan E. B. Clowse, MD, MPH Vasculitis Poster Tour (312) Tour Guide: Robert F. Spiera, MD ACR SESSIONS 9:00 – 10:00 am PM 210 B PS ACR Immunology Update: New Immunology of the Spondyloarthropathies Moderator: Gregg J. Silverman, MD Speaker: Christopher T. Ritchlin, MD, MPH Upon completion of this session, participants should be able to: • review the demographics and common clinical presentations for these conditions • appraise insights gained from genetic surveys and evolving insights into cellular and molecular pathogenesis • discuss recent advances in clinical trials with new therapeutic agents 102 A PM PS Advocacy: Meet the Expert – A Senator’s Perspective on Advocacy Best Practices Moderator: William F. Harvey, MD, MSc Speaker: The Honorable Tim Hutchinson (U.S. House 1993-1997; U.S. Sen. 1997-2003) Upon completion of this session, participants should be able to: • review how rheumatologists can interact with elected officials locally • review how rheumatologists can interact with elected officials nationally • a ppraise effective and ineffective ways of approaching elected officials PS PM Ballroom West Sarcoidosis in 2014 Moderator: Elana J. Bernstein, MD, MSc Upon completion of this session, participants should be able to: • discuss the diagnosis and management of cardiac sarcoidosis • discuss the diagnosis and management of neurosarcoidosis 9:00 am Cardiac Sarcoidosis Daniel Culver, DO scientific sessions (Booths #139 and #1401) 9:30 am Neurosarcoidosis Nadera J. Sweiss, MD Innovation Theater A and B PM Non-CME accredited presentations have been planned and will be implemented in accordance with the requirements of the FDA and applicable standards of the PhRMA Code on Interactions with Healthcare Professionals. Innovation Theater A presentations will be held from 10:30 – 11:15 am, 12:30 – 1:15 pm and 2:30 – 3:15 pm. Innovation Theater B presentations will be held from 11:30 am – 12:15 pm, 1:30 – 2:15 pm and 3:30 – 4:15 pm. For a complete listing of Innovation Theater presentations, see PS 238. PM page PS 153 B Social Media Boot Camp: Twitter Basics Moderator: Paul Sufka, MD ACR WORKSHOPS 10:30 am – 12:30 pm 9:30 am How to Tweet Christopher E. Collins, MD * Sessions denoted with an asterisk were sold out as of August 30. 159 Upon completion of this session, participants should be able to: • identify non-musculoskeletal uses of ultrasound in rheumatology patients. • recognize some common ultrasound abnormalities in patients with rheumatic diseases. • recognize the importance of proper ultrasound transducer selection and system settings to obtain adequate ultrasound images. • apply introductory ultrasound scanning techniques for nonmusculoskeletal scanning. • apply introductory ultrasound scanning techniques to assess for vasculitis ARHP SESSION 9:00 – 10:00 am PS ARHP Keynote Address: Happiness from the Inside Out Moderator: Afton L. Hassett, PsyD Speaker: Cynthia Coney, MEd, CAPP Upon completion of this session, participants should be able to: • identify the three stages patients may traverse after a diagnosis of chronic illness • list at least three personal strengths that resilient people exhibit • apply resiliency skills into personal and professional lives EXHIBITS 10:00 am – 5:00 pm Exhibit Hall A Join your colleagues in the Exhibit Hall for morning and afternoon refreshments from 10:00 – 11:00 am and 2:00 – 3:00 pm. *Beyond Musculoskeletal Ultrasound for Rheumatologists (204) Speaker: Minna J. Kohler, MD 9:55 am Question and Answer 107PM B 2 0 1 4 9:05 am Why Tweet? Ronan Kavanagh, MD, MRCP 1 6 , 9:00 am Introduction Paul Sufka, MD SUNDAY Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. n o v e m b e r Upon completion of this session, participants should be able to: • create an Twitter account • recognize proper and improper usage of tweeting in professional environments • identify whom to follow, e.g., rheumatologists and other interesting people in medicine • identify and define a hashtag • demonstrate how to tweet • demonstrate how to retweet or favorite noteworthy information 152 *Clinical Anatomy and Physical Exam: Essential Tools in Upper Extremity Regional Pain Syndromes (205) PM PS Speakers: Robert A. Kalish, MD and Pablo Villasenor Ovies, MD Upon completion of this session, participants should be able to: • demonstrate clinical anatomy of the lower extremities in performing the physical examination • apply knowledge of clinical anatomy to better understanding and diagnosis of the common regional pain syndromes • administer the physical examination of the lower extremities on healthy volunteers 2014 Program Book 37 scientific sessions 154 11:20 am Presentation of the New ACR Rheumatoid Arthritis Guidelines Jasvinder A. Singh, MD, MPH Histopathology of Rheumatic Lung Disease (206) Speakers: Allen Burke, MD and Fabio Tavora, MD, PhD Upon completion of this session, participants should be able to: 11:50 am Questions and Answers Kenneth G. Saag, MD, MSc • a ppraise the basic patterns of lung injury as seen microscopically • c ompare pathologic findings in rheumatologic lung diseases with their idiopathic counterparts • d istinguish histologic features of drug induced lung injury from rheumatologic injury ARHP SESSIONS 11:00 am – Noon PS PM 161 Synovial Fluid Analysis and Crystal Identification (207) 257 A Affordable Care Act n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Speakers: Brian F. Mandell, MD, PhD; Gilda M. Clayburne, MLT and Lan Chen, MD, PhD Moderator: Daniel F. Battafarano, DO Speaker: Angela K. Golden, DNP Upon completion of this session, participants should be able to: • prepare synovial fluid samples for microscopic examination • identify various components of synovial fluid • identify crystals in synovial fluid Upon completion of this session, participants should be able to: • describe the changes that the Affordable Care Act will have on health care • explain how reimbursement will be affected by the Affordable Care Act • summarize the changes of the Affordable Care Act that will impact rheumatology directly ACR SESSIONS 11:00 am – Noon PM PS 52 A 210 B Bone Biology Moderators: George C. Tsokos, MD and Steven R. Goldring, MD Speaker: Laurie H. Glimcher, MD PM PS New ACR Recommendations for the Management of PS PS PM PM Rheumatoid Arthritis 38 PS Immunology Boot Camp I: The Basics of Targeted Therapies Moderators: Deborah McCloskey, RN, BSN and Brandi Young, DNP, FNP-C Speaker: Troy R. Torgerson, MD, PhD Upon completion of this session, participants should be able to: • review how the skeleton remodels itself continuously through bone formation and resorption • establish familiarity with the signaling pathways that operate in osteoblasts • recognize the need for new therapeutics to treat low bone mass Ballroom East PM Upon completion of this session, participants should be able to: • describe the basic building blocks of the immune system • summarize the components of innate immunity, including sensing self and foreign • explain the body’s immediate response to an antigen 254 A PM PS What Can Brain Imaging Tell Us About Pharmacologic and Non-Pharmacologic Treatment of Chronic Pain? PM PS Moderators: S. Louis Bridges Jr., MD, PhD and Raveendhara R. Bannuru, MD Moderator: Daniel J. Clauw, MD Upon completion of this session, participants should be able to: • describe the recommended treatment approach for patients with rheumatoid arthritis • outline the ACR’s recommendations for use of non-biologic and biologic disease-modifying agents in the treatment of rheumatoid arthritis • explain the ACR’s recommendations for use of corticosteroids in the treatment of rheumatoid arthritis Upon completion of this session, participants should be able to: • explain some of the basic principles of brain neurochemistry and brain connectivity and how these are altered in chronic pain • describe how brain neurotransmitters and connectivity patterns may be altered by pharmacologic and nonpharmacologic treatment • recognize how neuroimaging outcomes can be used to guide clinical decision making 11:00 am Overview of Guideline Development, Including Methods and Literature Review Timothy E. McAlindon, MD, MPH, MRCP 11:00 am Pharmacologic Neuroimaging in Chronic Pain Richard E. Harris, PhD 2014 Program Book scientific sessions 11:30 am Neuroplastic Response to Non-Pharmacologic Treatment in Chronic Pain Vitaly Napadow, PhD ACR PLENARY SESSION I – DISCOVERY 2014 11:00 am – 12:30 pm Conclusion: We identify cH2B as an antigenic target of the ACPA immune response and our findings suggest that intra-articular histone citrullination can link innate immunity via NETosis and adaptive immunity via generation of citrullinated histone immune complexes. The generation of citrullinated histone antigens during low grade articular inflammation provides a potential mechanism for the conversion from asymptomatic ACPA seropositivity to clinical RA. Exhibit Hall C ACR Plenary Session I: Discovery 2014 Moderators: Joseph Flood, MD and Chester V. Oddis, MD 11:00 am Rheumatology Research Foundation Corporate Roundtable Awards SUNDAY n o v e m b e r 11:15 am 815. Netosis Induced Histone Citrullination Facilitates Onset and Propagation of Rheumatoid Arthritis 1 6 , Dong Hyun Sohn and Jeremy Sokolove, VA Palo Alto Healthcare System and Stanford University, Palo Alto, CA Methods: We performed proteomic analysis of human NETs to identify all citrullinated proteins including those targeted as part of the RA immune response. Using a combination of ELISA and IHC we compared RA and OA serum, synovial fluid and synovial tissue for levels of histone 2B (H2B), anti-H2B antibodies, as well as H2B-containing immune complexes. Using macrophage activation assays we assessed the effect of histone citrullination on immunostimulatory capacity and evaluated the stimulatory capacity of native and citrullinated H2B-containing immune complexes. Finally, we immunized mice with citrullinated H2B (cH2B) with and without the induction of low grade collagen induced arthritis to assess the potential for anti-cH2B antibodies to mediate arthritis in vivo. Results: Proteomic interrogation of NET-derived proteins, RA serum, synovium and synovial fluid identified robust targeting of NET-derived citrullinated histones by the ACPA immune response. Over 90% of RA patients have anti-cH2B antibodies and over half have measurable levels of synovial fluid H2B immune complexes. We observe that histone citrullination increases innate immunostimulatory capacity and that immune complexes containing citrullinated histones both activate macrophage cytokine production and propagate NETosis. Finally, we demonstrate that autoimmunity to cH2B is arthritogenic, both by primary immunization as well as immune serum transfer, but only in the setting of underlying low grade articular inflammation. 2 0 1 4 Background/Purpose: Anti-citrullinated protein antibodies (ACPAs) are characteristic of rheumatoid arthritis however, their presence years before onset of clinical RA is perplexing. Although multiple putative citrullinated antigens have been identified, including citrullinated products of NETosis, no studies have demonstrated the capacity of these antigens to initiate inflammatory arthritis. We sought to identify citrullinated products of NETosis targeted by the RA immune response and with the capacity to drive inflammatory arthritis. Disclosures: D. H. Sohn, None; J. Sokolove, None. 11:30 am 816. TRNT1 Missense Mutations Define a New Periodic Fever Syndrome Angeliki Giannelou, National Institute for Arthritis and Musculoskeletal and Skin Diseases,Bethesda, MD Background/Purpose: Two thirds of the 1700 patients seen at our NIH clinic for autoinflammatory diseases do not have a genetic diagnosis. Whole exome sequencing permits analysis of most of the protein coding regions of the human genome. Methods: With the use of whole exome sequencing and candidate gene screening, we identified five children from four unrelated families, who had unexplained autoinflammatory disease and shared mutations in one common gene. One family from Saudi Arabia was consanguineous with two affected daughters. The second family of mixed Czech and British background had one affected boy. The third and fourth families were of mixed European ancestry from the United States and each family had one affected daughter. We performed additional experiments in patients samples including flow cytometry, immunophenotyping, cytokine profiling, mitochondria related function and ribosomal assembly assays. Protein function was studied with morpholino knockdowns in zebrafish embryos. Results: All patients carried missense recessive mutations in one common gene, the TRNT1 (tRNA Nucleotidyl Transferase, 2014 Program Book 39 scientific sessions n o v e m b e r 1 6 , SUNDAY 2 0 1 4 CCA-Adding, 1), on chromosome 3. The two affected Saudi Arabian sisters were homozygous for a p.H215R missense mutation, while the other three children were compound heterozygous for a missense mutation, p. I223T or p. R99W and one shared mutation p.D163V. The p.H215R mutation was not found in any public database neither in 1061 Arab control DNA samples. From the three Caucasian mutations, the p.R99W was novel whereas the p. I223T and p.D163V were found at a very low allele frequency (<0.001) at the NHLBI exomedatabase. All mutations affect highly conserved amino acid residues and are predicted to be damaging to the protein function. All children had recurrent episodes of high fevers with negative sepsis work up that occurred in association with microcytic anemia and a spectrum of multisystem features. Neurologic involvement ranged from mild developmental delay to nystagmus, hypotonia, optic nerve atrophy and sensorineural hearing loss. Other variables manifestations include dysmorphic features, musculoskeletal and gastrointestinal symptoms, B cell immunodeficiency and hypogammaglobulinemia. Studies performed so far, point towards a maturation defect of the B cell lineage in the bone marrow, as a possible cause of the observed immunodeficiency. Preliminary data from cytokine analysis in two patients have shown elevated levels of the proinflammatory cytokines interleukin 6 and type 1interferon, suggesting possible therapeutic targets. Knockdown of the zebrafish TRNT1 homologue caused hydrocephaly, defects in tail development, anemia and a reduction in the number of hair cells present in the lateral line, that has function resembling human inner ear. Conclusion: The CCA-adding TRNT1 enzyme catalyzes the addition of the CCA terminus to the 3 prime end of all tRNAs precursors, a step that is essential for tRNA aminoacylation and protein synthesis. The discovery that missense mutations in this essential and ubiquitously expressed gene cause a newly defined periodic fever syndrome , will allow further understanding of mechanisms underlying inflammation. matched by age, gender and calendar year. Cox regression was used to calculate hazard ratios (HR) to determine baseline risk factors for increased mortality in the BeSt population. Results: During 10 years, 72 of 508 patients died at a mean age of 75 years. No difference in survival was observed between the treatment strategies (p=0.805) (figure), with 16/126, 15/121, 21/133 and 20/128 deaths in arm 1 to 4, respectively. Based on the general Dutch population, 62 deaths were expected and 72 deaths occurred, resulting in an overall SMR of 1.16 (95% confidence interval, CI 0.92 – 1.46). Comparing the general population to each of the treatment strategies resulted in a SMR (95% CI) of 1.00 (0.61 – 1.64), 1.02 (0.61 – 1.69), 1.30 (0.85 – 1.99) and 1.32 (0.85 – 2.04) in arm 1 to 4, respectively. In the BeSt population, baseline age (HR 1.13, 95% CI 1.101.16), male gender (HR 1.78, 95% CI 1.06-2.99), smoking at baseline (HR 5.19, 95% CI 3.08-8.75) and health assessment questionnaire at baseline (HR 1.89, 95% CI 1.29-2.76) were associated with an increased risk of mortality. Randomization arm was not associated with an increased risk of mortality (arm 1 as reference category; arm 2 HR 0.99, 95% CI 0.49 – 2.00; arm 3 HR 1.27, 95% CI 0.66 – 2.44; arm 4 HR 1.25, 95% CI 0.65 – 2.41). Conclusion: After 10 years of continued tight controlled treatment in patients with rheumatoid arthritis in the BeSt study, the survival rate was comparable to the general Dutch population, without differences between the treatment strategies. Higher age, male gender, smoking and worse functional ability were associated with an increased risk of mortality within our study population. These results suggest that treatment targeted at DAS ≤2.4 prevents increased mortality previously associated with RA and that the medication used in these strategies does not increase mortality. Disclosures: A. Giannelou, None. 11:45 am 817. Mortality in a Large Cohort of Patients with Early Rheumatoid Arthritis That Were Treated-to-Target for 10 Years I.M. Markusse, Leiden University Medical Center, Leiden, Netherlands Background/Purpose: Recent studies showed diverging results about mortality trends in patients with rheumatoid arthritis (RA). Our aim was to determine survival after 10 years of treatto-target therapy in patients with early RA, to compare these survival rates with the general population and to define risk factors for mortality during the 10 years duration of the BeSt study. Methods: The BeSt study enrolled 508 Dutch patients with recent-onset active RA (1987 criteria) who were randomized to: sequential monotherapy, step-up therapy, initial combination including either prednisone or infliximab. During 10 years, all patients were treated-to-target, aiming at a disease activity score (DAS) ≤2.4. Kaplan-Meier curves and the log-rank test were used to compare survival rates in the four treatment strategies. Standardized mortality ratios (SMR) were calculated to compare the BeSt population to the general Dutch population, 40 2014 Program Book Disclosures: I. M. Markusse, None. Noon 818. Incident Rheumatoid Arthritis and Risk of Mortality Among Women Followed Prospectively from 1976 to 2010 in the Nurses’ Health Study Jeffrey A. Sparks, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA Background/Purpose: RA has been associated with increased mortality compared to general population estimates. Previous studies were limited due to the inability to directly compare RA patients to controls, short follow-up and lack of detailed data on clinical, lifestyle and serologic factors. We evaluated mortality among women followed prospectively prior to RA diagnosis, directly comparing to women without RA. Methods: We conducted a study of RA and mortality among 121,700 women followed from 1976 to 2010 in the Nurses’ Health Study (NHS). Incident RA was validated by medical record scientific sessions review according to the 1987 ACR RA criteria and classified by serostatus. Women who reported RA or other connective tissue diseases before the start of NHS were excluded. Women were followed from cohort entry to death or end of follow-up and were censored for loss to follow-up. Deaths were validated by the National Death Index; death certificate and medical record review determined cause of death. Cox regression models estimated hazard ratios (HRs) and 95% confidence intervals (CIs) for all-cause, cardiovascular disease (CVD), cancer and respiratory mortality for women with RA compared to women without RA. We obtained HRs for mortality by RA duration and serologic RA phenotype. Models were adjusted for age, demographics and other mortality factors, including physical activity, smoking, obesity, comorbidities and family history of cancer, CVD and diabetes. CVD-specific mortality Cancerspecific mortality Respiratoryspecific mortality† AgeMultivariable Multivariable adjusted HR HR HR (95% CI)* (95% CI) (95% CI)* Multivariable Multivariable HR HR (95% CI)* (95% CI)* No RA 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) RA 1.42 (1.261.61) 2.07 (1.832.35) 1.87 (1.442.43) 1.35 (1.071.69) 4.50 (3.28-6.17) No RA 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.24 (1.151.33) 1.22 (1.141.30) 1.55 (1.42-1.69) All RA RA duration 1.16 (1.13- 1.32 (1.27(per 5 years) 1.20) 1.36) Seropositive RA No RA 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) RA 1.54 (1.331.79) 2.33 (2.002.71) 1.80 (1.272.55) 1.25 (0.921.70) 6.23 (4.38-8.85) 1.00 (ref) 1.00 (ref) 1.26 (1.151.39) 1.23 (1.131.34) 1.69 (1.53-1.85) Seronegative RA No RA 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) RA 1.15 (0.931.41) 1.60 (1.301.98) 1.84 (1.232.73) 1.40 (0.991.98) 1.97 (0.97-3.98) No RA 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.00 (ref) 1.19 (1.062.73) 1.18 (1.061.31) 1.23 (1.00-1.51) RA duration 1.08 (1.02- 1.20 (1.14(per 5 years) 1.15) 1.28) *Adjusted for age, questionnaire period, US region, race/ethnicity, education, husband’s education, body mass index (<18.5, 18.5-24.9, 25-29.9, ≥30), cigarette smoking pack-years (never, 0-10, 10.1-20, >20), post-menopausal hormone use, physical activity, healthy eating index, cancer, cardiovascular disease, diabetes mellitus, family history of diabetes, family history of cancer, family history of myocardial infarction <60 years of age and aspirin use through follow-up. Modifiable factors were adjusted up to RA diagnosis (cigarette smoking pack-years, physical activity and body mass index). † Among women with RA, there were a total of 43 respiratory deaths that were due to pneumonia (11), emphysema (8), chronic interstitial lung disease (5), asthma (1) and other respiratory diseases (18). Disclosures: J. A. Sparks, None. 12:15 pm 819. Secukinumab, a Monoclonal Antibody to Interleukin17A, Significantly Improves Signs and Symptoms of Active Ankylosing Spondylitis: Results of a 52-Week Phase 3 Randomized Placebo-Controlled Trial with Intravenous Loading and Subcutaneous Maintenance Dosing 2 0 1 4 All-cause mortality 1.00 (ref) 1 6 , Table. Hazard ratios for all-cause and cause-specific mortality in RA serologic phenotypes among women in the Nurses’ Health Study, 1976-2010 (n = 119,264). 1.00 (ref) SUNDAY Conclusion: In 34 years of prospective follow-up, women diagnosed with RA had a two-fold increased risk of death from any cause compared to women without RA. Respiratory mortality was six-fold higher in seropositive RA and women with RA were significantly more likely to die from CVD and cancer than women without RA. Respiratory mortality appears to be an important but understudied cause of death in RA. These findings provide evidence of high RA mortality burden that is unexplained by traditional mortality predictors. 1.00 (ref) RA duration 1.20 (1.15- 1.38 (1.33(per 5 years) 1.25) 1.44) n o v e m b e r Results: We validated 960 incident RA cases and identified 25,699 deaths in 34 years of NHS follow-up. Of the 261 deaths among women with RA, 75 (29%) were from cancer, 58 (22%) were from CVD and 43 (16%) were from respiratory causes. Compared to women without RA, women with RA had increased all-cause mortality that remained significant after adjusting for age and other mortality factors (HR 2.07, 95% CI 1.83-2.35, Table). Mortality was significantly increased for seropositive (HR 2.33, 95% CI 2.00-2.71) and seronegative RA (HR 1.60, 95% CI 1.30-1.98) compared to non-RA women. Each five years of RA duration conferred a 32% (95% CI 27-36%) increased mortality compared to non-RA. Women with RA had significantly increased risk for mortality from CVD (HR 1.87, 95% CI 1.442.43), cancer (HR 1.35, 95% CI 1.07-1.69) and respiratory (HR 4.50, 95% CI 3.28-6.17) causes compared to women without RA. Respiratory mortality for women with seropositive RA was sixfold higher than non-RA women (HR 6.23, 95% CI 4.38-8.85). No RA Dominique L. Baeten, Department of Clinical Immunology and Rheumatology and Department of Experimental Immunology, Academic Medical Centre/University of Amsterdam, Amsterdam, Netherlands Background/Purpose: A phase 2, proof-of-concept study indicated that secukinumab, an anti–IL-17A monoclonal antibody, suppressed signs and symptoms of active ankylosing spondylitis (AS) by Week (Wk) 6. We present Wk 16 and Wk 52 efficacy and safety data from MEASURE 1 (NCT01358175), a phase 3 study assessing secukinumab vs. placebo (PBO) in patients (pts) with AS. Methods: Pts with active AS fulfilling modified New York Criteria and BASDAI ≥ 4, despite current or previous therapy with NSAIDs, DMARDs and/or anti-TNF agents, were randomized to receive: i.v. secukinumab 10 mg/kg (Wk 0, 2, 4) followed by s.c. secukinumab 75 mg every 4 wks (10 IV → 75 SC), s.c. secukinumab 150 mg every 4 wks (10 IV → 150 SC), or PBO on same i.v. and s.c. schedules. Endpoints included ASAS20 at Wk 16 (primary), ASAS40, hsCRP, ASAS 5/6, BASDAI, SF-36 PCS, ASQoL and ASAS partial remission. Statistical analyses followed a pre-defined hierarchical hypothesis testing strategy to adjust for multiplicity. PBO pts were re-randomized to secukinumab 75 mg or 150 mg s.c. based on ASAS20 response at Wk 16, with nonresponders switched at Wk 16 and responders at Wk 24. Results: Baseline characteristics of the 371 randomized pts were similar between study arms: mean age 40.1-43.1 years, mean disease duration 6.5-8.3 years, mean BASDAI 6.05-6.51, ~27% inadequate response to anti-TNF agents (TNF-IR). The study met its primary efficacy endpoint with a significantly higher ASAS20 response at Wk 16 in the 10 IV → 75 SC (59.7%) and 10 IV → 150 SC (60.8%) groups vs. PBO (28.7%; P < 0.01 for each dose); ASAS20 response rates in TNF-naïve pts were 60.0%, 66.3% and 32.6% and in the TNF-IR pts were 58.8%, 45.5% and 18.2%, in 2014 Program Book 41 scientific sessions n o v e m b e r 1 6 , SUNDAY 2 0 1 4 the 10 IV → 75 SC, 10 IV → 150 SC and PBO groups, respectively (P< 0.01 vs. PBO). Significant improvements with both doses of secukinumab vs. PBO were observed for all pre-specified secondary endpoints at Wk 16 (Table), with responses sustained through Wk 52. Onset of action of secukinumab was rapid, with significant improvements in ASAS20, ASAS40, hsCRP, ASAS5/6 and BASDAI seen at Wk 1. Through to Wk 16, drug exposure levels were similar in the secukinumab groups due to the i.v. loading doses. Secukinumab was generally well tolerated. At Wk 16, 66.9% of pts in the 10 IV → 75 SC group and 69.6% in the 10 IV → 150 SC group experienced an AE, vs. 55.7% on PBO; SAE rates were 1.6%, 2.4% and 4.1%, respectively. Through Wk 52 visit of the last pt (average exposure [range]: 451.7 [8–757] days), AE/SAE rates were 76.5%/10.1% and 85.1%/9.4% for pts receiving secukinumab 75 or 150 mg s.c., respectively, at any point in the study. Table. Summary of 16-week efficacy results Week 16 Data Secukinumab 10 mg/kg i.v. → 75 mg s.c. (N = 124) Secukinumab 10 mg/kg i.v. → 150 mg s.c. (N = 125) Placebo (N = 122) ASAS20 response 59.7%* 60.8%* 28.7% ASAS40 response 33.1%* 41.6%* 13.1% hsCRP, post-baseline to baseline ratio (LSM±SE) 0.45 ± 1.092* 0.40 ± 1.090* 0.97 ± 1.095 ASAS5/6 45.2%* 48.8%* 13.1% BASDAI, mean change from baseline score (LSM±SE) -2.34 ± 0.175* -2.32 ± 0.172* -0.59 ± 0.180 5.64 ± 0.595* 5.57 ± 0.586* 0.96 ± 0.612 ASQoL, mean change from baseline -3.61 ± 0.424* score (LSM±SE) -3.58 ± 0.420* -1.04 ± 0.437 SF-36 PCS, mean change from baseline score (LSM±SE) ASAS partial remission 16.1%* 15.2%* 3.3% *P<0.01 vs. placebo Prespecified hierarchical statistical testing strategy used to account for multiplicity. Missing data for categorical variables were imputed as nonresponse ASAS, Assessment of SpondyloArthritis International Society Criteria; ASQoL, Ankylosing Spondylitis Quality of Life; BASDAI, Bath Ankylosing Spondylitis Disease Activity Index; hsCRP, high-sensitivity C-reactive protein; LSM, least square mean; SE, standard error; NS, not significant; SF-36 PCS, short form 36 physical component summary Conclusion: The selective IL-17A inhibitor secukinumab provided rapid and significant improvement of signs and symptoms in pts with active AS, regardless of prior anti-TNF exposure. Improvements were observed from Wk 1 and sustained through 52 wks. Secukinumab was well tolerated through 52 wks with no unexpected safety findings. Disclosures: D. L. Baeten, Research grants from Boehringer Ingelheim, Janssen, MSD, Novartis, Pfizer, 2, 9, Consulting fees from AbbVie, Boehringer Ingelheim, BMS, Eli Lilly, Jannsen, MSD, Novartis, Pfizer, Roche, UCB, 5. ARHP NETWORKING EVENT 12:30 – 2:15 pm Commonwealth Ballroom Networking Forum All ARHP attendees are invited to this kick-off forum for the annual meeting. A box lunch will be provided for the first 250 people. You will have an opportunity to meet and network with other health professionals. Discipline tables will be arranged to help facilitate connections. This session is not eligible for CME credit. 42 2014 Program Book ACR SESSION 12:45 – 2:15 pm PM PS Ballroom West ACR Knowledge Bowl: Preliminary Round Moderator: Rebecca L. Manno, MD, MHS Upon completion of this session, participants should be able to: • identify key images that are important to recognize in clinical practice • describe factual information related to various rheumatic diseases • identify historical facts relevant to the field of rheumatology Competing Teams: Bourbon Street Bunions Nirupa J. Patel, MD; Kenneth Van Dyke, DO and Joseph Martinez, MD “Complement”ary Medicine! Sobia Hassan, BM BS, MRCP; Maria Antonelli, MD and Santosh Bhusal, MD Combat Rheumatology Ramon Arroyo, MD; Joshua Scott, DO, MS, BS and Ian Ward, MD Drugs ANCAnna Help Your GPA Soumya Chatterjee, MD, MS; Piyush Poddar, MD and David Theis, DO, BA Healing Hinges Kenneth J. Warrington, MD; Megan L. Krause, MD and Abha G. Singh, MBBS Motor City Road Runners Alireza Meysami, MD; Reshma Khan, MD and Reshma Marri, BS, MD Rheumatology Research Unit Rosa Daniela Grembiale, MD; Francesco Ursini, PhD, MD and Saverio Naty, MD Rheumawiz Rohini Samant, MBBS, MD; Piyush Joshi, MBBS, MD and Yathish GC, MBBS, MD Sweet Bones Alabama Laura B. Hughes, MD, MSPH; Xena Whittier, MD, MS, BA and Jenny Lin, MD Team Galveston Vijaya Murthy, MD; Rajani Rudrangi, MD and Niharika Ganti, MD Team Ireland John J. Carey, CCD, MS; Richard Conway, BAO, BCh, MB, MRCPI and Orla Ni Mhuircheartaigh, BAO, BCh, MB, MRCPI The Bauer Rumble Robert P. Friday, MD, PhD; Sara Schoenfeld, MD and Zachary Wallace, MD scientific sessions The Brooklyn Rheuminators Deana M. Lazaro, MD; Nina Ramessar, MBBS and Jigar Shah, MD The Hawkeyes Namrata Singh, MBBS; Bharat Kumar, MD and Vijay Aluri, MD Triple Therapy: Triple Threat Ted R. Mikuls, MD, MSPH; Manpreet Sethi, MBBS; and Priyanka Vashisht, MD The Honey Badgers Andrew Östör, MD; Andra Negoescu, MD; and Elena Nikiphorou, MRCP, MD (Res), PGCMEPM Westin – Revere (Lobby) Hereditary Angioedema Update (014) Speaker: Peter Deane, MD Upon completion of this session, participants should be able to: • discuss the pathophysiology of hereditary angioedema • discuss the proper approach to the patient with angioedema • discuss current treatment options Westin – Stone (Lobby) PS ACR MEET THE PROFESSOR SESSIONS 12:45 – 2:15 pm Speaker: Lianne S. Gensler, MD Upon completion of this session, participants should be able to: • discuss the spectrum of axial spondyloarthritis, including ankylosing spondylitis • discuss the early diagnosis of ankylosing spondylitis and axial spondyloarthritis • describe clinical and radiographic outcome measures used in clinical trials and practice • summarize axial spondyloarthritis treatment options and evaluate the impact of treatment on outcomes Westin – Otis (Lobby) *Ankylosing Spondylitis: Disease Modification (012) Speaker: Joachim Sieper, MD Upon completion of this session, participants should be able to: • outline what is known about the pathophysiology of disease modification in spondyloarthritis • review outcomes relevant to the concept of disease modification in spondyloarthritis and assess their relevance to clinical practice • review therapeutic issues relevant to the concept of disease modification • discuss assessment of disease modification clinical trial Westin – Hancock (Lobby) *Dermatological Manifestations of Rheumatic Diseases (013) Speaker: Ruth Ann Vleugels, MD, MPH Upon completion of this session, participants should be able to: • identify cutaneous findings associated with underlying rheumatic disease • construct a differential diagnosis for these conditions • design a strategy for management of skin disease seen in patients with rheumatic diseases 2 0 1 4 *Ankylosing Spondylitis: 2014 Update (011) 1 6 , Westin – Paine (Lobby) Upon completion of this session, participants should be able to: • discuss the epidemiology of pediatric systemic lupus erythematosus • describe the differences in organ involvement between pediatric and adult systemic lupus erythematosus • discuss the management and treatment of pediatric systemic lupus erythematosus • review consensus treatment plans for the induction of proliferative lupus nephritis in pediatric patients • discuss novel biomarkers that in the future may be beneficial in managing pediatric systemic lupus erythematosus SUNDAY * Sessions denoted with an asterisk were sold out as of August 30. Speaker: Kelly A. Rouster-Stevens, MD, MS n o v e m b e r Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. *Pediatric Systemic Lupus Erythematosus (015) Westin – Webster (Lobby) *Rheumatoid Arthritis: Biological Agents (016) Speaker: Edward C. Keystone, MD Upon completion of this session, participants should be able to: • describe recent trends in the use of biologics to improve outcomes and utility • describe strategies to reduce costs of biologics • discuss emerging biologics, including biosimilars and their advantage for the therapeutic algorithm Westin – Adams (Mezzanine) *Systemic Lupus Erythematosus: Novel Treatments (017) Speaker: Susan Manzi, MD, MPH Upon completion of this session, participants should be able to: • describe the history of therapeutic agents and the rationale for further drug development in lupus • review new data to support standard therapies for management of lupus • discuss the newest therapies approved for lupus and those currently under investigation Westin – Alcott (Mezzanine) *Vaccinations for Patients on Biologic Therapies (018) Speaker: Jeffrey R. Curtis, MD, MPH, MS Upon completion of this session, participants should be able to: • recognize the importance of appropriate vaccinations in patients with autoimmune disease • identify the different types of immunizations especially those which are live viruses • describe the effect of different classes of immunomodulatory medications on vaccine efficacy and safety 2014 Program Book 43 scientific sessions Westin – Douglas (Mezzanine) *Vasculitis: Update (019) Speaker: Raashid A. Luqmani, DM Upon completion of this session, participants should be able to: • describe the current definitions of vasculitis according to affected vessel size • discuss the role of simple clinical evaluation alongside the various available laboratory and imaging tests, including antineutrophil cytoplasm antibodies • identify current and novel therapeutic modalities Westin – Faneuil (Mezzanine) *What Is Not Central Nervous Angiitis: Making the Right Diagnosis (020) n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Speaker: Leonard H. Calabrese, DO Upon completion of this session, participants should be able to: • list and elaborate on the diagnostic criteria for primary angiitis of the central nervous system • discuss the test operating characteristic of commonly employed neurodiagnostics, i.e., magnetic resonance, angiography, cerebrospinal fluid analysis, etc. • list and appraise diagnostic heuristics for the recognition and diagnosis of primary angiitis of the central nervous system and the separation of mimics that can confound the diagnosis PS PM Avoiding Electronic Health Record Errors and Their (Sometimes) Critical Consequences Moderator: Salahuddin Kazi, MD Speaker: Steven K. Magid, MD Upon completion of this session, participants should be able to: • recognize common errors in electronic health record systems and how to prevent these issues • evaluate legal and social implications of unintended consequences in electronic health records • review approaches to mitigate electronic health record related errors using a strategic set of solutionsPS PM 157 B Axial Spondyloarthritis Guidelines PM PM PS PS Moderators: John D. Reveille, MD and Atul A. Deodhar, MD Upon completion of this session, participants should be able to: • describe the ACR-SAA-SPARTAN recommendations for management of patients with axial spondyloarthritis/ ankylosing spondylitis • review the process and methods used in the development of the new ACR-SAA-SPARTAN guidelines 1:00 pm Overview of Guidelines Development, Including Methods and Literature Review Liron Caplan, MD, PhD 2014 Program Book PM PS Exhibit Hall C PrM Pd PS Edin 2014 Gout ManagementPM FIT PM PS Moderators: Jasvinder A. Singh, MD, MPH and Alan N. Baer, MD Upon completion of this session, participants should be able to: • describe the effective management of gout in the setting of chronic kidney disease • discuss the current best treatment for tophaceous gout and emerging therapies 1:00 pm Effective Management of Gout in the Setting of Renal Disease Lisa K. Stamp, PhD 1:30 pm Tophaceous Gout: Past, Present and the Future of Therapeutics Tuhina Neogi, MD, PhD PM PS 102 A Moderator: Wael N. Jarjour, MD Speaker: Hilde Cheroutre, PhD 1:00 – 2:00 pm 44 1:50 pm Questions and Answers How the Gut Primes the Immune System ACR SESSIONS 254 A 1:25 pm Presentation of the Draft ACR-SAA-SPARTAN Axial Spondyloarthritis/Ankylosing Spondylitis Guidelines Michael M. Ward, MD Upon completion of this session, participants should be able to: • examine the collaboration of the intestinal host-microbial interface and the innate and adaptive immune system in the detection and regulation of microbial populations and maintaining homeostasis • examine the effects of disruption of the intestinal-host microbial interface and its contribution to chronic inflammatory disease PS PM 151 A Practice Issues: The Road to I10 Moderator: Douglas White, MD, PhD Upon completion of this session, participants should be able to: • describe the challenges in the physician practice and the workflow for staff and patients • identify any productivity loss due to coding backlogs • discuss delays in turnaround time due to training • assess performance in the new environment • discuss any reimbursement disruptions and the flow of denials and/or adjustments for claims billed with ICD-9 codes for the earlier part of the year 1:00 pm The Advocacy Movement William F. Harvey, MD, MSc scientific sessions 1:20 pm Physician’s Perspective of ICD-10 Jonathan Kay, MD 159 *Advanced Musculoskeletal Ultrasound (208) Speaker: Jay B. Higgs, MD Upon completion of this session, participants should be able to: 1:40 pm Process and Strategy From the Coder’s Viewpoint Evan Gwilliam, DC, MBA, BS, CPC, NCICS, CCPC, CCCPC, CPC-I MCS-P 104 B PM Rheumatology Research Foundation Memorial PS Lectureship to Honor Dr. Stephen E. Malawista, MD: Innate Immunity at the Core of Rheumatic Disease • d emonstrate improvement in their techniques for performing selected musculoskeletal ultrasound examinations • u se practical knowledge of ultrasound technology to improve image quality 152 Eth PM Upon completion of this session, participants should be able to: • identify mimics of lupus rashes • distinguish between lupus rashes and their mimics • discuss the management of lupus rashes, including the PS PM treatment of rashes refractory to initial therapy ACR WORKSHOPS 1:15 – 3:15 pm Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. 2 0 1 4 Moderators: Elana J. Bernstein, MD, MSc and Meenakshi Jolly, MD, MS Speaker: Bonnie T. Mackool, MD, MSPH 1 6 , The Butterfly Effect: Lupus Rashes and Their Mimics ACR SESSIONS SUNDAY PS Ballroom East Upon completion of this session, participants should be able to: • demonstrate clinical anatomy of the lower extremities in performing the physical examination • apply knowledge of clinical anatomy to better understanding and diagnosis of the common regional pain syndromes • perform the physical examination of the lower extremities on healthy volunteers n o v e m b e r PM PS Speakers: Robert A. Kalish, MD and Pablo Villasenor Ovies, MD Moderator: Linda Bockenstedt, MD Speaker: Robert Terkeltaub, MD Upon completion of this session, participants should be able to: • evaluate novel translational vision and action in the science and practice of rheumatology, by reviewing lucid examples of Dr. Malawista’s seminal works and their evolving fate • recognize the power of clinical observation and creative thinking in fleshing out etiopathogenesis, epidemiology and treatment of rheumatic diseases, exemplified by Lyme disease and gout • appraise phagocyte innate immune responses to exogenous infectious and endogenous particulate danger signals and how nuances in macrophage differentiation and function orchestrate inflammatory responses and can be therapeutically corralled in rheumatic disease Clinical Anatomy and Physical Exam: Essential Tools in Lower Extremity Regional Pain Syndromes (209) PM 2:30 – 4:00 pm PS PM 52 A Autoimmunity in Immunodeficiency Moderators: Nora G. Singer, MD and Jose Carlos Crispin Acuna, MD Upon completion of this session, participants should be able to: • describe the presence of autoimmune manifestations in patients with primary immunodeficiency • discuss the molecular basis for the development of autoimmunity in primary immunodeficiency • consider therapeutic approaches for autoimmune manifestations in patients with primary immunodeficiency 2:30 pm Autoimmunity and Autoimmune Diseases in Primary Immunodeficiencies Erin Janssen, MD, PhD 3:15 pm The Abnormal Regulation of B-Cell Tolerance in Patients with Autoimmune Disease and Primary Immunodeficiencies Eric Meffre Sr., PhD PM PS 102 A Educator: Medical Education: The Year in Review PM Ed Pd PS PrM FIT Moderators: Deana M. Lazaro, MD and Michael J. Battistone, MD Speaker: Andrew R. Hoellein, MD Upon completion of this session, participants should be able to: • recognize the major research reports and scholarship in the field of medical education over the past year 2014 Program Book 45 scientific sessions • t ranslate results of educational research to their own educational programs • formulate ideas for educational research at their own institution 205 B PM PS New Frontiers in Osteoarthritis Treatment: The Role of Weight Loss, Surgery and Current Treatment FIT PrM Pd PS PM Ed Guidelines n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Moderators: Jasvinder A. Singh, MD, MPH and Timothy E. McAlindon, MD, MPH, MRCP Upon completion of this session, participants should be able to: • summarize the evidence regarding weight loss in the management of osteoarthritis • assess the role of arthroscopic debridement in treatment of osteoarthritis • discuss how to reconcile differences between recent osteoarthritis treatment guidelines from the ACR, AAOS and other leading organizations 2:30 pm Weight Loss in the Management of Osteoarthritis: Lessons From Randomized Trials Stephen P. Messier, PhD 3:00 pm Arthroscopic Debridement and Meniscal Tear Surgery in Osteoarthritis Patients: Who Needs It and When and When Not to Do It Jeffrey N. Katz, MD, MSc 3:30 pm Recommendations for Management of Osteoarthritis: Can We Reconcile Differences? Marc C. Hochberg, MD, MPH, MACP Exhibit Hall C PM PS The Great Debate: Belimumab for the Treatment of Systemic Lupus Erythematosus Moderator: Elana J. Bernstein, MD, MSc Upon completion of this session, participants should be able to: • identify predictors of response to belimumab • discuss the efficacy of belimumab in the treatment of systemic lupus erythematosus • evaluate the limitations of belimumab in the treatment of systemic lupus erythematosus • describe the safety issues with belimumab • discuss the outcomes and limitations of the BLISS-52 and BLISS-76 trials 2:30 pm Pro Perspective Bevra H. Hahn, MD 3:05 pm Pro Rebuttal David A. Isenberg, MD 46 2014 Program Book 3:13 pm Con Perspective David A. Isenberg, MD 3:48 pm Con Rebuttal Bevra H. Hahn, MD 3:56 pm Pro Final Bevra H. Hahn, MD 3:58 pm Con Final David A. Isenberg, MD ACR CONCURRENT ABSTRACT SESSIONS 2:30 – 4:00 pm 253 B PM PS Epidemiology and Public Health I: Drug and Vaccine Safety Moderators: Kaleb Michaud, PhD and Cynthia S. Crowson, MS 2:30 pm 820. Herpes Zoster Infection Risk in Auto-Immune and Inflammatory Diseases: Implications for Vaccination Huifeng Yun1, Shuo Yang2, Lang Chen2, Fenglong Xie2, K. L. Winthrop3, John Baddley2, Kenneth G. Saag4, Jasvinder Singh2 and Jeffrey R. Curtis2, 1University of Alabama at Birmingham School of Public Health, Birmingham, AL, 2University of Alabama at Birmingham, Birmingham, AL, 3Oregon Health and Science University, Portland, OR, 4The University of Alabama at Birmingham, Birmingham, AL 2:45 pm 821. Pregnancy Outcome in Women Treated with Adalimumab for the Treatment of Rheumatoid Arthritis: An Update Christina D Chambers1, Diana L Johnson2, Yunjun Luo2, Ronghui Xu1 and Kenneth L Jones2, 1University of California San Diego Department of Family and Preventive Medicine, La Jolla, CA, 2 University of California San Diego Department of Pediatrics, La Jolla, CA Pharmaceuticals, 2, Sandoz, 2, Sanofi-Aventis Pharmaceutical, 2, Teva Pharmaceuticals, 2, UCB, 2. 3:00 pm 822. Meloxicam and Risk of Myocardial Infarction: A Population-Based Cohort Study Deepan Dalal1, Maureen Dubreuil2, Yuqing Zhang2, Christine Peloquin2, Tuhina Neogi2, Hyon Choi2 and David T. Felson2, 1 Boston Medical Center, Boston, MA, 2Boston University School of Medicine, Boston, MA 3:15 pm 823. Risk of Active Tuberculosis in Patients with Arthritis Receiving TNF-α Inhibitors: A Look Beyond the Baseline Tuberculosis Screening Protocol Alina Soare, Carina Mihai, Ana Maria Gherghe, Rucsandra Dobrota, Raida Oneata, Simona Pintilie, Mihaela Milicescu, scientific sessions Ioan Ancuta, Andrei Martin, Mariana Sasu, Claudia Ciofu, Liviu Macovei, Victor Stoica and Mihai Bojinca, Carol Davila University of Medicine and Pharmacy & Cantacuzino Hospital, Bucharest, Romania Paloma Vela2 and Juan Miguel Ruiz-Nodar3, 1Hospital General Universitario de Elda, Alicante, Spain, 2Universidad Miguel Hernández, Alicante, Spain, 3Hospital General Universitario de Alicante, Alicante, Spain 3:30 pm 824. Impact of Oral Glucocorticoid Therapy on Mortality in Patients with Rheumatoid Arthritis and Diabetic Mellitus Mohammad Movahedi and William G Dixon, Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom 3:30 pm 830. Profound Hypouricemia Induced in Human Subjects By Novel Bifunctional Inhibitors of Xanthine Oxidase and URAT1 Raymond P. Warrell Jr.1, Anna Klukovits2, Keith Barnes3, Chitkala Satyanarayana4, Chris Cheeseman5 and John Piwinski1, 1RelburnMetabolomics, Inc., Westfield, NJ, 2SOLVO Biotechnology, Budapest, Hungary, 3AMRI, Albany, NY, 4AMRI, Singapore, Singapore, 5University of Alberta, Alberta, AB 3:45 pm 825. Serious Infections on TNF Inhibitors: Have the Risks Changed over Calendar Time and How High Are They? Elizabeth V. Arkema, Karolinska Institutet, Stockholm, Sweden Disclosures: E. V. Arkema, None. PM PS 2:45 pm 827. Gout and the Risk of Alzheimer’s Disease: A PopulationBased Cohort Study Na Lu1, Yuqing Zhang1, Alberto Ascherio2, Miguel Hernan2, Tuhina Neogi1, Maureen Dubreuil3 and Hyon Choi4, 1Boston University School of Medicine, Boston, MA, 2Harvard School of Public Health, Boston, MA, 3Boston University Medical Center, Boston, MA, 4Harvard Medical School, Boston, MA 3:00 pm 828. Extent of Urate Deposition in Asymptomatic Hyperuricemia and Symptomatic Gout: A Dual Energy Computed Tomography Study Nicola Dalbeth1, Meaghan House1, Opetaia Aati1, Paul Tan1, Christopher Franklin1, Anne Horne1, Gregory Gamble1, Lisa K. Stamp2, Anthony Doyle1 and Fiona M. McQueen1, 1University of Auckland, Auckland, New Zealand, 2University of Otago, Christchurch, New Zealand 3:15 pm 829. Asymptomatic Deposit of Monosodium Urate Crystals Associates to a More Severe Coronary Calcification in Hyperuricemic Patients with Acute Coronary Syndrome Mariano Andrés1, María Amparo Quintanilla1, Francisca Sivera1, PS Miscellaneous Rheumatic and Inflammatory Diseases Moderators: Mehrdad Maz, MD and Isabelle Koné-Paut, MD 2 0 1 4 2:30 pm 826. Comparison of Classification Criteria for Gout Using Monosodium Urate Crystal Identification By a Certified Examiner As the Gold-Standard in a Large Multi-National Study William Taylor1, Nicola Dalbeth2, Jaap Fransen3, Tuhina Neogi4, H. Ralph Schumacher Jr.5 and Tim Jansen6, 1University of Otago Wellington, Wellington, New Zealand, 2University of Auckland, Auckland, New Zealand, 3Radboud University, Nijmegen, Netherlands, 4Boston University School of Medicine, Boston, MA, 5 University of Pennsylvania VA Medical Center, Philadelphia, PA, 6 Radboud University Medical Center, Nijmegen, Netherlands PM 160 B 1 6 , Moderators: N. Lawrence Edwards, MD and Janitzia VazquezMellado, MD PhD SUNDAY Metabolic and Crystal Arthropathies I: Clinical Aspects n o v e m b e r 104 B 3:45 pm 831. Bisphosphonates and Risk of Acute Pseudogout: A CaseControl Study in the Clinical Practice Research Datalink (CPRD) Edward Roddy, Sara Muller, Zoe Paskins, Samantha Hider, Milisa Blagojevic-Bucknall and Christian Mallen, Keele University, Keele, United Kingdom 2:30 pm 832. NOD2-Associated Autoinflammatory Disease: The Largest Cohort Study Qingping Yao, Min Shen, Christine McDonald, Felicitas Lacbawan and Bo Shen, Cleveland Clinic, Cleveland, OH 2:45 pm 833. Canakinumab Use in Patients with Cryopyrin-Associated Periodic Syndrome: Interim Safety and Efficacy Results from Beta-Confident Registry Hal M. Hoffman1, Jasmin B. Kuemmerle-Deschner2, Philip N. Hawkins3, T. van der Poll4, Ulrich A. Walker5, Ken Abrams6 and Hugh H. Tilson7, 1University of California at San Diego, La Jolla, CA, 2University Hospital Tuebingen, Tuebingen, Germany, 3 University College London Medical School, London, United Kingdom, 4University of Amsterdam, Amsterdam, Netherlands, 5 Department of Rheumatology, University Hospital Basel, Basel, Switzerland, Basel, Switzerland, 6Novartis Pharmaceutical Corporation, East Hanover, NJ, 7University of North Carolina, Chapel Hill, NC 3:00 pm 834. Interleukin-18 (IL-18) As a Biomarker for Diagnosis and Evaluation of Disease Activity in Patients with Adult Onset Still’s Disease and Systemic Onset Juvenile Idiopathic Arthritis Holger Kudela1, Susanne Drynda2, Anke Lux3, Gerd Horneff4 and Joern Kekow2, 1Univ of Magdeburg, Clinic for Rheumatology, Vogelsang-Gommern, Germany, 2Univ of Magdeburg, Clinic of Rheumatology, Vogelsang-Gommern, Germany, 3Univ of Magdeburg, Institute for Biometry and Medical Informatics, Magdeburg, Germany, 4Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany 2014 Program Book 47 scientific sessions n o v e m b e r 1 6 , SUNDAY 2 0 1 4 3:15 pm 835. Relapsing Polychondritis Can Be Characterized By 3 Different Clinical Phenotypes: Analysis of a Series of 142 Patients Jeremie Dion1, Nathalie Costedoat-Chalumeau1, Damien Sène2, Judith Cohen-Bittan3, Gaëlle Leroux3, Charlotte Dion4, Camille Francès5 and Jean-Charles Piette3, 1National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP– HP, Université Paris Descartes, Paris, Paris, France, 2Hopital Lariboisière, service de Médecine Interne, Paris, France, 3CHU Pitié-Salpêtrière, Paris, France, 4Ecole des hautes études en sciences sociales, Paris, France, 5Hôpital Tenon, Paris Cedex 20, France 3:30 pm 836. Categorical Change in 6MWD in Patients with Connective Tissue Disease Associated Pulmonary Arterial Hypertension Receiving Ambrisentan over 3-Years Aryeh Fischer1, Virginia D. Steen2, Steven Nathan3, Hunter Gillies4, James Tislow4 and Chris Blair4, 1National Jewish Health, Denver, CO, 2Georgetown University Medical Center, Washington, DC, 3 Inova Medical Group, Falls Church, VA, 4Gilead Sciences, Inc., Foster City, CA 3:45 pm 837. Progressive Multifocal Leukoencephalopathy Associated with Biologic Therapy in Rheumatic Diseases: Strengthening Association with Rituximab Eamonn Molloy1 and Leonard H. Calabrese2, 1St Vincent University Hospital, Dublin, Ireland, 2Cleveland Clinic Foundation, Cleveland, OH Ballroom East PM PS Rheumatoid Arthritis – Clinical Aspects I: Cardiovascular Disease Risk Moderators: Grant H. Louie, MD, MHS and Jon Giles, MD, MPH 2:30 pm 838. The Impact of Rheumatoid Arthritis Disease Activity on Cardiovascular Disease Risk: What Is the Role of the Flare? Elena Myasoedova1, Arun K. Chandran1, Birkan İlhan2, Brittny T. Major1, C. John Michet1, Eric L. Matteson1 and Cynthia S. Crowson1, 1Mayo Clinic, Rochester, MN, 2Marmara University School of Medicine, Istanbul, Turkey 2:45 pm 839. Cardiovascular Risk with NSAIDs in Rheumatoid Arthritis: An Analysis Using Routinely Collected Data Fowzia Ibrahim1, Antigoni Grigoriou2, Khaldoun Chaabo2, David L. Scott2, Sophia Steer2 and James Galloway2, 1King’s College London, Department of Rheumatology, London, United Kingdom, 2 King’s College Hospital, Department of Rheumatology, London, London, United Kingdom 3:00 pm 840. Vascular Calcifications on Hand and Wrist Radiographs Are Associated with Cardiovascular Risk Factors, AntigenSpecific Anti-Citrullinated Protein Antibodies and Mortality in Rheumatoid Arthritis E. Blair Solow1, Fang Yu2, Geoffrey M. Thiele3, Jeremy Sokolove4, 48 2014 Program Book William H. Robinson5, Zachary M. Pruhs3, Kaleb Michaud3, Alan R. Erickson3, Harlan Sayles3, Gail S. Kerr6, Angelo L. Gaffo7, Liron Caplan8, Lisa A. Davis8, Grant W. Cannon9, Andreas M. Reimold10, Joshua Baker11, Pascale Schwab12, Daniel Anderson3 and Ted R. Mikuls3, 1UT Southwestern Medical Center, Dallas, TX, 2University of Nebraska Medical Center, Omaha, NE, 3 Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 4VA Palo Alto Healthcare System and Stanford University, Palo Alto, CA, 5VA Palo Alto Health Care System and Stanford University, Palo Alto, CA, 6Washington DC VAMC, Georgetown and Howard University, Washington, DC, 7 Birmingham VA Medical Center and University of Alabama at Birmingham, Birmingham, AL, 8Denver VAMC and Univ of Colorado School of Medicine, Aurora, CO, 9Salt Lake City VA and University of Utah, Salt Lake City, UT, 10Dallas VA and University of Texas Southwestern, Dallas, TX, 11University of Pennsylvania and Philadelphia VAMC, Philadelphia, PA, 12Oregon Health & Science University, Portland, OR 3:15 pm 841. Lipid Control and Cardiovascular Risk for Patients with Rheumatoid Arthritis Compared with Matched NonRheumatoid Arthritis Patients J An1, E Alemao2, K Reynolds3, H Kawabata2, D H Solomon4, K P Liao4 and T C Cheetham3, 1Western University of Health Sciences, Pomona, CA, 2Bristol-Myers Squibb, Princeton, NJ, 3Kaiser Permanente Southern California, Pasadena, CA, 4Brigham and Women’s Hospital, Boston, MA 3:30 pm 842. Is Rheumatoid Arthritis a Coronary Heart Disease Risk Equivalent, Similar to Diabetes? Jie Zhang1, Shuo Yang2, Lang Chen2, Fenglong Xie2, Huifeng Yun3, Paul M. Muntner2, Emily Levitan2, Monica Safford2, Kenneth G. Saag4, Jasvinder Singh2 and Jeffrey R. Curtis2, 1Univ. of Alabama at Birmingham, Birmingham, AL, 2University of Alabama at Birmingham, Birmingham, AL, 3University of Alabama at Birmingham School of Public Health, Birmingham, AL, 4The University of Alabama at Birmingham, Birmingham, AL 3:45 pm 843. Exercise Is Associated with Protective Cardiovascular Risk Profile Including Increased HDL Particle Number in Patients with Rheumatoid Arthritis Kevin Byram, Annette Oeser, MacRae F. Linton, Sergio Fazio, C Michael Stein and Michelle Ormseth, Vanderbilt University, Nashville, TN Ballroom West Rheumatoid Arthritis – Small Molecules, Biologics PS PM and Gene Therapy I: Safety of Biologics and Small Molecules in Rheumatoid Arthritis – Malignancy and Infection Moderators: Stephen A. Paget, MD and Peter C. Taylor, MD, PhD 2:30 pm 844. Frequency of Significant Infection in Patients with RA Following Initiation of Rituximab with up to 5 Years of Followup in a US Observational Study scientific sessions Kenneth G. Saag1, Kevin L. Winthrop2, D E Furst3, Kimberly Alexander4, Angelika Jahreis5, Carol Chung6 and Kurt Oelke7, 1 The University of Alabama at Birmingham, Birmingham, AL, 2 Oregon Health & Science University, Portland, OR, 3University of California at Los Angeles, Los Angeles, CA, 4Genentech, Inc., South San Francisco, CA, 5Genentech, South San Francisco, CA, 6 Genentech, Inc, South San Francisco, CA, 7Rheumatic Disease Center, Glendale, WI 3:45 pm 849. Tofacitinib, an Oral Janus Kinase Inhibitor, in the Treatment of Rheumatoid Arthritis: Safety and Efficacy in Open-Label, Long-Term Extension up to 6 Years Spondyloarthropathies and Psoriatic Arthritis I – Novel Treatments for Axial Spondyloarthritis Moderators: Atul A. Deodhar, MD and Lianne S. Gensler, MD 2:30 pm 850. Targeting Synovial Mast Cells in Spondyloarthritis: A Proof-of-Concept Study with the Tyrosine Kinase Inhibitor Nilotinib Jacqueline E. Paramarta1, Maureen C. Turina1, Tanja F. Heijda1, Iris C. Blijdorp2, Troy Noordenbos1, Nataliya Yeremenko1 and Dominique L. Baeten2, 1Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 2Department of Clinical Immunology and Rheumatology and Department of Experimental Immunology, Academic Medical Centre/University of Amsterdam, Amsterdam, Netherlands 2 0 1 4 3:30 pm 848. Malignant Progression of Precancerous Lesions of the Uterine Cervix Following DMARD Therapy in Female Arthritis Patients René Cordtz1, Lene Mellemkjær2, Bente Glintborg1, Merete Lund Hetland3 and Lene Dreyer1, 1Copenhagen University Hospital Gentofte, Hellerup, Denmark, 2The Danish Cancer Society, Copenhagen, Denmark, 3Copenhagen University Hospital Glostrup. On behalf of all departments of Rheumatology in Denmark., Glostrup, Denmark PS 1 6 , 3:15 pm 847. Safety of TNF Inhibitor Therapy in Patients Who Have Had a Prior Malignancy Seung-Hyeon Bae, Doo-Ho Lim, Soo Min Ahn, Seokchan Hong, Yong-Gil Kim, Chang-Keun Lee and Bin Yoo, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea PM SUNDAY 3:00 pm 846. Rheumatoid Arthritis, Anti-Tumor Necrosis Factor Therapy and Risk of Squamous Cell and Basal Cell Skin Cancer- a Nationwide Population Based Prospective Cohort Study from Sweden Pauline Raaschou1, Julia F Simard2, Charlotte Asker-Hagelberg3, Johan Askling4 and the ARTIS Study group5, 1Karolinska Institutet, Stockholm, Sweden, 2Stanford School of Medicine, Stanford, CA, 3 Swedish Medical Products Agency, SE-751 03 Uppsala, Sweden, 4 Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 5Karolinska Institutet och Svensk Reumatologisk förening, Solna, Sweden 210 B n o v e m b e r 2:45 pm 845. The Risk of Cancer with Tumor Necrosis Factor Inhibitors in Patients Concomitantly Exposed to Non-Biological Immunosuppressants Differs According to the Indication Layla Saliba1, Guillaume Moulis2, Malak Aboutaam3, Grégory Pugnet2, Vanessa Rousseau1, Leila Chebane1, Nadine Petitpain4, Bernadette Baldin5, Jean-Louis Montastruc1 and Haleh Bagheri1, 1Toulouse University Hospital, Clinical Pharmacology Department, University of Toulouse, Toulouse, France, 2Toulouse University Hospital, Department of Internal Medicine, University of Toulouse, INSERM UMR 1027, Toulouse, France, 3Reims University Hospital, Pharmacovigilance Regional Center, Reims, France, 4Nancy University Hospital, Pharmacovigilance Regional Center, Nancy, France, 5Nice University Hospital, Pharmacovigilance Regional Center, Nice, France J. Wollenhaupt1, J. Silverfield2, E.B. Lee3, S.P. Wood4, K. Terry4, H. Nakamura5, K. Kwok6, A. Anisfeld6, C. Nduaka4, R. Riese4 and L. Wang4, 1Schoen-Klinik Hamburg-Eilbek Teaching Hospital of the University of Hamburg, Hamburg, Germany, 2Healthpoint Medical Group, Tampa, FL, 3Seoul National University, Seoul, South Korea, 4Pfizer Inc, Groton, CT, 5Pfizer Inc, Tokyo, Japan, 6 Pfizer Inc, New York, NY 2:45 pm 851. A Tailored Approach to Reduce Dose of Anti-TNF Drugs Is Equally Effective, but Substantially Less Costly Than Standard Dosing in Patients with Ankylosing Spondylitis over One Year: A Propensity Score-Matched Cohort Study Jakub Zavada1, Michal Uher2, Katarina Sisol3, Sarka Forejtova3, Katerina Jarosova3, Herman F. Mann4, Jiri Vencovsky5 and Karel Pavelka6, 1Charles University, Prague, Czech Republic, 2Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic, 3Institute of Rheumatology, Prague, Czech Republic, 4 Institute of Rheumatology and Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Prague, Czech Republic, 5Institute of Rheumatology and Clinic of Rheumatology, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic, 6Institute of Rheumatology, Praha, Czech Republic 3:00 pm 852. Safety and Efficacy of Certolizumab Pegol over 96 Weeks in Patients with Axial Spondyloarthritis, Including Ankylosing Spondylitis and Non-Radiographic Axial Spondyloarthritis Joachim Sieper1, Martin Rudwaleit2, Désirée M. van der Heijde3, Walter P. Maksymowych4, Maxime Dougados5, Philip Mease6, Jürgen Braun7, Atul A. Deodhar8, Bengt Hoepken9, Tommi Nurminen9 and Robert B. M. Landewé10, 1Charité Universitätsmedizin Berlin, Berlin, Germany, 2Endokrinologikum, Berlin, Germany, 3Leiden University Medical Center, Leiden, Netherlands, 4University of Alberta, Edmonton, AB, 5Université Paris René Descartes and Hôpital Cochin, Paris, France, 6Swedish Medical Center and University of Washington, Seattle, WA, 7 Ruhr-University Bochum, Herne, Germany, 8Oregon Health and Sciences University, Portland, OR, 9UCB Pharma, Monheim, Germany, 10Amsterdam Rheumatology Center, Amsterdam, Netherlands 2014 Program Book 49 scientific sessions n o v e m b e r 1 6 , SUNDAY 2 0 1 4 3:15 pm 853. Cancer Incidence in TNF Inhibitor Treated Patients with Axial Spondyloarthritis and Psoriatic Arthritis – a Study from the ARTIS and Danbio Registers Johan Askling1, Lene Dreyer2, Merete Lund Hetland3, Lennart Jacobsson4, Lars-Erik Kristensen5, Bente Glintborg6, . ARTIS and DANBIO study groups7 and Karin Hellgren1, 1Karolinska Institutet, Stockholm, Sweden, 2Gentofte University Hospital, Hellreup, Denmark, 3Glostrup University Hospital, Glostrup, Denmark, 4 Sahlgrenska Academy, Gothenburg, Sweden, 5Lund University, Lund, Sweden, 6Gentofte University Hospital, Gentofte, Denmark, 7 Karolinska Institutet, Stockholm, Sweden 3:30 pm 860. Inhibition of G Protein βγ Signaling Inhibits Nephritis in Lupus Prone Mice Teresa Owen, Javier Rangel-Moreno, Jesi To, Bruce Goldman, Alan Smrcka and Jennifer H. Anolik, University of Rochester, Rochester, NY 3:45 pm 861. Ultraviolet B Generates Type 1 Interferon and Induces Autoantibody-Mediated Disease in a Mouse Model of Cutaneous Lupus Clayton Sontheimer and Keith B. Elkon, University of Washington, Seattle, WA 3:30 pm 854. Golimumab Versus Pamidronate for the Treatment of Axial Spondyloarthropathy (SpA): A 48-Week Randomized Controlled Trial Chi Chiu Mok, Angela Li, Kar Li Chan and Ling Yin Ho, Tuen Mun Hospital, Hong Kong, Hong Kong 3:45 pm 855. Active and Structural Lesions on MRI of the Sacroiliac Joints Predict Major Clinical Responses in Patients with NonRadiographic Axial Spondyloarthritis Treated with Etanercept WP Maksymowych1, S Wichuk1, H Jones2, A Szumski2, L Marshall2, J Bukowski2 and RG Lambert1, 1University of Alberta, Edmonton, AB, 2Pfizer Inc., Collegeville, PA PM 153 B Systemic Lupus Erythematosus – Animal Models Moderators: Keith B. Elkon, MD and Ram P. Singh, PhD 2:30 pm 856. A Pathogenic Role for the Gut Microbiota in Murine Antiphospholipid Syndrome and Lupus Silvio M. Vieira, Andrew Yu, Michael Hiltesperger, Odelya E. Pagovich, Eleni Tiniakou, William Ruff, John Sterpka and Martin Kriegel, Yale School of Medicine, New Haven, CT 2:45 pm 857. Amelioration of Systemic Lupus Erythematosus (SLE) in NZM 2328 Mice By Selectively Blocking Engagement of Two BAFF Receptors Chaim O. Jacob, Ning Yu and William Stohl, University of Southern California Keck School of Medicine, Los Angeles, CA 3:00 pm 858. ABT-199, a Potent and Selective BCL-2 Inhibitor, Prevents Lupus Nephritis in the Spontaneous NZB/W F1 Mouse Model By Depleting Selective Lymphocyte Populations While Sparing Platelets Li Chun Wang1, Stuart Perper1, Annette Schwartz1, Christian Goess1, Liz O’connor1, Dawna Hartman1, Candace Graff1, Andrew Souers2, Joel Leverson2, Steven Elmore2 and Lisa Olson1, 1AbbVie Inc, AbbVie Bioresearch Center, Worcester, MA, 2AbbVie Inc, North Chicago, IL 3:15 pm 859. TGF-β3-Producing CD4+CD25-LAG3+ Regulatory T Cells Control B Cell Responses 50 Tomohisa Okamura1, Kaoru Morita1, Mariko Inoue1, Toshihiko Komai1, Yukiko Iwasaki1, Shuji Sumitomo1, Shinichiro Nakachi1, Hirofumi Shoda2, Keishi Fujio2 and Kazuhiko Yamamoto1, 1 Graduate School of Medicine, the University of Tokyo, Tokyo, Japan, 2The University of Tokyo, Tokyo, Japan 2014 Program Book 258 B PM PS Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Cardiovascular Disease and Pregnancy Moderators: Wendy Marder, MD and Eliza Chakravarty, MD, MS PS 2:30 pm 862. Risk Factors for Changes in Subclinical Atherosclerosis As Measured By Carotid Intima Media Thickness (IMT) and Plaque over 5 Years in Women with Systemic Lupus Erythematosus (SLE) Apinya Lertratanakul1, Peggy W. Wu1, Alan Dyer1, William Pearce1, Emma Barinas-Mitchell2, Trina Thompson2 and Rosalind RamseyGoldman3, 1Northwestern University, Chicago, IL, 2University of Pittsburgh, Pittsburgh, PA, 3Northwestern University and Feinberg School of Medicine, Chicago, IL 2:45 pm 863. Metabolic Syndrome in Young Premenopausal Female Lupus Patients Is Mainly Influenced By Therapies Luciana Muniz1, Rosa M.R. Pereira1, Thiago Silva1, Eloisa Bonfá2 and Eduardo Ferreira Borba1, 1University of São Paulo, São Paulo, Brazil, 2Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil 3:00 pm 864. Association of Coronary Artery Calcification with Brown and White Pericardial Adipose Tissue in SLE Kelly J. Shields, Lupus Center of Excellence / Allegheny Health Network, Pittsburgh, PA 3:15 pm 865. Cardiovascular Events Prior to or Early after Diagnosis of SLE Murray B. Urowitz1, Dafna D. Gladman1, Nicole Anderson1, Dominique Ibanez1 and Systemic Lupus International Collaborating Clinics (SLICC)2, 1University of Toronto, Toronto Western Hospital, Toronto, ON, 2University of Toronto, Toronto Western Hospital (Coordinating Center), Toronto, ON scientific sessions 3:30 pm 866. Heart Rate Variability: An Inflammatory Biomarker in Systemic Lupus Erythematosus Aikaterini Thanou1, Stavros Stavrakis2, John Dyer2, Stan Kamp1, Melissa E. Munroe1, David Albert3, Judith A. James1 and Joan T. Merrill1, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2University of Oklahoma Health Sciences Center, Oklahoma City, OK, 3AliveCor, Inc., San Francisco, CA 3:30 pm 872. Interferon-α and Angiogenic Dysregulation in Pregnant Lupus Patients Destined for Preeclampsia Danieli Andrade1, Mimi Kim2, Luz P. Blanco3, S. Ananth Karumanchi4, Gloria Koo1, Patricia M. Redecha1, Kyriakos A. Kirou1, Angela M. Alvarez5, Melissa J. Mulla5, Mary K. Crow1, Vikki Abrahams5, Mariana J. Kaplan3 and Jane E. Salmon1, 1 Hospital for Special Surgery, New York, NY, 2Albert Einstein College of Medicine, Bronx, NY, 3National Institutes of Health, Bethesda, MD, 4Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 5Yale School of Medicine, New Haven, CT 3:45 pm 867. Specific SLE Disease Manifestations in the Six Months Prior to Conception Predict Similar Manifestations during Pregnancy Sara K. Tedeschi, Hongshu Guan, Alexander Fine, Bonnie L. Bermas and Karen H. Costenbader, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA PM Moderators: Robert M. Clancy, PhD and Susan Boackle, MD 3:00 pm 870. IRF1 Influences on Histone H4 Acetylation in Systemic Lupus Erythematosus Yiu Tak Leung1, Lihua Shi2, Kelly Maurer2, Li Song2, Zhe Zhang3, Michelle Petri4 and Kathleen E. Sullivan2, 1University of Pennsylvania, Philadelphia, PA, 2The Children’s Hospital of Philadelphia, Philadelphia, PA, 3Bioinformatics, Children’s Hospital of Philadelphia, Philadelphia, PA, 4Johns Hopkins University School of Medicine, Baltimore, MD 3:15 pm 871. Antimalarials Regulate TLR7/8 Mediated Macrophage Activation Via Epigenetic Modification at the TNFα Promoter Androo J. Markham1, Mark Halushka2, Cristiana Guiducci3, Robert M. Clancy1 and Jill P. Buyon1, 1New York University School of Medicine, New York, NY, 2John Hopkins Pathology, Baltimore, MD, 3Dynavax Technologies, Berkeley, CA PS 2 0 1 4 2:45 pm 869. UBE2L3 genotype Influences Plasma Cell Proliferation in Systemic Lupus Erythematosus By Regulation of NF-κB By the Linear Ubiquitination Assembly Complex Myles J. Lewis1, Simon Vyse1, Adrian M. Shields2, Sebastian Boeltz2, Patrick Gordon2, Timothy D. Spector2, Paul J. Lehner3, Henning Walczak4 and Timothy J. Vyse2, 1Queen Mary University of London, London, United Kingdom, 2King’s College London, London, United Kingdom, 3University of Cambridge, Cambridge, United Kingdom, 4University College London, London, United Kingdom PM Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Clinical Aspects and Therapeutics I: Systemic Sclerosis, Advances in Therapy 1 6 , 2:30 pm 868. Protein Phosphatase 5 (PP5) Regulates Methylation Sensitive Gene Expression in CD4+ T Cells Dipak R. Patel, Gabriela Gorelik and Bruce C. Richardson, University of Michigan, Ann Arbor, MI 157 B SUNDAY Systemic Lupus Erythematosus – Human Etiology and Pathogenesis I: Pathways of Inflammation/Injury PS n o v e m b e r 107 B 3:45 pm 873. The Second Messenger, Cyclic GMP-AMP Dinucleotide (cGAMP) and the Enzyme, Cyclic GMP-AMP Synthase (cGAS), Are Expressed in Systemic Lupus Erythematosus Jie An, Joshua Woodward, Reynold Karr, Thomas H. Teal and Keith B. Elkon, University of Washington, Seattle, WA Moderators: Sindhu R. Johnson, MD, PhD and Christopher P. Denton, MD, PhD 2:30 pm 874. Safety and Efficacy of Subcutaneous Tocilizumab in Adults with Systemic Sclerosis: Week 24 Data from a Phase 2/3 Trial Dinesh Khanna1, Christopher P. Denton2, Jacob M. van Laar3, Angelika Jahreis4, Sabrina Cheng4, Helen Spotswood5, Jeffrey Siegel4 and Daniel E. Furst on behalf of FaSScinate Clinical Trial in Patients With SS6, 1University of Michigan Health System, Ann Arbor, MI, 2University College London Medical School, London, United Kingdom, 3University Medical Center Utrecht, Utrecht, Netherlands, 4Genentech, South San Francisco, CA, 5Roche Products Ltd., Welwyn Garden City, United Kingdom, 6University of California, Los Angeles, CA 2:45 pm 875. Treatment-Related Outcomes in Connective Tissue Disease-Associated Pulmonary Arterial Hypertension: A Pooled Analysis of 12 Randomized Controlled Trials Rennie L. Rhee1, Nicole B. Gabler1, Amy Praestgaard1, Peter A. Merkel2 and Steven M. Kawut1, 1University of Pennsylvania, Philadelphia, PA, 2Vasculitis Center, University of Pennsylvania, Philadelphia, PA 3:00 pm 876. SAR100842, an Antagonist of Lysophosphatidic Acid Receptor 1, As a Potential Treatment for Patients with Systemic Sclerosis: Results from a Phase 2a Study Dinesh Khanna1, Christopher P. Denton2, Alexandre Jagerschmidt3, Martine Jasson4, Oliver Distler5 and Yannick Allanore6, 1University of Michigan Scleroderma Program, Ann Arbor, MI, 2UCL Medical School Royal Free Campus, London, United Kingdom, 3Sanofi-Aventis, Chilly-Mazarin, France, 4 Sanofi-Aventis, Paris, France, 5Zurich University Hospital, Zurich, 2014 Program Book 51 scientific sessions Switzerland, 6Department of Rheumatology, University Paris Descartes and Cochin Hospital, Paris, France n o v e m b e r 1 6 , SUNDAY 2 0 1 4 3:15 pm 877. Sildenafil Attenuates the Fibrotic Phenotype in Scleroderma Skin Fibroblasts Tomoaki Higuchi1, Yasushi Kawaguchi1, Kae Takagi1, Akiko Tochimoto1, Yuko Ota1, Yasuhiro Katsumata1, Takahisa Gono1, Masanori Hanaoka1, Yuko Okamoto1, Hidenaga Kawasumi1 and Hisashi Yamanaka2, 1Tokyo Women’s Medical University, Tokyo, Japan, 2Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan 3:30 pm 878. Luminex and Autoantigen Microarray Analysis of Sera from Patients with Diffuse Cutaneous Systemic Sclerosis Reveals Changes Associated with Imatinib Mesylate Treatment D. James Haddon1, Hannah Wand1, Paul J. Utz1, Robert F. Spiera2, Jessica K. Gordon2 and Lorinda Chung3, 1Stanford University School of Medicine, Stanford, CA, 2Hospital for Special Surgery, New York, NY, 3Stanford University School of Medicine, Palo Alto, CA 3:45 pm 879. Efficacy of Autologous Hematopoietic Stem Cell Transplantation in Rapidly Progressive Systemic Sclerosis: Prolonged Remission of Disease Activity in a Long-Term Follow up Eleonora Zaccara1, Domenico Sambataro2, Wanda Maglione1, Gianluca Sambataro1, Francesco Onida3, Claudio Annaloro3, Giorgia Saporiti3, Elena Tagliaferri3, Agostino Cortelezzi3, Rosaria Giordano3, Claudio Vitali4 and Nicoletta Del Papa2, 1Osp. G. Pini, Milano, Italy, 2Istituto G.Pini, Milan, Italy, 3Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico-University of Milan, San Giuseppe, Lecco, Italy Milano, Italy, 4Istituto PS PM 156 B Vasculitis I Moderators: Maria C. Cid, MD. PhD and Kenneth J. Warrington, MD 2:30 pm 880. An Immunochip Study Confirms a Strong Contribution of HLA Class I and II Genes in the Susceptibility to Giant Cell Arteritis Francisco David Carmona1, Sarah Mackie2, Jose Ezequiel Martin1, John Taylor2, Augusto Vaglio3, Lara Bossini-Castillo1, Santos Castañeda4, Maria C. Cid5, José Hernández-Rodríguez5, Roser Solans6, Ricardo Blanco7, Lorenzo Beretta8, Claudio Lunardi9, Marco A. Cimmino10, Cisca Wijmenga11, Torsten Witte12, Julia Holle13, Frank Moosig13, Verena Schönau14, Andre Franke15, Øyvind Palm16, Andreas P. Diamantopoulos17, Benedicte A. Lie18, Simon Carette19, David Cuthbertson20, Gary S. Hoffman21, Nader A. Khalidi22, Curry L. Koening23, Carol A. Langford24, Carol McAlear25, Larry Moreland26, Paul A. Monach27, Christian Pagnoux19, Philip Seo28, Antoine G. Sreih29, Kenneth J. Warrington30, Steven R. Ytterberg30, Colin T. Pease31, Andrew Gough32, Michael Green33, Lesley Hordon34, Stephen Jarrett35, 52 2014 Program Book Richard Watts36, Sarah Levy37, Yusuf Patel38, Sanjeet Kamath39, Bhaskar Dasgupta40, Paul IW. de Bakker41, Bobby P.C. Koeleman41, Jennifer H. Barrett2, Carlo Salvarani42, Peter A. Merkel25, Miguel A. Gonzalez-Gay7, Ann W. Morgan2 and Javier Martin1, 1Instituto de Parasitología y Biomedicina López-Neyra, IPBLN-CSIC, Armilla (Granada), Spain, 2University of Leeds, Leeds, United Kingdom, 3University Hospital of Parma, Parma, Italy, 4Hospital Universitario de La Princesa, IISP, Madrid, Spain, 5Hospital Clínic University of Barcelona, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, 6Hospital Vall d’Hebron, Autonomous University of Barcelona, Barcelona, Spain, 7Hospital Universitario Marqués de Valdecilla, IFIMAV, Santander, Spain, 8Referral Center for Systemic Autoimmune Diseases, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy, 9Università degli Studi di Verona, Verona, Italy, 10University of Genova, Genova, Italy, 11University Medical Hospital Groningen, University of Groningen, Groningen, Netherlands, 12Hannover Medical School, Hannover, Germany, 13Vasculitis Clinic, Klinikum Bad Bramstedt & University Hospital of Schleswig Holstein, Bad Bramstedt, Germany, 14Universitätsklinikum Erlangen, Erlangen, Germany, 15Christian-Albrechts-University of Kiel, Kiel, Germany, 16 Oslo University Hospital and University of Oslo, Oslo, Norway, 17 Hospital of Southern Norway Trust, Kristiansand, Norway, 18 University of Oslo and Oslo University Hospital, Oslo, Norway, 19 University of Toronto, Toronto, ON, 20University of South Florida, Tampa, FL, 21Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 22St. Joseph’s Hospital, McMaster University, Hamilton, ON, 23University of Utah, Salt Lake City, UT, 24Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 25Vasculitis Center, University of Pennsylvania, Philadelphia, PA, 26Vasculitis Center, of University of Pittsburgh Medical Center, Pittsburgh, PA, 27Vasculitis Center, Boston University School of Medicine, Boston, MA, 28Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 29The University of Pennsylvania, Philadelphia, PA, 30Mayo Clinic, Rochester, MN, 31Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 32Harrogate and District Foundation Trust, Harrogate, United Kingdom, 33York Teaching Hospital NHS Foundation Trust, York, United Kingdom, 34Mid Yorkshire Hospitals NHS Trust, Dewsbury, United Kingdom, 35Mid Yorkshire Hospitals NHS Trust, Wakefield, United Kingdom, 36Ipswich Hospital NHS Trust, Ipswich, United Kingdom, 37Croydon Health Service NHS Trust, Croydon, United Kingdom, 38Hull and East Yorkshire NHS Trust, Hull East Yorkshire, United Kingdom, 39 Staffordshire and Stoke-on-Trent Partnership NHS Trust, Staffordshire, United Kingdom, 40Southend University Hospital, Essex, United Kingdom, 41University Medical Center Utrecht, Utrecht, Netherlands, 42Azienda Ospedaliera ASMN, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia, Italy 2:45 pm 881. DNA Methylation Analysis of the Temporal Artery Microenvironment Reveals a Robust T Cell Signature and Suggests a Role for TNF-α in Giant Cell Arteritis Patrick S. Coit, Lindsey B. De Lott, Bin Nan, Victor M. Elner and Amr H. Sawalha, University of Michigan, Ann Arbor, MI scientific sessions 3:00 pm 882. A Signature of microRNAs Overexpressed in Inflamed Temporal Arteries of Patients with Giant Cell Arteritis Stefania Croci, Alessandro Zerbini, Luigi Boiardi, Francesco Muratore, Alessandra Bisagni, Giulia Pazzola, Luca Cimino, Antonio Moramarco, Davide Nicoli, Enrico Farnetti, Bruno Casali, Alberto Cavazza, Maria Parmeggiani and Carlo Salvarani, Arcispedale S Maria Nuova, Reggio Emilia, Italy ARHP SESSIONS 2:30 – 4:00 pm 255 Upon completion of this session, participants should be able to: education • d escribe process of online search for arthritis education resources • evaluate health literacy of online content to selectively identify content that meets the needs of specific patients/ consumers 2:30 pm Online Patient Resources for Arthritis and Strategies to Locate Quality Information and Usability Maura D. Iversen, BSc, DPT, SD, MPH PM 2 0 1 4 256 1 6 , 3:15 pm Empowering Patients to Navigate the Google Minefield Laura E. Ray, MA, MLS SUNDAY 3:45 pm 885. A 2-Week Single-Blind, Randomized, 3-Arm Proof of Concept Study of the Effects of Secukinumab (anti-IL17 mAb), Canakinumab (anti-IL-1 b mAb), or Corticosteroids on Initial Disease Activity Scores in Patients with PMR, Followed By an Open-Label Extension to Assess Safety and Effect Duration Eric L. Matteson1, Bhaskar Dasgupta2, Wolfgang A. Schmidt3, Carlo Salvarani4, Nagui Gendi5, Mauro Galeazzi6, Sylvie Stitah7, Yue Li7, Marie-Anne Valentin7, Bolan Linghu8 and Stephen J. Oliver7, 1Mayo Clinic, Rochester, MN, 2Southend University Hospital, Essex, United Kingdom, 3Immanuel Krankenhaus, Berlin, Germany, 4Arcispedale-Santa-Maria-Nuova, Reggio Emilia, Italy, 5 Basildon & Thurroch University Hospitals NHS Trust, Basildon, Essex, United Kingdom, 6Università di Siena, Siena, Italy, 7 Novartis Pharma AG, Basel, Switzerland, 8Novartis Pharma AG, Cambridge, MA Google Minefield: Empowering Patients to Evaluate FIT FIT PrM PrM Pd PS Pd PS PM Ed PM Ed Online Resources n o v e m b e r 3:30 pm 884. Interleukin 6 Does Not Upregulate Pro Inflammatory Cytokine Expression in an Ex-Vivo Model of Giant Cell Arteritis Lorraine O’Neill1, Jennifer McCormick2, Wei Gao2, Conor Murphy3, Geraldine M. McCarthy4, Douglas J. Veale1, Ursula Fearon2 and Eamonn S. Molloy1, 1St. Vincent’s University Hospital, Dublin 4, Ireland, 2Translational Rheumatology Research Group, Dublin, Ireland, 3Royal Victoria Eye and Ear Hospital, Dublin, Ireland, 4Mater Misericordiae University Hospital, Dublin 7, Ireland PS • identify quality resources for patients regarding arthritis 3:15 pm 883. Accuracy of High Resolution MRI of Scalp Arteries for the Diagnosis of Giant Cell Arteritis: Results of a Prospective Study Maxime Rhéaume1, Ryan Rebello2, Christian Pagnoux3, Simon Carette3, Marie Clements-Baker4, Violette Cohen-Hallaleh2, David Doucette-Preville2, B. Stanley Jackson5, Sam Salama6, George Ioannidis7 and Nader A. Khalidi8, 1Division of Rheumatology, St. Joseph’s Hospital, McMaster University, Hamilton, ON, 2 Department of Radiology, St. Joseph’s Hospital, McMaster University, Hamilton, ON, 3University of Toronto, Toronto, ON, 4 Queens University, Kingston, ON, 5Department of Surgery, St. Joseph’s Hospital, McMaster University, Hamilton, ON, 6 Department of Pathology, St. Joseph’s Hospital, McMaster University, Hamilton, ON, 7St Joseph’s Healthcare Hamilton, Hamilton, ON, 8St. Joseph’s Hospital, McMaster University, Hamilton, ON PM PS Practical Practice Management Session One: Improve Quality and Efficiency Moderators: Lee Anderson, BSN and Brandi Young, DNP Upon completion of this session, participants should be able to: • recognize the links between quality improvement initiatives and payment reform • apply techniques in quality measurement to drive practice improvement in rheumatology • utilize tools created by the ACR, including the Rheumatology Clinical Registry (RCR) and the Rheumatology Informatics System for Effectiveness (RISE) Registry, to successfully report quality measures for their practices 2:30 pm Payment Reform: What’s Coming? Robert Warren, MD, PhD, MPH 3:00 pm Quality Improvement in Rheumatology Jinoos Yazdany, MD, MPH PM PS 151 A Sports Medicine for the Rheumatology Provider Moderator: Judy Foxworth, PhD, PT Upon completion of this session, participants should be able to: • identify mechanisms of injury of common sports medicine injuries of both the shoulder and knee of the older athlete • discuss medical/surgical management of common sports medicine injuries of the knee and shoulder with special consideration of athletes with osteoarthritis • present evidence of best practices for rehabilitation for older athletes with common shoulder and knee injuries with rheumatic disease 2014 Program Book 53 scientific sessions 2:30 pm Most Common Sports Medicine Injuries of the Older Athlete Karl Fields, MD 3:15 pm Special Considerations for Sports Participation for Those with Rheumatic Disease James J. Irrgang, ATC, PhD, PT 254 A PM PS Young Adults with Rheumatic Disease: The Patient FIT PrM Pd PS Ed Perspective PM n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Moderator: Sandra Mintz, BSN Upon completion of this session, participants should be able to: • enhance their knowledge of the multifaceted experiences of living with a rheumatic disease • discuss the importance of patient advocacy and how to help develop it at any age • employ tips towards engaging patients and providing them opportunities to develop their toolset for living with a rheumatic disease 2:30 pm Patient Perspective Jennifer R. Horonjeff, MS 3:15 pm Young Adults with Rheumatic Disease: The Patient Perspective Kiana Johnson, PhD ARHP CONCURRENT ABSTRACT SESSION 2:30 – 4:00 pm PM PS 257 A Exemplary Abstracts Moderators: Scott Hasson, Pt, PhD and Robert M. McLean, MD 2:30 pm 886. Measuring Rheumatoid Arthritis Remission: Which Index of Disease Activity Best Predicts Work Status? Nancy A. Baker1, Heather Eng2, Juan (June) Feng2, Jason Lyons2, Yong Gil Hwang1, Kimberly P. Liang1 and Larry W. Moreland1, 1 University of Pittsburgh, Pittsburgh, PA, 2University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA 2:45 pm 887. The Impact of Inadequate Health Literacy on Disease Activity in Patients with Rheumatoid Arthritis Maria Celeste Orozco1, Maria Florencia Marengo1, Christian A. Waimann1, Ana Inés Marcos2, Amelia Granel2, Sofia Velez3, Federico Zazzetti3, Juan C. Barreira4, Paula Kohan5, Oscar L. Rillo6, María Victoria Collado7, Graciela Gómez8, Ricardo V. Juárez9, Veronica Lencina9, Andrea D’Orazio10, Gustavo Rodriguez 54 2014 Program Book Gil10, Mariana Salcedo11 and Gustavo Citera1, 1Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, 2Hospital San Roque de Gonnet, La Plata, La Plata, Argentina, 3Hospital Britanico, Buenos Aires, Argentina, 4British Hospital, Buenos Aires, Argentina, 5Hospital Gral. de agudos Dr. E. Tornú, Buenos Aires, Argentina, 6Hospital General de Agudos Dr. E. Tornú, Buenos Aires, Argentina, 7Instituto de Investigaciones Medicas Alfredo Lanari, Buenos Aires, Argentina, 8Insituto de Investigaciones Medicas de la UBA, Capital Federal, Argentina, 9 Hospital Señor del Milagro, Salta, Argentina, 10Hospital Municipal de agudos Dr. Leonidas Lucero, Bahía Blanca, Argentina, 11Consultorio Privado, San Nicolás, Argentina 3:00 pm 888. Annual Medical Care Expenditures Among US Adults with Gout, 2005 – 2011 Miriam G. Cisternas1, Louise Murphy2, David J. Pasta3, Edward H. Yelin4 and Charles Helmick2, 1MGC Data Services, Carlsbad, CA, 2Centers for Disease Control and Prevention, Atlanta, GA, 3 DMA Corporation, Palo Alto, CA, 4University of California, San Francisco, San Francisco, CA 3:15 pm 889. Exercise, Manual Therapy and Use of Booster Sessions in Physical Therapy for Knee OA: A Multi-Center Randomized Clinical Trial G Kelley Fitzgerald1, Julie Fritz2, John Childs3, Gerard P. Brennan4, Douglas P. Landsittel5, Brett Neilson6, Alexandra Gil1 and J. Haxby Abbott7, 1University of Pittsburgh, Pittsburgh, PA, 2University of Utah, Salt Lake City, UT, 3US Army-Baylor University, Schertz, TX, 4 Intermountain Healthcare, Murray, UT, 5University of Pittsburgh, Center for Health Care Research Data Center, Pittsburgh, PA, 6 Henry M. Jackson Foundation, Bethesda, MD, 7University of Otago, Dunedin, New Zealand 3:30 pm 890. Test of the NIH Patient-Reported Outcomes Measurement Information System (PROMIS) 29-Item Profile in a Large Cohort of Rheumatic Disease Patients Patricia P. Katz1, Sofia Pedro2 and Kaleb Michaud3, 1University of California, San Francisco, San Francisco, CA, 2National Data Bank, Wichita, KS, 3University of Nebraska Medical Center and National Data Bank, Omaha, NE 3:45 pm 891. Randomized Clinical Trial of Group Vs. Individual Physical Therapy for Knee Osteoarthritis Kelli D. Allen1, Dennis Bongiorni2, Hayden B. Bosworth3, Cynthia Coffman3, Santanu Datta3, David Edelman3, Jennifer H. Lindquist2, Eugene Oddone3 and Helen Hoenig3, 1Durham VA Medical Center and University of North Carolina at Chapel Hill, Durham, NC, 2Durham VA Medical Center, Durham, NC, 3Durham VA Medical Center and Duke University Medical Center, Durham, NC PM PS scientific sessions • d emonstrate the mechanism leading to mechanical neck and lumbar pain and the approach at the bedside to discerning the mechanisms and its treatment • demonstrate how to more easily determine joint swelling particularly in the metacarpophalangeal joint, proximal interphalangeal joint and wrists ACR WORKSHOPS 4:00 – 6:00 pm Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. 159 Muscle Involvement in Rheumatic Diseases (211) Speaker: Sakir Humayun Gultekin, MD Upon completion of this session, participants should be able to: • identify the histologic abnormalities of steroid myopathy, polymyositis, dermatomyositis and inclusion body myositis • examine the major differential diagnostic possibilities in possible myositis cases • interpret the findings in the muscle biopsy pathology report 154 *Osteoporosis: Interpreting Dual Energy X-Ray Absorptiometry and Clinical Risk Factors: The New Fracture Risk Assessment Algorithm (212) Speaker: Stuart L. Silverman, MD Upon completion of this session, participants should be able to: • use bone mineral density and clinical risk factors in determination of absolute risk of fracture • discuss the concept of intervention threshold • assess limitations of the Fracture Risk Assessment Algorithm in clinical practice 152 Physical Examination Skills for Improved Detection of Synovitis and Cervical Thoracolumbar Disorders (213) Speaker: Edward C. Keystone, MD Upon completion of this session, participants should be able to: • describe the concept of referred pain and its presentation with neck and lumbar disorders Therapeutic Targeting of the Innate Immune System Moderator: Betsy Barnes, PhD Upon completion of this session, participants should be able to: • describe mechanisms and molecules involved in activation of the innate immune system • identify new potential therapeutic targets to maintain immune tolerance • recognize the multifunctional role of high mobility group box 1 (HMBG1) in inflammation 4:30 pm High Mobility Group Box 1 as Chemokine and Cytokine Helena E. Harris 2 0 1 4 161 PS 1 6 , Upon completion of this session, participants should be able to: • recognize typical active and structural lesions of spondyloarthritis • recognize complicated/subtle lesions of spondyloarthritis • recognize lesions that may mimic spondyloarthritis • recognize pitfalls in the interpretation of MRI in spondyloarthritis PM SUNDAY Speaker: Walter P. Maksymowych, MD 52 A n o v e m b e r Magnetic Resonance Imaging in the Diagnosis and Management of Spondyloarthritis: A Clinician’s Guide (210) ACR SESSIONS 4:30 – 6:00 pm 5:00 pm Dendric Cells in Tolerance and Immune Activation Michel C. Nussenzweig, MD, PhD 5:30 pm Activation of the Immune System by Intracellular Nucleic Acids Tracy McGaha, PhD PM PS Ballroom East Thieves’ Market: Show Me Your Best Cases Moderators: Rula Hajj-Ali, MD; N. Lawrence Edwards, MD and Rebecca L. Manno, MD, MHS Upon completion of this session, participants should be able to: • compare their diagnostic and management approaches of selected clinical problems with those of other rheumatologists and the presenters • recognize unusual presentations of common diseases • identify and recognize essential mimics of the rheumatic diseases 4:30 pm Image Competition Presentation Erika H. Noss, MD 4:50 pm Case Presentation 1: A Rapid Decline Kevin Wei, MD PhD 5:00 pm Case Presentation 2: An Uncommon Cause of a Common Presentation David McCormick, MB, BaO, BCh, MRCP 2014 Program Book 55 scientific sessions 5:10 pm Case Presentation 3: Groundhog Day P. W. James Russell, MB, BChir 5:20 pm Case Presentation 4: It is Not a Simple Headache Catherine E. Najem, MD 5:30 pm Case Presentation 5: Lesions in the Spine – A Diagnostic Dilemma Mehwish Khan, MBBS, MD n o v e m b e r 1 6 , SUNDAY 2 0 1 4 5:40 pm Case Presentation 6: The Nose Knows Sarah Goglin, MD ACR CONCURRENT ABSTRACT SESSIONS 4:30 – 6:00 pm 104 B PM PS Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes I: Research PS PM Perspectives Moderators: Laurence A. Bradley, PhD and Leslie J. Crofford, MD 4:30 pm 892. Symptom Increase in Fibromyalgia Is Not Consistent with the Central Sensitization or Central Hyperresponsiveness Hypothesis Frederick Wolfe1, Brian T. Walitt2, Johannes Rasker3, Robert S. Katz4 and Winfried Häuser5, 1National Data Bank for Rheumatic Diseases, Wichita, KS, 2Washington Hospital Center, Washington, DC, 3University Twente, Enschede, Netherlands, 4Rush Medical College, Chicago, IL, 5Klinikum Saarbrücken, Saarbrücken, Germany 4:45 pm 893. Polysymptomatic Distress Categories for Clinical and Research Use Frederick Wolfe1, Brian T. Walitt2, Johannes Rasker3, Robert S. Katz4 and Winfried Häuser5, 1National Data Bank for Rheumatic Diseases, Wichita, KS, 2Washington Hospital Center, Washington, DC, 3University Twente, Enschede, Netherlands, 4Rush Medical College, Chicago, IL, 5Klinikum Saarbrücken, Saarbrücken, Germany 5:00 pm 894. Small Fiber Neuropathy in Women with Fibromyalgia. a Clinical-Pathological Correlation Using Confocal Corneal Biomicroscopy Manuel Ramírez-Fernández1, Laura-Aline Martinez-Martinez2, Angelica Vargas-Guerrero2, Manuel Martínez-Lavín2, Everardo Hernandez Quintela1 and Jorge Velazco-Caspia1, 1Asociación para Evitar la Ceguera en México, Mexico City, Mexico, 2Instituto Nacional de Cardiologia, Mexico City, Mexico 56 2014 Program Book 5:15 pm 895. The Fibromyalgia Syndrome and Widespread Pain Frequency in Active Duty U.S. Service Members with Posttraumatic Stress Disorder Bernard Hildebrand Jr.1, Jay B. Higgs1, Douglas Williamson2, Edna Foa3, Patricia Resick4, Jim Mintz2, Antoinette Brundige2, Kevin Kelly5, Adam Borah5, Stacey Young-McCaughan2, Brett Litz6, Elizabeth Hembree3 and Alan Peterson2, 1San Antonio Military Medical Center, JBSA – Fort Sam Houston, TX, 2The University of Texas Health Science Center at San Antonio, San Antonio, TX, 3 University of Pennsylvania, Philadelphia, PA, 4Duke University, Durham, NC, 5Carl R. Darnall Army Medical Center, Fort Hood, TX, 6VA Boston Healthcare System, Boston, MA 5:30 pm 896. Development of Fibromyalgia and Polysymptomatic Distress Definitions in the National Health Interview Survey Brian Walitt1, Richard Nahin2, Robert S. Katz3, Martin J. Bergman4 and Frederick Wolfe5, 1MedStar Health, Washington, DC, 2 National Institutes of Health, Bethesda, MD, 3Rush Medical College, Chicago, IL, 4Taylor Hospital, Ridley Park, PA, 5National Data Bank for Rheumatic Diseases, Wichita, KS 5:45 pm 897. Resting State Functional Connectivity Differs Between Chronic Fatigue Syndrome Patients and Healthy Controls Jason Craggs1, Charles Gay1, Andrew O’Shea1, Ricky Madhavan1, Donald Price1, Michael Robinson1 and Roland Staud2, 1University of Florida, Gainesville, FL, 2Univ of Florida Med Ctr/JHMHC, Gainesville, FL 151 A PM PS Health Services Research: Risk Assessment and Outcomes of Rheumatic Disease Moderators: Edward H. Yelin, PhD and Katherine Liao, MD, MPH 4:30 pm 898. Traditional Cardiovascular Risk-Factor Management in Patients with Rheumatoid Arthritis Compared with Matched Non-Rheumatoid Arthritis Patients in a US Managed Care Setting J An1, K Reynolds2, E Alemao3, H Kawabata3, D H Solomon4, K P Liao4 and T C Cheetham2, 1Western University of Health Sciences, Pomona, CA, 2Kaiser Permanente Southern California, Pasadena, CA, 3Bristol-Myers Squibb, Princeton, NJ, 4Brigham and Women’s Hospital, Boston, MA 4:45 pm 899. Insurance Status and U.S. Region Associated with Placement of Permanent Vascular Access in Dialysis Patients with End-Stage Renal Disease Secondary to Lupus Nephritis Laura Plantinga1, Cristina M. Drenkard1, Rachel Patzer1, William McClellan1, Stephen Pastan1 and S. Sam Lim2, 1Emory University, Atlanta, GA, 2Emory University School of Medicine, Division of Rheumatology, Atlanta, GA scientific sessions 5:00 pm 900. Race and Sex Specific Incidence Rates and Predictors of Total Knee Arthroplasty: Data from the Osteoarthritis Initiative, 7 Years Follow up Jamie E. Collins, Bhushan Deshpande, Jeffrey N. Katz and Elena Losina, Brigham and Women’s Hospital, Boston, MA 5:15 pm 901. Rate of Serum Uric Acid (SUA) Assessment in Gout Patients Treated with Urate-Lowering Therapy: Treating to Target? Robert Morlock1, David M. Kern2, Ozgur Tunceli2, Siting Zhou2, Laura Horne3, Sulabha Ramachandran3 and Hyon Choi4, 1Ardea Biosciences, San Diego, CA, 2HealthCore, Inc., Wilmington, DE, 3 AstraZeneca, Wilmington, DE, 4Harvard Medical School, Boston, MA Imaging of Rheumatic Diseases: Ultrasound Moderators: Jay B. Higgs, MD and Wolfgang A. Schmidt, MD 904. Ultrasound Synovitis Reflects Synovial Inflammation at a Histopathological Level Nora Ng, Stephen Kelly, Frances Humby, Maria DiCicco, Vidalba Rocher, Rebecca Hands, Michele Bombardieri and Costantino Pitzalis, William Harvey Research Institute, Queen Mary University of London, London, United Kingdom 4:45 pm 905. First Step in the Development of an Ultrasound Joint Inflammation Score for Rheumatoid Arthritis: A Data Driven Approach Anna-Birgitte Aga1, Hilde Berner Hammer1, Inge C. Olsen1, Till Uhlig1, Tore K. Kvien1, Désirée van der Heijde2, Elisabeth Lie1, Espen A. Haavardsholm1 and the Arctic study Group1, 1 Diakonhjemmet Hospital, Oslo, Norway, 2Leiden University Medical Center, Leiden, Netherlands 2014 Program Book 2 0 1 4 210 B 1 6 , PM 5:30 pm 908. Ultrasound-Detected Tenosynovitis Independently Associates with Flare in Patients with Rheumatoid Arthritis in Clinical Remission Emanuela Bellis1, Greta Carrara2, Carlo Alberto Scirè2, Alessandra Bortoluzzi3, Alberto Batticciotto4, Antonella Adinolfi5, Giovanni Cagnotto6, Marta Caprioli7, Marco Canzoni8, Francesco Cavatorta9, Fulvia Ceccarelli10, Orazio De Lucia11, Valentina Di Sabatino12, Antonella Draghessi13, Georgios Filippou12, Ilaria Farina3, Maria Cristina Focherini14, Paola Frallonardo15, Alessandra Gabba16, Angelica Gattamelata10, Marwin Gutierrez13, Luca Idolazzi17, Filippo Luccioli18, Pierluigi Macchioni19, Marco Massarotti20, Claudio Mastaglio21, Luana Menza21, Giulia Mirabelli18, Maurizio Muratore22, Simone Parisi23, Valentina Picerno12, Matteo Piga24, Roberta Ramonda25, Bernd Raffeiner15, Daniela Rossi26, Paola Rossini27, Garifallia Sakellariou28, Crescenzio Scioscia29, Carlo Venditti30, Annamaria Iagnocco10 and Marco Matucci-Cerinic31, 1Ospedale Mauriziano, Turin, Italy, 2 Italian Society for Rheumatology, Milan, Italy, 3A.O.U. S.Anna di Cona, Ferrara, Italy, 4L.Sacco University Hospital, Milan, Italy, 5Policlinico le Scotte, Siena, Italy, 6IRCCS Policlinico San Matteo, Pavia, Italy, 7Istituto di Cura Città di Pavia, Pavia, Italy, 8 A.O. Sant’Andrea, Rome, Italy, 9A.O.U.P. Santa Chiara, Trento, Italy, 10Sapienza University of Rome, Rome, Italy, 11Orthopedic Institute Gaetano Pini, Milano, Italy, 12University of Siena, Siena, Italy, 13Università Politecnica delle Marche, Jesi, Italy, 14Ospedale Infermi, Rimini, Italy, 15University of Padova, Padova, Italy, 16 A.O.U. di Cagliari, Cagliari, Italy, 17Ospedale Civile Maggiore, Verona, Italy, 18University of Perugia, Perugia, Italy, 19Arcispedale S Maria Nuova, IRCCS, Reggio Emilia, Italy, 20Istituto Clinico Humanitas, Rozzano, Italy, 21Moriggia-Pelascini, Gravedona, Italy, 22 Department of Rheumatology, Hospital Galateo, San Cesario di Lecce, Italy, 23A.O. Città della Salute e della Scienza di Torino, Turin, Italy, 24Unit and Chair of Rheumatology, University Hospital of Cagliari, Cagliari, Italy, 25University of Padua, Padova, Italy, 26 University of Turin, Turin, Italy, 27P.O. “Destra Secchia”, Pieve di Coriano, Italy, 28Rheumatology and Translational Immunology Research Laboratories (LaRIT), Division of Rheumatology, IRCCS Policlinico S. Matteo Foundation/University of Pavia, Pavia, Italy, 29 University of Bari, Bari, Italy, 30A.O. Rummo, Benevento, Italy, 31 University of Florence, Florence, Italy SUNDAY 5:45 pm 903. Poor Adherence to Medications for Systemic Lupus Erythematosus Predicts Higher Health Care Utilization in U.S. Medicaid Beneficiaries Jinoos Yazdany1, Candace H. Feldman2, Hongshu Guan3 and Karen H. Costenbader3, 1University of California, San Francisco, San Francisco, CA, 2Brigham and Women’s Hospital, Boston, MA, 3Brigham and Women’s Hospital, Harvard Medical School, Boston, MA PS 5:15 pm 907. Ultrasonographic Tenosynovitis Score Is Responsive to Biologic Treatment in Patients with Rheumatoid Arthritis Hilde B. Hammer and Tore K. Kvien, Diakonhjemmet Hospital, Oslo, Norway n o v e m b e r 5:30 pm 902. Co-Management for Children with JIA: A Survey of Primary Care Providers Regarding Current Practices and Willingness to Provide Services Amanda Mroczek, Gary Freed and Meredith Riebschleger, University of Michigan, Ann Arbor, MI 5:00 pm 906. How Long Does Sonographic Joint Activity Continue in Clinically Remittive Joints of Patients with Rheumatoid Arthritis? Miriam Gärtner, Farideh Alasthi, Gabriela Supp, Peter Mandl, Josef Smolen and Daniel Aletaha, Medical University of Vienna, Vienna, Austria 57 scientific sessions 5:45 pm 909. A Diagnostic Protocol for Giant Cell Arteritis (GCA) Using Ultrasound Assessment Jennifer Piper1, Ana Sofia Serafim1, Cristina Ponte1, Surjeet Singh2, Bhaskar Dasgupta3, Wolfgang A. Schmidt4, Eugene McNally5, Andreas P. Diamantopoulos6, Andrew Hutchings7 and Raashid Luqmani8, 1University of Oxford, Oxford, United Kingdom, 2Sciences, Oxford, England, 3Southend University Hospital, Essex, United Kingdom, 4Immanuel Krankenhaus, Berlin, Germany, 5Oxford University, Oxford, United Kingdom, 6Hospital of Southern Norway Trust, Kristiansand, Norway, 7London School of Hygiene and Tropical Medicine, London, United Kingdom, 8 Oxford NIHR Musculoskeletal Biomedical Research Unit, Oxford, United Kingdom PS PM 160 B 2 0 1 4 4:30 pm 910. The Selective Sphingosine-1-Phosphate Receptor 1/5 Modulator Siponimod (BAF312) Shows Beneficial Effects in Patients with Active, Treatment Refractory Polymyositis and Dermatomyositis: A Phase IIa Proof-of-Concept, Double-Blind, Randomized Trial Katalin Danko1, Jiri Vencovsky2, Ingrid E. Lundberg3, Anthony A Amato4, Chester V. Oddis5, Maria Molnar6, Antonette Mallari Moher7, Laurence Colin8, Florian Muellershausen9, David Lee9 and Peter Gergely9, 1University of Debrecen, Hungary, Debrecen, Hungary, 2Charles University, Prague, Czech Republic, 3Rheumatology Unit, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 4Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, 5University of Pittsburgh, Pittsburgh, PA, 6Institute of Genomic Medicine and Rare Disorders, Semmelweis University, Budapest, Hungary, 7Novartis Institutes for Biomedical Research (former employee), Basel, Switzerland, 8Novartis Pharma, Basel, Switzerland, 9Novartis Institutes for Biomedical Research, Basel, Switzerland n o v e m b e r SUNDAY 1 6 , Muscle Biology, Myositis and Myopathies Moderator: Megan Curran, MD 4:45 pm 911. Bioluminescent Imaging of Histidyl-Transfer RNA Synthetase-Induced Myositis Reveals Early-Phase Involvement of NF-Kb-Mediated Inflammation Nicholas A. Young1, Lai-Chu Wu1, Michael Bruss1, Wael N. Jarjour1 and Dana P. Ascherman2, 1The Ohio State University Wexner Medical Center, Columbus, OH, 2Miami VAMC, Miami, FL 5:00 pm 912. A Consensus Hybrid Definition Using a Conjoint Analysis Is the Proposed As Response Criteria for Minimal and Moderate Improvement for Adult Polymyositis and Dermatomyositis Clinical Trials Rohit Aggarwal1, Lisa G. Rider2, Nicolino Ruperto3, Nastaran Bayat2, Brian Erman4, Brian M. Feldman5, Adam M. Huber6, Chester V. Oddis1, Ingrid E. Lundberg7, Anthony A. Amato, MD8, Robert G. Cooper, MD, FRCP9, Hector Chinoy10, Maryam Dastmalchi11, David Fiorentino12, David Isenberg13, James D. 58 2014 Program Book Katz14, Andrew L. Mammen15, Marianne de Visser16, Steven R. Ytterberg17, Katalin Danko18, Luca Villa19, Mariangela Rinaldi19, Howard Rockette1, Peter A. Lachenbruch20, Frederick W. Miller2 and Jiri Vencovsky, MD, DSc21, 1University of Pittsburgh, Pittsburgh, PA, 2Environmental Autoimmunity Group, NIEHS, NIH, Bethesda, MD, 3Istituto Giannina Gaslini, Genoa, Italy, 4 Social and Scientific Systems, Inc., Durham, NC, 5The Hospital for Sick Children, Toronto, ON, 6IWK Health Centre, Halifax, NS, 7Rheumatology Unit, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden, 8Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, 9 University of Liverpool, Liverpool, United Kingdom, 10Centre for Musculoskeletal Research, University of Manchester, Manchester, United Kingdom, 11Karolinska University Hospital in Solna, Karolinska Institutet, Stockholm, Sweden, 12Stanford University, Redwood City, CA, 13Arthritis Research UK Centre for Adolescent Rheumatology, University College London, London, United Kingdom, 14NIH, Bethesda, MD, 15Johns Hopkins University, Baltimore, MD, 16Academic Medical Centre, Amsterdam, Netherlands, 17Mayo Clinic, Rochester, MN, 18 University of Debrecen, Hungary, Debrecen, Hungary, 19IRCCS Istituto G. Gaslini, Genova, Italy, 20NIEHS, NIH, Bethesda, MD, 21 Charles University, Prague, Czech Republic 5:15 pm 913. Long Term Outcomes of Patients with Moderate Creatine Kinase (CK) Elevation Seen in a Rheumatology Clinic Lyudmila Kirillova1, Abraham Tacang1, Andrea Berger2, Thomas M. Harrington1 and Androniki Bili1, 1Geisinger Health System, Danville, PA, 2Center for Health Research, Geisinger Health System, Danville, PA 5:30 pm 914. A Predictive Model of Disease Outcome in RituximabTreated Myositis Patients Using Clinical Features, Autoantibodies and Serum Biomarkers Jeannette Olazagasti1, Cynthia S. Crowson1, Molly S. Hein1, Consuelo Lopez de Padilla1, Rohit Aggarwal2, Chester V. Oddis2 and Ann M. Reed1, 1Mayo Clinic, Rochester, MN, 2University of Pittsburgh, Pittsburgh, PA 5:45 pm 915. Increased Risk of Myocardial Infarction in Dermatomyositis and Polymyositis: A General PopulationBased Cohort Study Kateryna Vostretsova1, Erin Carruthers2, Eric C. Sayre2, John Esdaile2 and J Antonio Avina-Zubieta3, 1University of British Columbia, Vancouver, BC, 2Arthritis Research Centre of Canada, Richmond, BC, 3University of British Columbia, Department of Experimental Medicine, Vancouver, BC 153 B PM PS Osteoporosis and Metabolic Bone Disease – Clinical Aspects and Pathogenesis: Clinical Osteoporosis: Treatment and Safety Moderators: Simpson Bobo Tanner, MD and Chad Deal, MD scientific sessions 4:30 pm 916. Effects of 2 Years of Treatment with Romosozumab Followed By 1 Year of Denosumab or Placebo in Postmenopausal Women with Low Bone Mineral Density MR McClung1, A Chines2, JP Brown3, A Diez-Perez4, H Resch5, J Caminis6, MA Bolognese7, S Goemaere8, HG Bone9, JR Zanchetta10, J Maddox2, O Rosen2, S Bray11 and A Grauer2, 1 Oregon Osteoporosis Center, Portland, OR, 2Amgen Inc., Thousand Oaks, CA, 3Laval University and CHU de Québec Research Centre, Quebec City, QC, 4Autonomous University of Spain, Barcelona, Spain, 5St. Vincent Hospital, Vienna, Austria, 6 UCB, Raleigh, NC, 7Bethesda Health Research Center, Bethesda, MD, 8Ghent University Hospital, Ghent, Belgium, 9Michigan Bone and Mineral Clinic, Detroit, MI, 10Instituto de Investigaciones Metabólicas, Buenos Aires, Argentina, 11Amgen Ltd., Cambridge, United Kingdom 1 6 , 156 B Pain: Basic and Clinical Aspects I PM PS 2 0 1 4 5:15 pm 919. Glucocorticoid Exposure and Fracture Risk in a Large Cohort of Commercially-Insured Rheumatoid Arthritis Patients Under Age 65 Akhila Balasubramanian1, Sally Wade2, Robert A Adler3, Celia Fang (Lin)4, Michael Maricic5, Cynthia O’Malley1, Kenneth G. Saag6 and Jeffrey R. Curtis6, 1Amgen, Inc., Thousand Oaks, CA, 2 Wade Outcomes Research and Consulting, Salt Lake City, UT, 3 Hunter Holmes McGuire VA Medical Center, Richmond, VA, 4 Amgen, Thousand Oaks, CA, 5Catalina Pointe Rheumatology, Tucson, AZ, 6The University of Alabama at Birmingham, Birmingham, AL PM SUNDAY 5:00 pm 918. Findings from Denosumab (Prolia®) Postmarketing Safety Surveillance for Serious Infections W Golden1, DB Crittenden1, M Uhart1, RB Wagman1, C Stehman-Breen1, S Papapoulos2 and NB Watts3, 1Amgen Inc., Thousand Oaks, CA, 2Leiden University Medical Center, Leiden, Netherlands, 3Mercy Health Osteoporosis and Bone Health Services, Cincinnati, OH 5:45 pm 921. Comparison of Infection Rates in Patients Receiving Denosumab, Denosumab and Biologics and Biologics Alone in a Suburban Rheumatology Clinic Sajina Prabhakaran1 and Charles Pritchard2, 1Drexel University College of Medicine, Philadelphia, PA, 2Drexel University College of Medicine, Willow Grove, PA PS n o v e m b e r 4:45 pm 917. Evaluation of Invasive Oral Procedures and Events in Women with Postmenopausal Osteoporosis Treated with Denosumab: Results from the Pivotal Phase 3 Fracture Study Extension Nelson B. Watts1, John T. Grbic2, Michael McClung3, Socrates Papapoulos4, David Kendler5, Christence S. Teglbjaerg6, Lawrence O’Connor7, Rachel B. Wagman7, Eric Ng7, Nadia S. Daizadeh7 and Pei-Ran Ho7, 1Mercy Health Osteoporosis and Bone Health Services, Cincinnati, OH, 2Columbia University, New York, NY, 3 Oregon Osteoporosis Center, Portland, OR, 4Leiden University Medical Center, Leiden, Netherlands, 5University of British Columbia, Vancouver, BC, 6Center for Clinical and Basic Research, Ballerup, Denmark, 7Amgen Inc., Thousand Oaks, CA 5:30 pm 920. Randomized Controlled Trial to Assess the Safety and Efficacy of Odanacatib in the Treatment of Men with Osteoporosis Eric Orwoll1, Silvano Adami2, Neil Binkley3, Roland Chapurlat4, Bente Langdahl5, Steven Doleckyj6, Hilde Giezek7, Boyd Scott8 and Arthur Santora8, 1Oregon Health and Science University, Portland, OR, 2Rheumatology Department, University of Verona, Verona, Italy, 3University of Wisconsin, Madison, WI, 4Hopital Edouard Herriot, Lyon, France, 5Aarhus University Hospital, Aarhus, Denmark, 6Merck & Co., Inc., Whitehouse Station, NJ, 7 MSD Belgium, Brussels, Belgium, 8Merck Sharp & Dohme Corp., Whitehouse Station, NJ Moderators: Yvonne C. Lee, MD and Martin K. Lotz, MD and Camilla Svensson, PhD 4:30 pm 922. A Potential Role for TLR4 Activation in Osteoarthritis Associated Pain Rachel E. Miller1, Shingo Ishihara1, Phuong Tran1, Richard J. Miller2 and Anne-Marie Malfait1, 1Rush University Medical Center, Chicago, IL, 2Northwestern University, Chicago, IL 4:45 pm 923. Phenotypes of Osteoarthritis-Related Knee Pain and Their Transitions over Time: The Osteoarthritis Initiative Na Lu1, Tuhina Neogi1, K. Douglas Gross1, Jingbo Niu1, Hyon Choi2 and Yuqing Zhang1, 1Boston University School of Medicine, Boston, MA, 2Harvard Medical School, Boston, MA 5:00 pm 924. Characteristics of Pain Flares in Knee Osteoarthritis Susan L. Murphy1, Angela K. Lyden1, Arnold Gammaitoni2, David A. Williams3, Daniel J. Clauw1, J. Ryan Scott1 and Kristine Phillips1, 1 University of Michigan, Ann Arbor, MI, 2Zogenix, Inc, San Diego, CA, 3Univ of MI Hlth System-Lobby M, Ann Arbor, MI 5:15 pm 925. Cortical Reorganization after Duloxetine TreatmentRelated Pain Decrease in Knee Osteoarthritis Pascal Tetreault, Marwan Baliki, Etienne Vachon-Presseau, Renita Evonne Yeasted, Thomas J. Schnitzer and A. Vania Apkarian, Northwestern University, Chicago, IL 2014 Program Book 59 scientific sessions n o v e m b e r 1 6 , SUNDAY 2 0 1 4 5:30 pm 926. Does a Family History of Total Knee Replacement for Knee Osteoarthritis Influence Knee Pain and Structural Progression? a Prospective Longitudinal Cohort Study Feng Pan1, Hussain Khan1, Changhai Ding1, Tania Winzenberg1, Johanne Martel-Pelletier2, Jean-Pierre Pelletier2, Flavia Cicuttini3 and Graeme Jones1, 1Menzies Research Institute Tasmania, University of Tasmania, Hobart,7000, Australia, 2Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Notre-Dame Hospital, Montreal, QC, 3School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia 5:45 pm 927. Urate Crystal Induced Inflammation and Joint Pain Are Reduced in Transient Receptor Potential Ankyrin 1 (TRPA1) Deficient Mice – a New Potential Role for TRPA1 in Gout Lauri J Moilanen, Mari Hämäläinen, Lauri Lehtimäki, Riina Nieminen and Eeva Moilanen, The Immunopharmacology Research Group, University of Tampere School of Medicine and Tampere University Hospital, Tampere, Finland 253 B PM PS Pediatric Rheumatology – Clinical and Therapeutic PrM Pd PS Ed Aspects: Juvenile Idiopathic Arthritis PM FIT 5:00 pm 930. An Exploratory Analysis of Predictors of Response from 12-Weeks of Canakinumab Therapy in Patients with Active Systemic Juvenile Idiopathic Arthritis Hermine I. Brunner1, Nicola Ruperto2, Isabelle Koné-Paut2, Bo Magnusson2, Seza Ozen2, Flavio Sztajnbok2, Jordi Anton2, Judith Barash2, Reinhard Berner2, Fabrizia Corona2, Karine Lheritier3, Corine Gaillez3, Alberto Martini2 and Daniel Lovell1, 1PRCSG, Cincinnati, OH, 2PRINTO-Istituto Gaslini, Genova, Italy, 3Novartis Pharma AG, Basel, Switzerland 5:15 pm 931. Response to Canakinumab Treatment Is Maintained in Systemic Juvenile Idiopathic Arthritis Patients N.M. Wulffraat1, N. Ruperto2, H.I. Brunner3, S. Oliveira2, Y. Uziel2, K. Nistala2, R. Cimaz2, M. Ferrandiz2, B. Flato2, M.L. Gamir2, I. Koné-Paut2, C. Gaillez4, K. Lheritier4, K. Abrams5, A. Martini2 and D.J. Lovell3, 1UMC Utrecht, Utrecht, Netherlands, 2PRINTOIstituto Gaslini, Genova, Italy, 3PRCSG, Cincinnati, OH, 4Novartis Pharma AG, Basel, Switzerland, 5Novartis Pharmaceuticals Corporation, East Hanover, NJ 4:30 pm 928. A Multinational Study of the Epidemiology, Treatment and Outcome of Childhood Arthriti: Preliminary Data from 6,940 Patients Alessandro Consolaro1, Amita Aggarwal2, Troels Herlin3, Olga Vougiouka4, Rubén Burgos-Vargas5, Ilonka Orban6, Nahid Shafaie7, Maria Trachana8, Lidia Rutkowska-Sak9, Ingrida Rumba-Rozenfelde10, Dimitrina Mihaylova11, Alberto Martini1 and Angelo Ravelli12, 1Istituto Giannina Gaslini, Genova, Italy, 2 Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India, 3Aarhus University Hospital, Aarhus, Denmark, 4 P. A. Kyriakou Children’s Hospital of Athens University, Athens, Greece, 5Hospital General de Mexico, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico, 6National Institute of Rheumatology and Physiotherapy, Budapest, Hungary, 7 Tehran University of Medical Sciences, Tehran, Iran, 8Aristotle University, Thessaloniki, Greece, 9Institute of Rheumatology, Warsaw, Poland, 10University of Latvia, Riga, Latvia, 11University Children Hospital, Sofia, Bulgaria, 12Istituto Giannina Gaslini and University of Genova, Genova, Italy 5:30 pm 932. MRP8/14 Serum Level As Predictor of Response to Starting and Stopping Anti-TNF Treatment in Non-Systemic Juvenile Idiopathic Arthritis Janneke Anink1, Marieke H. Otten1, Lisette W.A. van SuijlekomSmit1, Marion A.J. Van Rossum2, Koert M. Dolman3, Esther P.A. Hoppenreijs4, Rebecca ten Cate5, Simona Ursu6, Lucy R Wedderburn7, Gerd Horneff8, Thomas Vogl9, Dirk Föll10, Johannes Roth9 and Dirk Holzinger11, 1Erasmus MC Sophia Children’s Hospital, Rotterdam, Netherlands, 2Emma Kinderziekenhuis Academic Medical Center, Amsterdam, Netherlands, 3St. Lucas Andreas Hospital and Reade Institute, Amsterdam, Netherlands, 4 Radboud University Medical Center, Nijmegen, Netherlands, 5 Leiden University Medical Center, Leiden, Netherlands, 6 Arthritis Research UK Centre for Adolescent Rheumatology at University College London, Great Ormond Street Hospital and UCLH, University College London, London, United Kingdom, 7 Arthritis Research UK Centre for Adolescent Rheumatology, University College London, London, United Kingdom, 8Asklepios Klinik Sankt Augustin, Sankt Augustin, Germany, 9Institute of Immunology University of Muenster, Muenster, Germany, 10 University Children’s Hospital Muenster, Muenster, Germany, 11 University Hospital Muenster, Muenster, Germany 4:45 pm 929. Antibiotic Exposure and the Development of Juvenile Idiopathic Arthritis: A Population-Based Case-Control Study Daniel B. Horton1, Frank I. Scott IV2, Kevin Haynes1, Mary E. Putt1, Carlos D. Rose3, James D. Lewis1 and Brian L. Strom4, 1Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 2Division of Gastroenterology, Hospital of the University of Pennsylvania, Philadelphia, PA, 3Division of Rheumatology, Nemours A.I. 5:45 pm 933. A Multi-Center, Double-Blind, Randomized-Withdrawal Trial of Subcutaneous Golimumab in Pediatric Patients with Active Polyarticular Course Juvenile Idiopathic Arthritis Despite Methotrexate Therapy: Week 48 Results Hermine I. Brunner1, Nicolino Ruperto2, N Tzaribachev3, Gerd Horneff4, Carine Wouters5, Violeta Vladislava Panaviene2, Vyacheslav Chasnyk6, Carlos Abud-Mendoza7, Ruben Cuttica8, Andreas Reiff9, M Maldonado-Velázquez1, Nadina Rubio-Pérez10, Moderators: Murray H. Passo, MD and Andrew S. Zeft, MD, MSCE 60 duPont Hospital for Children, Thomas Jefferson University, Wilmington, DE, 4Rutgers Biomedical and Health Sciences, Newark, NJ 2014 Program Book scientific sessions 4:45 pm 935. Targeting Glycolysis in Rheumatoid Arthritis Monica Guma1, Alessia Lodi2, Ajit Divakaruni1, Anne Murphy1, Stefano Tiziani2 and Gary S. Firestein3, 1University of California, San Diego, La Jolla, CA, 2University of Texas at Austin, Austin, TX, 3 University of California at San Diego School of Medicine, La Jolla, CA 5:00 pm 936. Active Invasion of Periodontal Bacteria into Synovial Joint Exacerbates Collagen-Induced Arthritis in Disease-Prone B10 Riii Mice Sasanka Chukkapalli1, Mercedes Rivera-Kweh1, Irina Velsko1, Indraneel Bhattacharyya1, S. John Calise2, Edward Chan1, Minoru Satoh3 and Lakshmyya Kesavalu1, 1College of Dentistry, University of Florida, Gainesville, FL, 2University of Florida, Gainesville, FL, 3Univ. Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan Exhibit Hall C PM 2 0 1 4 4:30 pm 934. Amelioration of Inflammatory Arthritis By Anti-TNF Therapy Is Associated with Restoration of Lymphatic Contraction Echoe M. Bouta1, Igor Kuzin2, Karen de Mesy-Bentley1, Ronald Wood3, Homaira Rahimi4, Rui-Cheng Ji5, Christopher T. Ritchlin3, Andrea Bottaro2, Lianping Xing1 and Edward M. Schwarz1, 1 University of Rochester, Rochester, NY, 2Cooper Medical School, Camden, NJ, 3University of Rochester Medical Center, Rochester, NY, 4University of Rochester/Golisano Children’s Hospital, Rochester, NY, 5Oita University, Oita, Japan 5:45 pm 939. Prenatal Methyl-Rich Diet Decreases Inflammation in Collagen Induced Arthritis Sanjay Garg1, Dipak R. Patel2 and Raymond Yung2, 1University of Michigan, Ann Arbor, MI, Ann Arbor, MI, 2University of Michigan, Ann Arbor, MI 1 6 , Rheumatoid Arthritis – Animal Models I Moderators: Peter A. Nigrovic, MD and Ewa Cairns, PhD 5:30 pm 938. C1q Is Mandatory for Disease Development in Experimental Arthritis and Expression of Its Receptors Correlates with Disease Activity in Patients Matthieu Ribon1, Julie Mussard1, Roxane Herve1, Marina Botto2, Marie-Christophe Boissier3 and Patrice Decker1, 1INSERM UMR 1125, Li2P, University Paris 13, Sorbonne Paris Cité and Rheumatology Department, Avicenne Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Bobigny, France, 2Imperial College, London, United Kingdom, 3INSERM UMR 1125, Li2P, University Paris 13, Sorbonne Paris Cité, Bobigny, France SUNDAY 107 B 5:15 pm 937. A Unique Role for IL-18 Receptor-α in Monocyte Migration in RA and K/BxN Serum Transfer Arthritis W. Alexander Stinson1, Phillip L. Campbell1, Jeffrey Ruth1, Gautam Edhayan1, Ray A. Ohara1, Nicholas Lepore1, Alisa E. Koch2, David A. Fox1 and M. Asif Amin1, 1Division of Rheumatology, University of Michigan Medical Center, Ann Arbor, MI, 2Department of Veteran’s Affairs and University of Michigan, Ann Arbor, MI n o v e m b e r Rik Joos11, V Keltsev12, Evgeny Nasonov13, Daniel Kingsbury14, M Bandeira15, Earl Silverman16, F Weller-Heinemann10, A van Royen-Kerkhof17, Alan M. Mendelsohn18, Lilianne Kim18, Daniel Lovell19 and A Martini20, 1PRCSG, Cincinnati, OH, 2Istituto Giannina Gaslini, Genoa, Italy, 3PRINTO & PRCSG, Bramstedt, Germany, 4Asklepios Klinik Sankt Augustin, Sankt Augustin, Germany, 5University Hosp Gasthuisberg, Leuven, Belgium, 6 Novartis Pharma, Saint-Petersburg, Russia, 7Hospital Central & Facultad de Medicina, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico, 8Hospital de Ninos Pedro de Elizalde, Capital Federal, Argentina, 9Children’s Hospital of Los Angeles, Los Angeles, CA, 10PRINTO, Genoa, Italy, 11UZ Gent, Gent, Belgium, 12Paediatric Rheumatology International Trials Organisation–IRCCS [PRINTO], Genoa, Italy, 13State Institute of Rheumatology of RAMS, Moscow, Russia, 14Randall Children’s Hospital at Legacy Emanuel, Portland, OR, 15Hospital Infantil Pequeno Príncipe, Curitiba, Brazil, 16Hosp for Sick Children, Toronto, ON, 17Department of Pediatric Immunology & Rheumatology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht, Netherlands, 18Janssen Research & Development, LLC., Spring House, PA, 19Division of Rheumatology, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, OH, 20Istituto Gaslini-PRINTO, Genova, Italy PS PM PS Rheumatoid Arthritis – Clinical Aspects II: Remission and De-Escalation of Therapy Moderators: Clifton O. Bingham III, MD and Kimme Hyrich, MD, PhD 4:30 pm 940. Study of Reduction of Therapy in Patients with Rheumatoid Arthritis in Ongoing Remission Judith Haschka1, Jürgen Rech1, Matthias Englbrecht1, Stephanie Finzel1, Michaela Reiser1, Axel J. Hueber1, Arnd Kleyer1, HansPeter Tony2, Martin Fleck3, Karin Manger4, Wolfgang Ochs5, Jörg Wendler6, Hanns-Martin Lorenz7, Hubert Nüßlein8, Rieke Alten9, Winfried Demary10 and Georg Schett1, 1University of ErlangenNuremberg, Erlangen, Germany, 2University Hospital Würzburg, Würzburg, Germany, 3Asklepios Medical Center Bad Abbach, Bad Abbach, Germany, 4Rheumatology Practice Bamberg, Bamberg, Germany, 5Rheumatology Practice Bayreuth, Bayreuth, Germany, 6Rheumatology Practice Erlangen, Erlangen, Germany, 7 University of Heidelberg, Heidelberg, Germany, 8Rheumatology Practice Nuremberg, Nuremberg, Germany, 9Schlosspark-Klinik, University Medicine Berlin, Berlin, Germany, 10Rheumatolgy Practice Hildesheim, Hildesheim, Germany 4:45 pm 941. Biologic De-Escalation in Rheumatoid Arthritis: Cost Savings and Clinical Success Tarun S. Sharma1, Lyudmila Kirillova2, Andrea Berger3 and Eric D. Newman2, 1Geisinger Medical Center, Danville, PA, 2Geisinger Health System, Danville, PA, 3Center for Health Research, Geisinger Health System, Danville, PA 2014 Program Book 61 scientific sessions n o v e m b e r 1 6 , SUNDAY 2 0 1 4 5:00 pm 942. ACR/EULAR Remission in RA patients in Clinical Practice – Does Substitution of Patient Global with Pain Score Change Remission Rates? Data from the Danish Danbio Registry Merete Lund Hetland, The Danish Rheumatologic Database (DANBIO), Glostrup Hospital., Copenhagen, Denmark 5:15 pm 943. Improvements in the Proportion of Patients Achieving DAS, CDAI and SDAI Remission By Omitting the Patient Global Assessment (PtGA): an Analysis from a Prospective, Observational Registry Philip Baer1, WG Bensen2, Carter Thorne3, Boulos Haraoui4, Denis Choquette5, Regan Arendse6, John Kelsall7, Maqbool Sheriff8, John S. Sampalis9, Emmanouil Rampakakis9, Francois Nantel10, May Shawi10, Allen J Lehman10, Susan Otawa10 and Edward Keystone11, 1Private Practice, Scarborough, ON, 2St Joseph’s Hospital and McMaster University, Hamilton, ON, 3Southlake Regional Health Centre, Newmarket, ON, 4University of Montreal Hospital Centre, Montreal, QC, 5Institut de rhumatologie de Montréal (IRM), Montréal, QC, 6University of Saskatchewan, Saskatoon, SK, 7The Mary Pack Arthritis Centre, Vancouver, BC, 8 Nanaimo Regional General Hospital, Nanaimo, BC, 9JSS Medical Research, Montreal, QC, 10Janssen Inc., Toronto, ON, 11Mount Sinai Hospital, University of Toronto, Toronto, ON 5:30 pm 944. Predict the Chance of Remission for Your RA Patient in Real Life Till Uhlig1, Vibeke Norvang1, Elisabeth Lie1, Erik Rødevand2, Knut Mikkelsen3, Åse S. Lexberg4, Synøve Kalstad5 and Tore K. Kvien1, 1 Diakonhjemmet Hospital, Oslo, Norway, 2St. Olavs Hospital, Trondheim, Norway, 3Revmatismesykehuset, Lillehammer, Norway, 4Vestre Viken Hospital, Drammen, Norway, 5University Hospital of Northern Norway, Tromsø, Norway 5:45 pm 945. Disease Remission Reduces Risk of Heart Failure in Rheumatoid Arthritis Patients Independent of Treatment Strategy Thomas Schau1, Michael Gottwald2, Christian Butter1 and Michael Zaenker2, 1Cardiology Dept., Immanuel Klinikum Bernau Heart Center Brandenburg, Bernau, Germany, 2Immanuel Klinikum Bernau, Rheumatology Center Northern Brandenburg, Bernau, Germany Ballroom West PM PS Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy II: Novel Therapies in Rheumatoid Arthritis – Early in Development Moderators: Vivian P. Bykerk, MD and Iain B. McInnes, PhD 4:30 pm 946. Phase 1 Study of Immunotherapy Using AutoantigenLoaded Dendritic Cells in Patients with Anti-Citrullinated Peptide Antigen Positive Rheumatoid Arthritis Young Bin Joo1, Jun-Eui Park2, Chan-Bum Choi3, Jeongim Choi1, Jin-ah Jang2, Minkyu Heo2, Hak-yeop Kim2, Hye-Soon Lee1, YongSoo Bae4 and Sang-Cheol Bae5, 1Hanyang University Hospital 62 2014 Program Book for Rheumatic Diseases, Seoul, South Korea, 2JW CreaGene Research Institute, JWCreaGene Inc., Seongnam-si, South Korea, 3 Hanyang University Hospital for Rheumatic Diseases, Clinical Research Center for Rheumatoid Arthritis (CRCRA), Seoul, South Korea, 4Sungkyunkwan University, Suwon, South Korea, 5 Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea 4:45 pm 947. Efficacy and Safety of NNC01140006, an Anti-IL-21 Monoclonal Antibody, in Patients with Active Rheumatoid Arthritis Juan D. Cañete1, Piotr Leszczynski2, Rikke Riisbro3 and Klaus S. Frederiksen3, 1Hospital Clínic of Barcelona, Barcelona, Spain, 2 Department of Rheumatology and Rehabilitation, Poznan Medical University, Poznan, Poland, 3Novo Nordisk A/S, Søborg, Denmark 5:00 pm 948. A Phase 2b, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Dose-Finding, Multi-Center Study to Evaluate the Safety and Efficacy of ASP015K in Moderate to Severe Rheumatoid Arthritis Subjects Who Have Had an Inadequate Response to Methotrexate Alan J. Kivitz1, Anna Zubrzycka-Sienkiewicz2, Sergio R. GutierrezUreña3, Jeffrey Poiley4, Rita Kristy5, Kathyjo Shay5 and Jay P. Garg5, 1 Altoona Center for Clinical Research, Duncansville, PA, 2ARS Rheumatica sp. Zo.o, Reumatika, Warszawa, Poland, 3Hospital Civil de Guadalajara FAA, CUCS UdG, Guadalajara, Mexico, 4 Arthritis Associates, Orlando, FL, 5Astellas Pharma Global Development, Northbrook, IL 5:15 pm 949. Safety and Efficacy of CF101 in Rheumatoid Arthritis Patients: A Phase II Study Rumen M. Stoilov1, Rodina N. Licheva2, Mariyana K. Mihaylova3, Tatiana Reitblat4, Emil A. Dimitrov1, Krasimira M. Shimbova1, Girish Bhatia5, Amit Pispati6, Alexandra Gurman- Balbir7, B R Bagaria5, Boytcho A. Oparanov2, Sari Fishman8, Zivit Harpaz8, Motti Farbstein8, Shira Cohen8, Michael H. Silverman8 and Pnina Fishman8, 1Multiprofile Hospital for Active Treatment “Sv. Ivan Rilski” – EAD, Clinic of Rheumatology, Sofia, Bulgaria, 2Diagnostic Consulting Center, Rheumatology office, Sofia, Bulgaria, 3 3Diagnostic Consulting Center, Rheumatology office, Sofia, Bulgaria, 4Barzilai Medical Center,, Ashkelon, Israel, 5Malpani Multispeciality Hospital, Mumbai, India, 6Bhatia Hospital Medical Research Society, Mumbai, India, 7Rambam Medical Center, Haifa, Israel, 8CanFite Biopharma Ltd, Petah Tikva, Israel 5:30 pm 950. Multiple Mechanisms of Tolerance Characterize the Immune Response to Autologous Modified Dendritic Cells Exposed to Citrullinated Peptides in Patients with Rheumatoid Arthritis Soi-Cheng Law1, Hendrik Nel2, Ahmed Mehdi2, Kim-Anh Le Cao2 and Ranjeny Thomas1, 1Univ of Queensland, Brisbane, Australia, 2 University of Queensland, Brisbane, Australia scientific sessions 5:45 pm 951. Safety, Tolerability and Functional Activity of ABT-122, a Dual TNF- and IL-17A–Targeted DVD-Ig™, Following Single-Dose Administration in Healthy Subjects Heikki Mansikka1, Melanie Ruzek2, Margaret Hugunin2, Alexander Ivanov2, Alyssa Brito2, Anca Clabbers2, Carolyn Cuff2, Chung-Ming Hsieh2, Martin Okun1, Renee Heuser1, David Carter1, Barbara Hendrickson1, Dipak Pisal1, Sandra Goss1, Jia Liu1, Charles Locke1, Nasser Khan1 and Robert Padley1, 1AbbVie, Inc, North Chicago, IL, 2 AbbVie, Inc, Worcester, MA 258 B PM PS Spondyloarthropathies and Psoriatic Arthritis II – Novel Treatments for Psoriatic Arthritis Moderators: Philip Mease, MD and Eric Ruderman, MD 1 6 , 2 0 1 4 5:00 pm 954. Secukinumab, a Monoclonal Antibody to Interleukin17A, Provides Significant and Sustained Inhibition of Joint Structural Damage in Active Psoriatic Arthritis Regardless of Prior TNF Inhibitors or Concomitant Methotrexate: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study Désirée van der Heijde1, Robert B. M. Landewé2, Philip Mease3, Iain B. McInnes4, Philip G. Conaghan5, Luminita Pricop6, Gregory 5:30 pm 956. Real-World Validation of the Minimal Disease Activity Index in Psoriatic Arthritis: An Analysis from the Prospective, Observational, Biological Treatment Registry Across Canada Proton Rahman1, Saeed Shaikh2, Michael Starr3, William Bensen4, Denis Choquette5, Wojciech Olszynski6, Maqbool Sheriff7, Michel Zummer8, Emmanouil Rampakakis9, John S. Sampalis9, Allen J Lehman10, Susan Otawa10, Francois Nantel10, Vincent Letourneau10 and May Shawi10, 1Memorial University of Newfoundland, St. John’s, NF, 2McMaster University, Hamilton, ON, 3Montreal General Hospital, Montreal, QC, 4Division of Rheumatology, McMaster University, Hamilton, ON, 5Notre Dame Hospital, Montreal, QC, 6University of Saskatchewan, Saskatoon, SK, 7Nanaimo Regional General Hospital, Nanaimo, BC, 8Université de Montréal, Montreal, QC, 9JSS Medical Research, Montreal, QC, 10Janssen Inc., Toronto, ON SUNDAY 4:45 pm 953. Secukinumab, a Human Anti–Interleukin-17A Monoclonal Antibody, Improves Active Psoriatic Arthritis and Inhibits Radiographic Progression: Efficacy and Safety Data from a Phase 3 Randomized, Multicenter, Double-Blind, PlaceboControlled Study Philip Mease1, Iain B. McInnes2, Bruce Kirkham3, Arthur Kavanaugh4, Proton Rahman5, Désirée van der Heijde6, Robert Landewé7, Peter Nash8, Luminita Pricop9, Jiacheng Yuan9, Hanno Richards10 and Shephard Mpofu10, 1Swedish Medical Center and University of Washington, Seattle, WA, 2University of Glasgow, Glasgow, United Kingdom, 3Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom, 4UCSD School of Medicine, La Jolla, CA, 5Memorial University of Newfoundland, St. John’s, NF, 6Leiden University Medical Center, Leiden, Netherlands, 7Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 8University of Queensland, Brisbane, Australia, 9Novartis Pharmaceuticals Corporation, East Hanover, NJ, 10Novartis Pharma AG, Basel, Switzerland 5:15 pm 955. Apremilast, an Oral Phosphodiesterase 4 Inhibitor, in Patients with Psoriatic Arthritis: Pharmacodynamic Results of a Phase 3, Randomized, Controlled Trial Peter Schafer1, Peng Chen2, Lorraine Fang2, Andrew Wang2 and Rajesh Chopra1, 1Celgene Corporation, Summit, NJ, 2Celgene Corporation, Warren, NJ n o v e m b e r 4:30 pm 952. A Phase IIb, Randomized, Double-Blind, PlaceboControlled, Dose-Ranging, Multicenter Study to Evaluate the Efficacy and Safety of Clazakizumab, an Anti-IL-6 Monoclonal Antibody, in Adults with Active Psoriatic Arthritis Philip Mease1, A B Gottlieb2, A Berman3, E Drescher4, J Xing5, S Banerjee5 and R Wong5, 1Swedish Medical Center and University of Washington, Seattle, WA, 2Tufts Medical Center and Tufts University School of Medicine, Boston, MA, 3Centro Médico Privado de Reumatología, Tucuman, Argentina, 4Csolnoky Ferenc Hospital, Veszprém, Hungary, 5Bristol-Myers Squibb, Princeton, NJ Ligozio6, Hanno Richards7 and Shephard Mpofu7, 1Leiden University Medical Center, Leiden, Netherlands, 2Division of Clinical Immunology and Rheumatology, Academic Medical Center / University of Amsterdam & Atrium Medical Center, Amsterdam, Netherlands, 3Swedish Medical Center, Seattle, WA, 4 University of Glasgow, Glasgow, United Kingdom, 5NIHR-Leeds Musculoskeletal Biomedical Research Unit and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 6Novartis Pharmaceuticals Corporation, East Hanover, NJ, 7Novartis Pharma AG, Basel, Switzerland 10:15 am 957. Long-Term Evaluation of NT-Probnp Levels in Ankylosing Spondylitis Patients Under TNF Blockers: A Marker of Persistent Disease Activity? Debora Russo1, Carla G.S. Saad2, Ana C.M. Ribeiro1, Cláudia Goldeinstein-Schainberg2, Percival D Sampaio-Barros2, Celio R. Gonçalves2, Eloisa Bonfá1 and Julio C. B. Moraes2, 1University of Sao Paulo, Sao Paulo, Brazil, 2Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil 205 B PM PS Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Lupus Nephritis Moderators: Maria Dall’Era, MD and Cynthia Aranow, MD 4:30 pm 958. The 10-Year Followup of a Trial Comparing Azathioprine and Mycophenolate Mofetil for Longterm Immunosuppression of Lupus Nephritis Farah Tamirou1, David D’Cruz2, Shirish Sangle3, Philippe Remy4, Carlos Vasconcelos5, Christoph Fiehn6, Maria del Mar Ayala Gutierrez7, Inge-Margrethe Gilboe8, Maria Tektonidou9, Daniel Blockmans10, Isabelle Ravelingien11, Véronique le Guern12, 2014 Program Book 63 scientific sessions n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Geneviève Depresseux1, Loïc Guillevin13, Ricard Cervera14 and Frédéric A. Houssiau15, 1Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Bruxelles, Belgium, 2 Louis Coote Lupus Unit, St Thomas’ Hospital, London, United Kingdom, 3St Thomas’ Hospital, London, United Kingdom, 4 Hôpital Henri Mondor, Créteil, France, 5Hospital Geral Santo Antonio, Porto, Portugal, 6ACURA Centre for Rheumatic Diseases, Baden-Baden, Germany, 7Hospital Regional Universitario Carlos Haya, Malaga, Spain, Malaga, Spain, 8Oslo University Hospital Rikshospitalet, Oslo, Norway, 9First Department of Internal Medicine, Laikon Hospital, Athens University Medical School, Athens, Greece, 10UZ Leuven, Leuven, Belgium, 11Onze-LieveVrouwzienkenhuis, Aalst, Belgium, 12Hôpital Cochin, Paris, France, 13 Hôpital Cochin, University Paris V Descartes, Paris, France, 14 Hospital Clínic of Barcelona, Barcelona, Spain, 15Université catholique de Louvain, Brussels, Belgium 4:45 pm 959. Discoid Lupus Onset and Decrease Risk of Renal Disease in Patients with Systemic Lupus Erythematosus: Data from a Large Latin American Cohort Guillermo J. Pons-Estel1, Gaobin Bao2, Bernado Pons-Estel3, Daniel Wojdyla4, Veronica Saurit5, Alejandro J. Alvarellos6, Francisco Caeiro7, Emilia I. Sato8, Enrique R. Soriano9, Lilian Tereza Costallat10, Oscar Neira11, Antonio A. IglesiasGamarra12, Gil Reyes Llerena13, Mario Cardiel14, Eduardo M. Acevedo-Vásquez15, Rosa Chacon16 and Cristina M. Drenkard2, 1 Department of Autoimmune Diseases, Institut Clìnic de Medicina i Dermatologia, Hospital Clìnic, Barcelona, Spain, 2 Emory University, Atlanta, GA, 3Hospital Provincial de Rosario, Rosario, Argentina, 4Universidad Nacional de Rosario, Argentina, Rosario, Argentina, 5Hospital Privado de Córdoba, Córdoba, Argentina, 6Hospital Privado Córdoba, Córdoba, Argentina, 7 Hospital Privado Centro Médico de Córdoba, Cordoba, Argentina, 8Escola Paulista de Medicina – Universidade Federal de São Paulo, Sao Paulo, Brazil, 9Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Instituto Universitario Hospital Italiano de Buenos Aires and Fundacion PM Catoggio, Buenos Aires, Argentina, 10Unicamp, Campinas, Brazil, 11Univ of Chile Hosp Salvador, Santiago, Chile, 12ProfessorUniversidad Nacional de Colombia, Bogota, Colombia, 13Centro de Investigaciones Médico Quirúrgicas (CIMEQ), La Habana, Cuba, 14Secretaría de Salud de Michoacán, Morelia, Mexico, 15 Hospital Nacional “Guillermo Almenara Irigoyen”, Lima, Peru, 16 Hospital Universitario, Centro Nacional de Enfermedades Reumáticas and Hospital de Clínicas Caracas, Caracas, Venezuela 5:00 pm 960. Allogeneic Mesenchymal Stem Cell Transplantation for Lupus Nephritis Patients Refractory to Conventional Therapy Dandan Wang, Huayong Zhang, Xuebing Feng and Lingyun Sun, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China 5:15 pm 961. Outcome of Lupus Nephritis and Impact on Health Related Quality of Life: Results from an International, Prospective, Inception Cohort Study John G. Hanly for the Systemic Lupus International Collaborating 64 2014 Program Book Clinics1, Aidan O’Keeffe2, Li Su3, Murray B. Urowitz4, Juanita Romero-Diaz5, Caroline Gordon6, Sang-Cheol Bae7, Sasha R Bernatsky8, Ann E. Clarke9, Daniel J. Wallace10, Joan T. Merrill11, David A. Isenberg12, Anisur Rahman13, Ellen M. Ginzler14, Paul Fortin15, Dafna D. Gladman4, Jorge Sanchez-Guerrero16, Michelle A. Petri17, Ian Bruce18, Mary Anne Dooley19, Rosalind RamseyGoldman20, Cynthia Aranow21, Graciela S. Alarcon22, Barri Fessler22, Kristjan Steinsson23, Ola Nived24, Gunnar Sturfelt24, Susan Manzi25, Munther A. Khamashta26, Ronald F. van Vollenhoven27, Asad Zoma28, Manuel Ramos-Casals29, Guillermo Ruiz-Irastorza30, S. Sam Lim31, Thomas Stoll32, Murat Inanc33, Kenneth C. Kalunian34, Diane L. Kamen35, Peter Maddison36, Christine A. Peschken37, Søren Jacobsen38, Anca Askanase39, Jill P. Buyon40, Chris Theriault41, Kara Thompson41 and Vernon Farewell3, 1Dalhousie University and Capital Health, Nova Scotia, Canada, Halifax, NS, 2MRC Biostatistics Unit, Institute of Public Heath, Cambridge, United Kingdom, 3MRC Biostatistics Unit, Institute of Public Health, University Forvie Site, Cambridge, United Kingdom, 4University of Toronto, Toronto Western Hospital, Toronto, ON, 5Instituto Nacional de Ciencias Médicas y Nutricion, Mexico City, Mexico, 6Rheumatology Research Group, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom, 7Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 8Division of Rheumatology and Clinical Epidemiology, McGill University, Montreal, Quebec, QC, 9Division of Rheumatology, University of Calgary, Alberta, Calgary, AB, 10Cedars-Sinai/David Geffen School of Medicine at UCLA, Los Angeles, CA, 11Department of Clinical Pharmacology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 12 Centre for Rheumatology, Department of Medicine, University College London, London, United Kingdom, 13University College London, London, United Kingdom, 14SUNY-Downstate Medical Center, Brooklyn, NY, 15Division of Rheumatology, Centre Hospitalier Universitaire de Quebec et Universite Laval, Quebec, QC, 16Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital and University of Toronto, Toronto, ON, 17 Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 18Arthritis Research UK Epidemiology Unit, Institution of Inflammation and Repair, University of Manchester, NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester University Hospitals, Manchester Academic Health Sciences Centre, Manchester, United Kingdom, 19Thurston Arthritis Research Center, University of North Carolina, Chapel Hill, NC, 20Northwestern University and Feinberg School of Medicine, Chicago, IL, 21Feinstein Institute for Medical Research, Manhasset, NY, 22Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 23Center for Rheumatology Research, Landspitali University Hospital, Reykjavik, Iceland, 24Department of Rheumatology, University Hospital Lund, Lund, Sweden, 25Division of Rheumatology, University of Pittsburgh School of Medicine, Pittsburgh, PA, 26Lupus Research Unit, The Rayne Institute, St Thomas Hospital, Kings College London School of Medicine, London, United Kingdom, 27Unit for clinical therapy research (ClinTrid), Karolinska Institute, Stockholm, Sweden, 28Lanarkshire Centre for Rheumatology, Hairmyres Hospital, East Kilbride, scientific sessions PM PS Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics I Moderators: Jessica K. Gordon, MD, MSc and Robert Lafyatis, MD 4:30 pm 964. Skin Collagen Synthesis Rates Distinguish Between Early and Late Diffuse Scleroderma Patients Claire Emson1, Martin Decaris1, Michelle Gatmaitan1, Flora Luo1, Dan Holochwost1, Simplicia FloraCruz1, Thomas Angel1, Kelvin Li1, Marc Hellerstein1, Fredrick M. Wigley2, Scott Turner1 and Francesco Boin2, 1KineMed Inc., Emeryville, CA, 2Johns Hopkins University School of Medicine, Baltimore, MD 2 0 1 4 157 B 5:15 pm 967. Mir-145 Protects Against Skin Fibrosis in Vivo by targeting TGF-β Signaling Serena Vettori1, Christian Beyer2, Matthias Brock1, Naoki Iwamoto1, Britta Maurer1, Michelle Trenkmann1, Astrid Jüngel1, Renate E. Gay1, Maurizio Calcagni3, Gabriele Valentini4, Steffen Gay1, Joerg H. W. Distler2 and Oliver Distler1, 1Zurich University Hospital, Zurich, Switzerland, 2Department of Internal Medicine III and Institute for Clinical Immunology, University of ErlangenNuremberg, Erlangen, Germany, 3Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland, 4 Second University of Naples, Napoli, Italy 1 6 , 5:45 pm 963. Reduction in Proteinuria and Normalization of C4 Complement Levels Predict Response to Treatment of Lupus Nephritis with Low-Dose Pulse Cyclophosphamide and Abatacept Sarah Goglin1, David Wofsy1, Miriam G. Cisternas2 and Maria Dall’Era1, 1University of California, San Francisco, San Francisco, CA, 2MGC Data Services, Carlsbad, CA 5:00 pm 966. Adiponectin Is an Endogenous Anti-Fibrotic and Target in Systemic Sclerosis: Novel Link Between Fibrosis and Metabolism Feng Fang1, Roberta G. Marangoni1, Xingchun Zhou2, Wen Hong2, Boping Ye2, Asano Yoshihide3, Shinichi Sato3, Yuri Masui3, Chengning Zhang1, Katja Lakota1, Jun Wei1, Monique E. Hinchcliff1, Philipp Scherer4, Laszlo Otvos5 and John Varga6, 1 Northwestern University, Feinberg School of Medicine, Chicago, IL, 2China Pharmaceutical University, Nanjing, China, 3University of Tokyo, Tokyo, Japan, 4University of Texas Southwestern Medical Center, Dallas, TX, 5Temple University, Philadelphia, PA, 6 Northwestern University Feinberg School of Medicine, Chicago, IL SUNDAY 5:30 pm 962. A Systematic Review and Network Meta-Analysis of the Risk of Serious Infections with Immunosuppressives for Lupus Nephritis Jasvinder Singh1, Alomgir Hossain2, Ahmed Kotb2 and George Wells3, 1University of Alabama at Birmingham, Birmingham, AL, 2 University of Ottawa, Ottawa, ON, 3University of Ottawa Heart Institute, Ottawa, ON Pharmaceutical Company Limited, Kanagawa, Japan, 3 Northwestern University Feinberg School of Medicine, Chicago, IL n o v e m b e r United Kingdom, 29Josep Font Autoimmune Diseases Laboratory, IDIBAPS, Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Spain, 30Autoimmune Diseases Research Unit, Department of Internal Medicine, BioCruces Health Research Institute, Hospital Universitario Cruces, University of the Basque Country, Barakaldo, Spain, 31Emory University School of Medicine, Division of Rheumatology, Atlanta, GA, 32Kantonsspital Geissbergstr, Schaffhausen, Switzerland, 33Division of Rheumatology, Department of Medicine, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey, 34UCSD School of Medicine, La Jolla, CA, 35Medical University of South Carolina, Charleston, SC, 36Ysbyty Gwynedd Bangor, North Wales, United Kingdom, 37University of Manitoba, Winnipeg, MB, 38Department of Rheumatology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark, 39Columbia University Medical Center, New York, NY, 40New York University School of Medicine, New York, NY, 41Department of Medicine, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS 5:30 pm 968. Priming of WNT Signalling during Fibrosis Is Mediated By TGF-β Induced Axin-2 Downregulation Justin Gillespie1, Emma C. Derrett-Smith2, Michael McDermott1, Paul Emery3, Christopher P Denton2 and Francesco Del Galdo3, 1 Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 2UCL Medical School Royal Free Campus, London, United Kingdom, 3Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom 5:45 pm 969. Caspase-8 Prevents Lung Fibrosis in a Murine SSc-like Disease Model By Preventing Macrophage Differentiation Alexander Misharin1, Carla M. Cuda2, Luisa Morales-Nebreda3, Gokhan Mutlu1, GR Scott Budinger3 and Harris R. Perlman2, 1 Northwestern University, Chicago, IL, 2Northwestern University Feinberg School of Medicine, Chicago, IL, 3Northwestern University, Feinberg School of Medicine, Chicago, IL 4:45 pm 965. Blockade of TLR4 Signaling By TAK242 Ameliorates Experimental Organ Fibrosis Swati Bhattacharyya1, Wenxia Wang1, Zenshiro Tamaki1, Yasuhiro Tsukimi2, Masashi Yamasaki2 and John Varga3, 1Northwestern University, Feinberg School of Medicine, Chicago, IL, 2Takeda 2014 Program Book 65 scientific sessions PM PS ACR MEET THE PROFESSOR SESSIONS 4:30 – 6:00 pm Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. Westin – Paine (Lobby) Crystal: Diagnosis and Management of Gout (021) n o v e m b e r 1 6 , SUNDAY 2 0 1 4 PM PS Speaker: Saima Chohan, MD Upon completion of this session, participants should be able to: • review diagnostic criteria for gout • assess treatment options for hyperuricemia, acute and chronic gout • assess the current ACR recommendations for the treatment of acute and chronic manifestations of gout Westin – Otis (Lobby) *Infections with Biologics (022) Speaker: Kathryn H. Dao, MD Upon completion of this session, participants should be able to: • discuss the risk of infection related to inflammation and disease • discuss the risk factors for infection • recognize the magnitude of risk imposed by steroids and biologics • determine the approach to risk reduction Westin – Hancock (Lobby) *Inflammatory Eye Disease/Uveitis (023) Speaker: Sergio Schwartzman, MD Upon completion of this session, participants should be able to: • review the clinical manifestations of inflammatory eye disease encountered by rheumatologists • discuss diagnostic pearls for the evaluation of someone with inflammatory eye disease • discuss the treatment paradigms used for the inflammatory eye diseases Westin – Revere (Lobby) Pediatrics: Difficult-to-Treat Juvenile Idiopathic FIT PrM Pd PS PM Ed Arthritis (024) Speaker: Thomas J. A. Lehman, MD Upon completion of this session, participants should be able to: • discuss the differences in the treatment of the difficult situations for the different subtypes of juvenile idiopathic arthritis 66 2014 Program Book • r ecognize some of the complications of the disease and appropriate management • explain the difficulties posed by non-adherence and inadequate decision making Westin – Stone (Lobby) Polymyalgia Rheumatica (025) Speaker: Antoine G. Sreih, MD Upon completion of this session, participants should be able to: • distinguish the clinical subtleties of polymyalgia rheumatica and outline an evaluative process that can help differentiate it from other inflammatory conditions and identify manifestations of giant cell arteritis • discuss the new EULAR/ACR classification criteria and the scoring algorithm for polymyalgia rheumatica • review the therapeutic strategies used for the treatment of polymyalgia rheumatica, including the range of glucocorticoid regimens, other disease modifying therapies, “steroid-sparing” approaches and new investigative drugs Westin – Webster (Lobby) Pulmonary Hypertension in the Rheumatic Diseases (026) Speaker: James R. Seibold, MD Upon completion of this session, participants should be able to: • describe the World Health Organization classification of pulmonary hypertension and how to recognize the frequent overlap of these syndromes in the clinical setting of connective tissue disease • discuss the utility, sensitivity and specificity of non-invasive screening tests and algorithms for determining which patients are appropriate for right heart catheterization • explain the benefits, risks, costs and effects on outcome of the available therapies for pulmonary arterial hypertension Westin – Adams (Mezzanine) *Rheumatoid Arthritis: Biological Agents (027) Speaker: Josef Smolen, MD Upon completion of this session, participants should be able to: • describe similarities and differences between approved biological agents in terms of efficacy and safety • discuss issues around biosimilars • assess the place of biologicals in the therapeutic cascade according to the updated EULAR management recommendations • appraise the potential of induction therapy with biologics followed by withdrawal of the biologic as a potential future treatment approach Westin – Alcott (Mezzanine) *Rheumatology Practice 101: Starting Out in Practice FIT PrM Pd PS (028) PM Ed for the Graduating Fellow Speakers: Alexandru F. Kimel, MD Upon completion of this session, participants should be able to: • prepare for their first job search scientific sessions • a ssess expectation when starting out (perceptions versus reality) • adapt to new practice styles and build a referral base • identify ways to ensure long term success and personal life balance Westin – Douglas (Mezzanine) *Systemic Lupus Erythematosus: Novel Treatments (029) Speaker: Liz Lightstone, MD, PhD Upon completion of this session, participants should be able to: • state current Food and Nutrition Board recommendations for vitamin D intake in older men and women • recall evidence-based medicine conclusions regarding vitamin D and osteoporotic fracture • identify the range of serum 25(OH)D levels believed optimal for bone health ACR/ARHP COMBINED ABSTRACT SESSION 4:30 – 6:00 pm 109 A PM PS ACR/ARHP Combined Abstract Session: Epidemiology and Public Health Moderator: Elizabeth G. Salt, PhD 4:30 pm 970. Risk of Developing Antiphospholipid Syndrome Following Infection: A Systematic Review and Meta-Analysis of Observational Studies Noha Abdel-Wahab1, Maria A. Lopez-Olivo1, Saurabh Talathi2 and Maria E. Suarez-Almazor1, 1The University of Texas, MD Anderson Cancer Center, Houston, TX, 2The University of Texas Health Science Center at Houston, School of Public Health, Houston, TX 2 0 1 4 Speaker: Nancy E. Lane, MD 5:15 pm 973. Relation of Pelvic Drop during Walking to Risk of Incident Medial Knee Osteoarthritis: The Multicenter Osteoarthritis Study K. Douglas Gross1, Emily K. Quinn2, Michael C. Nevitt3, James C. Torner4, Cora E. Lewis5 and David T. Felson1, 1Boston University School of Medicine, Boston, MA, 2Boston University, Boston, MA, 3 UCSF (University of California, San Francisco), San Francisco, CA, 4 University of Iowa, Iowa City, Iowa City, IA, 5The University of Alabama at Birmingham, Birmingham, AL 1 6 , Vitamin D and Bone Health (030) SUNDAY Westin – Faneuil (Mezzanine) 5:00 pm 972. Racial, Gender and Geographic Differences in Systemic Lupus Erythematous and Lupus Nephritis Mortality Rates in the Unites States, 1968-2010 Eric Y Yen1, Magda Shaheen2, Jennifer MP Woo1, Deborah K. McCurdy1 and Ram Raj Singh3, 1UCLA Division of Pediatric Rheumatology, Los Angeles, CA, 2Charles R. Drew University of Medicine and Science, Los Angeles, CA, 3UCLA Division of Rheumatology, Los Angeles, CA n o v e m b e r Upon completion of this session, participants should be able to: • review immunosuppressive therapy of lupus nephritis classes II-V, including novel biologics • discuss the management of lupus nephritis in pregnancy • discuss novel approaches to improving adherence to therapy in lupus nephritis • describe the use of reno-protective and anti-proteinuria therapies in lupus nephritis • outline the future research agenda for clinical trials in lupus nephritis Dan Caspi7 and Ori Elkayam8, 1Tel Aviv medical center, Tel Aviv, Israel, 2Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, 3Tel-Aviv Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, TelAviv, Israel, 4Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel, 5Tel Aviv Sourasky Medical Ctr, Tel-Aviv University, Tel Aviv, Israel, 6 Department of rheumatology. Tel Aviv Medical Center, Tel Aviv, Israel, 7Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 8Tel-Aviv Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel- Aviv, Israel 5:30 pm 974. Obesity Paradox in Osteoarthritis Progression – What Effects Are We Measuring? Qiong Louie-Gao1, Hyon K Choi1, David T. Felson2, Tuhina Neogi1, Uyen Sa D.T. Nguyen1, Na Lu1 and Yuqing Zhang1, 1Boston University School of Medicine, Boston, MA, 2University of Manchester, Manchester, United Kingdom 5:45 pm 975. Chronic Pain Predicts Reduced Physical Activity in a Large Population Cohort Study Kathryn Remmes Martin, Marcus Beasley, Gary J. Macfarlane and Daniel Whibley, University of Aberdeen, Aberdeen, United Kingdom 4:45 pm 971. The Long-Term Efficacy of an Anti-Pneumococcal Polysaccharide Vaccine (PPSV23, Pneumovax) Among Autoimmune Inflammatory Rheumatic Patients Adi Broyde1, Uri Arad2, Noa Madar-Balakinski2, Daphna Paran3, Ilana Kaufman4, Ira Litinsky5, David Levartovsky6, Irena Wigler2, 2014 Program Book 67 scientific sessions ARHP SESSIONS • d escribe the rehabilitation interventions used by occupational and physical therapists to manage functional disability in scleroderma • discuss the management of psychosocial issues that can occur in scleroderma 4:30 – 6:00 pm 255 PM PS “Say What?”: Implications of Adolescent Development and Behavior in Communicating with Health Care FIT PrM Pd PS Ed Providers PM 4:30 pm Targeted Therapy for Systemic Sclerosis Virginia D. Steen, MD n o v e m b e r 1 6 , SUNDAY 2 0 1 4 Moderator: Thuy T. Beam, BSN, RN Speakers: Kiana Johnson, PhD and Courtney Wells, MPH, MSW Upon completion of this session, participants should be able to: • evaluate the cultural competency skills of professionals working with adolescents with rheumatic diseases • recognize the developmental needs of adolescents with rheumatic diseases • use knowledge of adolescent development and behavior to learn how to talk with adolescents • develop comfort in speaking with adolescent patients 254 A PS PM Current Trends in Self-Management and Rheumatologic Care: mHealth, eHealth, Digital Technology and Emerging Ethical Considerations Eth PM Moderator: Catherine L. Backman, PhD Upon completion of this session, participants should be able to: • define mobile health/eHealth and evaluate its utilization in the care of people with arthritis • examine mobile health applications and identify functionality options to enhance consumer and health care provider utilization • outline potential and actual ethical situations that may arise in the era of eHealth 4:30 pm Take Two Apps and Call Me in the Morning: An Overview of Mobile Health Applications to Improve Quality of Care Elizabeth A. Breeden, PharmD 5:00 pm State of the Science: A Conversation on Digital Resources to Support Self-Management Linda C. Li, PhD, PT and Maura D. Iversen, BSc, DPT, SD, MPH 5:30 pm The e-Patient: Engaged, Empowered, Equipped, Enabled… and Ethical? Anne F. Townsend, MA, PhD PM PS 102 A Multidisciplinary Management of Scleroderma Moderator: Deborah McCloskey, RN, BSN Upon completion of this session, participants should be able to: • explain the medical management for the skin, vascular and organ involvement in scleroderma 68 2014 Program Book 5:00 pm Rehabilitation Techniques to Improve Function in Scleroderma Janet L. Poole, OTR, PhD 5:30 pm Managing Psychosocial Challenges in Scleroderma Vanessa L. Malcarne, PhD 256 PM PS Practical Practice Management Session Two: Navigate HIPAA and Prevent Audits Moderator: Karen Huisinga, MN, ARNP Upon completion of this session, participants should be able to: • review the latest national HIPAA requirements • evaluate current pre-audit preventive measures and strategies for responding to audits • develop an up-to-date small practice compliance plan 4:30 pm HIPAA in 2014: Don’t Forget Research, Quality Measures and Electronic Medical Records Bruce Toppin, JD 5:15 pm Audits, Affordable Care Act, ICD-10…I’m at the End of the Rope Karen Zupko, BS ARHP CONCURRENT ABSTRACT SESSION 4:30 – 6:00 pm PM PS 257 A Osteoarthritis Moderators: Sara R. Piva, PhD, PT and Jan K. Richardson, PT, PhD 4:30 pm 976. Measurement Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) in Patients with Generalized Osteoarthritis (GOA) Nienke Cuperus1, Elien A.M. Mahler1, Thea Vliet Vlieland2, Thomas Hoogeboom3 and Cornelia H.M. van den Ende1, 1Sint Maartenskliniek, Nijmegen, Netherlands, 2Leiden University Medical Center, Leiden, Netherlands, 3CAPHRI school for public health and primary care, CCTR centre for Care Technology Research, Maastricht University, Maastricht, Netherlands scientific sessions 4:45 pm 977. Randomized Clinical Trial of a Patient and Provider Intervention for Managing Osteoarthritis in Veterans Kelli D. Allen1, Hayden B. Bosworth2, Amy Jeffreys1, Cynthia Coffman2, Santanu Datta2, Jennifer McDuffie3, Eugene Oddone2, Jennifer Strauss3 and William S. Yancy Jr.3, 1Durham VA Medical Center, Durham, NC, 2Durham VA Medical Center and Duke University Medical Center, Durham, NC, 3Duke University Medical Center, Durham, NC 5:00 pm 978. Socioeconomic Status Measures Are Associated with Increasing Pain, Stiffness and Physical Function Among Individuals with Knee and Hip Osteoarthritis Rebecca Cleveland1, Jordan B. Renner2, Joanne M. Jordan3 and Leigh F. Callahan4, 1University of North Carolina at Chapel Hill, Chapel Hill, NC, 2University of North Carolina Department of Radiology, Chapel Hill, NC, 3University of North Carolina Dept of Epidemiology, Chapel Hill, NC, 4University of North Carolina, Chapel Hill, NC MONDAY, NOVEMBER 17, 2014 ACR SESSIONS 7:30 – 8:30 am 102 A PM PS Educator: Cultivating the Competent Medical PrM Pd PS PM Ed Educator: A Growing Concern FIT Moderator: Kenneth S. O’Rourke, MD Speaker: Kelley M. Skeff, MD, PhD Upon completion of this session, participants should be able to: • discuss the major aspects of effective teaching in medical school and clinical environments • describe proposed competencies for medical educators based on this framework • describe personal goals for improving teaching PS effectiveness PM Meniscus Biology in Osteoarthritis 2 0 1 4 104 B 1 7 , 5:45 pm 981. The Effect of Compression Gloves in Hand Osteoarthritis: A Pre-Post-Test Trial Alison Hammond1, Yeliz Prior1, Vivienne Jones1, Mary Dooley2, Yvonne Hough3 and Angela Jacklin4, 1University of Salford, Greater Manchester, United Kingdom, 2Southport & Formby District Hospital, Southport, United Kingdom, 3St Helens Hospital, St Helens, United Kingdom, 4Stepping Hill Hospital, Stockport, United Kingdom These symposia are both CME-accredited and non-CME company-directed programs. For CME-accredited symposia, the sponsoring organization is responsible for planning and providing CME credit. All non-CME programs are wholly sponsored and supported by commercial entities. Please visit the organization’s exhibit booth, the industry-supported symposia booth or see page 239 for more information. MONDAY 5:30 pm 980. Annual Medical Care Expenditures Among US Adults with Osteoarthritis, 2008 – 2011 Miriam G. Cisternas1, Louise Murphy2, David J. Pasta3, Daniel H. Solomon4 and Charles G. Helmick2, 1MGC Data Services, Carlsbad, CA, 2Centers for Disease Control and Prevention, Atlanta, GA, 3 DMA Corporation, Palo Alto, CA, 4Brigham and Women’s Hospital, Boston, MA 6:30 – 9:30 pm n o v e m b e r 5:15 pm 979. Genome-Wide Association Study for Severe Radiographic Knee Osteoarthritis Youfang Liu1, Michelle Yau2, Laura Yerges-Armstrong3, Braxton Mitchell3, Rebecca D. Jackson4, Marc C. Hochberg3, Shad Smith1, William Maixner1, Luda Diatchenko5 and Joanne M. Jordan6, 1 University of North Carolina, Chapel Hill, NC, 2University of Maryland, Baltimore,, MD, 3University of Maryland School of Medicine, Baltimore, MD, 4The Ohio State University, Columbus, OH, 5McGill University, Montreal, QC, 6University of North Carolina Dept of Epidemiology, Chapel Hill, NC INDUSTRY-SUPPORTED SYMPOSIA Moderator: Richard F. Loeser, MD Speaker: Robert Brophy, MD Upon completion of this session, participants should be able to: • review the normal function of the meniscus in stabilizing the joint • appraise how meniscal injury contributes to osteoarthritis pathogenesis • describe the pro-inflammatory mediators produced by the meniscus that could promote osteoarthritis Ballroom East Rheumatology Research Foundation Paul Klemperer, MD Memorial Lectureship: Gene-Environment PS PM Interactions as a Basis for Unravelling Adaptive Immunity and Preparing for Tolerizing Therapies in Rheumatoid Arthritis Moderator: David R. Karp, MD, PhD Speaker: Lars Klareskog, MD, PhD Upon completion of this session, participants should be able to: • critically evaluate studies on genetic and environmental/life style risk factors for RA and other rheumatic diseases • appraise the power of such studies for identifying subsets of disease with different etiologies, molecular pathologies, disease course and response to therapy 2014 Program Book 69 PM scientific sessions • r ecognize the effects of genes and environment/life style in clinical practice to advise patients and their relatives in avoiding and ameliorating disease • critically evaluate the potentials of tolerizing therapies as future options for prevention and treatment of rheumatoid arthritis ARHP SESSIONS 7:30 – 8:30 am 151 A PM PS Stats Boot Camp: The Effect Size: What Is It and How Can You Use It? 2 0 1 4 1 7 , MONDAY n o v e m b e r PM PS Update on Findings from Large Registries: Emphasis on Health Disparities in Rheumatoid Arthritis Moderator: Scott Hasson, PT, PhD Speaker: Jeffrey D. Greenberg, MD, MPH Upon completion of this session, participants should be able to: • discuss the incidence and prevalence of rheumatoid arthritis in ethnic populations • describe disease severity and clinical course of disease among different ethnic groups • discuss who are the medically underserved in this patient population PS PM 153 B What Are Biosimilars? Moderator: Susan Chrostowski, MS, ANP-C, RN Upon completion of this session, participants should be able to: • summarize the basic concept of biosimilar drugs • discuss the development, clinical trial and approval process for biosimilar drugs • evaluate how the availability of biosimilars may affect their rheumatology practice and patient care approaches 8:00 am Where Are We Now with Biosimilars? Vibeke Strand, MD Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. *Ankylosing Spondylitis: 2014 Update (031) Upon completion of this session, participants should be able to: • distinguish between effect size and statistical significance • define common effect sizes • calculate and interpret common effect sizes • discuss practical uses of effect sizes 7:30 am What Are Biosimilars? Lee S. Simon, MD ACR MEET THE PROFESSOR SESSIONS 7:45 – 9:15 am Westin – Paine (Lobby) Moderator: Uyen Sa D.T. Nguyen, DSc, MPH Speaker: Nancy A. Baker, MPH, OTR, OTR/L 255 PS Speaker: Lianne S. Gensler, MD Upon completion of this session, participants should be able to: • discuss the spectrum of axial spondyloarthritis, including ankylosing spondylitis • discuss the early diagnosis of ankylosing spondylitis and axial spondyloarthritis • describe clinical and radiographic outcome measures used in clinical trials and practice • summarize axial spondyloarthritis treatment options and understand the impact of treatment on outcomes Westin – Otis (Lobby) *Basic Immunology for Clinical Rheumatologists (032) Speaker: John Atkinson, MD Upon completion of this session, participants should be able to: • describe how the immune system functions in normal individuals • identify abnormalities of immune regulation that lead to autoimmunity Westin – Hancock (Lobby) Controversies in Sjögren’s Syndrome (033) Speaker: Frederick Vinino, MD Upon completion of this session, participants should be able to: • identify the best approach to establish a diagnosis of Sjögren’s syndrome • differentiate among various causes of salivary and/or lacrimal gland swelling • discuss current treatment algorithms for dry eyes, dry mouth and systemic manifestations • identify risk factors and markers for lymphoma in Sjögren’s syndrome patients Westin – Revere (Lobby) Dermatological Manifestations of Rheumatic Diseases (034) Speaker: Ruth Ann Vleugels, MD, MPH Upon completion of this session, participants should be able to: • identify cutaneous findings associated with underlying rheumatic disease 70 2014 Program Book scientific sessions • c onstruct a differential diagnosis for these conditions • design a strategy for management of skin disease seen in patients with rheumatic diseases • e xamine management strategies for refractory cutaneous manifestations of systemic lupus erythematosus • discuss management of progressive or relapsing lupus nephritis • discuss management of severe cytopenias Westin – Stone (Lobby) Osteoarthritis: Update 2014 (035) Speaker: Joanne M. Jordan, MD, MPH Westin – Faneuil (Mezzanine) *Vasculitis: Update (040) Upon completion of this session, participants should be able to: • describe the pathogenesis of osteoarthritis including factors that lead to its development and the underlying biology responsible for the progression of osteoarthritis • discuss advances in the management of osteoarthritis that include non-pharmacologic interventions • evaluate the potential benefits of new disease- or structuremodifying treatments for osteoarthritis Speaker: Raashid A. Luqmani, DM Upon completion of this session, participants should be able to: • describe the current definitions of vasculitis according to affected vessel size • discuss the role of simple clinical evaluation alongside the various available laboratory and imaging tests, including antineutrophil cytoplasm antibodies PS PM • identify current and novel therapeutic modalities Westin – Webster (Lobby) *Pregnancy and Rheumatic Diseases (036) Speaker: Eliza Chakravarty, MD, MS 159 Upon completion of this session, participants should be able to: • d emonstrate improvement in their techniques for performing selected musculoskeletal ultrasound examinations se practical knowledge of ultrasound technology to improve • u image quality Westin – Alcott (Mezzanine) Rheumatoid Arthritis: Challenging Cases (038) Upon completion of this session, participants should be able to: • discuss the management of patients with refractory rheumatoid arthritis • identify novel treatment options for those failing conventional therapies • create effective management plans for complicated rheumatoid arthritis patients Westin – Douglas (Mezzanine) *Systemic Lupus Erythematosus: Difficult-to-Treat Systemic Lupus Erythematosus (039) Speaker: Maria Dall’Era, MD *Advanced Musculoskeletal Ultrasound (214) Speaker: Jay B. Higgs, MD Upon completion of this session, participants should be able to: • identify various causes of reactive arthritis • discuss mechanisms of disease pathogenesis • describe current treatment options for reactive arthritis Speaker: Daniel Furst, MD, MPH 2 0 1 4 Reactive Arthritis: An Update (037) Speaker: John D. Reveille, MD 1 7 , * Sessions denoted with an asterisk were sold out as of August 30. Westin – Adams (Mezzanine) MONDAY Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. n o v e m b e r Upon completion of this session, participants should be able to: • describe risk factors for adverse maternal and fetal outcomes in systemic autoimmune diseases. • describe key elements of preclinical risk assessment and counseling for women who desire a future pregnancy • discuss the impact of active maternal autoimmune disease upon pregnancy outcomes • discuss the risk-to-benefit analysis of common anti rheumatic and immunosuppressive medications during pregnancy ACR/ARHP WORKSHOPS 7:45 – 9:45 am 161 Complementary and Alternative Therapies in Rheumatic Disease (215) Speaker: Donald M. Marcus, MD Upon completion of this session, participants should be able to: • describe the differences between the regulation of dietary supplements and conventional medications and to inform patients about current evidence concerning their efficacy and safety • inform patients about the efficacy of acupuncture and chiropractic manipulation for relief of musculoskeletal pain and osteoarthritis Upon completion of this session, participants should be able to: • r eview established data from the medical literature in order to improve clinical practice related to the treatment of systemic lupus erythematosus including: 2014 Program Book 71 scientific sessions 154 Osteoporosis: Interpreting Dual Energy X-Ray Absorptiometry and Clinical Risk Factors: The New Fracture Risk Assessment Algorithm (216) Speaker: Stuart L. Silverman, MD Upon completion of this session, participants should be able to: • use bone mineral density and clinical risk factors in determination of absolute risk of fracture • discuss the concept of intervention threshold • address limitations of the Fracture Risk Assessment Algorithm in clinical practice 152 The Rheumatologic Musculoskeletal Screening Exam, with Emphasis on Objective Disease-Specific Measurements (217) Speaker: Arthur M. Mandelin II, MD, PhD Facilitators: Barbara A. Slusher, PA-C, MSW and Kori A. Dewing, DNP, ARNP n o v e m b e r 1 7 , MONDAY 2 0 1 4 Upon completion of this session, participants should be able to: • define the importance of using disease activity measurement tools in daily practice, the barriers which hinder routine widespread use and how these barriers can be overcome in nearly any practice setting • learn and practice several of the most common and wellrecognized disease activity measurement tools used in rheumatology care, including the Disease Activity Score for 28 Joints (DAS-28) and Clinical Disease Activity Index (CDAI) for rheumatoid arthritis; the Psoriatic Arthritis Response Criteria (PsARC) for psoriatic arthritis; measurements of spine and hip flexibility as well as the Ankylosing Spondylitis Disease Activity Score (AS-DAS) for spondyloarthropathies; and the modified Rodnan skin score for systemic sclerosis ACR SESSIONS 8:30 – 10:00 am 52 A PM PS CARE: Maintenance of Certification Session Two of Three – Seronegative Spondyloarthropathies and Infectious Diseases All annual meeting scientific attendees will receive access to the CARE: MOC module on their ACR profiles. Successful completion of the 30 case-based question online module with a score of 70% or higher will enable submission to the ABIM to receive ten (10) medical knowledge points for the Maintenance of Certification program. Ten (10) seronegative spondyloarthropathies and infectious diseases questions will be covered at this session. Attendance at the session(s) is not required to participate in the online module. Moderator: Carol A. Langford, MD, MHS Speaker: Atul A. Deodhar, MD, MRCP Upon completion of this session, participants should be able to: • assess strengths and weaknesses in rheumatology medical knowledge 72 2014 Program Book • r eview the diagnosis, management and treatment of rheumatic diseases that are part of the ABIM’s rheumatology MOC examination blueprint • satisfy a self-evaluation of medical knowledge requirement for the ABIM MOC program Exhibit Hall C Hot Topics in Rheumatoid Arthritis: Comparative Effectiveness and Harms of Biologics and PS PM Management of Disease-Modifying Antirheumatic Drugs (DMARDs) and Biologics in the Perioperative FIT PrM Pd PS PM Ed Period Moderators: Jasvinder A. Singh, MD, MPH and James R. O’Dell, MD Upon completion of this session, participants should be able to: • review the findings of comparative effectiveness of biologics and oral small molecules from registries and direct comparator trials for treatment • discuss the comparative harms of biologics and oral small molecules from registries and direct comparator trials for treatment with biologics • summarize how to manage biologics and traditional diseasemodifying antirheumatic drugs in the perioperative period 8:30 am Comparative Efficacy and Effectiveness of Biologics: Head-toHead Trials vs. Registry Studies Arthur Kavanaugh, MD 9:00 am Comparative Harms of Biologics: How to Best Learn from the Data? William G. Dixon, MRCP, PhD 9:30 am Perioperative Management of Biologics and Traditional Disease-Modifying Antirheumatic Drugs Susan M. Goodman, MD 107 B PM PS Juvenile Dermatomyositis: Clinical, Pathogenic and FIT PrM Pd PS Ed Therapeutic State of the Art PM Moderators: Kelly A. Rouster-Stevens, MD, MS and Angela Robinson, MD, MPH Upon completion of this session, participants should be able to: • review the latest information on the pathogenesis of juvenile dermatomyositis • review the different clinical phenotypes of juvenile dermatomyositis • r eview cutting-edge developments in treatments and outcome measures for juvenile dermatomyositis 8:30 am Pathogenesis of Juvenile Dermatomyositis Ann M. Reed, MD scientific sessions 9:00 am The Clinical and Autoantibody Phenotypes of Juvenile Myositis Lisa G. Rider, MD 9:30 am Outcome Assessment and Advances in Therapies Adam M. Huber, MD, MSc PS PM 204 A Practical Use of Registries Moderator: Melissa Francisco Upon completion of this session, participants should be able to: • describe the importance of data collection and synthesis in evidence-based care • evaluate the importance of their role as a participant in the Rheumatology Informatics System for Effectiveness registry • develop strategies for participating in the registry and accessing collective data as a part of improving patient care 8:30 pm Rheumatology Informatics System for Effectiveness and Its Applications Salahuddin Kazi, MD Practice Issues: Practice Success in an Environment of Transition Moderator: Suzanne Moore, MD Upon completion of this session, participants should be able to: • review the next steps for Physician Quality Reporting System (PQRS), Electronic Prescribing (eRx) and Electronic Health Record (EHR) Incentive Programs • discover how to avoid penalties • r eview ways to avoid Health Insurance Portability and Accountability Act (HIPAA) violations Moderators: Flavia V. Castelino, MD and Darcy S. Majka, MD Upon completion of this session, participants should be able to: • identify the necessary measures for a productive menteementor relationship • develop time management and organizational skills for academic success • develop a strategy to transition from a mentored relationship to independence 8:30 am Your Role as a Mentee S. Louis Bridges Jr., MD, PhD 8:50 am Effective Time Management Leena Sharma, MD 9:20 am Transitioning to Independence Liana Fraenkel, MD, MPH 9:40 am Panel Discussion PM PS 253 B Systems Biology of Lupus Nephritis Moderators: Shu Man Fu, MD, PhD and Vasileios C. Kyttaris, MD Upon completion of this session, participants should be able to: • review how a systems analysis of mouse and human renal gene expression analysis can lead to the identification of major pathogenic cell populations and pathways • evaluate how a single cell characterization of local renal immune responses can lead to identification of disease amplification mechanisms • describe how to identify and test novel disease biomarkers 2 0 1 4 PS Strategies for Academic Success: The Roadmap From FIT PrM Pd PS PM Ed Mentee to Mentor 1 7 , 109 A PM PS MONDAY 9:00 am RISE Demonstration Tim Parr PM n o v e m b e r 8:45 pm The Value of Participating Registries Jeffrey R. Curtis, MD, MPH, MS 156 B 8:30 am Stage Specific Systems Analysis of Lupus Nephritis: From Mice to Men Anne Davidson, MBBS 8:30 am Physician Quality Reporting System (PQRS) – Reporting Made Easy Robert Warren, MD, PhD, MPH 9:00 am Systems Analysis of the Immunoglobulin Gene Repertoire in Nephritic Kidneys Suggests Local Antigenic Drive Marcus R. Clark, MD 9:00 am Health Insurance Portability and Accountability Act (HIPAA) – A Guide to Compliance Evan Gwilliam, DC, MBA, BS, CPC, NCICS, CCPC, CCCPC, CPC-I MCS-P 9:30 am Proteomic Analysis of Lupus Urines Leads to the Identification of Potential Renal Biomarkers Chandra Mohan, MD, PhD 9:30 am The Fundamentals of Value-Based Modifier Evan Gwilliam, DC, MBA, BS, CPC, NCICS, CCPC, CCCPC, CPC-I MCS-P 2014 Program Book 73 scientific sessions PM Ballroom West PS The ACR Gout Management Guidelines: Have They PS PS PM PM Gotten Us to Where We Want to Be? Moderators: Dinesh Khanna, MD and N. Lawrence Edwards, MD Upon completion of this session, participants should be able to: • describe the development and content of the recent ACR Gout Guidelines • examine the components of the guidelines that have generated concern and controversy • examine the historic success of guideline implementation and which factors influence this success 8:30 am An Overview of the 2012 ACR Gout Management Guidelines John D. FitzGerald, MD, PhD 9:00 am Strengths, Weakness and Controversies of the Gout Guidelines Kenneth G. Saag, MD, MSc n o v e m b e r 1 7 , MONDAY 2 0 1 4 9:30 am The Trouble With Guidelines Implementation and What We Can Do About It Robert T. Keenan, MD, MPH ACR/ARHP POSTER SESSION B, THIEVES’ MARKET POSTERS AND POSTER TOURS 8:30 am – 4:00 pm Poster presenters will be available from 9:00 – 11:00 am (abstracts # 982 – 1793). Poster tours will be held 9:00 – 9:45 am and 10:15 – 11:00 am. Morning snacks will be available from 9:00 – 10:30 am. PM PS Poster Hall (Exhibit Hall B) Thieves’ Market Posters TM 1. Friday Evening Consult...Vasculitis? Manpreet Sethi, MBBS TM 2. Numbness Matters Nandita Gatla, MD TM 3. Scary Salmonella Yathish GC, MBBS, MD TM 4. When Oral and Genital Ulcers Are Not Behçet’s... Kim M. Wu, MD TM 5. 47-Year-Old Woman With Fever and Anasarca Kensuke Nakanishi, MD TM 6. A Case of An Orbital Mass Namrata Singh, MBBS TM 7. Arthritis Mutilans in a Teenage Girl from Panama Vidya Raman, MD Poster Hall (Exhibit Hall B) Guided Poster Tours Guided poster tours allow scientific attendees to ask questions and gain insights from some of the best-known rheumatology leaders. Tours are complimentary; however, registration is required and is limited to scientific attendees. If you preregistered for a tour, you should have received a ticket with your meeting materials. Once you have your ticket, check in at the tour desk 15 minutes prior to the start of your tour to receive your headset. Your reservation will be held only until five minutes prior to the start of the tour. After this time, your reservation is not guaranteed and may be released to standby attendees. If you did not pre-register, tickets may be available in the registration area (Exhibit Level: East Registration). Alternatively, you may go directly to the poster tour desk and wait for a standby ticket. Standby tickets will be assigned on a first-come, first-served basis five minutes prior to the start of each tour. Each tour participant will receive a wireless headset which will be registered against the participants’ registration ID. Participants will be charged $50 if the headset is not returned within 15 minutes of the end of the tour. 9:00 – 9:45 am Epidemiology and Health Services Research Poster Tour (313) Tour Guide: Cheryl Barnabe, MD, MSc Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes Poster Tour (314) Tour Guide: Daniel J. Claw, MD Imaging of Rheumatic Diseases Poster Tour (315) Tour Guide: Wolfgang A. Schmidt, MD Pediatric Rheumatology: Clinical Aspects Poster Tour (316) Tour Guide: Bryce A. Binstadt, MD, PhD Rheumatoid Arthritis: Clinical Aspects Poster Tour (317) Tour Guide: Merete Lund Hetland, DMSc, MD, PhD Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics Poster Tour (318) Tour Guide: Robert Lafyatis, MD 10:15 – 11:00 am Pediatric Rheumatology: Clinical Aspects Poster Tour (319) Tour Guide: Lisa F. Imundo, MD Rheumatoid Arthritis Treatment – Small Molecules, Biologics and Gene Therapy Poster Tour (320) Tour Guide: Vivian P. Bykerk, MD Rheumatoid Arthritis: Clinical Aspects Poster Tour (321) Tour Guide: Grant H. Louie, MD, MHS Spondyloarthropathies and Psoriatic Arthritis: Clinical Aspects and Treatment Poster Tour (322) Tour Guide: Robert D. Inman, MD Systemic Lupus Erythematosus: Clinical Aspects Poster Tour (323) Tour Guide: Eliza Chakravarty, MD Vasculitis Poster Tour (324) Tour Guide: Kenneth J. Warrington, MD 74 2014 Program Book scientific sessions ACR SESSIONS PS 153 B Social Media Boot Camp: Blogging for Beginners 9:00 – 10:00 am Moderator: Ronan Kavanagh, MD, MRCP PM 104 B Upon completion of this session, participants should be able to: • describe a blog and its relevance in professional social engagement • identify the challenges and opportunities of communicating through blogs in a public environment • evaluate appropriate content for blogging • define self-hosting vs. writing for an established platform • create a basic blog in WordPress • produce strategies for basic blog promotion and building readership PS Functional Genomics of Rheumatoid Arthritis: From Genes to Function to Therapy Moderator: Lindsey A. Criswell, MD, MPH Speaker: Ranjeny Thomas, MBBS, MD Upon completion of this session, participants should be able to: • review the molecular mechanisms whereby HLA-DRB1 contributes to the pathogenesis of rheumatoid arthritis • appraise subtle differences in the structure of HLA-DR molecules permitting the binding of specific autoantigens • describe the rationale for contemporary approaches to peptide specific immunotherapy for the treatment of rheumatoid arthritis PS 9:00 am Introduction Ronan Kavanagh, MD, MRCP PM 9:05 am Why Blog: An Overview Philip Gardiner, MD 102 A Legislative Update: Chat with Congress Moderator: David Goddard, MD 9:30 am How to Blog Paul Sufka, MD PS Prosthetic Device Infections, or Infection as a Threat to the Bionic Man PM PS Moderator: Kenneth S. O’Rourke, MD Speaker: James E. Peacock Jr., MD Upon completion of this session, participants should be able to: • define the utilization of prosthetic devices in musculoskeletal diseases and the risk of infection associated with those devices • describe the pathogenesis of prosthetic device infection, including the bacterial elaboration of extracellular glycocalyx (biofilm) and how it impacts the choice and duration of antibiotic therapy • discuss the management strategies for infected joint prostheses, including the impact of immunosuppressive medications on the development and outcome of treatment 9:00 – 10:00 am 254 A PM 2 0 1 4 PM ARHP SESSION 1 7 , 9:30 am Legislative Update William F. Harvey, MD, MSc 9:55 am Question and Answer MONDAY 9:00 am Congressional Update Speaker to be Determined n o v e m b e r Upon completion of this session, participants should be able to: • describe the latest developments in federal health policy • discuss legislative initiatives currently before Congress • appraise how legislative outcomes could affect the rheumatology community Ballroom East PM PS ARHP Distinguished Lecturer: Maintaining Health and Well-Being Despite Living with a Rheumatic Disease Moderator: Afton L. Hassett, PsyD Speaker: Monique A. Gignac, PhD Upon completion of this session, participants should be able to: • describe factors beyond health symptoms and treatment that are important in understanding the behaviors and perceptions of patients with rheumatic diseases in living with and managing their disease • help patients find ways to maintain social participation in diverse roles and activities in terms of physical health and well-being • develop strategies in combination with patients to promote the maintenance of social participation and further promote health and well-being 2014 Program Book 75 scientific sessions EXHIBITS 159 10:00 am – 5:00 pm *Musculoskeletal Ultrasound (220) Speakers: Eugene Y. Kissin, MD and Amy M. Evangelisto, MD Exhibit Hall A Join your colleagues in the Exhibit Hall for morning and afternoon refreshments from 10:00 – 11:00 am and 2:00 – 3:00 pm. Upon completion of this session, participants should be able to: • demonstrate how to properly position the ultrasound transducer to visualize targeted musculoskeletal structures based on an understanding of the local bony landmarks • differentiate tissue types on their ultrasound properties • recognize the ultrasound appearance of some of the basic musculoskeletal pathologies (Booths #139 and #1401) Innovation Theater A and B Non-CME accredited presentations have been planned and will be implemented in accordance with the requirements of the FDA and applicable standards of the PhRMA Code on Interactions with Healthcare Professionals. Innovation Theater A presentations will be held from 10:30 – 11:15 am, 12:30 – 1:15 pm and 2:30 – 3:15 pm. Innovation Theater B presentations will be held from 11:30 am – 12:15 pm, 1:30 – 2:15 pm and 3:30 – 4:15 pm. For a complete listing of Innovation Theater presentations, see PS 238. PM page 161 Renal Histopathology in Systemic Lupus Erythematosus and Vasculitis (221) Speaker: Anthony Chang, MD Upon completion of this session, participants should be able to: • identify the pathologic changes that occur in lupus nephritis • discuss the pathologic basis for the classification of lupus nephritis and how it relates to clinical management • describe the histological changes in the kidneys of patients with vasculitis ACR WORKSHOPS 10:30 am – 12:30 pm n o v e m b e r 1 7 , MONDAY 2 0 1 4 Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. 154 Histopathology of Vasculitis (218) Speakers: Allen Burke, MD and Fabio Tavora, MD, PhD Upon completion of this session, participants should be able to: • describe histological features of normal blood vessels • distinguish pathologic reactions to vascular injury • identify histological features of major vasculitis syndromes 152 *Knee Braces, Foot Orthoses and Shoe Gear for Managing Knee Osteoarthritis (219) Speakers: Howard J. Hillstrom, PhD and Kelly D. Krohn, MD Upon completion of this session, participants should be able to: • review the biomechanical rationale for the use of knee braces and foot orthoses for knee osteoarthritis • discuss the clinical data to support these modalities • apply these modalities to their patients ACR SESSIONS 11:00 am – Noon PM 52 A ACR Immunology Update: Innate Lymphoid Cells Moderator: Leonard H. Sigal, MD Speaker: Hergen Spits, MD, PhD Upon completion of this session, participants should be able to: • provide an overview of human innate lymphoid cells subsets • discuss development and plasticity of innate lymphoid cells subsets • discuss the possible roles of innate lymphoid cells in human diseases PS PM Ballroom West ACR Knowledge Bowl: Final Round Moderator: Rebecca L. Manno, MD, MHS Upon completion of this session, participants should be able to: • identify key images that are important to recognize in clinical practice • describe factual information related to various rheumatic diseases • identify historical facts relevant to the field of rheumatology Competing Teams: Portlandumabs – Defending 2013 ACR Knowledge Bowl Champions Cailin H. Sibley, MD; Navid Mehraban, MD and Daniela Ghetie, MD Winners from the 2014 ACR Knowledge Bowl: Preliminary Round View the full list of competing 2014 Knowledge Bowl Teams on page 41. 76 2014 Program Book PS scientific sessions ARHP SESSIONS ACR PLENARY SESSION II – DISCOVERY 2014 11:00 am – Noon 11:00 am – 12:30 pm PM 259 A PS Evidence of the Benefits and Risks of Cannabis and Cannabinoids for Treating Chronic Pain Moderator: Kenneth N. Schikler, MD Speaker: Daniel J. Clauw, MD Upon completion of this session, participants should be able to: • summarize the research-based evidence for the benefits to medicinal marijuana and cannabinoids for treating chronic pain • review the research-based evidence for the risks to medicinal marijuana and cannabinoids • enhance patient and provider education by using contemporary scientific knowledge to clarify the appropriate position of this class of drugs in the overall treatment algorithms for chronic pain PM 257 A PS Immunology Boot Camp II: The Basics of Autoimmunity and Immunodeficiency Moderator: Benjamin J Smith, PA-C Speaker: Troy R. Torgerson, MD, PhD Moderator: Michael P. LaValley, PhD Upon completion of this session, participants should be able to: • identify the ubiquity of ordinal data and contrast it with continuous data • review contingency table analysis of ordinal data • describe common statistical models for ordinal outcome data • interpret and report results generated by ordinal data methods 11:00 am Ordinal Data: Overview and Contingency Table Analysis Todd A. Schwartz, DrPH 11:30 am Statistical Modeling of Ordinal Data Rebecca J. Cleveland, PhD Background/Purpose: Cytosolic DNA sensors detect viral and bacterial DNA, inducing inflammatory cytokines and type I IFNs via the adaptor stimulator of interferon genes (STING) to clear infection. The STING pathway also responds to endogenous DNA from dying cells and contributes to autoimmune disease. We have identified a potentially important role for cytosolic DNA sensor pathways in bone by studying a mouse that develops inflammatory polyarthritis and articular erosions in the setting of DNA accrual. In this model, DNA accumulates in macrophages due to deletion of the lysosomal endonuclease DNaseII and is detected by cytosolic sensors that signal through STING. Type I IFNs in DNaseII-/- mice lead to anemia-related embryonic lethality; thus co-deletion of the type I IFN receptor is required (DNaseII/IFN-IR double deficient, (DKO) mouse). We investigated the impact of DNA and of the STING pathway in bone in this model of autoimmune disease. Methods: STING-/- mice were intercrossed with DKO mice to generate STING/DNaseII/IFN-IR triple knock out (TKO) mice. uCT was performed on TKO, DKO and control femurs from 6-16 month-old mice. Mesenchymal colony forming unit (CFU) assays were used to determine the number of osteoblast precursor cells in bone. uCT was performed on femurs from 6 month-old STING-/- and littermate controls. Finally, RNA from wild type (WT) osteoblasts was analyzed for the expression of cytosolic DNA sensors. To determine the potential for osteoblasts to respond directly to DNA, MC3T3 osteoblast-lineage cells were transfected with poly(dA:dT) and RNA was analyzed by qPCR. 2 0 1 4 Stats Boot Camp: Statistical Analysis of Ordinal Data 11:00 am 1794. The Sting Pathway Regulates Bone Remodeling in a Model of Autoimmune Disease Rebecca Baum, University of Massachusetts Medical School, Worcester, MA 1 7 , PS Moderators: Eric L. Matteson, MD, MPH and Mary E. Cronin, MD MONDAY PM 254 A ACR Plenary Session II: Discovery 2014 n o v e m b e r Upon completion of this session, participants should be able to: • describe mechanisms of tolerance • review the cellular changes responsible for autoimmunity • describe the relevance of genetic predisposition for rheumatic diseases • recognize when the immune system fails to recognize threats and mount an appropriate response Exhibit Hall C Results: Inflammatory cytokines in the DKO model would be expected to induce bone loss in the axial skeleton, as well as articular erosions. Paradoxically, we found that bone accumulates in long bones, with significant replacement of the marrow cavity by 16 months. CFU assays demonstrate increased osteoblast precursor numbers and osteoid is also significantly increased in DKO compared to controls (13,881 vs. 424 µm2, p=0.02). Surprisingly, ectopic bone forms in DKO spleens, a site of DNA accrual in macrophages. We thus sought to define the contribution of cytosolic DNA sensor pathways to bone accrual. STING deficiency almost completely abrogates both arthritis and bone accrual in the spleen and long bones of DKO mice (BV/TV: Het = 0.44%, DKO = 11.47%, TKO = 1.99%, p<0.02 compared to DKO). STING also contributes to bone homeostasis, independent of DNaseII deficiency, as revealed by uCT performed on femurs from STING-/- and littermate controls (BV/TV: STING-/- = 1.39%, WT = 0.62%, p=0.011). Furthermore, cytosolic DNA sensors are 2014 Program Book 77 scientific sessions expressed in osteoblasts and expression of several sensors is increased in osteoblasts upon transfection with a DNA ligand. Conclusion: The STING pathway plays a role in bone remodeling in situations of DNA accrual as well as in bone homeostasis. Cytosolic DNA sensors are expressed in differentiating osteoblasts and expression is upregulated by DNA. These findings have relevance to SLE and other autoimmune diseases in which DNA plays a pathogenic role. Discovery of new pathways linking bone and the immune system may identify new targets for the treatment of bone loss in inflammatory autoimmune diseases. Disclosures: R. Baum, None. n o v e m b e r 1 7 , MONDAY 2 0 1 4 11:15 am 1795. Denosumab Restores Cortical Bone Loss at the Distal Radius Associated with Aging and Reduces Wrist Fracture Risk: Analyses from the Cross-Over Group in the Extension of the Denosumab Pivotal Fracture Trial JP Bilezikian, College of Physicians and Surgeons, Columbia University, New York, NY and JP Brown, CHU de Québec Research Centre and Laval University, Quebec City, QC Background/Purpose: Cortical bone loss is a major determinant of increased fracture risk. Denosumab (DMAb) has been shown to increase BMD at sites of cortical bone, including the radius, a skeletal site not responsive to most osteoporosis treatments. Here, we evaluated changes over time in radius BMD and wrist fracture incidence during 3 years of placebo (Pbo) and up to 5 subsequent years of DMAb therapy in FREEDOM and its Extension (EXT). Methods: We evaluated 2207 women who received Pbo during FREEDOM (3 years) and enrolled in the EXT to receive DMAb 60 mg Q6M (cross-over group); all women received daily calcium and vitamin D. A subset of these women (n=115) participated in a distal radius DXA substudy and were evaluated at baseline and during FREEDOM and EXT. Analysis of mean percentage changes in BMD over time from FREEDOM and EXT baselines consisted of a repeated measure model. Wrist fracture rates (per 100 subject-years), rate ratios and 95% CI were computed. Results: At FREEDOM baseline, the mean (SD) 1/3 radius T-score was –2.53 (1.18). During FREEDOM, daily calcium and vitamin D alone was associated with a progressive and significant loss of BMD at the 1/3 radius (–1.2%); however, during EXT, DMAb halted and reversed bone loss (Figure). With 5 years of DMAb treatment, a significant gain in BMD (1.5% at EXT Year 5) was observed, compared with EXT baseline. The wrist fracture rate during the Pbo period in FREEDOM was 1.02 (0.80–1.29) per 100 subject-years. During the first 3 years of EXT, BMD recovered to the original baseline levels in response to DMAb and the wrist fracture rate remained comparable to the FREEDOM Pbo rate (Table); with 2 additional years of DMAb treatment, BMD increased further and the wrist fracture rate declined to levels significantly lower than the FREEDOM Pbo rate (rate ratio=0.57, 95% CI=0.34–0.95; p=0.03). 78 2014 Program Book Conclusion: In untreated women with postmenopausal osteoporosis, cortical bone density at the radius declined significantly. DMAb treatment for 3 years fully reversed this bone loss and 2 additional years of treatment resulted in further BMD gains that translated to significantly lower wrist fracture rates, highlighting the clinical importance of reversing cortical bone loss. Disclosures: J. Bilezikian, NIH, Amgen Inc., NPS, 2, Columbia University, 3, Merck, Amgen Inc., NPS, Lilly, Johnson&Johnson, 5, Elsevier Press, 7; J. Brown, Actavis, Amgen Inc., Eli Lilly, Merck, Novartis, 2, Amgen Inc., Eli Lilly, 5, Amgen Inc., Eli Lilly, 8. 11:30 am 1796. Autotaxin Is Highly Expressed in Systemic Sclerosis (SSc) Skin, Mediates Dermal Fibrosis Via IL-6 and Is a Target for SSc Therapy Flavia V. Castelino, Massachusetts General Hospital, Boston, MA Background/Purpose: Autotaxin (ATX) is an enzyme present in biological fluids that is responsible for the production of the lipid mediator, lysophosphatidic acid (LPA). We previously implicated LPA and its receptor, LPA1 in SSc pathogenesis.1 Here we studied the role of ATX in SSc dermal fibrosis using the bleomycin (BLM) mouse model and skin biopsy samples from SSc patients and healthy controls. We evaluated the role of IL-6, a cytokine implicated in SSc, in mediating ATX-induced fibrosis. Additionally, we investigated the therapeutic potential of targeting ATX, by using a novel ATX inhibitor, PAT-048 in this model. Methods: BLM or saline (PBS) was administered subcutaneously to C57Bl/6 mice daily for 3, 7, 14 and 28 days. 6mm dermal punch biopsies were obtained and ATX levels were measured by qPCR and ELISA. ATX inhibition with PAT-048 (20mg/kg oral gavage daily) was assessed in the model. PAT-048 was administered concurrently with BLM or PBS for 28 days, or initiated at 7 or 14 days after BLM. Dermal thickness was measured using H&E-stained sections. Collagen was visualized by Masson’s trichrome stain and quantified by hydroxyproline measurement. Skin IL-6 expression was evaluated by immunohistochemistry (IHC). The effect of LPA-induced ATX expression was tested on human dermal fibroblasts transfected with IL-6 siRNA. Additionally, healthy and SSc dermal fibroblasts were stimulated with LPA and IL-6 in vitro and IL-6 and ATX induction were evaluated by ELISA, respectively. Skin ATX expression was measured in SSc patients and healthy controls by qPCR and IL-6 expression by IHC. Results: ATX expression at both the mRNA and protein level was increased at Day 3 after BLM injection (3-fold increase, p=0.05) suggesting a role for ATX early in fibrosis. Treatment with PAT-048 attenuated BLM-induced dermal fibrosis in all treatment groups (50% reduction, Day 28, p=0.01) and reduced IL-6 expression in the dermis. In vitro studies of human dermal fibroblasts showed that LPA-induced ATX expression was scientific sessions attenuated with siRNA knock-down of IL-6 (65% reduction, p<0.05). SSc fibroblasts demonstrated increased LPA-induced IL-6 expression and increased IL-6-induced ATX expression, compared to healthy fibroblasts. Furthermore, ATX expression was increased in SSc skin (n=7) compared to healthy controls (n=5; 3-fold increase, p=0.006) and IL-6 expression by IHC was increased in SSc skin compared to healthy controls (n=3 per group). 2 0 1 4 11:45 am 1797. One-Year Survival of Adults with Systemic Sclerosis Following Lung Transplantation: A Nationwide Cohort Study Elana J. Bernstein, Columbia University College of Physicians & Surgeons, New York, NY 1 7 , Disclosures: F. V. Castelino, None. Results: A total of 3763 adults were transplanted during the study period and met inclusion criteria: 229 with SSc, 201 with PAH and 3333 with ILD (Table 1). The 1-year unadjusted mortality rate following LTx per 100 person-years was 21.4 among adults with SSc, 19.0 among adults with PAH and 17.8 among adults with ILD. A diagnosis of SSc was associated with a multivariable-adjusted 48% relative increase in the 1-year mortality rate compared to a diagnosis of ILD (HR 1.48, 95% CI 1.01-2.17). However, a diagnosis of SSc was not associated with a relative increase in the 1-year mortality rate compared to a diagnosis of PAH (HR 0.85, 95% CI 0.50-1.44). MONDAY Reference: Castelino FV et al. Amelioration of dermal fibrosis by genetic deletion or pharmacologic antagonism of LPA1 in a mouse model of scleroderma. Arth Rheum, 2011; 63(5):1405-15. Methods: We performed a retrospective cohort study of adults who underwent double or single LTx in the United States between May 4, 2005 (the date of implementation of the lung allocation score) and September 14, 2012. Data were provided by the United Network for Organ Sharing, a non-profit organization that records data on all solid organ transplants performed in the US. Subjects were included if they were at least 18 years of age at the time of LTx; had a diagnosis of SSc, ILD, or PAH; and were transplanted at a center that has performed at least 1 LTx for SSc. Subjects were excluded if they had received a heart-lung transplant; if they received a LTx from a living donor; or if they had missing data on survival time. We modeled diagnosis (SSc) as the independent binary variable of interest in stratified Cox regression models where survival time was the dependent variable, adjusting for recipient, donor and procedural factors (Table 1). We used multiple imputation to account for missing covariate data. n o v e m b e r Conclusion: We demonstrate that ATX has an important role in SSc fibrosis. Pharmacologic inhibition of ATX with a novel inhibitor, PAT-048, attenuated dermal fibrosis and IL-6 expression. Knock-down of IL-6 in fibroblasts in vitro abrogated LPA-induced ATX expression, suggesting an autocrine loop for ATX/LPA/IL-6 signaling. Both ATX and IL-6 are increased in SSc skin compared to healthy controls and LPA-induced IL-6 and IL-6induced ATX expression are increased in SSc fibroblasts, further supporting an ATX/LPA/IL-6 autocrine loop in SSc. Targeting ATX may thus be an effective new therapeutic strategy for SSc fibrosis. Background/Purpose: Lung transplantation is a potentially life-saving treatment for patients with systemic sclerosis (SSc) who have developed end-stage lung disease due to interstitial lung disease and/or pulmonary hypertension. However, many transplant programs are hesitant to offer lung transplantation (LTx) to those with SSc due to concerns about extra-pulmonary involvement that might affect short- and long-term survival. However, survival data for lung transplantation in SSc are sparse. The primary aim of this study was to determine whether adults with SSc have higher 1-year mortality rates after LTx compared to those with interstitial lung disease (ILD) or pulmonary arterial hypertension (PAH) not due to SSc. We hypothesized that adults with SSc would have higher 1-year mortality rates after LTx than those with ILD or PAH not due to SSc. Conclusion: Adults with SSc had a 48% increased risk of death at 1 year following LTx compared to adults with ILD, but no increase in risk of death at 1 year compared to adults with PAH. Rather than denying SSc patients LTx because of their SSc diagnosis, variables need to be identified that will enable risk stratification of these patients prior to LTx, with particular attention to modifiable risk factors. 2014 Program Book 79 scientific sessions Table 1: Recipient Characteristics and Covariates Recipient Characteristics SSc N = 229 PH N = 201 ILD N = 3333 Age, years 53 (44-59) 46 (34-57) 62 (56-66) Female sex 135 (58.95%) 126 (62.69%) 941 (28.23%) White 162 (70.74%) 161 (80.10%) 2782 (83.47%) Black 38 (16.59%) 17 (8.46%) 199 (5.97%) Hispanic 25 (10.92%) 17 (8.46%) 261 (7.83%) Asian 3 (1.313%) 5 (2.49%) 67 (2.01%) Other 1 (0.44%) 1 (0.50%) 24 (0.72%) Race/Ethnicity LAS score 44.31 (38.03-52.48) 36.90 (33.93-46.00) 45.36 (39.42-58.10) Height, cm 168.97 (10.29) 169.59 (9.62) Body mass index (kg/m2) 25.10 (4.21) 24.93 (4.36) 27.16 (3.99) Steroid use 117 (52.00%) N = 225 45 (23.20%) N = 194 1741 (53.75%) N = 3239 Pulmonary artery systolic 48 (37-66) pressure, mmHg N = 223 83 (68-98) N = 194 39 (32-48) N = 3206 Forced vital capacity, %predicted 44 (34-60) N = 225 73 (60-87) N = 197 45 (36-57.5) N = 3300 Creatinine, mg/dL 0.8 (0.7-1.0) 1.0 (0.8-1.2) 0.9 (0.7-1.0) N = 3322 5 (2.49%) 50 (1.50%) Extracorporeal membrane 11 (4.80%) oxygenation 172.28 (9.56) Mechanical ventilation 23 (10.04%) 6 (2.99%) 232 (6.96%) Oxygen requirement, L/ min 5 (3-6) N = 228 4 (2-6) N = 200 4 (3-6) N = 3310 n o v e m b e r 1 7 , MONDAY 2 0 1 4 Covariates adjusted for in Cox regression models Recipient factors Age; Sex; Race/Ethnicity; LAS score; Height; BMI; Steroid use; Pulmonary artery systolic pressure; Forced vital capacity; Creatinine; Extracorporeal membrane oxygenation; Mechanical ventilation Donor factors Age; Sex; Height; Body mass index; PaO2 on FiO2 of 1.0; Pulmonary infection; ≥ 20 Pack-years smoking; Heavy alcohol use; Cause of death Procedural factors Ischemic time; Single vs. bilateral transplant; Transplant center; Distance from donor hospital to transplant center; Recipient-donor sex mismatch; CMV mismatch (D+/R-); ≤ 3 HLA mismatches * Data presented as mean (SD), median (IQR) and frequency (percentage) ** LAS = lung allocation score; PaO2 = arterial oxygen tension; FiO2 = fraction of inspired oxygen; CMV = cytomegalovirus; D+ = donor positive; R- = recipient negative; HLA = human leukocyte antigen Disclosures: E. J. Bernstein, None. Noon 1798. Interaction Between Innate Immunity and Anti-Ro52 Antibodies is Critical for the Induction of Sjögren’s Syndromelike Disease in Mice Paulina Kaplonek and Umesh Deshmukh, Oklahoma Medical Research Foundation, Oklahoma City, OK Background/Purpose: Autoantibodies reactive with Ro52 are present in almost 70% of Sjögren’s syndrome (SS) patients. This study was undertaken to investigate the role of Ro52 induced immune responses in the pathogenesis of SS in an experimental mouse model system. Methods: New Zealand Mixed (NZM) 2758 mice were immunized with mouse Ro52, adsorbed on to alum adjuvant. Control mice were injected either with Maltose binding protein (MBP) or only with alum. Mice were monitored for anti-Ro52 antibody production, sialoadenitis, serum cytokine levels and pilocarpine induced salivation. Antibody binding to salivary gland cells was analyzed in vivo and in vitro by immunofluorescence. Sera from immunized mice were passively transferred into untreated or alum injected NZM2758 mice. 80 2014 Program Book Internalization of antibodies by live cells was investigated by using the salivary gland cell line SCA9-15. Clinical data from the Oklahoma pSS patient cohort that met the AECG classification criteria for SS was analyzed for anti-Ro reactivity, minor labial salivary gland biopsy focus scores and xerostomia. Results: By day 30 post-immunization, Ro52 immunized mice generated immunoprecipitating anti-Ro52 antibodies and they had the maximum drop in saliva production. The glandular dysfunction in these mice was significantly associated with the level of anti-Ro52 antibody. Both Ro52 immunized and control mice showed evidence for very mild sialoadenitis. However, only Ro52 immunized mice had antibody deposition in their salivary glands. Passive transfer of Ro52 immune sera induced salivary gland dysfunction in the recipient mice, only if the recipients were pre primed with alum. The levels of IL-1α and CXCL1 were significantly upregulated in alum injected mice, indicative of the inflammasome pathway activation. In vitro, antibodies from Ro52 immune sera were internalized by SCA9-15 cells and the antibodies recognized cytoplasmic Ro52. The antibody internalization was inhibited by Cytochalasin D treatment, indicating it to be an active uptake process. Amongst the 298 pSS patients in Oklahoma cohort, 28 patients (9.3%) were antiRo positive and had a focus score of 0; and 37 anti-Ro positive patients (12%) had a focus score of >0 but <1. Several of these patients have dry mouth and dry eyes Conclusion: Our data show for the first time that antibodies induced by Ro52 are capable of inducing salivary gland dysfunction and this phenomenon is dependent on the activation of innate immunity. The mouse model presented in this study mimics a subset (22%) of pSS patients in our cohort, who are biopsy negative (or have low focus scores) and are antiRo antibody positive. In this group of patients, in the absence of sialoadenitis, it is possible that salivary gland dysfunction is caused by autoantibodies. Our data also suggests that antibody deposition within the salivary glands might be an important step for the induction of glandular dysfunction. Overall this study suggests that down modulation of autoantibody responses should constitute a major therapeutic strategy for the treatment of SS. Disclosures: P. Kaplonek, None; U. Deshmukh, None. 12:15 pm 1799. Elevated Indoleamine-2,3-Dioxygenase (IDO) Activity and Kynurinene-3-Monooxygenase (KMO) Expression in Interferon Positive Primary Sjogrens Syndrome Patients Is Associated with Increased CD25hiFoxP3+ regulatory Tcells: A Skew Towards Neurotoxicity or an Attempt to Rescue? Naomi I Maria, Erasmus Medical Center, Immunology, Rotterdam, Netherlands Background/Purpose: A role for indoleamine-2,3-dioxygenase (IDO) in suppression of effector T-cell function and promotion of regulatory T-cell (Treg) differentiation has been described. IDO – the rate-limiting enzyme in tryptophan (TRP) catabolism – is driven in part by type I and type II IFNs. Systemic overactivation of IFN-signaling is evident in Primary Sjögrens syndrome (pSS) and could shift the delicate regulatory balance towards a more auto-reactive state in these patients. Interestingly scientific sessions aberrant systemic TRP catabolism, resulting in a shift from neuroprotective towards neurotoxic downstream metabolites, has been associated with mood disturbances as well as neurophsychiatric consequences and possibly contributes to symptoms of fatigue and depression in pSS. Here we investigate the role of IDO and downstream TRP catabolism in pSS and hypothesize an increase in Tregs, in concordance with increased IDO-activity in IFNpositive pSS patients. Methods: In a Cohort of 20 Healthy controls (HC), 18 IFNnegative and 21 IFNpositive pSS patients, diagnosed according to the 2002 American-European criteria, CD4+CD45RO+ T helper (Th) memory cell populations defined by chemokine receptor expression: CD25hiFoxP3+ Tregs, CCR6+CCR4+CXCR3-CCR10- Th17, CCR6+CCR4+CXCR3‑CCR10+ Th22, CCR6-CXCR3+CCR4- Th1 and CCR6-CXCR3‑CCR4+ Th2cells were analyzed by flow cytometry in peripheral blood mononuclear cells (PBMCs). Analysis of TRP and Kynurenine (KYN) were performed simultaneously in serum using HPLC. CD14+ monocyte mRNA-expression of IDO1and downstream enzymes was assessed using real-time quantitative PCR, to investigate the direction of downstream TRP catabolism in pSS. Noon – 2:00 pm PM PS ACR MEET THE PROFESSOR SESSIONS 12:45 – 2:15 pm Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. Westin – Paine (Lobby) *Adult Inflammatory Myopathy (041) Speaker: Robert L. Wortmann, MD Upon completion of this session, participants should be able to: • review the clinical manifestations of inflammatory myopathies including important extra-muscle manifestations • discuss diagnostic pearls for the evaluation of someone suspected of having an inflammatory myopathy • discuss the treatment paradigm for inflammatory myopathies 2 0 1 4 ARHP NETWORKING EVENT This session is not eligible for CME credit. 1 7 , Disclosures: N. I. Maria, None. Sit down with your colleagues over a complimentary lunch and participate in open discussion on various research, practice and clinical topics. Each roundtable discussion will be facilitated by a rheumatology expert. All ARHP attendees are welcome to participate in this event. MONDAY Conclusion: Here we find enhanced IDO activity in coherence with increased CD25hiFoxP3+ Tregs and evidence for a shift towards production of more neurotoxic metabolites – previously associated with “sickness behavior” – in IFNpositive pSS. This imbalance towards neurodegenerative effects might contribute to increased fatigue and depressive symptoms in these patients. However, whether this shift in Tregs reflects an immune rescuemechanism or increases “tolerance to self” remains unknown. Intervening in these IFN and IDO-induced imbalances offers new possibilities for therapeutic interventions. ARHP Networking at Noon n o v e m b e r Results: Activity of IDO (p=0.0054) – as determined by measuring levels of the KYN/TRP-ratio in sera – and CD25hiFoxP3+ Tregs (p=0.039) were significantly increased in IFNpositive pSS patients. In addition, CD25hiFoxP3+ Tregs significantly correlated with the KYN/TRP-ratio (p=0.002;r=0.509) as well as the IFNscore (p=0.011;r=0.375). Peripheral monocytes showed an upregulation of IDOexpression (p<0.0001) in IFNpositive pSS, also highly correlating with the IFNscore (p<0.0001;r=0.816). Interestingly the neuroprotective downstream enzymes KAT1 (p=0.0003), KAT3 (p=0.016) and KAT4 (p=0.04) were downregulated, whereas the neurotoxic enzymes KMO (p=0.0057) and KYNU (p=0.0001) – which convert KYN into the neutoxic metabolite Quinolinic acid – were upregulated in these patients, suggesting a skew towards neurotoxicity. Commonwealth Ballroom Westin – Otis (Lobby) Pediatric Rheumatology for Adult Rheumatologists (042) Speaker: Daniel Lovell, MD, MPH Upon completion of this session, participants should be able to: • identify how the evaluation of children with rheumatic diseases may be different from that of adults • identify the evaluation and treatment of arthralgia in children • diagnose the various forms of arthritis that are unique to children • describe current treatment of chronic arthritis in children Westin – Hancock (Lobby) *Psoriatic Arthritis (043) Speaker: Dafna D. Gladman, MD Upon completion of this session, participants should be able to: • discuss advances in diagnosis and classification of psoriatic arthritis • appraise if patients with psoriatic arthritis should be treated aggressively • choose treatment options for patients with psoriatic arthritis 2014 Program Book 81 scientific sessions Westin – Revere (Lobby) *Rheumatoid Arthritis: Biological Agents (044) Speaker: Edward C. Keystone, MD Upon completion of this session, participants should be able to: • describe recent trends in the use of biologics to improve outcomes and utility • describe strategies to reduce costs of biologics • discuss emerging biologics, including biosimilars and their advantage for the therapeutic algorithm Westin – Stone (Lobby) *Rheumatoid Arthritis: Challenging Cases (045) Speaker: Stephen A. Paget, MD Upon completion of this session, participants should be able to: • discuss the management of patients with refractory rheumatoid arthritis • identify novel treatment options for those failing conventional therapies • create effective management plans for complicated rheumatoid arthritis patients Westin – Webster (Lobby) Scleroderma Mimics (046) n o v e m b e r 1 7 , MONDAY 2 0 1 4 Speaker: Faye N. Hant, DO, MSCR Upon completion of this session, participants should be able to: • present an overview of scleroderma-like conditions • review the clinical phenotypes and classification of scleroderma • create a differential diagnosis for conditions that may mimic features of scleroderma • discuss features of specific scleroderma mimics and strategies to distinguish them • explain potential diagnostic and initial management/ treatment of these conditions Westin – Adams (Mezzanine) *Still’s Disease and Autoinflammatory Syndromes (047) Speaker: John J. Cush, MD Upon completion of this session, participants should be able to: • describe the clinical features of Still’s disease and other febrile syndromes • describe the immunogenetic mechanisms and treatment for adult Still’s disease and related syndromes Westin – Alcott (Mezzanine) *Systemic Lupus Erythematosus: Central Nervous System (048) Speaker: Cynthia Aranow, MD Upon completion of this session, participants should be able to: • identify neuropsychiatric manifestations attributable to systemic lupus erythematosus • recognize the utility of diverse autoantibodies in the diagnosis of neuropsychiatric syndromes of systemic lupus erythematosus patients 82 2014 Program Book • f ormulate a treatment plan in patients with neuropsychiatric lupus Westin – Faneuil (Mezzanine) *Systemic Sclerosis: Disease Staging and Subsetting in Clinical Practice (049) Speaker: Robyn T. Domsic, MD, MPH Upon completion of this session, participants should be able to: • use clinical and serologic classification systems of systemic sclerosis to identify the natural history of clinical subsets • explain the concept of disease staging in both diffuse and limited cutaneous systemic sclerosis • use knowledge of clinical/serologic classification and disease staging to develop screening and management plans Webster (Mezzanine) Vasculitis Mimics (050) Speaker: Peter A. Merkel, MD, MPH Upon completion of this session, participants should be able to: • discuss the broad categories and specific entities that constitute clinical mimics of vasculitis • distinguish the subtleties of mimics of vasculitis including common clinical situations of mimics in a patient with a known diagnosis of vasculitis • develop a methodology for clinically evaluating patients with possible vasculitis with particular attention to differentiating mimics from true vasculitis ACR SESSIONS 1:00 – 2:00 pm PM PS 205 B Classification Criteria for Gout PM PS Moderators: Jasvinder A. Singh, MD, MPH and Nicola Dalbeth, MBChB, MD Upon completion of this session, participants should be able to: • recognize the limitations of existing classification criteria and why new criteria are needed • review the latest evidence related to various imaging modalities and clinical parameters for classification of gout • identify the key elements of the new proposed preliminary gout classification criteria 1:00 pm Gout Classification Criteria: Where Have We Been and Where Do We Need to Go? Tim L. Jansen, MD, PhD 1:10 pm Key Clinical Considerations in Developing New Gout Classification Criteria William Taylor, PhD, MBChB 1:35 pm The Proposed New Preliminary Gout Classification Criteria Tuhina Neogi, MD, PhD scientific sessions PS PM • d iscuss how cellular senescence impacts cell function and the immune system • determine how current research on families with telomere syndromes informs biology of normal aging process and how PS it impacts the PM immune system 107 B Classification Criteria for Myositis Moderators: Chester V. Oddis, MD and Lisa G Rider, MD Upon completion of this session, participants should be able to: • discuss the history of and differences between criteria used in myositis • describe the new classification criteria for myositis • appraise how to use the new classification criteria in clinical settings and research ACR WORKSHOPS 1:15 – 3:15 pm Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. 1:00 pm History of Classification Criteria for Idiopathic Inflammatory Myopathies Frederick W. Miller, MD, PhD 1:25 pm New Classification Criteria for Idiopathic Inflammatory Myopathies Ingrid E. Lundberg, MD, PhD * Sessions denoted with an asterisk were sold out as of August 30. 152 1:50 pm Panel Discussion PM Neonatal Lupus: From Bench to Bedside Rheumatology on the Street Moderator: Kristine M. Lohr, MD, MS Speaker: Jonathan D. Graf, MD PM PS Telomeres, Telomerase and the Aging Immune System Moderator: Leonard H. Sigal, MD Speaker: Jonathan Alder, PhD 2 0 1 4 Upon completion of this session, participants should be able to: • recognize typical active and structural lesions of spondyloarthritis • recognize complicated/subtle lesions of spondyloarthritis • recognize lesions that may mimic spondyloarthritis • recognize pitfalls in the interpretation of magnetic resonance imaging in spondyloarthritis Ballroom West 52 A Magnetic Resonance Imaging in the Diagnosis and Management of Spondyloarthritis: A Clinician’s Guide (223) Speaker: Walter P. Maksymowych, MD PM Upon completion of this session, participants should be able to: • summarize medical complications associated with certain types of illicit drug use • describe the rheumatic manifestations of cocaine use • review an update of the clinical manifestations and autoantibody profiles associated with levamisole toxicity 1 7 , 159 MONDAY Moderators: Elana J. Bernstein, MD, MSc and Rennie N. G. Howard, MD Speaker: Jill P. Buyon, MD n o v e m b e r Upon completion of this session, participants should be able to: • discuss indications and contraindications for joint aspirations and injections • identify and avoid common mistakes in joint injection procedures • practice common joint and soft tissue injections on upper and lower extremities Ballroom East Upon completion of this session, participants should be able to: • identify pregnant women at risk for having babies affected by neonatal lupus and describe the clinical manifestations of neonatal lupus • discuss the pathogenesis of heart block in neonatal lupus and describe the diagnostic evaluation of heart block due to neonatal lupus • discuss the treatment of congenital heart block PS *Joint Injection Techniques (222) Speakers: Atul A. Deodhar, MD and Kenneth S. O’Rourke, MD PS 161 Synovial Fluid Analysis and Crystal Identification (224) Speakers: Brian F. Mandell, MD, PhD; Lan Chen, MD, PhD; and Gilda M. Clayburne, MLT Upon completion of this session, participants should be able to: • prepare synovial fluid samples for microscopic examination • identify various components of synovial fluid • identify crystals in synovial fluid Upon completion of this session, participants should be able to: • describe current concepts of telomeres and telomerase biology 2014 Program Book 83 scientific sessions PM ACR SESSIONS 52 A 2:30 – 4:00 pm PM PS Clinical Challenges in Sjögren’s Syndrome: Neurological Complications and Lymphoma Risk Moderators: Shreyasee Amin, MD CM, MPH and Alan N. Baer, MD Upon completion of this session, participants should be able to: • describe the central and peripheral nervous system manifestations of Sjögren’s syndrome • recognize the different presenting manifestations of lymphoma, including of mucosa-associated lymphoid tissue (MALT) lymphoma, in patients with Sjögren’s syndrome • outline the approach for evaluating patients with Sjögren’s syndrome who have neurologic manifestations or symptoms of lymphoma 3:30 pm Lymphoma and Sjögren’s: What the Clinician Should Know Elke Theander, MD, PhD MONDAY 2 0 1 4 1 7 , 3:00 pm Neurological Complications of Sjögren’s Syndrome: Peripheral Nervous System Manifestations Julius Birnbaum, MD, MHS n o v e m b e r 2:30 pm Neurological Complications of Sjögren’s Syndrome: Central Nervous System Manifestations Julius Birnbaum, MD, MHS PM PS Ballroom East Forefronts in Lupus Nephritis Moderator: George Stojan, MD Upon completion of this session, participants should be able to: • recognize the pitfalls of current lupus nephritis treatment guidelines • discuss the emerging role of Rituxan • challenge the dogma of the need for steroid use in lupus nephritis 2:30 pm Clinical Pearls and Pitfalls in Diagnosis and Management of Lupus Nephritis Michelle Petri, MD, MPH 2:45 pm Guidelines for Lupus Nephritis—More Recommendations than Data? Derek M. Fine, MD 3:00 pm The Parable of the Lost Sheep—The Rituximab Redemption Liz Lightstone, MD, PhD 2014 Program Book Insight into Lung Fibrosis Moderators: John Varga, MD and Flavia V. Castelino, M.D. 205 B 84 PS Upon completion of this session, participants should be able to: • review classification and biology of lung fibrosis • recognize immune dysregulation in lung fibrosis • review cell-based approaches to lung regeneration 2:30 pm Insight into Lung Fibrosis Timothy Blackwell, MD 3:00 pm Immune Networks of Lung Fibrosis Thomas Wynn, PhD 3:30 pm Lung Regeneration and Cell-Based Therapies Darrell Kotton, MD ACR CONCURRENT ABSTRACT SESSIONS 2:30 – 4:00 pm 253 B PM PS Epidemiology and Public Health II: Osteoarthritis, Sedentary Behavior and More Moderators: Jeffrey N. Katz, MD, MSc and Catherine Hill, MD, MBBS 2:30 pm 1800. Objectively Measured Sedentary Behavior Is a Distinct Risk Factor from Low Moderate-to-Vigorous Activity in Predicting Subsequent Frailty: Evidence from Osteoarthritis Initiative Jing Song1, Lee A. Lindquist1, Rowland W. Chang1, Pamela A. Semanik2, Linda S. Ehrlich-Jones3, Jungwha Lee1, Min-Woong Sohn1 and Dorothy D. Dunlop1, 1Northwestern University Feinberg School of Medicine, Chicago, IL, 2Rush University Medical Center, Chicago, IL, 3Rehabilitation Institute of Chicago, Chicago, IL 2:45 pm 1801. The Association of Knee Shape with Sex: The Osteoarthritis Initiative Barton L. Wise1, Lisa Kritikos1, Felix Liu2, Neeta Parimi2, John A. Lynch2, Yuqing Zhang3 and Nancy E. Lane1, 1Center for Musculoskeletal Health, UC Davis School of Medicine, Sacramento, CA, 2University of California at San Francisco, San Francisco, CA, 3Boston University School of Medicine, Boston, MA 3:00 pm 1802. Are Outcomes after Total Knee Arthroplasty Worsening over Time? a Time-Trends Study of Activity Limitation and Pain Outcomes Jasvinder A Singh1 and David Lewallen2, 1University of Alabama and VA Medical Center, Birmingham, AL, 2Mayo Clinic college of medicine, Rochester, MN scientific sessions 3:15 pm 1803. Knee Osteoarthritis and All-Cause Mortality: The Wuchuan Osteoarthritis Study Qiang Liu1, Xu Tang Sr.2, Jingbo Niu3, Xu Wu2, Yan Ke4, Jian Huang5, Rujun Li4, Hu Li4, Xin Zhi4, Kai Wang4, Zhengming Cao1 and Jianhao Lin2, 1Arthritis Institute, People’s Hospital, Peking University, Beijing, China, 2Peking University Health Science Center, Beijing, China, 3Boston University, Boston, MA, 4Peking University People’s Hospital, Beijing, China, 5The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China 3:30 pm 1804. Increased Mortality in Ankylosing Spondylitis – Results from a National Population Based Study Sofia Exarchou1, Elisabeth Lie2, Johan Askling3, Helena Forsbladd’Elia4, Carl Turesson1, Lars Erik Kristensen5 and Lennart T. Jacobsson2, 1Section of Rheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden, 2Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, 3 Clinical Epidemiology Unit, Rheumatology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, 4 Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, 5Lund University, Malmö, Sweden 2 0 1 4 Health Services Research: Improving Clinical Practice 3:45 pm 1811. The Burden of Depression on Healthcare Utilization in a Population-Based Cohort of Patients with Systemic Lupus Erythematosus Alfredo Aguirre1, Gaobin Bao1, S. Sam Lim2 and Cristina Drenkard1, 1Emory University, Atlanta, GA, 2Emory University School of Medicine, Division of Rheumatology, Atlanta, GA PS 1 7 , PS 160 B 3:30 pm 1810. Improper Use of Antinuclear Antibody (ANA) Test Can Result in Misdiagnosis, Increased Patient Anxiety and Wasted Health Care Resources Sahar Eivaz Mohammadi1, Imam H Shaik1, Parag Chevli1, Fernando Gonzalez-Ibarra1, Sohini Sarkar1, Saurav Acharya1, Prerna Dogra1, Hesam Hekmatjou2, Maushmi Savjani2, Waheed Abdul2 and Valentin Marian1, 1Jersey City Medical CenterBarnabas Health, Jersey City, NJ, 2St. George’s University SOM, St. George’s, Grenada MONDAY PM 3:15 pm 1809. Is Team Care Better? a Comparison of Rheumatoid Arthritis Disease Activity Among Patients Cared for in Practices with Nurse Practitioners and Physicians Assistants Versus Rheumatologist Only DH Solomon1, Liana Fraenkel2, Bing Lu1, Erika Brown1, Peter Hsun Tsao3, Elena Losina1, Jeffrey N. Katz1 and Asaf Bitton1, 1Brigham and Women’s Hospital, Boston, MA, 2Yale University School of Medicine, Veterans Affairs Connecticut Healthcare Systems, New Haven, CT, 3Brigham and Women’s Hospital, Harvard Medical School, Boston, MA n o v e m b e r 3:45 pm 1805. Prevalence and Associating Factors with Atypical Femoral Fractures: An Asian Single Center Based Case-Control Study Dam Kim1, Yoon-Kyoung Sung1, Soo-Kyung Cho1, Minkyung Han1 and Yee-Suk Kim2, 1Clinical Research Center for Rheumatoid Arthritis (CRCRA), Seoul, South Korea, 2Hanyang University Hospital, Seoul, South Korea National University of Singapore, Singapore, Singapore, 3Division of Rheumatology, University Medicine Cluster, National University Health System, Singapore, Singapore, 4Duke-NUS Graduate Medical School, Singapore, Singapore, Singapore PM 156 B Moderators: Una Makris, MD and Elena Losina, PhD Innate Immunity and Rheumatic Disease Moderators: Philip L. Cohen, MD and Edward M. Behrens, MD 2:30 PM 1806. WITHDRAWN 2:45 pm 1807. Problems with Fee for Service Payments for Academic Rheumatology Practices: A Need for Payment Reform: Allen P. Anandarajah1 and Christopher T. Ritchlin2, 1Univ of Rochester Medical Ctr, Rochester, NY, 2University of Rochester Medical Center, Rochester, NY 3:00 pm 1808. Role of HLA-B*5801 Genetic Testing and a Safety Programme When Initiating Allopurinol Therapy for Chronic Gout Management: A Cost-Effectiveness Analysis Di Dong1, Wei Chuen Tan-Koi2, Gim Gee Teng3, Eric Finkelstein4 and Cynthia Sung4, 1Duke-NUS Graduate Medical School, Singapore, Singapore, 2Saw Swee Hock School of Public Health, 2:30 pm 1812. Investigation of the Sting/Interferon Pathway Activation in a Novel Vasculopathy and Pulmonary Syndrome Yin Liu1, Adriana Almeida de Jesus2, Bernadette Marrero1, Dan Yang3, Gina A. Montealegre Sanchez2, Steve Brooks1, Zuoming Deng2, Amy Paller4, Manfred Boehm3 and Raphaela GoldbachMansky2, 1NIAMS/NIH, Bethesda, MD, 2National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, MD, 3National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, 4Northwestern University Feinberg School of Medicine, Chicago, IL 2:45 pm 1813. DNA Sensors Regulate Inflammation in a Model of Autoimmune Arthritis Rebecca Baum1, Shruti Sharma1, Sudesh Pawaria1, Susan Carpenter2, Katherine A. Fitzgerald1, Ann Marshak-Rothstein1 2014 Program Book 85 scientific sessions and Ellen M. Gravallese3, 1University of Massachusetts Medical School, Worcester, MA, 2University of California, San Francisco, San Francisco, CA, 3UMass Memorial Medical Center, Worcester, MA Boston, MA, 2Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, 3Tufts Medical Center, Boston, MA, 4Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Providence, RI 3:00 pm 1814. RNA-Containing Immune Complexes Shift Human Neutrophils from Phagocytosing Cells to Efficient Releasers of Oxidized DNA in a Process Requiring Crosstalk Between Tolllike Receptors and Fc Gamma Receptor IIa Christian Lood1, Xizhang Sun1, Lena Tanaka1, Andrew Oberst2, Jeffrey Ledbetter3 and Keith B. Elkon1, 1University of Washington, Seattle, WA, 2Department of Immunology, University of Washington, Seattle, WA, 3Division of Rheumatology, University of Washington, Seattle, WA 2:45 pm 1819. WITHDRAWN 3:00 pm 1820. Discordance of Hip Pain with Radiographic Hip Osteoarthritis: The Osteoarthritis Initiative Chan Kim1, Michael C. Nevitt2, Pia M. Jungmann3, Irina Tolstykh4, Nancy E. Lane5, Thomas M. Link4 and David T. Felson6, 1Boston University, Boston, MA, 2UCSF (University of California, San Francisco), San Francisco, CA, 3Technische Universitaet Muenchen, Munich, Germany, 4University of California, San Francisco, San Francisco, CA, 5Center for Musculoskeletal Health, UC Davis School of Medicine, Sacramento, CA, 6University of Manchester, Manchester, United Kingdom n o v e m b e r 1 7 , MONDAY 2 0 1 4 3:15 pm 1815. STAT3-Mediated Regulation of Mitochondrial Membrane Potential Is Critical for NLRP3 Inflammasome Activation Jehad H. Edwan1, Raphaela Goldbach-Mansky2 and Robert A. Colbert3, 1NIAMS NIH, Bethesda, MD, 2NIH Building 10 Room 6D47B, Bethesda, MD, 3NIAMS/NIH, Bethesda, MD 3:15 pm 1821. The Co-Occurrence Patterns of MRI Lesions and Incident Knee Osteoarthritis: The MOST Study Jingbo Niu1, David T. Felson2, Tuhina Neogi2, Michael C. Nevitt3, Cora E. Lewis4, James Torner5, Ali Guermazi2, Frank Roemer6 and Yuqing Zhang2, 1Boston University, Boston, MA, 2Boston University School of Medicine, Boston, MA, 3UCSF (University of California, San Francisco), San Francisco, CA, 4University of Alabama, Birmingham, Birmingham, AL, 5University of Iowa, Iowa City, IA, 6Klinikum Augsburg, Augsburg, Germany 3:30 pm 1816. Toll-like Receptor 4-Induced Interleukin-1 Defines the Intestinal Microbiome and Mucosal Immune Response in Arthritis-Prone IL-1 Receptor Antagonist Deficient Mice Tom Ederveen1, Rebecca Rogier1, Jos Boekhorst1, Harm Wopereis2, Johan Garssen2, Sacha van Hijum1, Fons A.J. van de Loo1, Marije I. Koenders1, Wim B. van den Berg1 and Shahla Abdollahi-Roodsaz1, 1Radboud university medical center, Nijmegen, Netherlands, 2Danone Research, Wageningen, Netherlands 3:30 pm 1822. Increasing Synovitis and Bone Marrow Lesions Are Associated with Incident Joint Tenderness in Hand Osteoarthritis Ida K. Haugen1, Barbara Slatkowsky-Christensen1, Pernille Boyesen1, Sølve Sesseng1, Désirée van der Heijde1 and Tore K. Kvien2, 1Diakonhjemmet Hospital, Oslo, Norway, 2PsAID taskforce, EULAR, Zurich, Switzerland 3:45 pm 1817. Connecting Two Pathways through Ca2+ Signaling: NLRP3 Inflammasome Activation Induced By a Hypermorphic PLCG2 Mutation Jae Jin Chae1, Yong Hwan Park1, Chung Park2, Il-Young Hwang2, Patrycja Hoffmann1, John Kehrl2, Ivona Aksentijevich1 and Daniel L. Kastner1, 1National Human Genome Research Institute, Bethesda, MD, 2National Institute of Allergy and Infectious Diseases, Bethesda, MD 104 B PM 3:45 pm 1823. Inflammation Is Associated with Erosive Progression in Patients with Hand Osteoarthritis: A Prospective Ultrasonography Study Marion C. Kortekaas1, Wing Yee Kwok2, Monique Reijnierse2, Theo Stijnen2 and Margreet Kloppenburg2, 1Flevoziekenhuis, Almere-Stad, Netherlands, 2Leiden University Medical Center, Leiden, Netherlands. PS Osteoarthritis – Clinical Aspects I: Imaging in Osteoarthritis Moderators: Grace H. Lo, MD, MSc and Leena Sharma, MD 2:30 pm 1818. Subchondral Bone Mineral Density Improves Prediction of Knee Osteoarthritis Progression Compared with Clinical Factors Alone: Data from the Osteoarthritis Initiative Michael P. Lavalley1, Grace H. Lo2, Lori Lyn Price3, Jeffrey Driban3, Charles Eaton4 and Timothy E. McAlindon3, 1Boston University, 86 2014 Program Book PM 157 B Pediatric Rheumatology – Clinical and Therapeutic Aspects: Pediatric Systemic Lupus Erythematosus PM Ed Pd PS PrM FIT Moderators: Mical Cidon, MD and Lisa F. Imundo, MD PS scientific sessions 2:30 pm 1824. A Randomized Double-Blind Placebo-Controlled Trial of Vitamin D Supplementation in Juvenile-Onset Systemic Lupus Erythematosus: Improvement in Disease Activity and Fatigue Scores Glauce Lima, Juliane Paupitz, Liliam Takayama, Eloisa Bonfa and Rosa M R Pereira, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil 3:45 pm 1829. Role of Fluorinated Steroids in Preventing the Progression of Anti-SSA/Ro Associated Isolated Congenital Heart Block to Disease Beyond the Conduction System Ummara Shah1, Amit Saxena1, Sara Sahl1, Deborah Friedman2, Jill P. Buyon1 and Peter M. Izmirly1, 1New York University School of Valhalla, NY Medicine, New York, NY, 2New York Medical College, PS PM Quality Measures and Quality of Care 2 0 1 4 Moderators: Eric D. Newman, MD and Jinoos Yazdany, MD MPH 1 7 , 153 B MONDAY 3:00 pm 1826. A Renal Activity Index May Predict Histological Activity in Lupus Nephritis in Children Khalid Abulaban1, Michael Bennett1, Marisa Klein-Gitelman2, Stacy P. Ardoin3, Kelly A. Rouster-Stevens4, Lori B. Tucker5, Kasha Wiley6, Shannen Nelson7, Karen Onel8, Nora G. Singer9, Kathleen M. O’Neil10, Elizabeth Brooks11, B Anne Eberhard12, Lawrence K. Jung13, Lisa F. Imundo14, Tracey Wright15, David Witte16, Jun Ying17, Prasad Devarajan1 and Hermine I. Brunner7, 1Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Anne & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, 3Ohio State University College of Medicine, Columbus, OH, 4Emory University School of Medicine, Atlanta, GA, 5BC Children’s Hospital and University of British Columbia, Vancouver, BC, 6 Cincinnati Children’s Hospital Medical Center, c, OH, 7Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 8University of Chicago Hospitals, Chicago, IL, 9Division of Rheumatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, 10Riley Hospital for Children, Indianapolis, IN, 11 Univ Hospitals of Cleveland, Cleveland, OH, 12Cohen Children’s Medical Center, Lake Success, NY, 13Children’s National Medical Center, Washington, DC, 14Columbia University Medical Center, New York, NY, 15UT Southwestern Medical Center, Dallas, TX, 16 Cincinnati Children’s Hospital, Cincinnati, OH, 17University of Cincinnati, Cincinnati, OH 3:30 pm 1828. Adverse Pregnancy Outcomes in Adolescents and Young Women with Systemic Lupus Erythematosus: A National Estimate Nicole Ling, Isabel E. Allen, Erica F. Lawson and Emily von Scheven, University of California, San Francisco, San Francisco, CA n o v e m b e r 2:45 pm 1825. Cognitive Performance Scores for the Pediatric Automated Neuropsychological Assessment Metrics in Childhood-Onset Systemic Lupus Erythematosus Patricia Vega-Fernandez1, Shana Vanderburgh2, Deborah M. Levy3, Frank A. Zelko4, Eyal Muscal5, Natasha M. Ruth6, Adam M. Huber7, Marisa S. Klein-Gitelman8, Kasha Wiley9, Wenjie Zheng9, Lori B. Tucker10, Tresa Roebuck-Spencer11, Jun Ying2 and Hermine Brunner12, 1Cincinnati Children’s Hospital, Cincinnati, OH, 2 University of Cincinnati, Cincinnati, OH, 3The Hospital for Sick Children and University of Toronto, Toronto, ON, 4Northwestern University Feinberg School of Medicine, Chicago, IL, 5Texas Children’s Hospital, Houston, TX, 6Medical University of South Carolina, Charleston, SC, 7IWK Health Centre, Halifax, NS, 8Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, 9 Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 10 BC Children’s Hospital and University of British Columbia, Vancouver, BC, 11University of Oklahoma, Norman, OK, 12PRCSG, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 3:15 pm 1827. Anti-Ro and Anti-La Antibodies in the General Pregnant Population Evelyn V. Rozenblyum1, Sharon Sukhdeo1, Edgar Jaeggi2, Lisa Hornberger3, Philip Wyatt4, Carl A. Laskin5 and Earl D. Silverman6, 1University of Toronto, Toronto, ON, 2The Hospital for Sick Children, University of Toronto, Toronto, ON, 3Stollery Children’s Hospital, Edmonton, ON, 4North York General Hospital, Toronto, ON, 5University of Toronto and LifeQuest Centre for Reproductive Medicine, Toronto, ON, 6The Hospital for Sick Children, Toronto, ON 2:30 pm 1830. A Novel Population Care Model in Rheumatoid Arthritis – Significant Improvement in Quality and Reduction in Cost of Care Eric D. Newman1, William T. Ayoub2, David M. Pugliese3, Chelsea Cedeno1, Jason Brown1, Thomas M. Harrington1, Thomas P. Olenginski1, Androniki Bili1, Alfred E. Denio1, Lisa L. Schroeder1, Dennis Torretti1, Tarun Sharma1, Lyudmila Kirillova1, Susan Mathew1, Jonida Cote1, Brian Oppermann2, Cynthia Sullivan2, Shantanu Bishwal4, Brian DelVecchio3 and Howard Aylward2, 1 Geisinger Health System, Danville, PA, 2Geisinger Health System, State College, PA, 3Geisinger Health System, Wilkes-Barre, PA, 4 Geisinger Health System, Wilkes Barre, PA 2:45 pm 1831. Monitoring Patients with Rheumatoid Arthritis in Routine Care – Experiences from a Treat-to-Target Strategy Using the Danbio Registry Merete Lund Hetland1, Dorte Vendelbo Jensen2 and Niels Steen Krogh3, 1DANBIO, Glostrup Hospital, Glostrup, Denmark, 2 DANBIO, Glostrup, Denmark, 3ZiteLab ApS, Copenhagen, Denmark 2014 Program Book 87 scientific sessions 3:00 pm 1832. National Quality Forum Measure Achievement and Costs in Rheumatoid Arthritis Patients in a Large Managed Care Population Roxanne Meyer1, Susan C. Bolge2, Joseph Tkacz3, Brenna Brady3 and Charles Ruetsch4, 1Janssen Scientific Affairs, Horsham, PA, 2 Janssen Scientific Affairs, LLC, Horsham, PA, 3Health Analytics, LLC, Columbia, MD, 4Health Analytics LLC, Columbia, MD 3:15 pm 1833. Quality of Primary Care Management of Patients with and without Rheumatoid Arthritis (RA) Jessica Widdifield1, Claire Bombardier2, Jacqueline Young1, Noah Ivers2, R. Liisa Jaakkimainen3, Sasha Bernatsky4, J. Michael Paterson1, J. Carter Thorne5, Pooneh S.Akhavan6, Debra Butt1, Vandana Ahluwalia7 and Karen Tu1, 1Institute for Clinical Evaluative Sciences, Toronto, ON, 2University of Toronto, Toronto, ON, 3Sunnybrook Health Sciences Centre, Toronto, ON, 4McGill University Health Centre, Montreal, QC, 5Southlake Regional Health Centre, Newmarket, Newmarket, ON, 6Mount Sinai Hospital, Toronto, ON, 7William Osler Health Center, Brampton, ON n o v e m b e r 1 7 , MONDAY 2 0 1 4 3:30 pm 1834. Uptake of the American College of Rheumatology’s (ACR) Rheumatology Clinical Registry (RCR): Quality Measure Summary Data Natalie Fisk1, Melissa Francisco1, Jinoos Yazdany2 and Salahuddin Kazi3, 1American College of Rheumatology, Atlanta, GA, 2 University of California, San Francisco, San Francisco, CA, 3UT Southwestern Medical Center, Dallas, TX 3:45 pm 1835. Anti-Osteoporosis Medication Use after Hip or Vertebral Fracture Robert A. Overman1 and Chad L. Deal2, 1University of North Carolina, Chapel Hill, NC, 2Cleveland Clinic, Cleveland, OH 210 B PM PS Rheumatoid Arthritis – Clinical Aspects III: Malignancies, Vaccinations, Pregnancy and Surgery Moderators: Lin Brown, MD and Jennifer Barton, MD 2:30 pm 1836. Safety of Zoster Vaccination Administration in Rheumatic Patients on Current Biologic Therapy Stephen Lindsey1, Brandi Oufnac2 and Holly Walker2, 1Ochsner Clinic Baton Rouge, Baton Rouge, LA, 2Ochsner Health Systems, Baton Rouge, LA 2:45 pm 1837. First Results of a European Registries Collaborative Project to Compare the Spectrum of Lymphomas Between Different Exposure Groups in Rheumatoid Arthritis Louise Mercer1, Xavier Mariette2, William Dixon1, Eva Baecklund3, Karin Hellgren4, Lene Dreyer5, Merete Lund Hetland6, Lene 88 2014 Program Book Mellemkjær7, Kimme Hyrich8, Anja Strangfeld9, Angela Zink10, Helena Canhao11, Fernando Martins12, Victoria Hernández13, Florence Tubach14, Jacques-Eric Gottenberg15, Jacques Morel16, Jakub Zavada17, Piet van Riel18, Axel Finckh19, Florenzo Iannone20, Johan Askling4 and Joachim Listing9, 1The University of Manchester, Manchester, United Kingdom, 2Université Paris-Sud, Le Kremlin Bicêtre, France, 3Uppsala University, Uppsala, Sweden, 4 Karolinska Institutet, Stockholm, Sweden, 5Copenhagen University Hospital at Gentofte, Gentofte, Denmark, 6DANBIO, Glostrup Hospital, Glostrup, Denmark, 7The Danish Cancer Society, Copenhagen, Denmark, 8Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom, 9German Rheumatism Research Center, Berlin, Germany, 10German Rheumatism Research Centre and Charité University Medicine, Berlin, Germany, 11Instituto de Medicina Molecular, Universidade de Lisboa, Lisbon, Portugal, 12 Instituto de Medicina, Universidade de Lisboa, Lisbon, Portugal, 13 BIOBADASER Registry, Madrid, Spain, 14Universite Paris Diderot, Paris, France, 15Department of rheumatology CHU, Strasbourg, France, 16Universite´ Montpellier, Montpellier, France, 17Charles University, Prague, Czech Republic, 18Radboud University Medical Centre, Nijmegen, Netherlands, 19University of Geneva, Geneva, Switzerland, 20Reumatologia Universita e Policlinico di Bari, Bari, Italy 3:00 pm 1838. No Increased Risk of Developing a First Invasive Melanoma in Rheumatoid Arthritis Patients Treated with Biologics: Results of a Collaborative Project of 11 European Biologics Registers Louise Mercer1, Johan Askling2, Pauline Raaschou2, William Dixon1, Lene Dreyer3, Merete Lund Hetland4, Lene Mellemkjær5, Anja Strangfeld6, Angela Zink7, Florenzo Iannone8, Axel Finckh9, Jakub Zavada10, Helena Canhao11, Fernando Martins12, Xavier Mariette13, Jacques Morel14, Jacques-Eric Gottenberg15, Adele Green1, Victoria Hernández16, Florence Tubach17, Piet van Riel18, Kimme Hyrich19 and Joachim Listing6, 1The University of Manchester, Manchester, United Kingdom, 2Karolinska Institutet, Stockholm, Sweden, 3Copenhagen University Hospital at Gentofte, Gentofte, Denmark, 4DANBIO, Glostrup Hospital, Glostrup, Denmark, 5The Danish Cancer Society, Copenhagen, Denmark, 6German Rheumatism Research Center, Berlin, Germany, 7German Rheumatism Research Centre and Charité University Medicine, Berlin, Germany, 8Reumatologia Universita e Policlinico di Bari, Bari, Italy, 9University of Geneva, Geneva, Switzerland, 10Charles University, Prague, Czech Republic, 11Instituto de Medicina Molecular, Universidade de Lisboa, Lisbon, Portugal, 12Instituto de Medicina, Universidade de Lisboa, Lisbon, Portugal, 13Université Paris-Sud, Le Kremlin Bicêtre, France, 14Universite´ Montpellier, Montpellier, France, 15 Department of rheumatology CHU, Strasbourg, France, 16 BIOBADASER Registry, Madrid, Spain, 17Universite Paris Diderot, Paris, France, 18Radboud University Medical Centre, Nijmegen, Netherlands, 19Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom scientific sessions 3:15 pm 1839. Risk of Recurrent Non-Melanoma Skin Cancer with Methotrexate and Anti-TNF Use in Rheumatoid Arthritis Frank I Scott1, Ronac Mamtani1, Colleen Brensinger1, Kevin Haynes2, Zelma ChiesaFuxench1, Huifeng Yun3, Jie Zhang4, Lang Chen5, Fenglong Xie5, David Margolis1, James D. Lewis2 and Jeffrey R. Curtis6, 1University of Pennsylvania, Philadelphia, PA, 2 Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 3 University of Alabama at Birmingham School of Public Health, Birmingham, AL, 4Univ. of Alabama at Birmingham, Birmingham, AL, 5University of Alabama at Birmingham, Birmingham, AL, 6The University of Alabama at Birmingham, Birmingham, AL 3:30 pm 1840. Pregnancy Outcomes Following Exposure to Abatacept during Pregnancy M Kumar1, L Ray1, S Vemuri2 and T Simon1, 1Bristol-Myers Squibb, Hopewell, NJ, 2Bristol-Myers Squibb, Plainsboro, NJ Moderators: Maarten Boers, MD, MSc, PhD and Mark C. Genovese, MD 2:30 pm 1842. High Rates of Failure after Biological DMARD Discontinuation While in Remission in a Japanese Multi-Center Registry Kazuki Yoshida1, Mitsumasa Kishimoto2, Helga Radner1, Kazuo Matsui3, Masato Okada2, Yukihiko Saeki4, Daniel H. Solomon1 and Shigeto Tohma5, 1Brigham and Women’s Hospital, Boston, MA, 2 St. Luke’s International Hospital, Tokyo, Japan, 3Kameda Medical Center, Kamogawa, Japan, 4Osaka-Minami Medical Center, Osaka, Japan, 5Sagamihara Hospital, National Hospital Organization, Sagamihara, Japan 2:45 pm 1843. Randomised Controlled Non-Inferiority Study of Dose Reduction and Withdrawal of Adalimumab and Etanercept in Rheumatoid Arthritis Noortje van Herwaarden1, Aatke van der Maas1, Michiel Minten1, Frank H.J. van den Hoogen2, Ronald F. van Vollenhoven3, 2 0 1 4 PS 1 7 , PM Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy III: Innovative Therapeutic Strategies in Rheumatoid Arthritis 3:15 pm 1845. Tocilizumab Combination Therapy or Monotherapy or Methotrexate Monotherapy in Methotrexate-Naive Patients with Early Rheumatoid Arthritis: 2-Year Clinical and Radiographic Results from a Randomized, Placebo-Controlled Trial Gerd Burmester1, William Rigby2, Ronald F. van Vollenhoven3, Jonathan Kay4, Andrea Rubbert-Roth5, Ricardo Blanco6, Ariella Kelman7, Sophie Dimonaco8 and Nina Mitchell8, 1CharitéUniversitätsmedizin Berlin, Free University and Humboldt University of Berlin, Berlin, Germany, 2Geisel School of Medicine at Dartmouth, Lebanon, NH, 3Karolinska Institute, Stockholm, Sweden, 4UMass Memorial Medical Center, Worcester, MA, 5 University of Cologne, Cologne, Germany, 6Hospital Marques de Valdecilla, Santander, Spain, 7Genentech, South San Francisco, CA, 8Roche Products Ltd., Welwyn Garden City, United Kingdom MONDAY Exhibit Hall C 3:00 pm 1844. Identification of a Patient Phenotype Which Impacts Response to Therapy in Rheumatoid Arthritis Clinical Trials: Certolizumab Pegol Phase 4 Trial Data Jeffrey R. Curtis1, Melvin Churchill2, Alan Kivitz3, Laura Gauer4, Christopher Herrem4, David Carter5, Jeffrey Melin4 and Yusuf Yazici6, 1The University of Alabama at Birmingham, Birmingham, AL, 2Arthritis Center of Nebraska, Lincoln, NE, 3Altoona Arthritis & Osteoporosis Center, Duncansville, PA, 4UCB Pharma, Smyrna, GA, 5UCB Pharma, Brussels, Belgium, 6New York University Hospital for Joint Diseases, New York, NY n o v e m b e r 3:45 pm 1841. Eventual Joint Failure and Surgery Rates in Rheumatoid Arthritis Remain High in Patients with Moderate Disease Activity in the First 5 Years of Disease Elena Nikiphorou1, Lewis Carpenter1, Sam Norton2, Josh Dixey3, Patrick Kiely4, David Walsh5 and Adam Young6, 1University of Hertfordshire, Hatfield, United Kingdom, 2King’s College London, London, United Kingdom, 3New Cross Hospital, Wolverhampton, United Kingdom, 4St. Georges Healthcare NHS Trust, London, United Kingdom, 5University of Nottingham, Nottingham, United Kingdom, 6ERAS, St Albans City Hospital, St Albans, United Kingdom Johannes W.J. Bijlsma4, Bart van den Bemt1 and Alfons A. den Broeder1, 1Sint Maartenskliniek, Nijmegen, Netherlands, 2 Rheumatology Centre Sint Maartenskliniek and Radboud university medical center, Ubbergen (Nijmegen), Netherlands, 3 Unit for clinical therapy research (ClinTrid), Karolinska Institute, Stockholm, Sweden, 4University Medical Center Utrecht, Utrecht, Netherlands 3:30 pm 1846. The Association Between Hydroxychloroquine Treatment and Cardiovascular Morbidity Among Rheumatoid Arthritis Patients Michael Shapiro1 and Yair Levy2, 1Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, 2Meir Medical Center, Kfar Saba, Israel 3:45 pm 1847. Effect of Disease Duration on Clinical Outcomes in Moderate Rheumatoid Arthritis Patients Treated with Etanercept Plus Methotrexate Josef S. Smolen1, David Collier2, Annette Szumski3, Heather Jones3 and Lisa Marshall3, 1PsAID taskforce, EULAR, Zurich, Switzerland, 2Amgen, Inc., Thousand Oaks, CA, 3Pfizer Inc., Collegeville, PA 2014 Program Book 89 scientific sessions 258 B PM PS Spondyloarthropathies and Psoriatic Arthritis III – Clinical Aspects of Psoriatic Arthritis Moderators: Arthur Kavanaugh, MD and Enrique R. Soriano, MD, MSc n o v e m b e r 1 7 , MONDAY 2 0 1 4 2:30 pm 1848. Risk of Cancer in Patients with Severe Psoriatic Arthritis Requiring Tumour-Necrosis Factor Alpha Inhibition Karen M. Fagerli1, Louise K. Mercer2, Kath D. Watson2, Jonathon Packham3, Deborah PM Symmons4, Kimme L. Hyrich5 and . On behalf of the BSRBR6, 1Diakonhjemmet Hospital, Oslo, Norway, 2 Arthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, United Kingdom, 3Institute of Science and Technology in Medicine, Keele, United Kingdom, 4 Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom, 5Centre for Musculoskeletal Research, University of Manchester, Manchester, United Kingdom, 6British Society for Rheumatology, London, United Kingdom 2:45 pm 1849. Risk of Malignancy Among Medicare Psoriasis/Psoriatic Arthritis Patients Huifeng Yun1, Kevin L. Winthrop2, Lang Chen3, Wilson Smith3, Benjamin Chan4, Fenglong Xie3, Allison Taylor3 and Jeffrey R. Curtis3, 1University of Alabama at Birmingham School of Public Health, Birmingham, AL, 2Oregon Health & Science University, Portland, OR, 3University of Alabama at Birmingham, Birmingham, AL, 4Oregon Health and Science University, Portland, OR 3:00 pm 1850. The Incidence and Risk Factors for Psa in Patients with Psoriasis – a Prospective Cohort Study Lihi Eder1, Amir Haddad1, Hua Shen2, Cheryl Rosen1, Vinod Chandran1, Richard J. Cook2 and Dafna D. Gladman3, 1University of Toronto, Toronto Western Hospital, Toronto, ON, 2University of Waterloo, Waterloo, ON, 3Toronto Western Research Institute, Toronto Western Hospital, Toronto, ON 3:15 pm 1851. Serious Infection Events in the Psoriasis Longitudinal Assessment and Registry Study: Cumulative Experience Robert Kalb1, David Fiorentino2, Mark Lebwohl3, Craig Leonardi4, John Toole5, Kavitha Goyal6, Steve Calabro6, Wayne Langholff7 and Steve Fakharzadeh8, 1SUNY at Buffalo, School of Medicine and Biological Sciences, Buffalo, NY, 2Stanford University, Redwood City, CA, 3Mount Sinai Medical Center, New York, NY, 4 Central Dermatology, St. Louis, MO, 5University of Manitoba, Dermadvances Research, Winnipeg, MB, 6Janssen Services, LLC, Horsham, PA, 7Janssen Research and Development, LLC, Spring House, PA, 8Janssen Services, LLC, Spring House, PA 90 2014 Program Book 3:30 pm 1852. Increased Cardiovascular Risk in Patients Recently Diagnosed with Psoriatic Arthritis: A Population-Based, Cohort Study Katelynn Wilton1, Floranne C. Ernste1, Cynthia S. Crowson2, Eric L. Matteson2, Hilal Maradit Kremers2 and Marta SánchezMenéndez3, 1Mayo Clinic Rochester, Rochester, MN, 2Mayo Clinic, Rochester, MN, 3Centro Medico de Asturias, Oviedo, Spain 3:45 pm 1853. Persistence and Predictors of Biologic TNFi Therapy Among Biologic naïve Psoriatic Arthritis Patients in a US Registry Philip Mease1, David Collier2, Chitra Karki3, Guo Li4, Bojena Bitman5 and Jeffrey D. Greenberg6, 1Swedish Medical Center, Seattle, WA, 2Amgen, Inc., Thousand Oaks, CA, 3Corrona, LLC., Southborough, MA, 4Axio Research LLC, Seattle, WA, 5Amgen, Inc., San Francisco, CA, 6New York University School of Medicine, New York, NY Ballroom West PM PS Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Complications of Systemic Lupus Erythematosus Moderators: S. Sam Lim, MD, MPH and Iris Navarro-Millan, MD 2:30 pm 1854. Systemic Lupus Erythematosus Patients Have Increased Risk of Short Term Adverse Events after Total Hip Arthroplasty Jordan Roberts1, Lisa A. Mandl2, Edwin Su2, David J. Mayman2, Mark P. Figgie2, Arielle Fein2, Yuo-Yu Lee2, Ummara Shah3 and Susan M. Goodman2, 1Weill Cornell Medical College, New York, NY, 2Hospital for Special Surgery, New York, NY, 3New York University School of Medicine, NYC, NY 2:45 pm 1855. Not Keeping up with the Times: High Mortality and Early Death Due to Disease in North American Natives with Systemic Lupus Erythematosus (SLE) Ripneet Puar1, Carol A. Hitchon1, David B. Robinson1, Hani El-Gabalawy1, Navjot Dhindsa1 and Christine A. Peschken2, 1 University of Manitoba, Winnipeg, MB, 2University of Manitoba, Canada, Winnipeg, MB 3:00 pm 1856. National Hospitalization Trends in Lupus Reveal Rising Rates of Herpes Zoster and Declines in Pneumocystis Infections Sara G. Murray, Gabriela Schmajuk, Laura Trupin, Lianne S. Gensler and Jinoos Yazdany, University of California, San Francisco, San Francisco, CA 3:15 pm 1857. Determinants of Annual Healthcare Utilization and Overall Cost of Care in Individuals with Systemic Lupus Erythematosus in a Large Insurance Claims Database: Glucocorticoid Use Shih-Yin Chen1, Chan-Bum Choi2, Qian Li3, Wei-Shi Yeh1, YuanChi Lee4, Amy H Kao1 and Matthew H. Liang5, 1Biogen Idec, scientific sessions Cambridge, MA, 2VA Healthcare System, Boston, MA, 3Evidera, Lexington, MA, 4Formerly of Evidera, Lexington, MA, 5Harvard Medical School, Boston, MA 3:30 pm 1858. Standardized Mortality Ratios for Cause-Specific Deaths in Lupus Patients Followed Prospectively at a Single Centre Lupus Clinic Barry J. Sheane, Dominique Ibanez, Dafna D. Gladman and Murray B. Urowitz, University of Toronto, Toronto Western Hospital, Toronto, ON 3:45 pm 1859. Age-Specific Predictors of Mortality in SLE Dominique Ibanez, Dafna D. Gladman and Murray B. Urowitz, University of Toronto, Toronto Western Hospital, Toronto, ON PS PM 107 B Vasculitis II Moderators: Robert F. Spiera, MD and Sebastian H. Unizony, MD 2 0 1 4 2014 Program Book 1 7 , 3:00 pm 1862. The Association of Low-Density Granulocytes with Disease Activity and Response to Treatment in ANCAAssociated Vasculitis Peter C. Grayson1, Carmelo Carmona-Rivera1, Lijing Xu2, Noha Lim2, Adam Asare2, Deborah J. Phippard2, Mariana J. Kaplan1, 3:30 pm 1864. Granulomatosis with Polyangiitis or Microscopic Polyangiitis: Long-Term Outcomes of Comparing Azathioprine Vs Methotrexate for Remission-Maintenance in 126 Patients Xavier Puéchal1, Christian Pagnoux2, Elodie Perrodeau3, Mohamed Hamidou4, Jean-Jacques Boffa5, Xavier Kyndt6, François Lifermann7, Thomas Papo8, Dominique Merrien9, Amar Smail10, Philippe Delaval11, Catherine Hanrotel-Saliou12, Bernard Imbert13, Chahéra Khouatra14, Marc Lambert15, Charles Leské16, Kim Heang Ly17, Edouard Pertuiset18, Pascal Roblot19, Marc Ruivard20, Jean-François Subra21, Jean-Francois Viallard22, Benjamin Terrier1, Pascal Cohen1, Luc Mouthon1, Philippe Ravaud3 and Loïc Guillevin for the French Vasculitis Study Group1, 1National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 2University of Toronto, Toronto, ON, 3 Epidemiology, Université Paris-Descartes, Paris, Paris, France, 4 CHU Hôtel Dieu, Nantes, Nantes, France, 5Hôpital Tenon, Paris, Paris, France, 6CH, Valenciennes, Valenciennes, France, 7CH Côte d’Argent, Dax, Dax, France, 8Bichat Hospital, Paris, Paris, France, 9 CH Compiègne-Noyon, Compiègne, France, 10CHU Amiens Nord, Amiens, France, 11CHU Rennes Sud, Rennes, France, 12CHU Cavale Blanche, Brest, Brest, France, 13CHU, Grenoble, Grenoble, France, 14CHU Louis Pradel, Lyon, Lyon, France, 15Internal Medicine University Lille Hospital, Lille, Lille, France, 16CH, Cholet, Cholet, France, 17CHU Dupuytren, Limoges, Limoges, France, 18 René Dubos Hospital, Pontoise, France, 19CHU, Poitiers, Poitiers, MONDAY 2:45 pm 1861. The Role of Macrophage Migration Inhibitory Factor (MIF) and MIF Gene Polymorphisms in the Pathogenesis of Granulomatosis with Polyangiitis Antoine G. Sreih1, Rana Ezzeddine2, Juan Fan3, Lin Leng3, Simon Carette4, David Cuthbertson5, Gary S. Hoffman6, Nader A. Khalidi7, Carol A. Langford8, Carol McAlear9, Paul Monach10, Philip Seo11, Ulrich Specks12, Steven R. Ytterberg12, Peter A. Merkel13 and Richard Bucala14, 1The University of Pennsylvania, Philadelphia, PA, 2Bristol-Myers Squibb, Wallingford, CT, 3Yale University, New Haven, CT, 4University of Toronto, Toronto, ON, 5 University of South Florida, Tampa, FL, 6Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 7St. Joseph’s Hospital, McMaster University, Hamilton, ON, 8Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 9Vasculitis Center, University of Pennsylvania, Philadelphia, PA, 10Boston University, Boston, MA, 11Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 12Mayo Clinic, Rochester, MN, 13Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 14 Yale University School of Med, New Haven, CT 3:15 pm 1863. CCX168, an Orally Administered C5aR Inhibitor for Treatment of Patients with Antineutrophil Cytoplasmic Antibody-Associated Vasculitis Pirow Bekker1, David Jayne2, Annette Bruchfeld3, Matthias Schaier4, Kazimierz Ciechanowski5, Lorraine Harper6, Michel Jadoul7, Mårten Segelmark8, Daina Selga9, Istvan Szombati10, Michael Venning11, Christian Hugo12, Paul L. van Daele13, Ondrej Viklicky14, Antonia Potarca15 and Thomas J. Schall15, 1 Chemocentryx, Inc., Mountain View, CA, 2Addenbrookes Hospital University of Cambridge, Cambridge, United Kingdom, 3 Karolinska Institute, Stockholm, Sweden, 4University of Heidelberg, Heidelberg, Germany, 5Pomeranian Medical University, Szczecin, Poland, 6University of Birmingham, Birmingham, United Kingdom, 7Cliniques Saint-Luc, Brussels, Belgium, 8Linkoping University, Linkoping, Sweden, 9Lund University, Lund, Sweden, 10Budaclinic, Budapest, Hungary, 11 Manchester University, Manchester, United Kingdom, 12 Dresden University, Dresden, Germany, 13Erasmus Medical Center, Immunology, Rotterdam, Netherlands, 14Instit of Clin and Exp Med, Prague, Czech Republic, 15ChemoCentryx, Inc., Mountain View, CA n o v e m b e r 2:30 pm 1860. Serum Calprotectin and Disease Relapse in ANCAAssociated Vasculitis Juliana B Draibe1, Ruth J. Pepper1, Peter A. Merkel2, Alan D. Salama1 and for The RAVE-ITN Investigators3, 1University College London, London, United Kingdom, 2Vasculitis Center, University of Pennsylvania, Philadelphia, PA, 3Immune Tolerance Network, San Francisco, CA Peter A. Merkel3 and Paul A. Monach4, 1National Institutes of Health, Bethesda, MD, 2Immune Tolerance Network, Bethesda, MD, 3Vasculitis Center, University of Pennsylvania, Philadelphia, PA, 4Vasculitis Center, Boston University School of Medicine, Boston, MA 91 scientific sessions France, 20CHU Estaing, Clermont–Ferrand, Clermont–Ferrand, France, 21CHU, Angers, Angers, France, 22Hôpital Haut-Lévêque, Bordeaux, CHU Bordeaux, France 3:45 pm 1865. Increased Risk of Myocardial Infarction and Cerebrovascular Accidents after Diagnosis of Granulomatosis with Polyangiitis: A General Population-Based Cohort Study Neda Amiri1, Natasha Dehghan1, Eric C. Sayre2, Kamran Shojania1 and J. Antonio Avina-Zubieta2, 1University of British Columbia, Vancouver, BC, 2Arthritis Research Centre of Canada, Richmond, BC ACR/ARHP COMBINED ABSTRACT SESSION 2:30 – 4:00 pm 102 A PM n o v e m b e r 1 7 , MONDAY 2 0 1 4 Moderators: Marisa S. Klein-Gitelman, MD, MPH and Bryce A. Binstadt, MD, PhD 2:30 pm 1866. Birth Outcomes in Women with a History of Juvenile Idiopathic Arthritis Debbie Ehrmann Feldman1, Evelyne Vinet2, Sasha Bernatsky3, Ciaran Duffy4, Elizabeth Hazel5, Marie-Pierre Sylvestre1, Garbis Meshefedjian6 and Anick Bérard1, 1Université de Montréal, Montréal, QC, 2McGill University Health Center, Montreal, QC, 3 McGill University, Montreal, QC, 4Children’s Hospital of Eastern Ontario, Ottawa, ON, 5McGill University Health Center, Montreal, QC, 6Public Health Department of Montreal, Montreal, QC 2:45 pm 1867. Mandibular Movement in Healthy Individuals from 4-17 Years of Age Peter Stoustrup1, Kasper Dahl Kristensen2, Annelise Küseler3, Thomas Klit Pedersen4 and Troels Herlin4, 1University of Aarhus, Aarhus C, Denmark, 2Specialist Oral Health Center for Western Norway, Rogaland Stavanger, Norway, 3Aarhus University, Aarhus, Denmark, 4Aarhus University Hospital, Aarhus, Denmark 3:00 pm 1868. Can DAS 28 at 3 Months after the 1st Biologic Therapy Predict Subsequent Sustainable Clinical Remission in Polyarticular Juvenile Idiopathic Arthritis Patients? Tomohiro Kubota1, Syuji Takei2, Tsuyoshi Yamatou3, Tomokazu Nagakura4, Hiroyuki Imanaka3, Yukiko Nonaka3, Tomoko Takezaki3, Harumi Akaike3 and Mio Matsuura5, 1Kagoshima University Hospital, Kagoshima City, Japan, 2Kagoshima University, Kagoshima, Japan, 3Kagoshima University Hospital, Kagoshima, Japan, 4House of Meguminoseibo, Usuki, Japan, 5Kagoshima University, Kagoshima-Shi, Japan 2014 Program Book 3:30 pm 1870. Children and Parent Satisfaction in the Pediatric Rheumatology Clinic: Patient Orientated Quality Service Measures Jenny Tekano1, Lori B. Tucker2 and Audrea Chen3, 1BC Children’s Hospital, Vancouver, BC, 2BC Children’s Hospital and University of British Columbia, Vancouver, BC, 3research student, Vancouver, BC PS ACR/ARHP Combined Abstract Session: Pediatric FIT PrM Pd PS Ed Rheumatology PM 92 3:15 pm 1869. Child Pain, Function and Psychological Outcomes in an Intensive Interdisciplinary Pediatric Pain Rehabilitation Program Cara Hoffart, Rawni Anderson, Amy Chapman, Brandi Dorton, Danielle Feltrop, Misty Wilson and Dustin Wallace, Children’s Mercy Hospital, Kansas City, MO 3:45 pm 1871. Puberty and Disease Activity in JIA Philomine A. van Pelt1, Aike.a. Kruize2, Anita C.S. HokkenKoelega3, Radboud JEM Dolhain4, Johannes WJ Bijlsma5 and Nico M. Wulffraat5, 1Erasmus MC, Rotterdam, Netherlands, 2 University Medical Center Utrecht, Utrecht, Netherlands, 3 Erasmus Medical Center- Sophia Children’s Hospital, Rotterdam, Netherlands, 4Erasmus MC University Medical Center Rotterdam, Rotterdam, Netherlands, 5University Medical Centre Utrecht, Utrecht, Netherlands ARHP SESSIONS 2:30 – 4:00 pm 257 A PM PS Alternative Medicine: Presenting the Evidence for PS PM Rheumatic Conditions Moderators: Deborah McCloskey, RN, BSN and Lisa Shelton, BSc, BSN, RN Upon completion of this session, participants should be able to: • evaluate the mounting evidence to support the use of acupuncture for a variety of chronic pain conditions in rheumatology • describe the regulatory differences between dietary supplements, medical foods and drug products • discuss safety and efficacy data on dietary supplements and medical foods utilized for rheumatic conditions 2:30 pm Efficacy of Acupuncture for Treatment of Chronic Pain Richard E. Harris, PhD 3:15 pm Dietary Supplements in Rheumatology James Torr, PharmD PM scientific sessions PS • e xpress the importance of positive affect experiences in promoting resilience • recognize how resilience can promote successful adaptation to the stresses of chronic illness 254 A Biomarkers in Rheumatic Care Moderators: Jennifer L. Trizuto, MPT and Chokkalingam Siva, MD Upon completion of this session, participants should be able to: • recognize what biomarkers are • explain how biomarkers can be useful tools with diagnostic and prognostic utility • identify the obstacles in the validation of candidate biomarkers 2:30 pm Biomarkers in Rheumatic Care Richard D. Brasington, MD 3:00 pm Identifying Modifiable Biopsychosocial Pathways of Resilience to Chronic Illness Alex Zautra, PhD 3:00 pm Biomarkers in the Assessment of Lupus Disease Activity Chaim Putterman, MD 3:30 pm Valued Life Activities and Psychological Well-Being Patricia P. Katz, PhD PS PM 3:30 pm Biomarkers in the Assessment of Vasculitis Peter A. Merkel, MD, MPH 256 2:30 pm Temperament and Affect Balance Style: Maximizing Strengths to Promote Resilience Kim Sibille, PhD PM ACR/ARHP WORKSHOPS 4:00 – 6:00 pm Stats Boot Camp: A Call to Aims for Researchers! An Interactive Session to Obtain Feedback on Your Specific Aims Section 161 3:40 pm Review of Attendees’ “In Progress” Specific Aims in Small Breakout Groups Led by Speakers Kelli D. Allen, PhD; Linda C. Li, PhD, PT PS PM 255 Thriving with Rheumatic Disease: Cultivating Resilience Moderator: Hazel L. Breland, PhD, OTR/L Upon completion of this session, participants should be able to: • explain the importance of preserving valued life activities to maintain psychological well-being Dermatopathology of Rheumatic Diseases (225) Speaker: Daniel Miller, MD Upon completion of this session, participants should be able to: • identify what information can be gained from a skin biopsy in patients with rheumatic diseases • describe the importance of dermatopathology in clinical decision making in patients with rheumatic diseases • apply the knowledge gained to clinical practice 2:30 pm How to Develop a Convincing Specific Aims Section Kelli D. Allen, PhD 3:05 pm Common Pitfalls of Specific Aims and How to Avoid Them Linda C. Li, PhD, PT 2 0 1 4 * Sessions denoted with an asterisk were sold out as of August 30. 1 7 , Upon completion of this session, participants should be able to: • recognize the importance of the Specific Aims section of a research proposal • describe the essential elements of a compelling Specific Aims section • develop Specific Aims that effectively “sell” a research idea and form a partnership with reviewers • enhance Specific Aims in current development based on direct feedback given by experienced investigators during breakout group review sessions MONDAY Moderator: Robert R. McLean, DSc, MPH n o v e m b e r Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. PS 152 *Joint Injections (Knee, Ankle, Shoulder and Wrist) (226) Speakers: Jemima Albayda, MD and Pari Basharat, MD Upon completion of this session, participants should be able to: • describe indications for lower extremity joint injection and aspiration • identify anatomic landmarks for injection of the knee and ankle using joint prosthetics • apply principles of joint aspiration and injection using ankle and knee joint prosthetics 2014 Program Book 93 PM Ed scientific sessions 154 MDHAQ/RAPID3 and RHEUMDOC: Quantitative, Standard, Scientific Summaries of Patient History and Physical Exam, Toward Better Clinical Decisions and Outcomes (227) Speaker: Theodore Pincus, MD Upon completion of this session, participants should be able to: • summarize the rationale for the use of MDHAQ/RAPID3 and RHEUMDOC to help establish an “agenda” or “road map” for the encounter • proficiency in scoring RAPID3 and interpretation using RHEUMDOC in using different levels of scores for clinical decisions • recognize how to use other components of MDHAQ beyond RAPID3, including RADAI self-report joint count (rheumatoid arthritis disease activity index), review of systems and recent medical history and RHEUMDOC help improve doctor-patient communication and save time for the doctor. 159 5:15 am Guest Speaker Ronald Laxer, MD ACR SESSIONS 4:30 – 6:00 pm 204 A Moderators: Marcy B. Bolster, MD and Kristine M. Lohr, MD, MS Upon completion of this session, participants should be able to: • discuss examples of different career paths available to rheumatologists • explain the pros and cons of the various career paths in rheumatology 4:30 pm Basic Research Ellen M. Gravallese, MD Speakers: Janak R. Goyal, MD and Gurjit S. Kaeley, MBBS, MRCP 2 0 1 4 5:04 pm Clinician Educator Kenneth S. O’Rourke, MD n o v e m b e r 1 7 , MONDAY 4:47 pm Clinical Research Jane E. Salmon, MD Upon completion of this session, participants should be able to: • explain basic concepts of ultrasound physics • assess how to perform a proper ultrasound examination • identify various tissues in an ultrasound image ACR SESSION 4:30 – 5:30 pm PM Pd PS PrM 5:21 pm Private Practice David G. Borenstein, MD PS Clinicopathologic Conference: A 17-Year-Old Young PM Ed Woman with Chronic Ankle and Back Pain Pd PS FIT Moderators: Simon M. Helfgott, MD and Derrick J. Todd, MD, PhD Upon completion of this session, participants should be able to: • assess chronic ankle and back pain in adolescent patients • determine the differences between inflammatory and noninflammatory joint pain • synthesize clinical, radiologic and pathologic data in formulating a diagnosis 4:30 pm Case Presentation Derrick J. Todd, MD, PhD 4:45 pm Radiologic Findings Barbara N. Weissman, MD 5:05 pm Histologic Findings Margaret Seton, MD 94 2014 Program Book PS Career Opportunities in Rheumatology: Making a Choice *Musculoskeletal Ultrasonography: Basic (228) Ballroom East PM PrM 5:38 pm FIT Industry Primal P. Kaur, MD 5:55 pm Questions and Answers PM PS Ballroom West Curbside Consults – Ask the Experts Moderators: Rula Hajj-Ali, MD, Rebecca L. Manno, MD, MHS and N. Lawrence Edwards, MD Upon completion of this session, participants should be able to: • compare the personal management approaches of selected clinical problems with those of the presenters • develop an approach to evaluating and managing patients with a new diagnosis of granulomatosis with polyangiitis • devise an approach to evaluating and managing patients with cryoglobulinemic vasculitis • describe therapeutic options for common but difficult complications of the antiphospholipid syndrome scientific sessions 4:30 pm A New Diagnosis of Granulomatosis with Polyangiitis: How Do I Treat This Patient? Carol A. Langford, MD 5:00 pm The Role of Wnt Signaling in Bone and Cartilage in Osteoarthritis Rik Lories, PhD, MD 5:00 pm Cryoglobulinemic Vasculitis...Help! Patrice Cacoub, MD 5:30 pm Transforming Growth Factor Beta (TGF-ß), Bone Marrow Mesenchymal Stem Cells and Osteoarthritis Xu Cao, Phd 5:30 pm Antiphospholipid Syndrome: How Do I Approach This Patient? Robert Roubey, MD PM PS Treating Pain Doesn’t Have to Be a Pain: Practical PS PrM Pd PS PM PM Ed Approaches to Pain Management FIT Moderators: Kerry Stone, MD and Rodney Tehrani, MD 160 B Fibrotic Complications of Scleroderma Moderators: Dinesh Khanna, MD and Virginia D. Steen, MD Upon completion of this session, participants should be able to: • review the management of early skin involvement in systemic scleroderma • discuss the management of lung fibrosis in systemic scleroderma • explain the management of heart involvement in systemic scleroderma 5:30 pm Amplified Musculoskeletal Pain Syndrome David D. Sherry, MD 2 0 1 4 PM 5:00 pm Low Back Pain Rajiv Dixit, MD 1 7 , 5:30 pm Primary Cardiac Involvement in Systemic Sclerosis – Management Strategies Yannick Allanore, MD, PhD 4:30 pm Fibromyalgia Don L. Goldenberg, MD MONDAY 5:00 pm Management of Interstitial Lung Disease – Whom to Treat Philip J. Clements, MD, MPH Upon completion of this session, participants should be able to: • develop a rational treatment approach to fibromyalgia • develop a rational approach to the diagnosis and treatment of low back pain • describe the etiologies and diagnosis of amplified musculoskeletal pain syndrome • develop a multidisciplinary approach for the treatment of amplified musculoskeletal pain syndrome n o v e m b e r 4:30 pm Skin Fibrosis in Systemic Sclerosis – Current Management Strategies Oliver Distler, MD 102 A PS PM 205 B ACR CONCURRENT ABSTRACT SESSIONS 4:30 – 6:00 pm PS The Role of Bone in the Pathogenesis of Osteoarthritis Moderator: Richard F. Loeser, MD Upon completion of this session, participants should be able to: • describe the relationship between bone marrow lesions and pain and disease progression in osteoarthritis • define the biological and mechanical factors that regulate bone remodeling in osteoarthritis • appraise how transforming growth factor beta in bone activates mesenchymal stem cells that contribute to osteoarthritis pathogenesis 4:30 pm The Relationship of Bone Marrow Lesions to Pain and Progression in Osteoarthritis David T. Felson, MD, MPH 253 B PM PS Epidemiology and Public Health III: Gout and PS PM Systemic Lupus Erythematosus Moderators: Evelyne Vinet, MD and Dorothy D. Dunlop, PhD 4:30 pm 1872. Gout in Older Adult Mara McAdams-DeMarco1, Anna Kottgen2, Bridget Burke3, Andrew Law4, Josef Coresh1 and Alan N. Baer5, 1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 2University Hospital Freiburg, Freiburg, Germany, 3Johns Hopkins University, Baltimore, MD, 4Johns Hopkins, Baltimore, MD, 5Johns Hopkins University School of Medicine, Baltimore, MD 4:45 pm 1873. Food Sources of Protein and Risk of Incident Gout in the Singapore Chinese Health Study Gim Gee Teng1, An Pan2, Jian-Min Yuan3 and Woon-Puay Koh4, 1Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore, 2Saw Swee Hock School 2014 Program Book 95 scientific sessions of Public Health, National University of Singapore, Singapore, Singapore, 3Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute and Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, 4Duke-NUS Graduate Medical School Singapore, Singapore, Singapore 5:00 pm 1874. Obesity Paradox in Recurrent Gout – a Metrological Clarification and Remedy Uyen Sa D.T. Nguyen1, Qiong Louie-Gao1, Yuqing Zhang1, David T. Felson1, Michael P. Lavalley2 and Hyon Choi3, 1Boston University School of Medicine, Boston, MA, 2Boston University, Boston, MA, 3 Harvard Medical School, Boston, MA n o v e m b e r 1 7 , MONDAY 2 0 1 4 5:15 pm 1875. Can Allopurinol Survival Impact Reverse Depending on Patients’ Characteristics? a Propensity-Score-Based Subgroup Analysis Na Lu1, Hyon Choi2, Maureen Dubreuil3, Qiong Louie-Gao1 and Yuqing Zhang1, 1Boston University School of Medicine, Boston, MA, 2Harvard Medical School, Boston, MA, 3Boston University Medical Center, Boston, MA 5:30 pm 1876. Influence of Alcohol Consumption on the Risk of SLE Among Women in the Nurses’ Health Studies Medha Barbhaiya, Bing Lu, Shun-Chiao Chang, Jeffrey A. Sparks, Elizabeth W. Karlson and Karen H. Costenbader, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 5:45 pm 1877. Pregnancy Outcomes in SLE: Before and after Elizabeth V. Arkema1, Kristin Palmsten2, Christopher Sjöwall3, Elisabet Svenungsson4, Jane E. Salmon5 and Julia F Simard6, 1 Karolinska Institutet, Stockholm, Sweden, 2University of California, San Diego, La Jolla, CA, 3Linköping University, Linköping, Sweden, 4Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 5Hospital for Special Surgery, New York, NY, 6 Stanford School of Medicine, Stanford, CA 104 B PM PS Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes II: Clinical PS PM Perspectives Moderators: Muhammad Yunus, MD and Lisa Suter, MD 4:30 pm 1878. A Combination of Celecoxib and Famciclovir Is Efficacious in the Treatment of Fibromyalgia: Results of a Phase IIa Randomized, Double-Blind, Placebo-Controlled Study William Pridgen1, Carol Duffy2, Judith Gendreau3 and R Michael Gendreau3, 1Innovative Med Concepts, Tuscaloosa, AL, 2 University of Alabama, Tuscaloosa, AL, 3Gendreau Consulting, LLC, Poway, CA 96 2014 Program Book 4:45 pm 1879. The Efficacy of Pregabalin for Treating Fibromyalgia Patients with Moderate or Severe Baseline Widespread Pain Andrew Clair and Birol Emir, Pfizer Inc, New York, NY 5:00 pm 1880. Moderate Alcohol Consumption Is Associated with Lower Risk (and severity) of Chronic Widespread Pain: Results from a Population-Based Study Gary J. Macfarlane and Marcus Beasley, University of Aberdeen, Aberdeen, United Kingdom 5:15 pm 1881. Patients Who Fail Biologics Are More Likely to Have Concomitant Fibromyalgia Robert S. Katz1 and Jessica L. Polyak2, 1Rush Medical College, Chicago, IL, 2Rheumatology Associates, Chicago, IL 5:30 pm 1882. Examination of Patients Newly Diagnosed with Fibromyalgia: Use of Guideline-Recommended Therapies and Opioids in Clinical Practice Sonali N. Shah1, Rachel Halpern2, Joseph C. Cappelleri3, Elizabeth T. Masters4, Andrew G. Clair1, Cori Blauer-Peterson2 and Damon Van Voorhis5, 1Pfizer, Inc., New York, NY, 2Optum, Eden Prairie, MN, 3Pfizer, Inc., Groton, CT, 4Pfizer Inc, New York, NY, 5Optum Life Sciences, Eden Prairie, MN 5:45 PM 1883. WITHDRAWN 156 B PM PS Genetics, Genomics and Proteomics I: Epigenetic Mechanisms in Autoimmunity Moderators: Patrick Gaffney, MD and Amr Sawalha, MD 4:30 pm 1884. Differential DNA Methylation Associated with Rheumatoid Arthritis in Disease Discordant Monozygotic Twins Amy Webster1, Flore Zufferey2, Darren Plant3, Anne Barton4, Frances Williams2 and Jane Worthington5, 1Arthritis Research UK Centre for Genetics and Genomics, The University of Manchester, Manchester, United Kingdom, 2Dept Twin Research and Genetic Epidemiology, Kings College London, London, United Kingdom, 3 NIHR Manchester Musculoskeletal Biomedical Research Unit, Manchester Academy of Health Sciences, Manchester, United Kingdom, 4Arthritis Research UK Centre for Genetics and Genomics, University of Manchester, Manchester, United Kingdom, 5The University of Manchester, Manchester, United Kingdom 4:45 pm 1885. Integrative Omics Profiling Reveals Dysregulated Novel Pathways Mediated By microRNAs and DNA Methylation in Osteoarthritis Kathleen M. Fisch1, Ryuichiro Akagi2, Oscar Alvarez-Garcia1, Takeshi Teramura1, Yuta Muramatsu1, Masahiko Saito3, Stuart scientific sessions Duffy1, Shawn Grogan1, Takahisa Sasho4, Darryl D’Lima1, Andrew I. Su1 and Martin K. Lotz1, 1The Scripps Research Institute, La Jolla, CA, 2The Scripps Research Institute, San Diego, CA, 3Toho University Sakura Medical Center, Sakura, Japan, 4Chiba University School of Medicine, Chiba, Japan Indianapolis, IN, 5Daiich Sankyo Co. Ltd, Tokyo, Japan, 6Daiichi Sankyo Co. Ltd, Tokyo, Japan, 7University of California, San Francisco, CCBR-Synarc, Newark, Tiburon, CA, 8Leiden University Medical Center, Leiden, Netherlands, 9Keio University School of Medicine, Tokyo, Japan 5:00 pm 1886. A Novel Monocyte-Specific Transcript Underlies the Chromosome 21q22 Intergenic Genetic Association in Ankylosing Spondylitis Katelin Haynes, Tony Kenna, Evgeny Glazov, Matthew A. Brown and Gethin Thomas, University of Queensland Diamantina Institute, Brisbane, Australia 4:45 pm 1891. Early MRI Endpoints Provide a Valid Measure of Structural Damage While Reducing Study Duration and Participant Numbers in Rheumatoid Arthritis Clinical Trials Joshua Baker1, Philip G. Conaghan2, Paul Emery3, Daniel Baker4 and Mikkel Østergaard5, 1Philadelphia VA Medical Center, Philadelphia, PA, 2University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom, 3NIHR-Leeds Musculoskeletal Biomedical Research Unit and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 4Janseen R&D, Spring House, PA, 5Copenhagen Center for Arthritis Research, Copenhagen University Hospital at Glostrup, Glostrup, Denmark 5:15 pm 1887. Genome-Wide DNA Methylation Analysis of Twin Pairs Discordant for Systemic Sclerosis Reveals Distinct Signatures in Blood and Dermal Fibroblasts Paula S. Ramos1, Rick Jordan2, James Lyons-Weiler2, Thomas A. Medsger Jr.2 and Carol A. Feghali-Bostwick1, 1Medical University of South Carolina, Charleston, SC, 2University of Pittsburgh, Pittsburgh, PA Imaging of Rheumatic Diseases: X-Ray, MRI and CT Moderators: Charles Peterfy, MD, PhD and Orrin M. Troum, MD 4:30 pm 1890. Consistent Inhibition of Bone Destruction By Denosumab in Important Subgroups of Japanese Patients with Rheumatoid Arthritis Naoki Ishiguro1, Yoshiya Tanaka2, Hisashi Yamanaka3, Toshiyuki Yoneda4, Takeshi Ohira5, Naoki Okubo6, Harry K. Genant7, Desiree van der Heijde8 and Tsutomu Takeuchi9, 1Nagoya University Graduate School of Medicine, Nagoya, Japan, 2University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 3Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan, 4Indiana University School of Medicine, 2 0 1 4 PS 1 7 , PM 52 A MONDAY 5:45 pm 1889. Rheumatoid Arthritis (RA)-Associated Risk Allele LBH Alters the Function of a Differentially Methylated LBH Enhancer Deepa Hammaker1, Gary S. Firestein2, Wei Wang3, John W. Whitaker4 and Anna-Karin Ekwall5, 1University of California San Diego, La Jolla, CA, 2University of California at San Diego School of Medicine, La Jolla, CA, 3UCSD, La Jolla, CA, 4UCSD, San Diego, CA, 5UC San Diego, La Jolla, CA n o v e m b e r 5:30 pm 1888. PU.1, Mitf and Their Novel Co-Partner, Eomes, Set up a Transcription Factor Network That Is Critical for Osteoclast Differentiation Heather Carey1, Sankha Ghosh1, Eason Hildreth III1, Jennifer Cabrera1, Dias Kurmashev1, Wael N. Jarjour2, Ramiro Toribio1, Sudarshana Sharma1 and Michael Ostrowski1, 1The Ohio State University, Columbus, OH, 2The Ohio State University Wexner Medical Center, Columbus, OH 5:00 pm 1892. In Vivo Visualization of Cortical Microchannels in Metacarpal Bones in Patients with Cutaneous Psoriasis By High Resolution Peripheral Computed tomography - Detecting Cortical Pathologies before the Clinical Onset of Psoriatic Arthritis David Simon, Francesca Faustini, Arnd Kleyer, Judith Haschka, David Werner, Axel J. Hueber, Michael Sticherling, Georg Schett and Juergen Rech, University of Erlangen-Nuremberg, Erlangen, Germany 5:15 pm 1893. Substantial Structural Lesions on MRI in the Sacroiliac Joints of Patients with Non-Radiographic Axial Spondyloarthritis Even in the Absence of MRI Inflammation WP Maksymowych1, S Wichuk1, H Jones2, A Szumski2, L Marshall2, J Bukowski2 and RG Lambert1, 1University of Alberta, Edmonton, AB, 2Pfizer Inc., Collegeville, PA 5:30 pm 1894. Is It Worth to Include MRI of the Spine in the ASAS Classification Criteria for Axial Spondyloarthritis Manouk de Hooge1, Jean-Baptiste Pialat2, Antoine Feydy3, Monique Reijnierse1, Pascal Claudepierre4, Alain Saraux5, Maxime Dougados3 and Désirée van der Heijde1, 1Leiden University Medical Center, Leiden, Netherlands, 2Hôpital Edouard Herriot, Lyon, France, 3Descartes University, Cochin Hospital, Paris, France, 4Henri Mondor Teaching Hospital, Creteil, France, 5CHU de la Cavale Blanche, Brest Cedex, France 5:45 pm 1895. Sacroiliitis at Diagnosis in Children with Juvenile Spondyloarthritis Pamela Weiss1, Rui Xiao2 and Nancy Chauvin1, 1Children’s Hospital of Philadelphia, Philadelphia, PA, 2University of Pennsylvania, Philadelphia, PA 2014 Program Book 97 scientific sessions 157 B PM PS Pediatric Rheumatology – Pathogenesis and Genetics PM Ed Pd PS PrM FIT University of Pennsylvania, Philadelphia, PA, 2Alfred I. duPont Hospital for Children, Wilmington, DE, 3The Children’s Hospital of Philadelphia, Philadelphia, PA Moderators: Karyl Barron, MD, PhD and Nora G. Singer, MD n o v e m b e r 1 7 , MONDAY 2 0 1 4 4:30 pm 1896. Validation of a Novel IFN-Regulated Gene Score As Biomarker in Chronic Atypical Neutrophilic Dermatosis with Lipodystrophy and Elevated Temperature (CANDLE) Patients on Baricitinib, a Janus Kinase 1 /2 Inhibitor, a Proof of Concept Hanna Kim1, Steve Brooks2, Yin Liu1, Adriana Almeida de Jesus1, Gina A. Montealegre Sanchez1, Dawn C. Chapelle1, Nicole Plass1, Yan Huang1 and Raphaela Goldbach-Mansky1, 1National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, MD, 2NIAMS/NIH, Bethesda, MD 4:45 pm 1897. Circulating T-Helper Cell- Associated Cytokines and Chemokines in Localized Scleroderma Kathryn S. Torok1, Katherine Kurzinski2, Christina Kelsey3, Kelsey Magee4, Jonathan Yabes4, Abbe N. Vallejo4, Thomas A. Medsger Jr.4 and Carol A. Feghali-Bostwick5, 1Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 2Univ of Pittsburgh Med Ctr, Pittsburgh, PA, 3University of Pittsburgh/UPMC, Pittsburgh, PA, 4 University of Pittsburgh, Pittsburgh, PA, 5Medical University of South Carolina, Charleston, SC 5:00 pm 1898. Identification of “autoinflammatory interferonopathies”? a New Class of Autoinflammatory Conditions? Adriana Almeida de Jesus1, Zuoming Deng1, Stephen Brooks2, Yin Liu1, Hanna Kim1, Gina A. Montealegre Sanchez1, Dawn C. Chapelle1, Yan Huang1, Philip Hashkes3, Gulnara Nasrullayeva4, Maria Teresa Terreri5, Bita Arabshahi6, Marilynn G. Punaro7, Lakshmi N. Moorthy8, Adam Reinhardt9, Clovis A. Silva10, Emilia I. Sato11, Vibke Lilleby12, Thomas Fleisher13 and Raphaela GoldbachMansky1, 1National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, MD, 2NIAMS/NIH, Bethesda, MD, 3 Shaare Zedek Medical Center, Jerusalem, Israel, 4Azerbaijan Medical University, Baku, Azerbaijan, 5University of Federal De Sao Paulo, Sao Paulo, Brazil, 6Inova Fairfax Hospital for Children, Fairfax, VA, 7University of Texas Southwestern Medical Center, Dallas, TX, 8Robert Wood Johnson Medical School-Rutgers University, New Brunswick, NJ, 9Children’s Specialty Physicians, Omaha, NE, 10Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 11Escola Paulista de Medicina – Universidade Federal de São Paulo, Sao Paulo, Brazil, 12Department of Rheumatology, Oslo University Hospital, Rikshospitalet, Oslo, Norway, 13National Institutes of Health, Bethesda, MD 5:15 pm 1899. Blockade of Interleukin-33 Signaling Prevents Death in a Mouse Model of Familial Hemophagocytic Lymphohistiocytosis Julia Rood1, Portia Kreiger2, Erietta Stelekati1, E. John Wherry1 and Edward M. Behrens3, 1Perelman School of Medicine at the 98 2014 Program Book 5:30 pm 1900. HLA-DRB1*1101, Regulatory Variants of the MHC and a Regulatory Region Near an Intergenic Long Noncoding RNA on Chromosome 1 Are Risk Factors for Systemic Juvenile Idiopathic Arthritis Michael J. Ombrello1, Elaine F. Remmers2, Ioanna Tachmazidou3, Alexei Grom4, Dirk Föll5, Alberto Martini6, Marco Gattorno7, Seza Ozen8, Sampath Prahalad9, Andrew S. Zeft10, John F. Bohnsack11, Norman T. Ilowite12, Jane L. Park13, Elizabeth D. Mellins13, Ricardo A. G. Russo14, Claudio A. Len15, Sheila K. Feitosa de Oliveira16, Rae SM Yeung17, Lucy R. Wedderburn18, Jordi Anton19, Tobias Schwarz20, Buhm Han21, Richard H. Duerr22, Jean-Paul Achkar10, M. Ilyas Kamboh22, Kenneth M. Kaufman23, Leah C. Kottyan4, Dalila Pinto24, Stephen Scherer17, Marta E. Alarcón-Riquelme25, Elisa Docampo Martinez26, Xavier Estivill27, Ahmet Gul28, Colleen Satorius29, Paul I.W. de Bakker30, Soumya Raychaudhuri21, Carl D. Langefeld31, Susan D. Thompson4, Eleftheria Zeggini3, Wendy Thomson32, Daniel L. Kastner29, Patricia Woo33 and International Childhood Arthritis Genetics (INCHARGE) Consortium, 1National Institute of Arthritis Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 2 National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 3The Wellcome Trust Sanger Institute, Cambridge, United Kingdom, 4Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 5University Children’s Hospital Muenster, Muenster, Germany, 6University of Genova, Genova, Italy, 7Instituto Giannina Gaslini, Genoa, Italy, 8Deptartment. of Pediatric Rheumatology, Hacettepe University, Ankara, Turkey, 9 Emory University School of Medicine, Atlanta, GA, 10Cleveland Clinic, Cleveland, OH, 11University of Utah, Salt Lake City, UT, 12 Albert Einstein College of Medicine, Bronx, NY, 13Stanford University Medical Center, Stanford, CA, 14Hospital de Pediatria Garrahan, Buenos Aires, Argentina, 15Universidade Federal de São Paulo/Escola Paulista de Medicina, São Paulo, Brazil, 16 Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil, 17 The Hospital for Sick Children, Toronto, ON, 18University College London (UCL) Institute of Child Health, London, United Kingdom, 19Pediatric Rheumatology Unit. Hospital Sant Joan de Déu. Universitat de Barcelona, Barcelona, Spain, 20University of Wuerzburg, Wuerzburg, Germany, 21Broad Institute of MIT and Harvard, Cambridge, MA, 22University of Pittsburgh, Pittsburgh, PA, 23Cincinnati Children’s Hospital Medical Center and the University of Cincinnati, Cincinnati, OH, 24Icahn School of Medicine at Mount Sinai, New York, NY, 25Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 26GIGA-Université de Liège, LIege, Belgium, 27 Center for Genomic Regulation, Barcelona, Spain, 28Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey, 29 National Human Genome Research Institute, Bethesda, MD, 30 University Medical Center Utrecht, Utrecht, Netherlands, 31 Center for Public Health Genomics and Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, 32Institute of Inflammation and Repair, The University of Manchester, Manchester, United Kingdom, 33 University College London, London, United Kingdom scientific sessions 5:45 pm 1901. Interferon-γ (IFNγ) in Macrophage Activation Syndrome (MAS) Associated with Systemic Juvenile Idiopathic Arthritis (sJIA). High Levels in Patients and a Role in a Murine MAS Model Claudia Bracaglia1, Ivan Caiello1, Kathy De Graaf2, Giovanni D’Ario2, Florence Guilhot2, Walter Ferlin2, Lidia Meli1, Giusi Prencipe1, Sergio Davì3, Grant Schulert4, Angelo Ravelli5, Alexei Grom4, Cristina De Min2 and Fabrizio De Benedetti Sr.1, 1Division of Rheumatology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy, 2Novimmmune S.A., Plan-Les-Ouates, Geneva, Switzerland, 3Istituto Giannina Gaslini, Genova, Italy, 4Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 5Istituto Giannina Gaslini and University of Genova, Genova, Italy 258 B PM PS Rheumatoid Arthritis – Clinical Aspects IV: Promising Biomarkers Moderators: S. Louis Bridges Jr., MD, PhD and Kristen Demoruelle, MD 1 7 , 2 0 1 4 5:45 pm 1907. Clinical Evaluation of Anti-Aminoacyl tRNA Synthase Antibodies in Rheumatoid Arthritis Patients Masakazu Matsushita, Ken Yamaji, Naoto Tamura and Yoshinari Takasaki, Juntendo University School of Medicine, Tokyo, Japan MONDAY 4:45 pm 1903. Change in 14-3-3η Expression in Early RA Patients Treated with DMARDs Corresponds with Change in DAS28 and Good EULAR Responses Dirkjan van Schaardenburg1, Mairead Murphy2, Yuan Gui2, Samina Turk1, Walter P. Maksymowych3 and Anthony Marotta2, 1 Reade, Amsterdam, Netherlands, 2Augurex Life Sciences Corp., North Vancouver, BC, 3University of Alberta, Edmonton, AB 5:30 pm 1906. IL-6 Blockade Reduces Circulating N-Terminal Pro-Brain Natriuretic Peptide Levels in Patients with Active Rheumatoid Arthritis Atsuma Nishiwaki1, Hitomi Kobayashi1, Yasuyuki Kobayashi2, Isamu Yokoe1, Noboru Kitamura1, Hidetake Shiraiwa1, Takamasa Nozaki1, Hirotake Inomata1, Natsumi Ikumi1, Kaita Sugiyama1, Yousuke Nagasawa1 and Masami Takei3, 1Nihon University School of Medicine, Tokyo, Japan, 2St.Marianna University School of Medicine, Kawasaki, Japan, 3Nihon University School of Medicine, Itabashi Tokyo, Japan n o v e m b e r 4:30 pm 1902. Utility of Glyca, a Novel Inflammatory Marker, for Assessment of Rheumatoid Arthritis Disease Activity Michelle Ormseth1, Cecilia P. Chung1, Joseph F. Solus1, Annette M. Oeser1, Margery A. Connelly2, Jim Otvos2 and C Michael Stein1, 1Vanderbilt University, Nashville, TN, 2LipoScience, Inc., Raleigh, NC 5:15 pm 1905. Within-Day Variation and Influence of Physical Exercise on Circulating Galectin-3 in Patients with Rheumatoid Arthritis and Healthy Individuals Saida Farah Issa1, Anne Friesgaard Christensen2, Tine Lottenburger2, Kirsten Junker3, Hanne M. Lindegaard1, Kim Hoerslev-Petersen4 and Peter Junker1, 1Department of Rheumatology, Odense University Hospital, Odense, Denmark, 2 Department of Rheumatology, Vejle Hospital, Vejle, Denmark, 3 Institute of Molecular Medicine, Cardiovascular & Renal Research, University of Southern Denmark, Odense, Denmark, 4 Research Unit at King Christian X Hospital for Rheumatic Diseases, Graasten, Graasten, Denmark Exhibit Hall C Rheumatoid Arthritis – Small Molecules, Biologics PS PM and Gene Therapy IV: Safety of Biologics and Small Molecules in Rheumatoid Arthritis – Cardiovascular and Other Systems Moderators: Gerd Burmester, MD and Alan K. Matsumoto, MD 5:00 pm 1904. Rheumatoid Factor Isotype Testing to Identify Individuals in the Preclinical Period of Rheumatoid Arthritis M. Kristen Demoruelle1, Anthony Kahr1, Mark C. Parish1, Marie L. Feser1, Ryan W. Gan2, Jason R. Kolfenbach1, William R. Gilliland3, Jess D. Edison3, Michael H. Weisman4, James R. O’Dell5, Ted R. Mikuls6, Richard M. Keating7, Peter K. Gregersen8, Jane H. Buckner9, Jill M. Norris2, V. Michael Holers1 and Kevin D. Deane1, 1University of Colorado School of Medicine, Aurora, CO, 2 Colorado School of Public Health, Aurora, CO, 3Walter Reed National Military Medical Center, Bethesda, MD, 4Cedars-Sinai Medical Center, Los Angeles, CA, 5Veteran Affairs Nebraska Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE, 6Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 7Scripps Clinic, La Jolla, CA, 8Feinstein Institute for Medical Research, Manhasset, NY, 9Benaroya Research Institute at Virginia Mason, Seattle, WA 4:30 pm 1908. Pregnancy Outcomes in the Tofacitinib RA Safety Database through April 2014 A. Marren1, Y. Chen1, D. Frazier2 and J. Geier3, 1Pfizer Inc, Collegeville, PA, 2Pfizer Inc, Groton, CT, 3Pfizer Inc, New York, NY 4:45 pm 1909. Incidence of Congestive Heart Failure in Subjects with Rheumatoid Arthritis Receiving Anti-Tumour Necrosis Factor Drugs: Results from the British Society for Rheumatology Biologics Register for Rheumatoid Arthritis Alper van Sijl1, Mamas Mamas2, Mark Lunt3, . BSRBR Control Centre Consortium4, Kath Watson5, Deborah P. Symmons4 and Kimme L. Hyrich6, 1Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, United Kingdom, 2Manchester Heart Centre, Manchester Royal Infirmary, Oxford Road, Manchester, UK; 2014 Program Book 99 scientific sessions Institute of Cardiovascular Sciences, University of Manchester, Manchester, United Kingdom, 3University of Manchester, Manchester, United Kingdom, 4Arthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, United Kingdom, 5Arthritis Research UK Epidemiology Unit, The University of Manchester, Manchester, United Kingdom, 6 Centre for Musculoskeletal Research, University of Manchester, Manchester, United Kingdom 4:45 pm 1915. IL-17 Gene Transfer induces Myeloid Precursor Cells That Initiate Epidermal Hyperplasia Independently of IL-23R+/CD4+ and γδ T Cells Erika Suzuki, Ritu Sarin, Emanual Maverakis and Iannis E. Adamopoulos, University of California at Davis, Sacramento, CA 5:00 pm 1916. Stromal Overexpression of Transmembrane TNF Induces Spa-like Arthritis and Spondylitis in Mice Leonie M. van Duivenvoorde1, Melissa N. van Tok1 and Dominique L. Baeten2, 1Department of Clinical Immunology and Rheumatology and Department of Experimental Immunology, Academic Medical Centre/University of Amsterdam, Amsterdam, Netherlands, 2Academic Medical Center / University of Amsterdam, Amsterdam, Netherlands 5:00 pm 1910. Risk of Hypersensitivity Among Medicare Patients with Rheumatoid Arthritis Who Were Taking Biologics Huifeng Yun1, Fenglong Xie2, Lang Chen2, James Lewis3 and Jeffrey R. Curtis2, 1University of Alabama at Birmingham School of Public Health, Birmingham, AL, 2University of Alabama at Birmingham, Birmingham, AL, 3University of Pennsylvania, Philadelphia, PA 5:15 pm 1917. IL-23 Expression and Activation of Autophagy in Synovium and PBMCs of HLA-B27 Positive Patients with Ankylosing Spondylitis Barbara Neerinckx, Shea Carter and Rik Lories, KU Leuven, Leuven, Belgium n o v e m b e r 1 7 , MONDAY 2 0 1 4 5:15 pm 1911. Disease Modifying Anti-Rheumatic Drug Use and the Risk of Incident Hyperlipidemia in Patients with Early Rheumatoid Arthritis: A Retrospective Cohort Study Rishi Desai, Wesley Eddings, Katherine Liao, DH Solomon and Seoyoung C. Kim, Brigham and Women’s Hospital, Boston, MA 5:45 pm 1913. Rosuvastatin Induced Carotid Plaque Regression in Patients with Inflammatory Joint Diseases Silvia Rollefstad1, Eirik Ikdahl1, Jonny Hisdal2, Inge C. Olsen1, Ingar Holme3, Hilde Berner Hammer1, Knut T. Smerud4, G Kitas5, Terje R. Pedersen6, Tore K. Kvien7 and Anne Grete Semb1, 1 Diakonhjemmet Hospital, Oslo, Norway, 2Uslo University Hospital-Aker, Oslo, Norway, 3Oslo University Hospital, Oslo, Norway, 4Smerud Medical Research International AS, Oslo, Norway, 5The Dudley Group of Hospitals NHS Foundation Trust, Dudley, United Kingdom, 6University of Oslo, Oslo, Norway, 7 PsAID taskforce, EULAR, Zurich, Switzerland 153 B PM Spondyloarthropathies and Psoriatic Arthritis – Pathogenesis, Etiology: From Genes to Cytokines Moderators: Christopher T. Ritchlin, MD, MPH and Robert D. Inman, MD 4:30 pm 1914. IL-17A Deficiency Promotes Periosteal Bone Formation in a Model of Inflammatory Arthritis Anita T. Shaw1, Yukiko Maeda1, Catherine Manning1 and Ellen M. Gravallese2, 1University of Massachusetts Medical School, Worcester, MA, 2UMass Memorial Medical Center, Worcester, MA 100 5:30 pm 1918. IL23 Overexpression Demonstrates Gut-Joint Inflammation Link and Increased Expression of Spondyloarthopathy Associated Genes In Vivo Donald Souza II, Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT 5:30 pm 1912. Tocilizumab Therapy for Rheumatoid Arthritis Patients with Chronic Renal Insufficiency Shunsuke Mori, NHO Kumamoto Saishunsou National Hospital, Kumamoto, Japan 2014 Program Book 5:45 pm 1919. HLA-B27 Expression Shapes the Intestinal Microbiota Mark Asquith1, Phoebe Lin1, Tejpal Gill2, Justine Debelius3, Patrick Stauffer1, Sean Davin1, Gail Ackermann3, Robert A. Colbert2, Rob Knight3 and James Rosenbaum4, 1Oregon Health and Science University, Portland, OR, 2NIAMS/NIH, Bethesda, MD, 3University of Colorado Boulder, Boulder, CO, 4Legacy Hospital, Portland, OR 210 B PM PS Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Biomarkers in Systemic Lupus Erythematosus PS Moderators: Diane L. Kamen, MD, MS and Anca D. Askanase, MD 4:30 pm 1920. Predicting SLE Disease Activity in the Next Year Based on Measures of Four Gene Transcripts and Two Proteins Laurence S Magder1, Eric Zollars2, Jadwiga Bienkowska3, Chris Stebbins4, Carrie Wager4, Linda Burkly4, Nicolas Wisniacki5, Ann Ranger4 and Michelle Petri2, 1University of Maryland School of Medicine, Baltimore, MD, 2Johns Hopkins University School of Medicine, Baltimore, MD, 3Biogen Idec Inc., Cambridge, MA, 4 Biogen Idec, Cambridge, MA, 5Formerly with Biogen Idec, Cambridge, MA scientific sessions 4:45 pm 1921. The Deposition of Complement C4d Split Product on Platelets and Erythrocytes Correlate with Disease Activity and Improvement in Systemic Lupus Erythematosus Joan T. Merrill1, Aikaterini Thanou1, Stan Kamp1, John Conklin2, Derren Barken2 and Thierry Dervieux2, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Exagen Diagnostics, Inc., Vista, CA 5:00 pm 1922. Hydroxychloroquine Use Is Associated with Decreased Soluble TNF Receptor Levels in SLE Patient Samples Rufei Lu1, Adam Przebinda1, Melissa E. Munroe2, Joel M. Guthridge2, Joan T. Merrill2 and Judith A. James2, 1University of Oklahoma Health Sciences Center, Oklahoma City, OK, 2 Oklahoma Medical Research Foundation, Oklahoma City, OK 1 7 , MONDAY 2 0 1 4 5:30 pm 1924. Cell Bound Complement Activation Products Have Higher Sensitivity Than Serum C3 and C4 Levels in Systemic Lupus Erythematosus Rosalind Ramsey-Goldman1, Richard Furie2, Chaim Putterman3, Anka Askanase4, Jill P. Buyon5, Kenneth Kalunian6, W. Winn Chatham7, E Massarotti8, Kyriakos A. Kirou9, A. Weinstein10, Puja Chitkara11, Susan Manzi12, Joe Ahearn13, Leilani Wolover14, John Conklin14, Tyler O’Malley14, Claudia Ibarra14, Derren Barken14 and Thierry Dervieux14, 1Northwestern University, Chicago, IL, 2 North Shore-LIJ Health System, Great Neck, NY, 3Albert Einstein College of Medicine, Bronx, NY, 4Colombia University, New York, NY, 5New York University School of Medicine, New York, NY, 6 UCSD School of Medicine, La Jolla, CA, 7University of Alabama at Birmingham, Birmingham, AL, 8Brigham and Women’s Hospital, Boston, MA, 9Hospital for Special Surgery, New York, NY, 10Washington Hospital Center, Washington, DC, 11Sharp Memorial Hospital, San Diego, CA, 12Division of Rheumatology, University of Pittsburgh School of Medicine, Pittsburgh, PA, 13 West Penn Allegheny Health System, Pittsburgh, PA, 14Exagen Diagnostics, Inc., Vista, CA n o v e m b e r 5:15 pm 1923. Vitamin D Restores Lupus Myeloid Angiogenic Cell Function Via Down-Regulation of IP-10/CXCL-10 John A. Reynolds1, David W. Ray2, Yvonne Alexander3 and Ian N. Bruce4, 1Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Institute of Inflammation and repair, Manchester Academic Health Science Centre, The University of Manchester, United Kingdom, Manchester, United Kingdom, 2Institute of Human Development, The University of Manchester, Manchester, United Kingdom, 3Manchester Metropolitan University, Manchester, United Kingdom, 4 Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Institute of Inflammation and repair, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom 5:45 pm 1925. Determinants of Blood Hydroxychloroquine Concentration Variations in Systemic Lupus Erythematosus Patients Moez Jallouli1, Lionel Galicier2, Olivier Aumaître3, Camille Francès4, Véronique Le-Guern5, F. Lioté6, Amar Smail7, Nicolas Limal8, L. Perard9, H. Desmurs-Clavel10, Du Boutin11, B. Asli12, Jean Emmanuel Kahn13, Jacques Pourrat14, Laurent Sailler15, F. Ackermann13, T. Papo16, Karim Sacre17, O. Fain18, J. Stirnemann18, Patrice Cacoub1, Gaëlle Leroux1, Judith Cohen-Bittan1, Js Hulot19, Zahir Amoura20, Jean-Charles Piette1 and Nathalie CostedoatChalumeau5, 1CHU Pitié-Salpêtrière, Paris, France, 2Hopital St Louis, AP-HP, Paris, France, 3Division of internal Medicine, Centre Hospitalier Universitaire, Hôpital Gabriel Montpied, Clermont–Ferrand, Clermont–Ferrand, France, 4Hôpital Tenon, Paris Cedex 20, France, 5Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 6 Hôpital Lariboisière, Université Paris-Diderot, Sorbonne ParisCité, Paris, France, 7CHU Amiens Nord, Amiens, France, 8Hôpital Henri Mondor, APHP, Creteil, France, 9Hospices Civils de Lyon, groupement Hospitalier Edouard Herriot, Lyon, France, 10Hospice civils de Lyon, Lyon, France, 11Assistance Publique-Hôpitaux de Paris, Hopital Pitié-Salpétrière, Paris, France, 12Hopital Saint Louis, Université Paris Diderot, Sorbonne Paris Cité, Paris, France, 13 Hopital Foch, Suresnes, France, 14CHU Toulouse, Hopital Rangueil, University of Paul Sabatier, Toulouse, France, 15CHU Toulouse, Hopital Purpan, University of Paul Sabatier, Toulouse, France, 16Hopital Bichat Claude Bernard, University of Paris Diderot, Sorbonne Paris cité, Paris, France, 17University Paris-7, INSERM U699, APHP, Bichat Hospital, Paris, France, 18Hopital Jean Verdier, University Paris Nord, Sorbonne Paris Cité, Paris, France, 19CHU Pitié-Salpêtrière, UPMC, University Paris 6, Paris, France, 20Pitié-Salpêtrière Hospital (AP-HP), Paris, France 107 B Systemic Sclerosis, Fibrosing Syndromes and PS PM Raynaud’s – Clinical Aspects and Therapeutics II: Approaches to Cardiac and Vascular Manifestations in Systemic Sclerosis Moderator: Robyn T. Domsic, MD, MPH and Laura K. Hummers, MD 4:30 pm 1926. Nailfold Videocapillaroscopy Patterns Associated with Calcinosis and Acro-Osteolysis in Systemic Sclerosis Jerome Avouac1, Laetitia Morardet2, Maya Sammour3, Andre Kahan2, Antoine Feydy3 and Yannick Allanore1, 1Paris Descartes University, Rheumatology A Department and INSERM U1016, Cochin Hospital, Paris, France, 2Paris Descartes University, Rheumatology A department, Cochin Hospital, Paris, France, 3 Paris Descartes University, Radiology B department, Cochin Hospital, Paris, France 2014 Program Book 101 scientific sessions n o v e m b e r 1 7 , MONDAY 2 0 1 4 4:45 pm 1927. A Retrospective Look at the Recurrence of Digital Ulcers in Patients with Scleroderma after Discontinuation of Oral Treprostinil Ami A. Shah1, Elena Schiopu2, Soumya Chatterjee3, Mary Ellen Csuka4, Tracy Frech5, Avram Goldberg6, Robert F. Spiera7, Stanford L. Peng8 and Virginia D. Steen9, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2University of Michigan, Ann Arbor, MI, 3Cleveland Clinic, Cleveland, OH, 4 Medical College of Wisconsin, Milwaukee, WI, 5University of Utah, Salt Lake City, UT, 6North Shore-LIJ Health System, Great Neck, NY, 7Hospital for Special Surgery, New York, NY, 8Benaroya Research Institute/Virginia Mason, Seattle, WA, 9Georgetown University Medical Center, Washington, DC 5:00 pm 1928. A Multicenter, Prospective Cohort Study Using Nailfold Videocapillaroscopy and Other Clinical Characteristics to Determine the Risk of Developing New Digital Ulcers in Patients with Systemic Sclerosis Vanessa Smith1, Maurizio Cutolo2, Ariane Herrick3, Oliver Distler4, Mike Becker5, Emma Beltran6, Patrick Carpentier7, Clodoveo Ferri8, Murat Inanc9, Panayiotis Vlachoyiannopoulos10, Harbajan Chadha-Boreham11, Emmanuelle Cottreel11, Thomas Pfister11, Daniel Rosenberg11 and Juan Torres, on behalf of the CAP study investigators12, 1Ghent University Hospital, Ghent, Belgium, 2Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, 3Centre for Musculoskeletal Research, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, 4Zurich University Hospital, Zurich, Switzerland, 5Charité University Hospital, Berlin, Germany, 6 Hospital La Fe, Valencia, Spain, 7La Tronche Hospital, Grenoble, France, 8University of Modena & Reggio E, Moderna, Italy, 9 Division of Rheumatology, Department of Internal Medicine, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey, 10 School of Medicine, National University of Athens, Athens, Greece, 11Actelion Pharmaceuticals Ltd, Allschwil, Switzerland, 12 Syntax for Science SL, Basel, Switzerland 5:15 pm 1929. Echocardiographic Phenomics for Novel Classification of Cardiac Involvement in Systemic Sclerosis Monique Hinchcliff, Vistasp Daruwalla, Lauren Beussink-Nelson, Sofia Podlusky, Mary A. Carns, John Varga and Sanjiv J. Shah, Northwestern University Feinberg School of Medicine, Chicago, IL 5:45 pm 1931. Mycophenolate Mofetil (MMF) Use in Scleroderma Patients with Pulmonary Hypertension: Observations from the Pulmonary Hypertension Assessment and Recognition of Outcomes in Scleroderma Cohort Lesley Ann Saketkoo1, Matthew R. Lammi2, Aryeh Fischer3, Jerry A. Molitor4 and Virginia D. Steen5, 1Louisiana State University Health Sciences Center, New Orleans, LA, 2Louisiana State University Health Sciences Center, Pulmonary and Critical Medicine, New Orleans, LA, 3National Jewish Health, Denver, CO, 4University of Minnesota, Minneapolis, MN, 5Georgetown PS University Medical Center, Washington, DC PM ACR MEET THE PROFESSOR SESSIONS 4:30 – 6:00 pm Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. Westin – Paine (Lobby) Antiphospholipid Syndrome (051) Speaker: Doruk Erkan, MD Upon completion of this session, participants should be able to: • review the spectrum of antiphospholipid syndrome • explain the diagnostic utility of antiphospholipid antibody tests • discuss the management of persistently antiphospholipid antibody-positive patients with different antiphospholipid antibody-related clinical manifestation Westin – Otis (Lobby) *Behçet’s Syndrome (052) Speaker: Yusuf Yazici, MD Upon completion of this session, participants should be able to: • discuss the epidemiology, disease mechanisms and the differential diagnosis of Behçet’s syndrome • describe current approaches to the management of patients with Behçet’s syndrome Westin – Hancock (Lobby) 5:30 pm 1930. The Value of Repeated Nailfold Capillaroscopy in Raynaud’s Phenomenon in Daily Practice: A Follow-up Study in the Netherlands B. de Boer1, J. Meijs1, J. van Aken2, T.W.J. Huizinga1, A.a. Schouffoer3 and J.K. de Vries-Bouwstra1, 1Leiden University Medical Center, Leiden, Netherlands, 2Spaarne Ziekenhuis, Hoofddorp, Netherlands, 3Haga Hospital, The Hague, Netherlands 102 2014 Program Book Immunodeficiency Syndromes (053) Speaker: Troy R. Torgerson, MD, PhD Upon completion of this session, participants should be able to: • review the immunology and clinical manifestations of the major immune deficiency syndromes that both adult and pediatric rheumatologists might encounter • discuss the diagnostic evaluation for someone suspected of having an immune deficiency syndrome • illustrate therapeutic options with cases scientific sessions Westin – Revere (Lobby) *Infections with Biologics (054) Speaker: Kathryn H. Dao, MD Upon completion of this session, participants should be able to: • discuss the risk of infection related to inflammation and disease • discuss the risk factors for infection • recognize the magnitude of risk imposed by steroids and biologics • determine the approach to risk reduction Westin – Stone (Lobby) *Myopathy: Issues in Diagnosis and Treatment (055) Speaker: Rohit Aggarwal, MD, MS Upon completion of this session, participants should be able to: • differentiate myositis mimics from idiopathic inflammatory myopathies • d escribe the importance of myositis antibodies and muscle magnetic resonance imaging in diagnosis and prognosis • review myositis diagnosis in difficult cases including review of clinical features, muscle biopsy and electromyography • review management of refractory myopathy including management of extra-muscular manifestations especially interstitial lung disease Speaker: Lee S. Simon, MD Upon completion of this session, participants should be able to: • examine the drug safety literature with greater expertise • prescribe DMARDs with a broader and deeper knowledge of potential toxicities • discuss DMARD toxicities with their patients with greater comfort • manage potential DMARD toxicities with greater skill Westin – Douglas (Mezzanine) *Systemic Lupus Erythematosus: Lupus Nephritis (059) Speaker: Brad H. Rovin, MD Upon completion of this session, participants should be able to: • review immunosuppressive therapy of lupus nephritis Classes II-V, including novel biologics • discuss the use of renoprotective and anti-proteinuria therapies in lupus nephritis • discuss diagnosis and treatment of renal thrombotic microangiopathy and podocytopathies • outline the future research agenda for clinical trials in lupus nephritis Westin – Faneuil (Mezzanine) Vasculitis – Factors That Influence Disease Patterns (060) Speaker: Gary S. Hoffman, MD Upon completion of this session, participants should be able to: • identify emerging concepts regarding the pathophysiology of inflammation and fibrosis in autoimmune lung disease • recognize the appropriate use of diagnostic tests in the evaluation of patients with rheumatic disorders and autoimmune lung disease • discuss the limits of traditional therapeutic options and possible emerging therapies in managing autoimmune lung disease Upon completion of this session, participants should be able to: • review advances in diagnosis and staging of vasculitis and updates on prognostic information of interest to clinicians and patients • review advances in therapeutic intervention (including biologics) in the treatment of the systemic vasculitides such as granulomatosis with polyangiitis, cryoglobulinemic vasculitis and giant cell arteritis • assess how to incorporate recent research data and practices into providing clinical care in the community for patients with vasculitis Raynaud’s and Digital Ischemia (057) Speaker: Fredrick M. Wigley, MD ARHP SESSIONS Upon completion of this session, participants should be able to: • discuss the current understanding of the pathogenesis of Raynaud’s phenomenon • classify type of Raynaud’s phenomenon and differentiate it from mimickers • describe the appropriate investigations for Raynaud’s phenomenon and be aware of those patients at risk for the development of an autoimmune rheumatic disease • discuss current options and evidence for treatment of Raynaud’s phenomenon, threatened digital ischemia and digital ulcers 4:30 – 6:00 pm 254 A PM 2 0 1 4 Westin – Adams (Mezzanine) 1 7 , Speaker: Aryeh Fischer, MD MONDAY *Pulmonary Manifestations of Rheumatic Disease (056) *Safety of Drugs Used to Treat Rheumatoid Arthritis PS PM (058) n o v e m b e r Westin – Webster (Lobby) Westin – Alcott (Mezzanine) PS Best Practices of Total Knee Arthroplasty – From Surgery to Rehabilitation Moderator: Judy Foxworth, PhD, PT Upon completion of this session, participants should be able to: • differentiate total knee arthroplasty prosthesis types and surgical techniques • evaluate predictors of success following total knee arthroplasty • implement best practices in a rehabilitation program for total knee arthroplasty 2014 Program Book 103 scientific sessions 4:30 pm Innovations in Total Knee Arthroplasty Jason Lang, MD 5:00 pm Diet and Nutritional Supplements in Rheumatoid Arthritis Susanna Proudman, MBBS, PhD 5:00 pm Predictors for Best Outcome After Total Knee Arthroplasty Chad M. Brummett, MD 5:30 pm Diet in Gout Hyon Choi, MD, PhD 5:30 pm Best Practice Rehabilitation Following Total Knee Arthroplasty Sara R. Piva, PhD, PT 256 PM 255 2 0 1 4 1 7 , MONDAY n o v e m b e r The Emerging Demand for Medicinal Cannabis by FIT PrM Pd PS Ed Young Adults and Beyond PM Upon completion of this session, participants should be able to: • summarize the research-based evidence for the benefits and risks to medicinal cannabis on young adults • evaluate environmental and psychosocial factors that may drive a request for physician-approved medicinal cannabis by young adults • discuss the medicolegal implications for rheumatologists and for patients in this era of increasing demand for medicinal cannabis From Inflammation to Atherosclerosis: The Case of Inflammatory Rheumatic Diseases Upon completion of this session, participants should be able to: • recognize the relative importance of immune mechanisms in the onset of atherosclerosis among patients with inflammatory rheumatic diseases • review the generalizability of such mechanisms to people without inflammatory rheumatic diseases • evaluate the role of oxidative stress in non-autoimmune diseases and autoimmune diseases on the incidence of atherosclerosis 4:30 pm A Prescription for Herbal Cannabis: Primum Non Nocere Mary-Ann Fitzcharles, MBChB, MD 4:30 pm Immunological Underpinnings of Atherosclerosis Cornelia M. Weyand, MD, PhD 5:00 pm Atherosclerotic Cardiovascular Diseases and Oxidative Stress: The Case of Crystalline Arthritis Eswar Krishnan, MD 5:30 pm Innate Immunity and Atherosclerosis in Inflammatory Rheumatic Diseases Mariana J. Kaplan, MD PM PS 257 A Role of Nutrition in Rheumatic Diseases Moderators: Susan J. Bartlett, PhD and Carole V. Dodge, OT, CHT Upon completion of this session, participants should be able to: • summarize current scientific evidence underlying the role of nutrition in rheumatic diseases • discuss the role of diet and nutritional supplements in managing rheumatoid arthritis care • recognize how the intake of various foods and drinks may affect patients with gout 4:30 pm Role of Nutrition in Rheumatic Diseases- An Overview Shivani Sahni, PhD 2014 Program Book PS Moderator: Lori B. Tucker, MD PS Moderator: Jasvinder A. Singh, MD, MPH 104 PM 5:15 pm Medicolegal Considerations for Herbal Cannabis Use in Rheumatology Practice Peter A. Ste-Marie, BA, LLB ARHP CONCURRENT ABSTRACT SESSION 4:30 – 6:00 pm 109 PM PS Health Disparities/Social Determinants of FIT PrM Pd PS PM Ed Health Moderators: Jillian A. Rose, LCSW and Leigh F. Callahan, PhD 4:30 pm 1932. Increasing Access to Inflammatory Arthritis Education in Rural and Remote Communities Using Telemedicine Carol Kennedy1, Kelly Warmington2, Carol Flewelling1, Rachel Shupak1, Angelo Papachristos3, Caroline Jones4, Dorcas Beaton5, Sydney Brooks6 and Denise Linton1, 1St. Michael’s Hospital, Toronto, ON, 2The Hospital for Sick Children, Toronto, ON, 3St Michael’s Hospital, Toronto, ON, 4St. Michael’s Hospital, Aurora, ON, 5Mobility Program Clinical Research Unit, Li Ka Shing Knowledge Institute, St. Michaels Hospital, Toronto, ON, 6The Arthritis Society, Ontario Division, Toronto, ON 4:45 pm 1933. Getting a Grip on Arthritis Online: Web-Based Continuing Education Supports the Dissemination of Arthritis Clinical Practice Guidelines Among Rural/Remote Primary Care Providers Sydney Lineker1, Mary Bell2, Lisa Fleet3, Elizabeth M. Badley4, Vernon Curran3, Marlene Del Pino5, Fran Kirby3, Anne Lyddiatt6, scientific sessions Lynn Moore1, Karla Simmons3, Raquel Sweezie1, Peter Tugwell7 and Ed Ziesmann1, 1The Arthritis Society, Toronto, ON, 2Sunnybrook Health Sciences Ctr, Toronto, ON, 3Memorial University, St. John’s, NF, 4Division of Health Care and Outcomes Research, Toronto Western Research Institute; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, 5Health Canada, Regina, SK, 6Patient Partners in Arthritis, Toronto, ON, 7 Institute of Population Hlth, Ottawa, ON 5:00 pm 1934. Examining Why Minority Women Are Risk Averse : A Qualitative Study Sonal Bhalla1, Kristin Mattocks2 and Liana Fraenkel3, 1YaleNew Haven Hospital, New Haven, CT, 2VA Central Western Massachusetts Healthcare System, University of Massachusetts Medical School, Leeds, MA, 3Yale University School of Medicine, Veterans Affairs Connecticut Healthcare Systems, New Haven, CT 6:45 pm The European End of the Tendon and Enthesis George A. W. Bruyn, MD, PhD 7:00 pm Sonographic Evaluation of the Enthesis and Enthesopathy Maria-Antonietta d’Agostino, MD, PhD 7:15 pm Ultrasound Assessment of Dactylitis Gurjit S. Kaeley, MBBS, MRCP 7:30 pm Closing Statements 157 B Antiphospholipid Syndrome Task Force Study Group 6:30 pm Introduction – Past, Present and Future of Antiphospholipid Syndrome Task Forces Doruk Erkan, MD 5:15 pm 1935. Racial Disparities in Attitude Towards Treatment in Young Women Raluca Cozmuta1, Sonal Bhalla2 and Liana Fraenkel3, 1Yale University School of Medicine, New Haven, CT, 2Yale University, New Haven, CT, 3Yale University School of Medicine, Veterans Affairs Connecticut Healthcare Systems, New Haven, CT 5:45 pm 1937. Model Examining Factors Related to Physicians’ Ratings of Disease Activity in Patients with RA Julia R. Ayeroff1, Sarah R. Ormseth2, David Hardy3, Michael R. Irwin2, Michael H. Weisman4 and Perry M. Nicassio2, 1University of Southern California, Los Angeles, CA, 2University of California, Los Angeles, Los Angeles, CA, 3Loyola Marymount University, Los Angeles, CA, 4Cedars-Sinai Medical Center, Los Angeles, CA 7:20 pm 2016 Antiphospholipid Syndrome Diagnostic and Classification Criteria Task Force Update MG Tektonidou, MD 7:30 pm 2013/2016 Antiphospholipid Syndrome Treatment Trends Task Force Report/Update Danieli Andrade, MD ACR STUDY GROUPS 6:30 – 7:45 pm Study Groups are non-CME activities open to all attendees. 109 A ACR Musculoskeletal Ultrasound Study Group 6:30 pm The American End of the Tendon and Enthesis Ralf G. Thiele, MD 2 0 1 4 7:05 pm 2013 Antiphospholipid Syndrome Obstetric Diagnostics and Treatment Task Force Report Ware D. Branch, MD 1 7 , 6:50 pm 2013 Antiphospholipid Syndrome Clinical Diagnostics Task Force Report Roger A. Levy, MD MONDAY 5:30 pm 1936. Ageism, Fear and Competing Co-Morbidities – Why Older Patients May Not Seek Care for Restricting Back Pain: A Qualitative Study Una Makris1, Robin Higashi2, Emily Marks2, Liana Fraenkel3, Joanna Sale4 and CM Reid5, 1Dallas VA Medical Ctr, Dallas, TX, 2UT Southwestern Medical Center, Dallas, TX, 3Yale University School of Medicine, Veterans Affairs Connecticut Healthcare Systems, New Haven, CT, 4University of Toronto, St. Michael’s Hospital, Toronto, ON, 5Weill Cornell Medical College, New York City, NY n o v e m b e r 6:35 pm 2013 Antiphospholipid Syndrome Laboratory Diagnostics and Trends Task Force Report Maria Laura Bertolaccini, MD, PhD 256 Capillaroscopy in Rheumatic Diseases Study Group 6:30 pm Evaluation Tools for Microcirculation Analysis: Morphology Versus Flow Ariane L. Herrick, MD 6:50 pm Capillaroscopy in Systemic Sclerosis: Clinical Applications Vanessa Smith, MD, PhD 2014 Program Book 105 scientific sessions 7:05 pm Capillaroscopy in Systemic Sclerosis: Basic Science Maurizio Cutolo, MD 7:25 pm Practical Issues in Videocapillaroscopy Including Scoring Systems and Links with Other Diagnostic Tools Alberto Sulli, MD 255 Childhood Vasculitis Study Group 2 0 1 4 1 7 , MONDAY Degos Disease Study Group 6:30 pm The Pathology of Degos Cynthia Magro, MD 6:55 pm Parvovirus Infection: Effects on Endothelium Stanley J. Naides, MD 6:55 pm Childhood Vasculitis in South Africa Christiaan Scott, MD 7:20 pm Formation of Degos Registry J. Patrick Whelan, MD, PhD 259 A n o v e m b e r 107 B 6:30 pm Childhood Vasculitis in North American and Europe Marinka Twilt, MD 7:20 pm Childhood Vasculitis in India Sathish Kumar Clinical Anatomy Study Group 6:30 pm Clinical Anatomy: An Unmet Need in Rheumatology Training Robert A. Kalish, MD 6:45 pm The Clinical Anatomy Program at Los Angeles County Christine Evelyn, MD 7:00 pm Ultrasonography as a Teaching Tool of Musculoskeletal Anatomy Karina D. Torralba, MD, MAppSc 7:15 pm Development and Experience of the Mexican Group for the Study of Clinical Anatomy (GMAC) Pablo Villasenor Ovies, MD 7:30 pm A Clinical Scholar’s Perspective Richard S. Panush, MD 102 A Crystal Study Group 6:30 pm Introduction Naomi Schlesinger, MD 6:35 pm Forms of Monosodium Urate Crystal (MSUC) Deposits in Tissue Eliseo Pascual, MD, PhD 106 7:10 pm Potential Role of Uricosuric Agents in the Contemporary Management of Gout Peter A. Simkin, MD 2014 Program Book 104 B Hypermobility Study Group 6:30 pm Joint Hypermobility Syndrome and the Impact on Day to Day Functioning in Children Amanda Kirby, MBBS, MRCGP, PhD 6:55 pm Joint Hypermobility and Autonomic Hyperactivity: Relevance to Neurodevelopmental Disorders Jessica Eccles, MB, BCh, MA, MSc, MRCPsych 7:20 pm Dysautonomia and Fatigue in Hypermobility Nelly Ninis, MRCP, MD 7:45 pm Physical Therapy Management of Adolescents with Postural Orthostatic Tachycardia Syndrome and Ehlers Danlos Syndrome – Hypermobility Type Jane Simmonds, MCSP, MMACP 160 B Intestinal Lung Disease Study Group 6:30 pm Emerging and Adjunctive Therapies for Intestinal Lung Disease Due to Connective Tissue Disease: Lessons from Idiopathic Pulmonary Fibrosis Trials Aryeh Fischer, MD 7:00 pm Appropriate Utilization of Imaging in Intestinal Lung Disease Associated with Connective Tissue Disease Rachna Madan, MD scientific sessions 156 B Macrophage Activation Syndrome Study Group 6:30 pm The Genetics of Macrophage Activation Syndrome/ Haemophagocytic Lymphohistiocytosis in Adults Lisa Filipovich, MD 6:55 pm The Propensity to Develop Macrophage Activation Syndrome in the Setting of Systemic Lupus Erythematosus W. Winn Chatham, MD 7:20 pm Macrophage Activation Syndrome Along the Spectrum of Juvenile Idiopathic Arthritis and Adult-Onset Still’s-Disease Peter A. Nigrovic, MD 153 B Myositis Study Group 6:30 pm Introduction Ignacio Garcia-De La Torre, MD 6:30 pm Introduction Carla R. Scanzello, MD, PhD 6:35 pm In-Vitro Models of Cartilage Injury and Post-Traumatic Osteoarthritis George Dodge, PhD 7:10 pm Anterior Cruciate Ligament Injury and Osteoarthritis: Biomarkers and Therapeutic Approaches Richard Frobell, PT, PhD 6:30 pm Is an “n of 1” Trail of Low Dose Prednisone and Methotrexate More Definitive and Cost-Effective than an Extensive and Expensive Evaluation to Meet Criteria? Theodore Pincus, MD 6:55 pm Criteria for Systemic Vasculitis: Diagnosis vs. Classification or One and the Same? Hasan Yazici, MD 7:20 pm Criteria for Defining Rheumatoid Arthritis: Is New Always Better? Yusuf Yazici, MD 204 A Veterans Affairs Rheumatology Study Group 6:30 pm Utilization of Computerized Patient Record System Templates to Capture Patient Outcomes During Clinical Practice Mathilde Pioro, MD 2 0 1 4 Osteoarthritis Study Group The “Why and How” of Disease Criteria Study Group 1 7 , 257 A 254 A MONDAY 7:10 pm Novel Therapeuptic Approaches for Inclusion Body Myositis Thomas E. Lloyd, MD, PhD 7:40 pm Wrap-Up Kristen Hayward, MD, MS n o v e m b e r 6:35 pm Update on the Pathogenesis of Inclusion Body Myositis Steven A. Greenberg, MD 7:05 pm Incorporating Active Learning Techniques into Your Teaching Presentations Kristen Hayward, MD, MS 6:55 pm Opportunities for Participation in Veterans Affairs (VA) Rheumatology Research Through Involvement in VA Disease Specific Registries Elizabeth Chang, MD 7:20 pm Rheumatology Field Advisory Update: How to Use Available Productivity Measures to Optimizing Veterans Affairs Practice Grant W. Cannon, MD 151 A Pediatric Rheumatologists Interested in Medial Education Study Group 6:30 pm Development of a Peer Review Process for Educational Materials Submitted to Ouch My Leg! Megan L. Curran, MD 2014 Program Book 107 scientific sessions TUESDAY, NOVEMBER 18, 2014 8:00 am Patient Access to Biologics in African League of Associations for Rheumatology (AFLAR) Regions Olufemi Adelowo, MD ACR SESSIONS 7:30 – 8:30 am 205 B 8:10 am Patient Access to Biologics in Asian Pacific League of Association for Rheumatology (APLAR) Regions Kevin Pile, MD PS PM Glycosylation and Glycan Binding Proteins in Immune Function Moderator: Leonard H. Sigal, MD Speaker: Sean Ryan, PhD 8:20 am Question and Answers Upon completion of this session, participants should be able to: • identify roles for protein glycosylation in immune function • identify roles for glycan binding molecules in immune function • describe the importance of glycans and their binding partners in health and diseasePS ARHP SESSIONS 7:30 – 8:30 am PM 254 A Hepatitis C in 2014 Moderator: Elana J. Bernstein, MD, MSc Speaker: Raymond T. Chung, MD Upon completion of this session, participants should be able to: • review the mechanisms contributing to involvement of the central nervous system • summarize the diagnostic criteria and screening tools used to identify the presence of psychiatric and cognitive deficits and whether they are due to active central nervous system systemic lupus erythematosus or other factors • recognize the range of cognitive changes and psychiatric disorders found in systemic lupus erythematosus patients PM 151 A 2 0 1 4 Patient Access to Biologics Across the Globe 1 8 , TUESDAY PS Moderator: Shawn Rose, MD, PhD Speaker: Michelle Petri, MD, MPH Upon completion of this session, participants should be able to: • describe the natural history of hepatitis C infection • describe the extrahepatic manifestations of hepatitis C infection • discuss which patients are appropriate for therapy and how to predict response to therapy • describe available treatment regimens and novel/investigative treatment regimens for hepatitis C infection PS n o v e m b e r PM Clinical Features of Central Nervous System Lupus and Diagnosis of Cognitive Deficits and Psychiatric Disorders Ballroom West PM Ed Moderators: Joseph Flood, MD and Maurizio Cutolo, MD Upon completion of this session, participants should be able to: • discuss the access to biologics for patients in various regions of the world • locate the areas where patients’ access differs significantly • identify potential solutions to overcome identified barriers to providing biologics 7:30 am Intro and Overview of International League of Associations for Rheumatology (ILAR) Joseph Flood, MD; Maurizio Cutolo, MD 7:40 am Patient Access to Biologics in Pan American League of Associations for Rheumatology (PANLAR) Regions Carlos Pineda, MD, MSc 7:50 am Patient Access to Biologics in The European League Against Rheumatism (EULAR) Regions Maurizio Cutolo, MD Pd PS PrM 257 A FIT PM PS Muscle and Adipose Tissue in Rheumatic Diseases: Location Is Everything Moderator: Kelli D. Allen, PhD Speaker: Jon T. Giles, MD, MPH Upon completion of this session, participants should be able to: • differentiate between abnormal body composition phenotypes (sarcopenia, overfat and sarcopenic obesity) • summarize the relationships between muscle and adipose tissue in rheumatoid arthritis • evaluate the implications of fat and muscle distribution on PS PM disease-associated outcomes in rheumatic diseases ACR MEET THE PROFESSOR SESSIONS 7:45 – 9:15 am Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. 108 2014 Program Book scientific sessions • r elate the pathogenesis of these syndromes to knowledge of the various gene functions • discuss the treatment rationale based on the pathogenesis and to expand on practical issues in the management of these patients Westin – Paine (Lobby) Antiphospholipid Syndrome (061) Speaker: Alana B. Levine, MD Upon completion of this session, participants should be able to: • review classification criteria for antiphospholipid syndrome • review non-criteria manifestations of antiphospholipid syndrome • discuss the management of obstetric antiphospholipid syndrome, catastrophic antiphospholipid syndrome and difficult cases posed by the audience • review of current international research efforts in antiphospholipid syndrome Westin – Webster (Lobby) *Rheumatoid Arthritis: Outcome Measures in Clinical Practice (066) Speaker: J. Timothy Harrington, MD Upon completion of this session, participants should be able to: • discuss outcome measures used in rheumatoid arthritis • integrate outcome measures into an office-based practice Westin – Otis (Lobby) Westin – Adams (Mezzanine) Controversies in Sjögren’s Syndrome (062) Safety of Drugs Used to Treat Rheumatoid Arthritis PS PM (067) Speaker: Frederick Vinino, MD Upon completion of this session, participants should be able to: • identify the best approach to establish a diagnosis of Sjögren’s syndrome • differentiate among various causes of salivary and/or lacrimal gland swelling • discuss current treatment algorithms for dry eyes, dry mouth and systemic manifestations • identify risk factors and markers for lymphoma in Sjögren’s syndrome patients Speaker: Lee S. Simon, MD Upon completion of this session, participants should be able to: • examine the drug safety literature with greater expertise • prescribe DMARDs with a broader and deeper knowledge of potential toxicities • discuss DMARD toxicities with their patients with greater comfort • manage potential DMARD toxicities with greater skill Westin – Alcott (Mezzanine) Westin – Hancock (Lobby) Systemic Lupus Erythematosus: Central Nervous System (068) Footwear in Orthoarthritis (063) Speaker: Najia Shakoor, MD, MS Speaker: Meggan Mackey, MD, MS Speaker: Linda Russell, MD Westin – Douglas (Mezzanine) Upon completion of this session, participants should be able to: • review the basic biology of bone as it relates to treatment • examine the potential benefits and risks of antiresorptive therapies • discuss the potential benefits and risks of anabolic therapies • review the current knowledge and understanding of how to pick the best therapy for each patient and for how long to treat each patient with osteoporosis Systemic Sclerosis: Disease Staging and Subsetting in Clinical Practice (069) Speaker: Robyn T. Domsic, MD, MPH Westin – Stone (Lobby) PM Ed Pediatrics: Periodic Fevers in Children (065) Pd PS PrM 2 0 1 4 Osteoporosis: Novel Treatments (064) 1 8 , Westin – Revere (Lobby) TUESDAY Upon completion of this session, participants should be able to: • identify neuropsychiatric manifestations attributable to systemic lupus erythematosus • recognize the utility of diverse autoantibodies in the diagnosis of neuropsychiatric syndromes of systemic lupus erythematosus patients • formulate a treatment plan in patients with neuropsychiatric lupus n o v e m b e r Upon completion of this session, participants should be able to: • establish the biomechanical pathophysiology of osteoarthritis • discuss the impact of footwear choice on biomechanics of the lower extremity • discuss the impact of footwear choice on clinical conditions at the knees and feet FIT Upon completion of this session, participants should be able to: • use clinical and serologic classification systems of systemic sclerosis to identify the natural history of clinical subsets • explain the concept of disease staging in both diffuse and limited cutaneous systemic sclerosis • use knowledge of clinical/serologic classification and disease staging to develop screening and management plans Speaker: Daniel L. Kastner, MD, PhD Upon completion of this session, participants should be able to: • describe the differential diagnosis and expanding spectrum of these syndromes 2014 Program Book 109 scientific sessions • identify anatomic landmarks for injection of the knee and ankle using joint prosthetics • apply principles of joint aspiration and injection using ankle and knee joint prosthetics Westin – Faneuil (Mezzanine) Vasculitis: Factors that Influence Disease Patterns (070) Speaker: Gary S. Hoffman, MD Upon completion of this session, participants should be able to: • review advances in diagnosis and staging of vasculitis and updates on prognostic information of interest to clinicians and patients • review advances in therapeutic intervention (including biologics) in the treatment of the systemic vasculitides such as granulomatosis with polyangiitis, cryoglobulinemic vasculitis and giant cell arteritis • assess how to incorporate recent research data and practices into providing clinical care in the community for patients with PS PM vasculitis 154 Speakers: Philip G. Conaghan, MD, PhD and Mikkel Ostergaard, DMSc, MD, PhD Upon completion of this session, participants should be able to: • recognize the most common types of magnetic resonance images (as T1- and T2-weighted, fat-saturated, STIR and contrast-enhanced) and the appearance of the most common joint pathologies on these • discuss the rationale and evidence for using magnetic resonance imaging in clinical practice • identify the advantages and disadvantages of dedicated extremity magnetic resonance imaging ACR/ARHP WORKSHOPS 7:45 – 9:45 am Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. ACR SESSIONS 8:30 – 10:00 am PM Bioenergetics and Energy Regulation Moderator: Antonio La Cava, MD, PhD Upon completion of this session, participants should be able to: • describe the relationship between metabolism and apoptosis • recognize the interactions between metabolism and activation of both the innate and adaptive immune response • recognize the beneficial effects of reactive oxygen species *Advanced Musculoskeletal Ultrasound: Image Optimization and Pathology Recognition (229) TUESDAY 2 0 1 4 Speaker: Jay B. Higgs, MD Basic Statistical Concepts for the Medical Researcher (230) 1 8 , n o v e m b e r Speakers: Dorothy D. Dunlop, PhD and Jungwha Lee, PhD, MPH Upon completion of this session, participants should be able to: • identify factors influencing sample size and power • interpret confidence intervals, odds ratio and relative risk • identify factors that confound study results 152 *Joint Injections (Knee, Ankle, Shoulder and Wrist) (231) Speakers: Jemima Albayda, MD and Pari Basharat, MD Upon completion of this session, participants should be able to: • describe indications for lower extremity joint injection and aspiration 110 8:30 am Homeostatic Mechanisms of the Mitochondria Richard Siegel, MD, PhD Upon completion of this session, participants should be able to: • use practical knowledge of ultrasound technology to improve image quality • recognize common pathology patterns in musculoskeletal ultrasound 161 2014 Program Book PS 253 B * Sessions denoted with an asterisk were sold out as of August 30. 159 Magnetic Resonance Imaging of Peripheral Joints in Rheumatology Practice (232) 9:15 am Homeostatic Mechanisms of the Mitochondria Navdeep S. Chandel, PhD 52 A PM PS CARE: Maintenance of Certification Session Three of Three – Rheumatoid Arthritis All annual meeting scientific attendees will receive access to the CARE: MOC module on their ACR profiles. Successful completion of the 30 case-based question online module with a score of 70% or higher will enable submission to the ABIM to receive ten (10) medical knowledge points for the Maintenance of Certification program. Ten (10) rheumatoid arthritis questions will be covered at this session. Attendance at the session(s) is not required to participate in the online module. Moderator: Carol A. Langford, MD, MHS Speaker: Jonathan Kay, MD scientific sessions Upon completion of this session, participants should be able to: • assess strengths and weaknesses in rheumatology medical knowledge • review the diagnosis, management and treatment of rheumatic diseases that are part of the ABIM’s rheumatology MOC examination blueprint • satisfy a self-evaluation of medical knowledge requirement for the ABIM MOC program PM 102 A PS Pd PS PrM FIT Moderator: Kenneth S. O’Rourke, MD Speaker: William Iobst, MD 153 B Upon completion of this session, participants should be able to: • d iscuss the importance of direct observation for assessment of clinical skills • s ummarize the status of evaluation skills • d escribe strategies for direct observation and rater training methods PS PM 104 B Ed Macrophages Gone Wild PM Pd PS 8:30 am Differential Diagnosis of Polymyositis Andrew L. Mammen, MD, PhD 9:15 am Molecular Diagnosis of Adult-Onset Muscular Dystrophy and Metabolic Myopathies Anthony A. Amato, MD PS Educator: Direct Observation of Clinical Skills: Educationally Indicated, Therapeutically Required PM PM Ed • d escribe diagnostic features of a myopathy suggestive of a muscular dystrophy or metabolic myopathy • create an approach to the diagnosis of unusual forms of myopathy that may mimic polymyositis PrM FIT Moderators: Randy Q. Cron, MD, PhD and Karyl Barron, MD PM PS Ballroom East Myositis Mimics: Clinical and Molecular Diagnosis Moderator: Alan N. Baer, MD Upon completion of this session, participants should be able to: • review muscle diseases which may mimic adult-onset polymyositis 8:30 am Synovial Fibroblast Phenotypes After Activation Bv TNF/lL-17 Michael B. Brenner, MD 9:00 am Dysfunctional High-Density Lipoprotein, Rheumatoid Arthritis and Cardiovascular Disease Subramaniam Pennathur, MD 9:30 am Regulation of Osteoclasts During Inflammation Julia F. Charles, MD, PhD Exhibit Hall C PM 2 0 1 4 9:30 am Macrophage Activation Syndrome Independent of Systemic Juvenile Idiopathic Arthritis Rayfel Schneider, MBBCh Upon completion of this session, participants should be able to: • review functional differences among large numbers of fibroblast-like synoviocytes and determine if the differences are genetically determined • describe how to use the blood level of high density lipoprotein as a powerful determinant for predicting risk for cardiovascular disease in patients with rheumatoid arthritis • describe the role of innate immune receptors in osteoclast development and how they relate to bone loss during inflammation 1 8 , 9:00 am Diagnosis of Macrophage Activation Syndrome in the Age of Biologics Angelo Ravelli, MD Moderator: Anne Davidson, MBBS TUESDAY 8:30 am Inside the World of a Killer: Understanding the Pathogenesis of Macrophage Activation Syndrome Edward M. Behrens, MD Rheumatology Research Foundation Special Session: Disease Targeted Research n o v e m b e r Upon completion of this session, participants should be able to: • review the pathophysiology of macrophage activation syndrome • recognize new classification criteria for macrophage activation syndrome • discuss macrophage activation syndrome outside of the context of systemic juvenile idiopathic arthritis PS PM PS Risk and Risk Management of Cardiovascular Disease in Patients with Rheumatoid Arthritis and Other Systemic Rheumatic Diseases Upon completion of this session, participants should be able to: • define the clinical aspects and epidemiology of cardiovascular disease in systemic rheumatic diseases, particularly rheumatoid arthritis • interpret mechanisms of cardiovascular disease in patients with rheumatoid arthritis • generate pragmatic guidance for the evaluation and management of cardiovascular disease in patients with rheumatoid arthritis 2014 Program Book 111 scientific sessions 8:30 am Epidemiology of Cardiovascular Disease in Rheumatoid Arthritis and Other Rheumatic Diseases Sherine E. Gabriel, MD, MSc 9:00 am Cardio-Rheumatology: Approach to the Patient Anne Grete Semb, MD, PhD 9:30 am Which Tests Should Be Done and When? Sharon Mulvagh, MD ACR/ARHP POSTER SESSION C, LateBreaking and THIEVES’ MARKET POSTERS AND POSTER TOURS 8:30 am – 4:00 pm Poster presenters will be available from 9:00 – 11:00 am (abstracts # 1938 – 2780). Poster tours will be held 9:00 – 9:45 am and 10:15 – 11:00 am. Morning snacks will be available from 9:00 – 10:30 am. Poster Hall (Exhibit Hall B) Thieves’ Market Posters TM 8. Acute Onset of Headaches, Dysarthria, Vision Changes in a 17 y/o Male Angela Bryan, MD n o v e m b e r 1 8 , TUESDAY 2 0 1 4 TM 9. Discharged but Not Better for Long Aixa Toledo-Garcia, MD TM 10. Masquerader of Adult Still’s Michael Thomas Avery, DO TM 11. Refractory Knee Joint Swelling in a Patient With Systemic Lupus Erythematosus Minyoung Her, MD TM 12. The Thin Young Man -- Ed Oberle Edward J. Oberle, MD TM 13. Whispers of Disease Rikitha Menezes, MD Poster Hall (Exhibit Hall B) Guided Poster Tours Guided poster tours allow scientific attendees to ask questions and gain insights from some of the best-known rheumatology leaders. Tours are complimentary; however, registration is required and is limited to scientific attendees. If you preregistered for a tour, you should have received a ticket with your 112 2014 Program Book meeting materials. Once you have your ticket, check in at the tour desk 15 minutes prior to the start of your tour to receive your headset. Your reservation will be held only until five minutes prior to the start of the tour. After this time, your reservation is not guaranteed and may be released to standby attendees. If you did not pre-register, tickets may be available in the registration area (Exhibit Level: East Registration). Alternatively, you may go directly to the poster tour desk and wait for a standby ticket. Standby tickets will be assigned on a first-come, first-served basis five minutes prior to the start of each tour. Each tour participant will receive a wireless headset which will be registered against the participants’ registration ID. Participants will be charged $50 if the headset is not returned within 15 minutes of the end of the tour. 9:00 – 9:45 am Osteoarthritis – Clinical Aspects Poster Tour (325) Tour Guide: Grace H. Lo, MD, MSc Quality Measures and Quality of Care Poster Tour (326) Tour Guide: Gabriela Schmajuk, MD, MS Rheumatoid Arthritis: Clinical Aspects Poster Tour (327) Tour Guide: Inmaculada Del Rincon, MD, MSc Rheumatoid Arthritis Treatment – Small Molecules, Biologics and Gene Therapy Poster Tour (328) Tour Guide: Joseph A. Markenson, MD Spondyloarthropathies and Psoriatic Arthritis: Clinical Aspects and Treatment Poster Tour (329) Tour Guide: Philip Mease, MD Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics (330) Tour Guide: Laura K. Hummers, MD, ScM 10:15 – 11:00 am Epidemiology and Health Services Research Poster Tour (331) Tour Guide: Kaleb Michaud, PhD Health Services Research Poster Tour (332) Tour Guide: Salahuddin Kazi, MD, PhD Rheumatoid Arthritis: Human Etiology and Pathogenesis Poster Tour (333) Tour Guide: David S. Pisetsky, MD, PhD Rheumatoid Arthritis Treatment – Small Molecules, Biologics and Gene Therapy Poster Tour (334) Tour Guide: Jonathan Kay, MD Rheumatology 360 Poster Tour (335) Tour Guide: Eric L. Matteson, MD Spondyolarthropathies and Psoriatic Arthritis: Clinical Aspects and Treatment Poster Tour (336) Tour Guide: John D. Reveille, MD scientific sessions ACR SESSIONS ARHP SESSIONS 9:00 – 10:00 am 9:00 – 10:00 am PS PM 107 B ACR-EULAR Polymyalgia Rheumatica Guidelines PM PM PS PS 204 A PM PS Mycobacterium Infections in Immunocompromised Patients Moderators: Steven E. Carsons, MD and Andy Abril, MD Moderator: Susan Richmond, MS, PA-C Upon completion of this session, participants should be able to: • review the approach to polymyalgia, the relevant investigations, differential diagnosis and overlap with other conditions, classification criteria • review Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology and available evidence for polymyalgia rheumatica therapies, prognostic factors, values and preferences of patients and professionals on polymyalgia rheumatica • review ACR-EULAR polymyalgia rheumatica treatment guidelines including glucocorticoids, disease modifiers, biologic agents and future research agenda and clinical trials Upon completion of this session, participants should be able to: • recognize the risk of non-tuberculosis mycobacterium infection in immunosuppressed patients • evaluate tuberculosis risk factors in immunosuppressed patients and recognize the need to maintain vigilance for tuberculosis during treatment with immunosuppressants • review available screening tests, including the Tuberculin Skin Test, Quantiferon-Gold and TB-spot 9:15 am Mycobacterium Infections in Immunocompromised Patients Kevin L. Winthrop, MD, MPH 9:00 am Polymyalgia: What Does It Mean? Bhaskar Dasgupta, MD PM 9:20 am Polymyalgia Rheumatica: Grading the Evidence Christian Dejaco, MD, PhD RheumChat PM PS Moderator: Afton L. Hassett, PsyD PS PS Rheumatology Research Foundation Oscar S. Gluck Memorial Lectureship: Emerging Therapies in Bone Diseases: Cellular Basis and Challenges Moderator: Michael Maricic, MD Speaker: Roland Baron, DDS, MD Upon completion of this session, participants should be able to: • review the mechanisms regulating bone homeostasis and the process of bone remodeling • evaluate the effects of anti-resorptive and osteo-anabolic drugs and the differences between them • review the mode of action and anticipated effects of molecules currently in development for the treatment of osteoporosis 9:12 am Jumping Across the Knowledge Gap: The Roles of Significance and Innovation in Rheumatology Research Marian T. Hannan, DSc, MPH 2 0 1 4 PM 9:00 am Pain! Sean Mackey, MD, PhD 1 8 , Upon completion of this session, participants should be able to: • review metabolic aspects of inflammation • discuss metabolic pathways TUESDAY Metainflammation Speaker: Gökhan S. Hotamisligil, PhD, MD Upon completion of this session, participants should be able to: • describe the newest science and the oldest debates in the field of pain research • describe a potential means by which autoimmune disorders may be cured • discuss the intersection of research and clinical care in the context of history, health policy and technology n o v e m b e r 156 B 210 B PS 157 B 9:40 am Polymyalgia Rheumatica: Treatment Guidelines and Next Steps Eric L. Matteson, MD, MPH PM 9:00 am Evaluating Tuberculosis Risk in Immunocompromised Patients Lisa Shelton, BSc, BSN, RN 9:24 am It’s Time that We Started to Talk About “Cure” in Severe Autoimmune Disease Troy R. Torgerson, MD, PhD 9:36 am Did We Care More When We Knew Less? Andrew A. Guccione, DPT, PhD 2014 Program Book 113 scientific sessions 259 A PM PS Stats Boot Camp: The Prevalence Ratio as an Alternative to the Odds Ratio for Cross-Sectional Studies 159 Upon completion of this session, participants should be able to: • demonstrate how to properly position the ultrasound transducer to visualize targeted musculoskeletal structures based on an understanding of the local bony landmarks • differentiate tissue types based on their ultrasound properties • recognize the ultrasound appearance of some of the basic musculoskeletal pathologies Moderator: Alyssa B. Dufour, PhD Upon completion of this session, participants should be able to: • review when to use the prevalence ratio and when to use the odds ratio • recognize with the regression models that can generate the prevalence odds ratio • explain the methodological issues that may arise when estimating prevalence ratios • analyze data using the prevalence ratio with popular statistical packages 161 EXHIBITS 10:00 am – 2:30 pm Exhibit Hall A Join your colleagues in the Exhibit Hall for morning refreshments from 10:00 – 11:00 am. n o v e m b e r 1 8 , TUESDAY 2 0 1 4 (Booths #139 and #1401) Innovation Theater A and B Non-CME accredited presentations have been planned and will be implemented in accordance with the requirements of the FDA and applicable standards of the PhRMA Code on Interactions with Healthcare Professionals. Innovation Theater A presentations will be held from 10:30 – 11:15 am and 12:30 – 1:15 pm. Innovation Theater B presentations will be held from 11:30 am – 12:15 pm and 1:30 – 2:15 pm. For a complete listing of Innovation presentations, see page 238. PS PM Theater ACR WORKSHOPS 10:30 am – 12:30 pm Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. 114 2014 Program Book Renal Histopathology in Systemic Lupus Erythematosus and Vasculitis (234) Speaker: Anthony Chang, MD 9:00 am Regression Models for Prevalence Ratios Kamil E. Barbour, PhD 9:30 am Examples of the Prevalence Ratio vs. the Odds Ratio in Rheumatology Research Yvonne M. Golightly, PT, MS, PhD Musculoskeletal Ultrasound (233) Speakers: Eugene Y. Kissin, MD and Amy M. Evangelisto, MD Upon completion of this session, participants should be able to: • identify the pathologic changes that occur in lupus nephritis • discuss the pathologic basis for the classification of lupus nephritis and how it relates to clinical management • describe the histological changes in the kidneys of patients with vasculitis 154 X-Ray Challenges in Rheumatic Diseases (235) Speaker: Donald J. Flemming, MD Upon completion of this session, participants should be able to: • describe the potential causes and exacerbating factors of the disease • discuss the appropriate use of laboratory testing and imaging modalities • design an efficacious, safe and cost-effective therapeutic strategy ACR SESSIONS 11:00 am – Noon PM 253 B PS Mesenchymal Stem Cells: Biology and Use in Rheumatic Diseases Moderator: Dana P. Ascherman, MD Speaker: Paolo Bianco, MD Upon completion of this session, participants should be able to: • review the biology of MSCs and differences from hematopoietic stem cells (HSCs) • appraise anti-inflammatory versus remodeling properties associated with MSCs • define limitations in pre-clinical models, barriers in clinical application 104 B PM PS Protecting Bone Health in Pediatric Rheumatic FIT PrM Pd PS Ed Diseases PM Moderators: Stacy P. Ardoin, MD, MS and Kelly A. RousterStevens, MD, MS Speaker: Jon M. Burnham, MD, MSCE scientific sessions Upon completion of this session, participants should be able to: • evaluate threats to bone health in children with rheumatic diseases • review effects of rheumatic diseases and their therapies on bone density, structure, strength and fracture risk • describe best practices for bone health monitoring and preventive measures, such as calcium and vitamin D supplementation and bisphosphonate use ARHP SESSIONS 11:00 am – Noon PM 257 A PS Immunology Boot Camp III: Applying Principles of Eth PM Immunology to Treatment Decisions Moderator: Barbara A. Slusher, PA-C, MSW Speaker: Troy R. Torgerson, MD, PhD Upon completion of this session, participants should be able to: • c ompare several biologic treatment options for active rheumatoid arthritis • differentiate existing treatment options for systemic lupus erythematosus when hydroxychloroquine is not enough • discuss how psoriasis and psoriatic arthritis differ from rheumatoid arthritis when anti-TNFs fail to control active inflammation • e xamine treatment considerations for refractory myopathies 255 PM PS Pathways to Resilience: Biopsychosocial Mechanisms for the Generation of Positive Affect in Chronic Pain PM PS Moderator: Donah Z. Crawford, BS, MA PM PS Providing Evidence for Mid-Level Providers in Rheumatology Practice Moderator: Kori A. Dewing, DNP, ARNP 11:00 am – 12:30 pm Exhibit Hall C ACR Plenary Session III: Discovery 2014 Moderators: John Varga, MD and Mary K. Crow, MD 11:00 am 2781. Cost-Effectiveness of Adding Etanercept Vs. Sulfasalazine and Hydroxychloroquine to Methotrexate Therapy: A Randomized Noninferiority Trial Nick Bansback, University of British Columbia, Vancouver, BC Background/Purpose: To estimate the incremental costeffectiveness of etanercept plus methotrexate versus a triple regimen of disease-modifying anti rheumatic drugs (methotrexate, sulfasalazine and hydroxychloroquine) over 24 weeks and 48 weeks in patients with active rheumatoid arthritis despite methotrexate therapy (RACAT). Methods: In this double blind, noninferiority trial 353 patients were randomized to etanercept plus methotrexate or a triple regimen. After 24 weeks of treatment patients not achieving a DAS28 improvement of 1.2 were switched in a blinded fashion to the other therapy. Quality Adjusted Life Years (QALYs) were estimated using US societal values from the EQ-5D instrument which was measured every 24 weeks. Costs of drugs, hospitalizations, procedures, tests, visits and lost productivity were prospectively tracked and monetized from a societal perspective in 2014 US dollars. Incremental costeffectiveness ratios were calculated using standard procedures assuming an intent-to-treat analysis, with missing data analyzed using multiple imputation and uncertainty assessed using bootstrapping. Results: Both strategies showed significant improvements in EQ-5D, with etanercept providing marginally more accumulated QALYs (0.358 vs 0.354 over 24 weeks and 0.742 vs 0.726 over 48 weeks for etanercept and triple regimen strategies respectively). The etanercept strategy accumulated substantially higher drug costs even considering the switches between treatments at 24 weeks ($11,286 vs $369 cumulative costs from 0 to 24 weeks and $19,625 vs $3,721 cumulative costs from 0 to 48 weeks for 2014 Program Book 2 0 1 4 256 ACR PLENARY SESSION III – DISCOVERY 2014 1 8 , 11:30 am The Importance of Social Relations in Positive Emotion and Resilience to Chronic Pain Alex Zautra, PhD 11:15 am The Role of Mid-level Providers in Rheumatology Care Benjamin J. Smith, PA-C TUESDAY 11:00 am Mechanisms of Positive Emotion and Reward in Chronic Pain Patrick Finan, PhD 11:00 am Study Comparing Practices with and without Midlevel Providers Daniel H. Solomon, MD, MPH n o v e m b e r Upon completion of this session, participants should be able to: • discuss the state of the science on positive emotions and pain • determine the mechanistic links between dopaminergic neurotransmission, reward-related behaviors and coping with chronic pain • introduce the role of social relations in pain adaptation and a promising new intervention in social intelligence that may build social resourcefulness among patients with chronic pain Upon completion of this session, participants should be able to: • explain the characteristics of rheumatology practices with and without mid-level providers in the scope of the treat-to-target concept • discuss the research that has been done in regards to midlevel providers in rheumatology practice • describe the role of a mid-level provider in rheumatology care 115 scientific sessions etanercept and triple regimen respectively). The differences in other health care and productivity costs across strategies were negligible. The resultant incremental cost-effectiveness ratios for etanercept vs. triple regimen were $2.7 million/QALY (95%CI 0.87 to ∞) gained over 24 weeks and $0.95 million/QALY (95%CI 0.41 to ∞) over 48 weeks. Conclusion: This economic evaluation based on a prospective tracking of resource use and QALY measurement in a blinded, randomized trial demonstrates that the additional costs associated with using etanercept prior to a triple regimen does not provide good value for money at generally acceptable willingness to pay thresholds. A limitation of the study is its short time frame. However, even when considering the long-term perspective, since the incremental benefits are so small, even under the most optimistic scenarios imaginable, etanercept has only a small probability of being cost-effective compared to triple therapy. Given the opportunity cost associated with all health care spending, adapting a triple regimen prior to etanercept would free up scarce health dollars for use on alternative health care interventions that provide greater health benefits. 5 ACPAs were reverted to the germ line sequences and the corresponding antibodies were also expressed for the above tests. Results: The relative frequencies of circulating plasmablasts were significantly higher in RA patients than in healthy donors ( p = 0.0015). About 19.5% of circulating plasmablast-derived recombinant antibodies from CCP-positive RA patients, but none from the CCP-negative RA patient or healthy donors, specifically recognized citrullinated RA autoantigens ( p = 0.0001). The immunoglobulin genes encoding these ACPAs were highly mutated with increased replacement/silent mutation ratios, suggesting that the generation of ACPAs involved active antigen selection. Interestingly, 63% of these ACPAs cross-reacted with the outer membrane antigens and/or citrullinated enolase from P. gingivalis. Germ-line reversions of some ACPAs completely eliminated their reactivity to citrullinated RA autoantigens but retained their reactivity to P. gingivalis antigens. Conclusion: These results suggest that circulating plasmablasts in RA patients produce ACPAs and this process may be, in part, initiated by the anti-P. gingivalis immune responses. Disclosures: S. Li, None. 11:30 am 2783. Effect of Synovitis, Effusion and Bone Marrow Lesions on Development of Sensitization in Knee OA: The Multicenter Osteoarthritis Study Tuhina Neogi, Boston University School of Medicine, Boston, MA n o v e m b e r 1 8 , TUESDAY 2 0 1 4 Disclosures: N. Bansback, None. 11:15 am 2782. Autoantibodies from Single Circulating Plasmablasts React with Citrullinated Antigens and Porphyromonas Gingivalis in Rheumatoid Arthritis Song Li, University of Nebraska Medical Center, Omaha, NE Background/Purpose: Anti-citrullinated protein antibodies (ACPAs) are highly specific for rheumatoid arthritis (RA) and also believed to play a pathogenic role in RA. Porphyromonas gingivalis (P. gingivalis), a Gram negative oral pathogen associated with periodontitis, has long been speculated as a trigger for the anti-citrulline autoimmune responses in RA patients. However, the detail relation between ACPA and P. gingivalis is still unclear. Methods: In this study, we made 195 recombinant monoclonal antibodies from anti-cyclic citrullinated peptide (CCP)-positive RA patients (N=6), 23 recombinant monoclonal antibodies from CCP-negative RA patients (N=1) and 110 recombinant monoclonal antibodies from healthy controls (N=4) using a single cell-based antibody cloning approach. All the 7 RA patients satisfied the 2010 ACR classification criteria. Monoclonal ACPAs were determined by commercial anti-CCP test and fine specificity with 3 synthesized citrullinated peptides. Cross-reactivity of ACPA to P. gingivalis was tested by ELISA against P. gingivalis outer membrane protein and citrullinated peptide from P. gingivalis enolase. Immunoglobulin genes of 116 2014 Program Book Background/Purpose: Alterations in the peripheral and central nervous systems including sensitization are thought to play an important role in the pain experience in knee OA. While sensitization could occur due to an underlying predisposition, it is hypothesized that joint inflammation and/or tissue injury in OA could provide sufficient peripheral nociceptive input to cause sensitization. We previously reported that radiographic knee OA severity or duration do not appear to be related to sensitization. However, whether specific MRI lesions related to inflammation (e.g., synovitis, effusion), or mechanical load or remodeling related to noninflammatory tissue injury (e.g., bone marrow lesions (BMLs)) are risk factors for development of sensitization is not yet known. Methods: The Multicenter Osteoarthritis (MOST) Study is a NIHfunded longitudinal cohort of persons with or at risk of knee OA. Subjects had x-rays and MRIs (1.0 T) of each knee obtained at each study visit and a standardized somatosensory evaluation of mechanical temporal summation and pressure pain thresholds (PPT) at the patella at 60- and 84-months. Temporal summation was defined by increased pain during repeated mechanical stimulation (1 Hz x 30-sec) with a 60g monofilament. PPT was assessed with an algometer (1 cm2 tip, 0.5 Kg/sec) as the point at which the subject felt the pressure change to slight pain. Lower PPT indicates more sensitivity. Synovitis, effusion and BMLs on MRIs were scored using WORMS (one knee per person); these lesions were considered to be present if their score was ≥1 in any subregion. In sensitivity analyses, we assessed the sum of BML scores across all knee subregions as a measure of BML burden. We assessed the relation of presence of synovitis, effusion and BMLs at 60-mo to incident temporal scientific sessions summation in the same knee at 84-mo among those who did not have temporal summation at 60-mo and to change in PPT in the same knee between 60- and 84-mo in the whole sample using logistic and linear regression, respectively, adjusted for relevant potential confounders, including OA severity. Results: There were 1111 subjects (mean age 66.9, mean BMI 29.7, 62% female) in the whole sample. 22.6% developed incident temporal summation at the 84-mo visit and the range in change of PPT between the 60- and 84-mo visits was -7.35 to 7.15 kg/cm2. Presence of synovitis was associated with a significant decrease in PPT (i.e., more sensitized) over 24 mo, while effusion was significantly associated with incident temporal summation (Table). BML presence or burden were not associated with temporal summation or PPT. Conclusion: Inflammation, as evidenced by synovitis or effusion, may drive the occurrence of sensitization in knee OA. In contrast, BMLs do not appear to contribute to sensitization in knee OA. Early targeting of inflammation in knee OA may be a reasonable strategy to test for its ability to prevent occurrence of sensitization, thereby reducing pain severity in knee OA. Incident Temporal Summation at 84-mo (N=716) Change in PPT (60- to 84-mo) (N=1111) Prevalence of MRI Lesion Adjusted* OR (95% CI) Prevalence of MRI Lesion Presence of synovitis 62% 1.12 (0.75, 1.66), p=0.6 60% -0.30 (-0.52, -0.08), p=0.01 Presence of effusion 67% 1.54 (1.01, 2.36), p=0.04 66% -0.04 (-0.28, 0.19), p=0.7 Presence of BMLs 79% 0.92 (0.56, 1.49), p=0.7 79% 0.03 (-0.25, 0.31), p=0.8 Sum of BMLs (‘BML burden’) (per unit increase) Range: 0-19 1.00 (0.92, 1.07), p=0.9 Range: 0-19 MRI Lesion at 60-mo Adjusted* Beta (95% CI) -0.01 (-0.05, 0.04), p=0.8 Background/Purpose: Individuals with arthritis frequently develop persistent pain despite adequate treatment of synovitis. There is a need to better understand the mechanisms underlying pain occurring with arthritis. Recently, it has been shown that Toll-like receptor 4 (TLR4) mediates the transition from acute to chronic pain in a murine model of arthritis. Rather than developing persistent pain, animals deficient in TLR4 showed an attenuation of the late phase of pain. This receptor is unique in signaling through both MyD88-dependent and independent pathways. In order to further understand the role of TLR signaling, we examined the development of arthritis and persistent pain in mice deficient in these adaptor proteins. Methods: Adult arthritic K/BxN mice were bled and the sera pooled. 100μl of the pooled sera was injected into recipient mice on Days 0 and 2. Clinical arthritis scores and mechanical reactivity, using the up-down method of von Frey testing, were assessed over a period of 28 days in male C57Bl/6, Tlr4-/-, Noon 2785. Joint Specific Positional Differences in Coding and Noncoding Transcriptome of Synovial Fibroblasts As a Determinant of the Susceptibility of Synovial Joints to Rheumatoid Arthritis Caroline Ospelt, Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland 2 0 1 4 Sarah Woller, UCSD, La Jolla, CA Disclosures: S. Woller, None. 1 8 , 11:45 am 2784. Contribution at the Spinal Level of Innate and Adaptive Immunity to the Development of Persistent Post-Inflammatory Mechanical Allodynia in Arthritic Mice Conclusion: These results suggest that pain can persist after resolution of inflammation. The innate and adaptive immune systems appear to have distinct roles in the development of the chronic pain state and this pain cannot be attributed solely to increased TNF or IFNβ transcription. TUESDAY Disclosures: T. Neogi, None. Results: As shown previously, WT mice develop a persistent increase in mechanical reactivity that outlasts the period of inflammation; the 50% withdrawal thresholds dropped from 1.66 at baseline to 0.74 on day 28. In addition, Tlr4/- mice develop an initial increase in reactivity, which resolves concurrent with inflammation (WT AUC 13.2 and TLR4 AUC 9.7, p<.05). MyD88 and TRIF play distinct roles in the development of pain: mice lacking MyD88 do not develop swelling or allodynia (AUC 2.6, p<0.01), while those deficient in TRIF develop a prolonged allodynia (AUC 12.2), similar to WT animals and outlasting the period of inflammation. NanoString™ nCounter™ analysis of 516 immune genes in the spinal cords of WT and Tlr4-/- mice harvested on Day 10 of arthritis showed differences in expression levels of IL2, RANKL, IFNβ and TNF transcripts. Therefore, we also examined the development of pain resulting from arthritis in Rag1-/-, Ifnar1-/- and Tnf-/- mice. In the Tnf-/- mice there was an attenuated development of pain (AUC 8.0, p<.001), the Rag1 (10.0, p<.05) mice developed pain, which resolved with the resolution of inflammation similar to Tlr4-/- mice and Ifnar1-/- mice developed pain that was not different than the WT mice (AUC 12.2). n o v e m b e r *Analyses adjusted for age, sex, BMI, clinic site, race, catastrophizing, depressive symptoms, widespread pain, KL grade Triflps2, Myd88-/-, Tnf-/- and Ifnar1-/- mice. Spinal cords were collected from WT and Tlr4-/- arthritic mice and changes in gene expression were measured using nanoString™ nCounter™ analysis. Behavioral data were analyzed using repeated measures ANOVAs and Duncan New Multiple Range post-hoc analyses when appropriate. Background/Purpose: The molecular mechanisms underlying the topographic differences in the susceptibility of synovial joints to develop rheumatoid arthritis (RA) are unknown. Positional embryonic expression of Hox genes along proximaldistal and anterior-posterior body axes is critical for proper limb development. Adult skin fibroblasts retain the positional embryonic Hox code and exhibit major anatomic differences in their transcriptome, defining their unique positional identities. Synovial fibroblasts (SF) in the joints of RA patients drive joint destruction and inflammation locally. We hypothesized that SF from different joints show a joint specific, positional gene expression pattern, which can predispose joints to develop certain types of arthritides, like RA or osteoarthritis (OA). Methods: SF were derived from knees, shoulders and metacarpophalangeal joints (MCPs) of RA and OA patients (n=9 each) undergoing joint replacement surgery. SF were obtained 2014 Program Book 117 n o v e m b e r 1 8 , TUESDAY 2 0 1 4 scientific sessions also from front paws, ankles and knees of wildtype (wt) and TNF transgenic (TNFtg) mice (n=7 each). Total RNA was extracted and RNA sequencing was performed with the Illumina HiSeq 2000 sequencing system followed by hierarchical clustering. Functional annotation clustering of mRNAs was done using Database for Annotation, Visualization and Integrated Discovery (DAVID). Positionally expressed RNAs were validated by qPCR. classified into clinical subgroups [Giant cell arteritis (GCA), Takayasu’s arteritis (TAK), Focal Isolated Aortitis (FIA) or Other] at the time of surgery using pre-defined criteria. Symptoms, pathology, laboratory and imaging results were recorded at surgery and over time using a standardized database. Patients with FIA at surgery were followed for progression to systemic disease and outcomes of clinical subgroups were compared. Results: Unsupervised hierarchical cluster analysis showed clustering of SF according to anatomic joint localization rather than disease. The positional embryonic HOX code was retained in SF, clearly differentiating between different joints. Among the Hox cluster residing long noncoding RNAs, HOTTIP was expressed in distal, MCP-derived SF and HOTAIR in posterior, knee-derived SF. Several positionally expressed mRNAs, e.g.HOXC8 and HOXD13, were differentially expressed in MCP-derived RA and OA SF. DAVID analysis showed positional enrichment of GOTERM limb development, anterior/posterior patterning, cartilage development, extracellular region part, cell adhesion, regulation of transcription. While some outliers where found when clustering was based on mRNA expression, clustering of SF into knee, shoulder and MCPs was perfect when based on miR expression. For example, miR-24 was positionally expressed in shoulder, miR-34c in MCP and miR-137 in kneederived SF, irrespective of disease. The positional expression of these miRs was confirmed in wt and TNFtg mice. Interestingly, miR-204 and miR-146a were positionally expressed in MCPs of OA but not of RA patients. These miRs were indeed positional also in wt mice but their MCP specific expression in humans correlated to ankle specific expression in wt mice. In addition, their expression was significantly changed in ankles of TNFtg compared to wt mice. Results: Of 7,551 patients who underwent thoracic aortic surgery between 1996-2012, 196 patients with biopsy-proven aortitis were identified for review. Median age at surgery was 69 years (range 15-88) and 67% were female. At the time of surgery, 129 (65.8%) patients met criteria for FIA, 42 (21.4%) for GCA, 14 (7.1%) for TAK and 11 (5.6%) for Other. A minimum of 6 months of clinical follow-up was available for 73 FIA patients. During follow-up (median 45 months, range 6-201 months), 14/73 (19.2%) FIA patients developed symptoms of systemic disease, 17/40 (42.5%) developed elevated inflammatory markers, 29/65 (44.6%) developed new vascular lesions on imaging, 30/73 (41.1%) required a second vascular surgery, 7(9.6%) dissected and 9 died (12.3%.) Ultimately 23 of 73 (31.5%) with FIA progressed to have features of a systemic disease: 21 GCA, 1 TAK and 1 Other. When compared to patients with known systemic disease at surgery, patients with FIA were less likely to develop symptoms (p=0.01) but no different with respect to development of elevated inflammatory markers (p=0.19), new vascular lesions by imaging (p=0.92), need for further vascular surgery (p=0.84), dissection (p=0.40) or death (p=0.76) over time. Only 12 patients with FIA at surgery received immunosuppressive therapy post-operatively. Over time, 0/11 treated FIA patients with follow-up imaging developed aneurysms, but 2 (18.2%) developed new stenoses. Among the 54 untreated FIA patients with imaging available, 27 (50%) developed new lesions (23 aneurysms and 5 stenoses.) Additional tissue obtained after subsequent surgery in 2 untreated FIA patients revealed persistent inflammation in the distal aorta. Conclusion: SF from joints of different anatomic sites exhibit particularly different mRNA and miR expression patterns suggesting that functionally unique subsets of SF populate different joints. The existence of positionally imprinted “risk” signatures of SF may account for the susceptibility of certain synovial joints to develop RA in humans and mice and may have major implications for synovial disease pathways operating early in RA. Disclosures: C. Ospelt, IMI BTCure, EuroTEAM, IAR, CABMM start-up grant, 2. 12:15 pm 2786. Aortitis: Outcomes from a Cohort of 196 Patients Alison Clifford, Cleveland Clinic Foundation, Cleveland, OH Background/Purpose: Idiopathic aortitis is a rare diagnosis that may occur in the context of a primary systemic vasculitis, as part of a systemic autoimmune disease, or in isolation. In patients with focal isolated aortitis (FIA), surgery alone may be curative; however, new vascular lesions have been reported to develop in between 5-47% of cases. The risk of progression to systemic disease and optimal management strategy for FIA patients is uncertain. Methods: Patients with biopsy-proven aortitis, diagnosed following thoracic aortic surgery at the Cleveland Clinic between 1996 and 2012, were retrospectively reviewed. Patients were Conclusion: Over time, nearly one third of patients classified as FIA at the time of surgery progressed to have features of a systemic autoimmune disease. Patients with FIA are less likely to develop overt symptoms, but equally likely to develop elevated inflammatory markers or new vascular lesions on imaging when compared to GCA, TAK and Others. These patients require regular clinical follow-up and serial imaging to assess for progression. Disclosures: A. Clifford, None. PM PS ACR MEET THE PROFESSOR SESSIONS 12:45 – 2:15 pm Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. 118 2014 Program Book scientific sessions Westin – Paine (Lobby) Antiphospholipid Syndrome (071) Westin – Stone (Lobby) Osteoarthritis: Update 2014 (075) Speaker: Doruk Erkan, MD Speaker: Joanne M. Jordan, MD, MPH Upon completion of this session, participants should be able to: • review the spectrum of antiphospholipid syndrome • explain the diagnostic utility of antiphospholipid antibody tests • discuss the management of persistently antiphospholipid antibody-positive patients with different antiphospholipid antibody-related clinical manifestation Upon completion of this session, participants should be able to: • describe the pathogenesis of osteoarthritis including factors that lead to its development and the underlying biology responsible for the progression of osteoarthritis • discuss advances in the management of osteoarthritis that include non-pharmacologic interventions • evaluate the potential benefits of new disease- or structuremodifying treatments for osteoarthritis Westin – Otis (Lobby) *Challenging Cases in Osteoporosis Management (072) Westin – Webster (Lobby) *Psoriatic Arthritis (076) Speaker: Kenneth G. Saag, MD, MSc Speaker: Philip Mease, MD Upon completion of this session, participants should be able to: • recognize bisphosphonate drug holidays • discuss timing of use of various anti-osteoporosis therapies in postmenopausal osteoporosis • recognize current treatment approaches to steroid-induced osteoporosis • identify other forms of metabolic bone disease that present to rheumatologists as low bone mass Upon completion of this session, participants should be able to: • discuss advances in understanding of the pathogenesis of psoriatic arthritis and implications for diagnosis and treatment • learn the value of and how to accomplish a “treat-to-target” approach to psoriatic arthritis in daily practice • appraise the data on current and emerging treatments for psoriatic arthritis, including ustekinumab, apremilast, IL-17 inhibitors and other emerging agents Westin – Hancock (Lobby) Crystal: Diagnosis and Management of Gout (073) PM PS Speaker: John S. Sundy, MD, PhD Westin – Alcott (Mezzanine) *Systemic Lupus Erythematosus: Lupus Nephritis (078) Speaker: Brad H. Rovin, MD Upon completion of this session, participants should be able to: • review immunosuppressive therapy of lupus nephritis Classes II-V, including novel biologics • discuss the use of renoprotective and anti-proteinuria therapies in lupus nephritis • discuss diagnosis and treatment of renal thrombotic microangiopathy and podocytopathies • outline the future research agenda for clinical trials in lupus nephritis 2 0 1 4 Upon completion of this session, participants should be able to: • explain how to measure the relative efficacy of treatments using effect sizes • illustrate knowledge of data supporting efficacy of exercise, bracing, glucosamine, intra-articular steroids and hyaluronic acid in osteoarthritis • identify pros and cons of treatments modifying knee biomechanics for knee osteoarthritis including braces, orthotics, the All Phases of Step-cycle system and others • assess emerging treatments for osteoarthritis such as nerve growth factor inhibitors and where they may fit in the therapeutic armamentarium Upon completion of this session, participants should be able to: • identify the challenge in the early diagnosis of spondyloarthritis • discuss mechanisms of disease pathogenesis • describe current treatment options for spondyloarthritis 1 8 , Non-Surgical Treatments for Osteoarthritis (074) Speaker: David T. Felson, MD, MPH Speaker: Robert D. Inman, MD TUESDAY Westin – Revere (Lobby) Spondyloarthropathy: An Update (077) n o v e m b e r Upon completion of this session, participants should be able to: • discuss the pathogenesis and pathophysiology of acute and chronic gout, including the distinctive treatment modalities affecting patient outcomes • appreciate the renal mechanisms underlying the hyperuricemia of most gout patients and therapeutic rationales applied to urate-lowering therapies • c ritically assess current ACR recommendations for the treatment of acute and chronic manifestations of gout Westin – Adams (Mezzanine) Westin – Douglas (Mezzanine) Temporal Arteritis (079) Speaker: Robert F. Spiera, MD Upon completion of this session, participants should be able to: • discuss current concepts in the diagnosis of temporal arteritis including use of imaging modalities • identify evolving concepts of the treatment of temporal arteritis including the appropriate use of glucocorticoids and the efficacy of “steroid sparing” agents 2014 Program Book 119 scientific sessions PM • d escribe the relationship between temporal arteritis and polymyalgia rheumatica • outline current concepts of the pathogenesis of temporal arteritis 253 B New Regulatory T Cells Moderators: George C. Tsokos, MD and Amit Golding, MD, PhD Speaker: Harvey Cantor, MD Upon completion of this session, participants should be able to: • describe the two major T cell subsets that mediate regulatory activity • summarize evidence for the contribution of Treg to selftolerance • summarize evidence that defective Treg activity may contribute to autoimmune disease Westin – Faneuil (Mezzanine) Vaccinations for Patients on Biologic Therapies (080) Speaker: Kevin L. Winthrop, MD, MPH Upon completion of this session, participants should be able to: • recognize the importance of appropriate vaccinations in patients with autoimmune disease • identify the different types of immunizations especially those which are live viruses • describe the effect of different classes of immunomodulatory medications on vaccine efficacy and safety PM 210 B ACR SESSIONS Upon completion of this session, participants should be able to: • identify the different types of specialized and general connective tissues that may be of relevance for musculoskeletal pain • describe the alterations in connective tissue functioning found in chronic low back pain and recognize the potential roles of inflammatory and fibrotic pathways in alterations of these connective tissues • develop scientific rationale for why certain physical therapy and exercise approaches may be beneficial for chronic low back pain PS Clinical Issues Associated with the Use of Methotrexate PM PS Moderator: Mary E. Cronin, MD Upon completion of this session, participants should be able to: • review the pharmacology of methotrexate • discuss rational prescription of methotrexate as a solo agent or in combination therapy • identify side effects and their prevention and/or treatment n o v e m b e r 1 8 , TUESDAY 2 0 1 4 1:00 pm Clinical Issues Associated with the Use of Methotrexate Joel M. Kremer, MD ARHP SESSIONS 1:00 – 2:00 pm 1:30 pm Clinical Issues Associated with the Use of Methotrexate Michael E. Weinblatt, MD Exhibit Hall C PM 255 Hench Lectureship: Why Steroids Work in Some Inflammatory Diseases but Not in Others Upon completion of this session, participants should be able to: • review how inflammatory genes are activated through histone acetylation • appraise how corticosteroid suppress inflammation by engaging histone deacetylase-2 • describe how oxidative stress induces corticosteroid resistance by inactivating HDAC2 • review how this steroid resistance mechanism may be reversed, leading to new therapeutic approaches 2014 Program Book PM PS Etiology and Management of Peripheral Neuropathy in Patients with Rheumatic Disease Moderator: Jennifer L. Trizuto, MPT Speaker: Charles E. Argoff, MD PS Upon completion of this session, participants should be able to: • describe the various causes for neuropathy • evaluate the treatment options available for treatment of neuropathy • discuss neuropathic signs and symptoms in the context of various rheumatic diseases PS Moderator: John M. Davis III, MD, MS Speaker: Peter Barnes, DM, DSc 120 PS Moderators: Tuhina Neogi, MD, PhD and Kerry Stone, MD Speaker: Helene Langevin, MD 1:00 – 2:00 pm Ballroom East PS Uncovering the Role of Connective Tissues in Chronic Low Back Pain: From Bedside to Bench to Bedside PM PM PS PM 257 A Pharmacotherapy: What’s New in Rheumatology PM PS Moderator: Joan C. McTigue, PA-C, MS Speaker: Susan Bruce, PharmD Upon completion of this session, participants should be able to: • critique the evidence of triple therapy vs. early aggressive biologic therapies for arthritis in light of treat-to-target guidelines scientific sessions • e xplain the mechanism of action of the new kinase inhibitors and recognize where the new oral agent tofacitinib fits in the current armamentarium of therapies • examine existing and emerging treatment options for systemic lupus erythematosus ACR STUDY GROUPS 1:00 – 2:00 pm Study Groups are non-CME activities open to all attendees. 109 A ACR-EULAR Study Group: Toward a New Understanding of Myositis Through International Collaboration 1:00 pm Development of Transatlantic Registry Studies in Myositis Ingrid E. Lundberg, MD, PhD 1:30 pm New Insights into the Biology of Myositis Ann M. Reed, MD 107 B Autoantibodies in Diagnosis and Follow-Up of Rheumatic Diseases Study Group 1:00 pm IgG4-related Disease: Historical Background and Clinical Spectrum Hiroki Takahashi, MD Biosimilars in Rheumatology: Update Study Group 1:00 pm Introduction Morton A. Scheinberg, MD, PhD 1:10 pm Biosimilars in Asia: Where We Are Arvind Chopra, DNB, MBBS, MD 1:35 pm Biocopies and Biosimilars: Concerns and Risks Jonathan Kay, MD 151 A Closing the Gap – Psoriasis to Psoriatic Arthritis Study Group 1:00 pm Review the Current Evidence of Predictors of Psoriasis Patients to Develop Psoriatic Arthritis Joseph F. Merola, MD and Vinod Chandran, MBBS, MD, DM, PhD 1:24 pm Identify Strategies to Detect Psoriatic Arthritis Earlier in Its Disease Course (Clinical Presentation, Biomarkers, or Imaging) Christopher T. Ritchlin, MD, MPH 2 0 1 4 1:00 pm Epigenetics in Behçet’s Disease Amr H. Sawalha, MD 157 B 1 8 , Behçet’s Disease Study Group Upon completion of this session, participants should be able to: • assess epigenetic mechanisms and recent advances that implicate dynamic epigenetic changes during the course of Behçet’s disease • discuss recent data related to oral health and its effect on prognosis • discuss epidemiology, genetic susceptibility factors and potential non-genetic risk determinants • review the existing data of biological treatment options and management recommendations for Behçet’s disease patients with severe ocular manifestations or treatment resistant symptoms 1:45 pm Biologics in the Treatment of Behçet’s Disease: Which and When? Ina Kotter, MD, PhD TUESDAY 160 B 1:30 pm Epidemiology of Behçet’s Disease Alfred Mahr, MD, PhD n o v e m b e r 1:30 pm IgG4-related Disease: Pathophysiology and Diagnostic Challenges John H. Stone, MD, MPH 1:15 pm Oral Health in Behçet’s Disease Pathogenesis Haner Direskeneli, MD 1:36 pm Optimization of Screening Methods for Psoriatic Arthritis M. Elaine Husni, MD, MPH and Abrar A. Qureshi, MD, MPH 254 A Global Musculoskeletal Health Initiatives Study Group 1:00 pm Need for Standardized Surveillance Tools for Prevalence and Impact - Variations between International Surveys Lyn March, MBBS, MSc, PhD 1:12 pm Healthcare Quality Indicators to Enable Equity of Care Ingemar F. Petersson, MD, PhD 2014 Program Book 121 scientific sessions 1:24 pm Indicators of Equity of Care Francis Guillemin, MD, PhD 1:36 pm Measuring Musculoskeletal Disability in Developing Countries Damian Hoy, BPhysio, PhD 1:40 pm Study Design for Treating Temporomandibular Joint Arthritis in Children with Juvenile Idiopathic Arthritis Carol A. Wallace, MD 153 B Latin American Study Group 1:48 pm Round Table Discussion to Agree Core Questions for Health Interview and Examination Surveys Anthony D. Woolf, MBBS 1:00 pm Education in Rheumatology Carlo Vinicio-Caballero, MD 1:30 pm Red de Excelencia en Artritis Latinoamerica Loreto Massardo, MD 259 A High-Resolution Peripheral Quantitative Computed Tomography (HR-pQCT) Imaging in Arthritis Study Group 204 A Neuroendocrine Immunology Study Group 1:00 pm Radiology Perspective on the Role of Magnetic Resonance Imaging and High-Resolution Peripheral Quantitative Computed Tomography in Trials and Clinical Practice Charles G. Peterfy, MD, PhD 1:00 pm Neuroendocrine Modulation of Pain Leslie J. Crofford, MD 1:20 pm Stress and Pain John McBeth, PhD 1:12 pm Multimodality Comparison: High-Resolution Peripheral Quantitative Computed Tomography With Magnetic Resonance Imaging and Ultrasound Xiaojuan Li, PhD n o v e m b e r 1 8 , TUESDAY 2 0 1 4 1:24 pm High-Resolution Peripheral Quantitative Computed Tomography in the Study of Psoriatic Arthritis Stephanie Boutroy, PhD 1:36 pm Reliability of High-Resolution Peripheral Quantitative Computed Tomography and Use for Longitudinal Studies – Erosion Assessment Stephanie Finzel, MD 1:48 pm Reliability of High-Resolution Peripheral Quantitative Computed Tomography and Use for Longitudinal Studies – Joint Space Assessment Andrew J. Burghardt, BS 156 B Juvenile Arthritis Workgroup (JAW) Study Group 1:00 pm Treatment of Temporomandibular Joint Arthritis in Juvenile Idiopathic Arthritis: What We Know and What We Don’t Randy Q. Cron, MD, PhD 1:20 pm A Scoring System for Evaluation of Temporomandibular Joint Arthritis in Children with Juvenile Idiopathic Arthritis Yoginder Vaid, MD 122 2014 Program Book 1:40 pm Autonomic Mediators of Inflammation and Pain Gary S. Firestein, MD 256 Pediatric Rheumatology Imaging Study Group 1:00 pm The Enthesis in Children, Normal Anatomy and Pathologic Findings Johannes Roth, MD 1:20 pm Frequency of Spinal Involvement in Children with Juvenile Idiopathic Arthritis Xenofon Baraliakos, MD 1:40 pm Magnetic Resonance Imaging vs High-resolution Peripheral Quantitative Computed Tomography for Erosions in Children with Juvenile Idiopathic Arthritis Stephanie Finzel, MD 104 B Polymyalgia Rheumatica Study Group 1:00 pm Update on Polymyalgia Rheumatica Guidelines Bhaskar Dasgupta, MD scientific sessions 1:20 pm Prospective Study of Overlap in Inflammatory Diseases of the Elderly Eric L. Matteson, MD, MPH 154 Speakers: Philip G. Conaghan, MD, PhD and Mikkel Ostergaard, DMSc, MD, PhD 1:40 pm Glucocorticoid Receptors in Polymyalgia Rheumatica Christian Dejaco, MD, PhD Upon completion of this session, participants should be able to: • recognize the most common types of magnetic resonance images (as T1- and T2-weighted, fat-saturated, STIR and contrast-enhanced) and the appearance of the most common joint pathologies on these • discuss the rationale and evidence for using magnetic resonance imaging in clinical practice • identify the advantages and disadvantages of dedicated extremity magnetic resonance imaging 102 A Sjögren’s Syndrome Study Group 1:00 pm Sjögren’s Cohort in India Debashish Danda, DM 1:15 pm Sjögren’s Cohorts in South America Juan-Manuel Anaya, MD PhD 159 Upon completion of this session, participants should be able to: • explain basic concepts of ultrasound physics • define how to perform a proper ultrasound examination • identify various tissues in an ultrasound image 152 PS ACR/ARHP WORKSHOPS 1:15 – 3:15 pm Upon completion of this session, participants should be able to: • identify what information can be gained from a skin biopsy in patients with rheumatic diseases • describe the importance of dermatopathology in clinical decision making in patients with rheumatic diseases • apply the knowledge gained to clinical practice 2014 Program Book 2 0 1 4 Dermatopathology of Rheumatic Diseases (236) Speaker: Daniel Miller, MD Upon completion of this session, participants should be able to: • define the importance of using disease-activity measurement tools in daily practice, the barriers which hinder routine widespread use and how these barriers can be overcome in nearly any practice setting • review the practice of several of the most common and well-recognized disease activity measurement tools used in rheumatology care, including the Disease Activity Score for 28 Joints (DAS-28) and Clinical Disease Activity Index (CDAI) for rheumatoid arthritis; the Psoriatic Arthritis Response Criteria (PsARC) for psoriatic arthritis; measurements of spine and hip flexibility as well as the Ankylosing Spondylitis Disease Activity Score (AS-DAS) for spondyloarthropathies; and the modified Rodnan skin score for systemic sclerosis 1 8 , 161 Speaker: Arthur M. Mandelin II, MD, PhD Facilitators: Barbara A. Slusher, PA-C, MSW and Kori A. Dewing, DNP, ARNP TUESDAY * Sessions denoted with an asterisk were sold out as of August 30. The Rheumatologic Musculoskeletal Screening Exam, with Emphasis on Objective Disease-Specific Measurements (239) n o v e m b e r Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. Musculoskeletal Ultrasonography: Basic (238) Speakers: Janak R. Goyal, MD and Gurjit S. Kaeley, MBBS, MRCP 1:30 pm The United Kingdom Sjögren’s Initiative Wan-Fai Ng, MA, PhD, CCT 1:45 pm Oklahoma Sjögren’s Cohort Kathy Silvis, PhD PM Magnetic Resonance Imaging of Peripheral Joints in Rheumatology Practice (237) 123 scientific sessions ACR SESSION 52 A 2:00 – 2:30 pm PM PS Ballroom West ACR Business Meeting This session is not eligible for CME credit. Moderator: Joseph Flood, MD Upon completion of this session, participants should be able to: • participate in a meeting with ACR leadership • r ecognize ACR initiatives • s ummarize what the ACR is doing to address various practice issues and other issues 2013-2014 College Year in Review Election of ACR Secretary Election of ACR Board of Directors Members Installation of 78th ACR President ACR SESSIONS 2:30 – 4:00 pm 255 2 0 1 4 1 8 , TUESDAY n o v e m b e r Novel Regulatory Cell Subsets Moderator: Jennifer H. Anolik, MD, PhD Upon completion of this session, participants should be able to: • review the mechanisms by which immune cell subsets regulate inflammatory responses • recognize the role that mesenchymal stem cells play in downmodulating immune responses • recognize the role that antigen-presenting cell subsets play in regulating immune responses 2:30 pm Regulatory Roles of Mesenchymal Stem Cells Arnold I. Caplan, PhD 3:00 pm Regulatory B Cells Claudia Mauri, PhD 3:30 pm Regulatory Macrophages James Hutchinson, MBBChir, PhD PM PS 210 B PM PS Educator: Innovative Educators, Novel Techniques: A Rheumatology Research Foundation Special FIT PrM Pd PS PM Ed Session Moderators: Sharon L. Kolasinski, MD and Deana M. Lazaro, MD Upon completion of this session, participants should be able to: • discuss novel approaches to curriculum development for medical students and residents in the musculoskeletal and rheumatic diseases • discuss new approaches to teaching in the rheumatic and musculoskeletal diseases • determine the unique and important roles of the clinician scholar educator in medical education and training 2:30 pm Development of Curricula in Metabolic Bone Disease Juliet Aizer, MD, MPH 2:50 pm Web-Based Learning Portfolios in Pediatric Rheumatology Michal Jennifer Cidon, MD 3:10 pm Development of Rheumatology Objective Structured Clinical Examination (ROSCE) Stations With Follow-up Modules Lisa G. Criscione-Schreiber, MD 3:30 pm A Dynamic, Competency Based Learning Modules Rodney Tehrani, MD 3:50 pm Question and Answer 124 PS PM 2014 Program Book Psoriatic Arthritis: Skin, Entheses and Joints Moderators: Rennie N. G. Howard, MD and Rebecca L. Manno, MD, MHS Upon completion of this session, participants should be able to: • describe the clinical manifestations of the variants of psoriasis and discuss current treatment options for psoriasis • describe the concept of the synovio-entheseal complex and its role in psoriatic arthritis • describe theories of the pathogenesis of psoriatic arthritis, discuss the clinical manifestations and diagnosis of psoriatic arthritis and develop a rational approach to the treatment of psoriatic arthritis 2:30 pm Psoriatic Kenneth B. Gordon, MD 3:00 pm The Synovio-Entheseal Complex Dennis McGonagle, PhD 3:30 pm Psoriatic Arthritis Christopher T. Ritchlin, MD, MPH ACR CONCURRENT ABSTRACT SESSIONS 2:30 – 4:00 pm PM Exhibit Hall C ACR Late-Breaking Abstract Session Moderator: Chester V. Oddis, MD PS scientific sessions Ballroom East PM PS 2014 Rheumatology Research Foundation Edmond L. Dubois, MD Memorial Lectureship Moderators: Daniel J. Wallace, MD and Maureen A. McMahon, MD 2:30 pm Introductory Talk Daniel J. Wallace, MD 2:45 pm 2787. Identification of Urinary Biomarkers for Lupus Nephritis Carolina Landolt-Martincorena, MD Carolina Landolt-Marticorena1, Stephenie Prokopec2, Heather Reich3, James Scholey4, Carmen Avila-Casado3, Paul R. Fortin5, Paul Boutros2 and Joan wither6, 1Toronto Western Hospital, Toronto, ON, 2Ontario Institute for Cancer Research, Toronto, ON, 3University Health Network, Toronto, ON, 4The Toronto Western Hospital, Toronto, ON, 5Laval University, Division of Rheumatology, Centre de Recherche du CHU de Québec and Department of Medicine, Quebec City, QC, 6University of Toronto, Toronto, ON 3:00 pm 2788. Preliminary Population- Based Incidence and Prevalence Estimates of SLE: The California Lupus Surveillance Project Maria Dall’Era1, Kurt Snipes2, Miriam Cisternas3, C. Gordon4 and Charles G. Helmick5, 1University of California, San Francisco, San Francisco, CA, 2California Department of Public Health, Sacramento, CA, 3MGC Data Services, San Diego, CA, 4Medical School, Birmingham, United Kingdom, 5Centers for Disease Control and Prevention, Atlanta, GA 3:45 pm 2791. Lung Cancer in SLE Sasha Bernatsky1, Rosalind Ramsey-Goldman2, Michelle Petri3, Murray B. Urowitz4, Dafna D. Gladman4, Edward H. Yelin5, Christine Peschken6, John G. Hanly7, James E. Hansen8, Jean-Francois Boivin1, Lawrence Joseph1, Patrice Chrétien Raymer9, Mruganka Kale10, Ann E. Clarke11 and Systemic Lupus International Collaborating Clinics (SLICC)12, 1McGill University, Montreal, QC, 2Northwestern University, Chicago, Biology and Pathology of Bone and Joint I: Bone Remodeling in Inflammation and Arthritis Moderators: Ellen M. Gravallese, MD and Julia F. Charles, MD, PhD 2:30 pm 2792. Methotrexate Prevents Inflammatory Osteolysis By Activation of the Adenosine a2A Receptor (A2AR) Aranzazu Mediero1, Tuere Wilder1 and Bruce N. Cronstein2, 1NYU School of Medicine, New York, NY, 2NYU School of Medicine, Division of Rheumatology, New York, NY 2:45 pm 2793. BMP2 Requires TGF-Beta to Induce Osteophytes during Experimental Osteoarthritis Esmeralda Blaney Davidson1, Arjen Blom2, Arjan van Caam1, Elly Vitters2, Miranda Bennink1, Wim van den Berg2, Fons van de Loo1 and Peter van der Kraan2, 1Radboud university medical center, Nijmegen, Netherlands, 2Radboud University Medical Center, Nijmegen, Netherlands 3:00 pm 2794. Deletion of the Inhibitory Receptor Motif, ITIM, on DCSTAMP Alters Osteoclast Differentiation and Function Yahui Grace Chiu1, Edward M. Schwarz1, Dongge Li1, Yuexin Xu1, Minsoo Kim1 and Christopher T. Ritchlin2, 1University of Rochester, Rochester, NY, 2University of Rochester Medical Center, Rochester, NY 3:15 pm 2795. Blockade of IL-6R Signaling by Sarilumab Suppressed Circulating Markers of Bone Resorption and Synovial Damage in Rheumatoid Arthritis Patients from a Phase 3, Randomized, Double-Blind, Placebo-Controlled, International Study Anita Boyapati1, Jérôme Msihid2, Emmanuelle Cousin2, Ling Cai3, Janet van Adelsberg1, Jennifer D Hamilton1, Neil Graham1, Tanya Momtahen4 and Stefano Fiore4, 1Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 2Sanofi R&D, France, Chilly-Mazarin, France, 3 Sanofi R&D, China, Beijing, China, 4Sanofi, Bridgewater, NJ 2 0 1 4 Stacy P. Ardoin1, Wael Jarjour2, Subha V. Raman2, Amanda Kibler2 and Tam Tran2, 1Ohio State University College of Medicine, Columbus, OH, 2Ohio State University, Columbus, OH PS 1 8 , 3:30 pm 2790. CMR with Quantitative T2 Mapping in Patients with Active SLE PM TUESDAY Basmah Jalil1, Wilmer Sibbitt Jr2, Romy Cabacangun3, Clifford Qualls3, Arthur Bankhurst4 and Roderick Fields5, 1University of New Mexico, Albuquerque, NM, 2University of New Mexico HSC, Albuquerque, NM, 3UNM, Albuquerque, NM, 4University of NM Med Ctr, Albuquerque, NM, 5University of New Mexico School of Medicine, Albuquerque, NM 102 A n o v e m b e r 3:15 pm 2789. Medical Marijuana Related Outcomes in Patients with Systemic Lupus Erythematosus IL, 3Johns Hopkins University School of Medicine, Baltimore, MD, 4University of Toronto, Toronto Western Hospital, Toronto, ON, 5University of California, San Francisco, San Francisco, CA, 6 University of Manitoba, Winnipeg, MB, 7Dalhousie University and Capital Health, Halifax, NS, 8Yale University, New Haven, CT, 9 McGill University Health Centre, Montreal, QC, 10RI McGill Univ Health Ctr, Montreal, QC, 11University of Calgary, Calgary, AB, 12 Systemic Lupus International Collaborating Clinics (SLICC), ON 3:30 pm 2796. A Novel Mouse Model of Osteochondromagenesis By Deleting NFATc1 in Mesenchymal Progenitors and Postnatal Chondrocytes Xian-Peng Ge, Susan Y. Ritter, Julia F. Charles, Kelly Tsang and Antonios O. Aliprantis, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 2014 Program Book 125 scientific sessions 3:45 pm 2797. Anti-Citrullinated Proteins Antibodies Promotes Osteoclastogenesis and Bone Destruction in Rheumatoid Arthritis Akilan Krishnamurthy1, Vijay Joshua1, Heidi Wähämaa1, Catia Cerqueira1, Lars Klareskog2, Vivianne Malmström3, Jimmy Ytterberg1 and Anca I Catrina1, 1Rheumatology Unit, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, 2 Karolinska Institute, Stockholm, Sweden, 3Rheumatology Unit, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden 107 B PM PS Cytokines, Mediators, Cell-cell Adhesion, Cell Trafficking and Angiogenesis I Moderator: Shiva Shahrara, PhD n o v e m b e r 1 8 , TUESDAY 2 0 1 4 2:30 pm 2798. C5orf30 a Novel Regulator of Inflammation and Tissue Damage in Rheumatoid Arthritis Munitta Muthana1, Sarah Hawtree1, Holly Davies1, Hannah Roberts1, Sachin Khetan1, Mohammed Akil2, Fiona Wright1, Barbara Ciani1, Ursula Fearon3, DJ Veale4 and Anthony G. Wilson5, 1University of Sheffield, Sheffield, United Kingdom, 2 Rheumatology Department, Sheffield South Yorkshire, United Kingdom, 3Translational Rheumatology Research Group, Dublin, Ireland, 4St. Vincent’s University Hospital, Dublin, Ireland, 5 University College Dublin, Dublin, Ireland 2:45 pm 2799. The Differential Impact of Obesity on the Pathogenesis of RA or Preclinical Models Is Contingent on the Disease Status Zhenlong Chen1, Seung-jae Kim1, Abdul Essani1, Michael V. Volin2, Suncica Volkov1, William Swedler1, Shiva Arami1, Giamila Fantuzzi1, Nadera J. Sweiss1 and Shiva Shahrara1, 1University of Illinois at Chicago, Chicago, IL, 2Chicago College of Osteopathic Medicine Midwestern University, Downers Grove, IL 3:00 pm 2800. Tofacitinib Regulates Synovial Angiogenesis in Psoriatic Arthritis through Induction of Negative Feedback Inhibitors Wei Gao, Jennifer McCormick, Carl Orr, Mary Connolly, Ursula Fearon and Douglas J. Veale, Translational Rheumatology Research Group, Dublin, Ireland 3:15 pm 2801. IL-38: A New Factor in Rheumatoid Arthritis Shinjiro Kaieda1, Katsuya Kanezaki2, Naomi Yoshida1, Yukiko Kunitake1, Hiroaki Ida1 and Tomoaki Hoshino1, 1Kurume University School of Medicine, Kurume, Japan, 2Nagata orthopedic hospital, Omuta, Japan 3:30 pm 2802. Non-Canonical NF-Kappab Signaling Promotes Angiogenesis in a Novel 3D Spheroid Model of Rheumatoid Arthritis Synovial Inflammation Chrissta X. Maracle1, Boy Helder1, Ae-Ri Noort1, Corine van der 126 2014 Program Book Horst2 and Sander W. Tas1, 1Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 2Arthrogen BV, Amsterdam, Netherlands 3:45 pm 2803. Methotrexate Impacts the Effects of Tofacitinib, but Not Tocilizumab, on Clinically Relevant Biomarkers in Human Primary Cell–Based BioMAP® Disease Models: Can We Utilize in Vitro Models to Predict Clinical Outcomes? Alison O’Mahony1, Ellen L. Berg1, Xitong Li1, Markus R. John2, Kandeepan Ganeshalingam2 and Ernest H. Choy3, 1BioSeek, South San Francisco, CA, 2F. Hoffmann-La Roche, Basel, Switzerland, 3Cardiff University, Cardiff, United Kingdom 151 A Miscellaneous Rheumatic and Inflammatory PS PM Diseases/Innate Immunity and Rheumatic Disease: Assessing Outcomes of Infections in Rheumatic Disease Moderators: Andy Abril, MD and John D. Carter, MD 2:30 pm 2804. Rituximab in IgG4-Related Disease: A Large Single-Center Experience Zachary Wallace, Mollie Carruthers and John H. Stone, Massachusetts General Hospital, Boston, MA 2:45 pm 2805. IgG4-Related Disease: Baseline Features in 100 Patients with Biopsy-Proven Disease Zachary Wallace1, Vikram Deshpande1, Hamid Mattoo2, Vinay Mahajan2, Mollie Carruthers1, Maria Kulikova1, Shiv Pillai1 and John H. Stone1, 1Massachusetts General Hospital, Boston, MA, 2 Massachusetts General Hospital, Harvard Medical School, Boston, MA 3:00 pm 2806. Characteristic Phenotype of Peripheral Blood Lymphocytes in Patients with IgG4-Related Disease, Comparing to Primary Sjögren’s Syndrome and Healthy Controls Shintaro Hirata, Shingo Nakayamada, Satoshi Kubo, Maiko Yoshikawa, Naoki Yunoue, Kazuhisa Nakano, Kunihiro Yamaoka, Kazuyoshi Saito and Yoshiya Tanaka, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan 3:15 pm 2807. Comparison of Outcomes in Septic Arthritis Caused By MRSA and MSSA Deepa Panikkath1, Sian Yik Lim2, Swetha Gadwala3, Ragesh Panikkath3 and Kenneth Nugent2, 1Texas Tech University of Health Sciences, Lubbock, LUBBOCK, TX, 2Texas Tech University Health Sciences Center, Lubbock, TX, 3Texas Tech University of Health Sciences, Lubbock, TX 3:30 PM 2808. WITHDRAWN scientific sessions 3:45 PM 2809. Human Papilloma Virus and Chlamydia Trachomatis Infections in Rheumatoid Arthritis Under Anti-TNF Therapy Mariana G Waisberg1, Ana C.M. Ribeiro2, Wellington M. Candido1, Poliana B. Medeiros1, Cezar N. Matsuzaki1, Mariana C. Beldi1, Maricy Tacla1, Helio H. Caiaffa-Filho1, Eloisa Bonfá1 and Clovis A Silva3, 1Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil, 2University of Sao Paulo, Sao Paulo, Brazil, 3 Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil 258 B PM PS Rheumatoid Arthritis – Clinical Aspects V: Mortality and Other Outcomes Moderators: Jennifer Barton, MD and Aryeh Fischer, MD 2:30 pm 2810. Reduced Mortality Risk in Rheumatoid Arthritis: Findings from Two UK Inception Cohorts Sam Norton1, Elena Nikiphorou2, Lewis Carpenter2, David Walsh3, Patrick Kiely4, Josh Dixey5 and Adam Young6, 1King’s College London, London, United Kingdom, 2University of Hertfordshire, Hatfield, United Kingdom, 3University of Nottingham, Nottingham, United Kingdom, 4St. Georges Healthcare NHS Trust, London, United Kingdom, 5New Cross Hospital, Wolverhampton, United Kingdom, 6ERAS, St Albans City Hospital, St Albans, United Kingdom 104 B PM PS Rheumatoid Arthritis – Human Etiology and Pathogenesis I: Mechanisms of Joint Damage Includes 2013 Lee C. Howley, Sr. Prize for Arthritis Research Introductory Talk Moderator: Miriam A. Shelef, MD, PhD and Bruce N. Cronstein, MD 2 0 1 4 2:30 pm 2013 Lee C. Howley, Sr. Prize for Arthritis Research Introductory Talk Bruce N. Cronstein, MD 1 8 , 3:15 pm 2813. Correlation of Morning Stiffness with Measures of Higher Disease Activity in a Large US Registry Population of Rheumatoid Arthritis Patients Vibeke Strand1, Robert J. Holt2, Katherine C. Saunders3, Jeffery D. Kent4, Ping Xu5, Amy Y. Grahn4, Marc Mason3 and Carol J. Etzel3, 1Stanford University, Palo Alto, CA, 2University of Illinois – Chicago, Chicago, IL, 3Corrona, LLC., Southborough, MA, 4Horizon 3:45 pm 2815. Better Functional Ability with Less Biologicals 2 years after Induction with Combination DMARD Therapy versus methotrexate Monotherapy T. Martijn Kuijper1, J.J. Luime1, P.H.P. de Jong1, A. H. Gerards2, D. van Zeben3, I. Tchetverikov4, P.B.J. de Sonnaville5, M. van Krugten6, B. Grillet7, J.M.W. Hazes8 and A.E.a.M. Weel9, 1Erasmus University Medical Center, Rotterdam, Netherlands, 2Vlietland Hospital, Schiedam, Netherlands, 3Sint Franciscus Gasthuis, Rotterdam, Netherlands, 4Albert Schweitzer Hospital, Dordrecht, Netherlands, 5Admiraal de Ruyter Ziekenhuis, Goes, Netherlands, 6 Admiraal de Ruyter Hospital, Vlissingen, Netherlands, 7 ZorgSaam Hospital, Terneuzen, Netherlands, 8Erasmus MC, Rotterdam, Netherlands, 9MD, PhD, Rotterdam, Netherlands TUESDAY 3:00 pm 2812. Is Rheumatoid Arthritis the Same Disease in Women and Men?- Joint Damage in Patients with EARLY Rheumatoid Arthritis at 10 YEARS after Diagnosis Juha Asikainen1, Kalevi Kaarela2, Heidi Mäkinen3, Hannu Kautiainen4, Pekka Hannonen5, Tuomas Rannio6 and Tuulikki Sokka7, 1Jyvaskyla Central Hospital, Jyväskylä, Finland, 2Jyväskylä Central Hospital, Jyväskylä, Finland, 3Tampere University Hospital, Tampere, Finland, 4Medcare Oy, Äänekoski, Finland, 5 Jyväskylä Central Hospital, Jyvaskyla, Finland, 6Kuopio University Hospital, Kuopio, Finland, 7Jyvaskyla Central Hospital, Jyvaskyla, Finland 3:30 pm 2814. Time-to-Remission, Time-to-Relapse and Disease Severity at the Time of Relapse in RA- Results from the Ontario Best Practices Research Initiative (OBRI) Bindee Kuriya1, Xiuying Li2, Binu Jacob2, Pooneh Akhavan3, Jessica Widdifield1, Mark Tatangelo1, Janet E. Pope4, Edward Keystone5 and Claire Bombardier6, 1University of Toronto, Toronto, ON, 2University Health Network, Toronto General Research Institute, Toronto, ON, 3Early Rheumatoid Arthritis Program, Mount Sinai Hospital and University of Toronto, Toronto, ON, 4Western University, London, ON, 5Mount Sinai Hospital, University of Toronto, Toronto, ON, 6Institute for Work & Health, Toronto, ON n o v e m b e r 2:45 pm 2811. Improvements in Rheumatoid Arthritis Related Fatigue Are Driven By Reductions in Pain, Not Disease Activity – Results from the British Society for Rheumatology Biologics Register for Rheumatoid Arthritis Katie L Druce, Gareth T Jones, Gary J. Macfarlane and Neil Basu, University of Aberdeen, Aberdeen, United Kingdom Pharma, Inc., Deerfield, IL, 5Axio Research LLC, Seattle, WA 2:45 pm 2816. Distinctive DNA Methylome Signatures in Early Rheumatoid Arthritis (RA) Synoviocytes Compared with Longstanding (RA) and Other Inflammatory Arthritides Rizi Ai1, John W. Whitaker2, David L. Boyle3, Paul Peter Tak4, Danielle M. Gerlag5, Wei Wang6 and Gary S. Firestein3, 1UC San Diego, La Jolla, CA, 2UCSD, San Diego, CA, 3University of California at San Diego School of Medicine, La Jolla, CA, 4 Academic Medical Center / University of Amsterdam, Department of Clinical Immunology and Rheumatology & GlaxoSmithKline, Amsterdam, Netherlands, 5Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 6 UCSD, La Jolla, CA 2014 Program Book 127 scientific sessions 3:00 pm 2817. Histone Deacetylase One Contributes to the AutoAggressive Phenotype of Rheumatoid Arthritis Sarah Hawtree1, Munitta Muthana1, J. Mark Wilkinson1, Anthony G. Wilson1 and Mohammed Akil2, 1University of Sheffield, Sheffield, United Kingdom, 2Rheumatology Department, Sheffield South Yorkshire, United Kingdom 3:15 pm 2818. SH2 Domain-Containing Phosphatase 2 Promotes Aggressiveness of Rheumatoid Fibroblast-like Synoviocytes Stephanie M. Stanford1, German R. Aleman Muench1, Cristiano Sacchetti1, Lifan Zeng2, David L. Boyle3, Gen-Sheng Feng4, Zhong-Yin Zhang2, Maripat Corr3, Gary S. Firestein3 and Nunzio Bottini1, 1La Jolla Institute for Allergy and Immunology, La Jolla, CA, 2Indiana University School of Medicine, Indianapolis, IN, 3 University of California at San Diego School of Medicine, La Jolla, CA, 4University of California at San Diego Division of Biological Sciences, La Jolla, CA 3:30 pm 2819. The YAP Pathway Regulates Fibroblast-like Synoviocyte Invasion Beatrix Bartok, University of California, San Diego, La Jolla, CA 3:45 pm 2820. Dual Role for B Cells in Promoting Bone Erosion in Rheumatoid Arthritis Via Effects on Osteoclast and Osteoblast Differentiation Nida Meednu, Hengwei Zhang, Teresa Owen, Lianping Xing and Jennifer H. Anolik, University of Rochester, Rochester, NY n o v e m b e r 1 8 , TUESDAY 2 0 1 4 253 B 128 PM PS Rheumatoid Arthritis – Small Molecules, Biologics and Gene Therapy V: Novel Therapies in Rheumatoid Arthritis – Late in Development Moderators: Jonathan Kay, MD and Joseph A. Markenson, MD 2:30 pm 2821. Efficacy and Safety/Tolerability of Mavrilimumab, a Human GM-CSFRá Monoclonal Antibody in Patients with Rheumatoid Arthritis Gerd Burmester1, Iain B. McInnes2, Joel M. Kremer3, Pedro Miranda4, Mariusz Korkosz5, Jiri Vencovsky6, Andrea RubbertRoth7, Eduardo Mysler8, Sara Sandbach9, Matthew A. Sleeman9, Alex Godwood9, David Close9 and Michael Weinblatt10, 1Charité – University Medicine Berlin, Berlin, Germany, 2University of Glasgow, Glasgow, United Kingdom, 3Albany Medical College and the Center for Rheumatology, Albany, NY, 4Centro de Estudios Reumatologicos, Santiago, Chile, 5Malopolskie Centrum Medyczne, Krakow, Poland, 6Charles University Institute of Rheumatology, Praha, Czech Republic, 7University of Cologne, Koln, Germany, 8OMI, Buenos Aires, Argentina, 9MedImmune Ltd, Cambridge, United Kingdom, 10Brigham & Women’s Hospital, Harvard Medical School, Boston, MA 2014 Program Book 2:45 pm 2822. Safety and Efficacy of Baricitinib through 128 Weeks in an Open-Label, Long-Term Extension Study in Patients with Rheumatoid Arthritis Edward C. Keystone1, Peter C. Taylor2, Mark C Genovese3, Douglas E. Schlichting4, Inmaculada De La Torre5, Scott D. Beattie4 and Terence Rooney4, 1Mount Sinai Hospital, Toronto, ON, 2University of Oxford, Oxford, United Kingdom, 3Stanford University Medical Center, Palo Alto, CA, 4Eli Lilly and Company, Indianapolis, IN, 5Eli Lilly and Company, Alcobendas, Spain 3:00 pm 2823. Comparable Efficacy with Sarilumab Plus Methotrexate in Biologic-Experienced and Biologic-Naïve Patients with Moderate-to-Severe Rheumatoid Arthritis from a Phase 3, Randomized, Double-Blind, Placebo-Controlled, International Study Roy Fleischmann1, Dennis L. Decktor2, Chunpeng Fan3, Hubert Van Hoogstraten3 and Mark C Genovese4, 1Metroplax Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX, 2Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 3Sanofi, Bridgewater, NJ, 4Stanford University Medical Center, Palo Alto, CA 3:15 pm 2824. A Profile of the Efficacy of Sarilumab Plus Methotrexate in Rheumatoid Arthritis Patients: Results of a 52-Week, Phase 3, Randomized, Double-Blind, Placebo-Controlled, International Study Arthur Kavanaugh1, Dennis L. Decktor2, Chunpeng Fan3, Janet van Adelsberg2, Renata Martincova4 and Mark C. Genovese5, 1 University of California San Diego, La Jolla, CA, 2Regeneron Pharmaceuticals, Inc., Tarrytown, NY, 3Sanofi, Bridgewater, NJ, 4Sanofi Czech Republic, Prague, Czech Republic, 5Stanford University Medical Center, Palo Alto, CA 3:30 pm 2825. A Randomized, Double-Blind, Phase 3 Equivalence Trial Comparing the Etanercept Biosimilar, HD203, with Etanercept (Enbrel®), in Combination with Methotrexate (MTX) in Patients with Rheumatoid Arthritis (RA) Sang-Cheol Bae1, Jinseok Kim2, Jung-Yoon Choe3, Won Park4, So-Ra Lee5, Yongho Ahn6 and Yunjeong Seo5, 1Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 2 Jeju National University, Jeju, Korea, South Korea, 3Catholic University of Daegu School of Medicine, Daegu, South Korea, 4 Inha University Hospital, Incheon, South Korea, 5Hanwha Chemical, Seoul, South Korea, 6Hanwha Chemical, Daejeon, South Korea 3:45 pm 2826. A Phase 2b, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Dose-Finding, Multi-Center Study to Evaluate the Safety and Efficacy of ASP015K in Moderate to Severe Rheumatoid Arthritis Subjects Not on Concomitant Methotrexate Mark C. Genovese1, Maria Greenwald2, Christine Codding3, Mario H. Cardiel4, Anna Zubrzycka-Sienkiewicz5, Alan J. Kivitz6, scientific sessions Steve Wisseh7, Kathyjo Shay8 and Jay P. Garg8, 1Stanford University Medical Center, Palo Alto, CA, 2Desert Medical Advances, PALM DESERT, CA, 3Health Research of Oklahoma, Oklahoma City, OK, 4Centro de Investigacion Clinica de Morelia, Morelia, Mexico, 5ARS Rheumatica sp. Zo.o, Reumatika, Warszawa, Poland, 6Altoona Center for Clinical Research, Duncansville, PA, 7Biocis, Chicago, IL, 8Astellas Pharma Global Development, Northbrook, IL Ballroom West PM PS Spondyloarthropathies and Psoriatic Arthritis IV – Clinical Aspects Axial Spondyloarthritis Moderators: John D. Reveille, MD and Nigil Haroon, MD, PhD, DM 2:30 pm 2827. Cervical Spine Fracture and Mortality in Ankylosing Spondylitis Katherine D. Wysham, Sara G. Murray, Nancy K. Hills, Edward H. Yelin and Lianne S. Gensler, University of California, San Francisco, San Francisco, CA PM PS Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Novel Therapies for Systemic Lupus Erythematosus Moderators: Megan E. B. Clowse, MD, MPH and Kenneth C. Kalunian, MD 2 0 1 4 2:30 pm 2833. SM101, a Novel Recombinant, Soluble, Human FcγIIB Receptor, in the Treatment of Systemic Lupus Erythematosus: Results of a Double-Blind, Placebo-Controlled Multicenter Study Sascha Tillmanns1, Claudia Kolligs1, David P. D’Cruz2, Andrea Doria3, Eric Hachulla4, Reinhard E. Voll5, Michael Tansey1 and Klaus Schollmeier1, 1SuppreMol GmbH, Martinsried, Germany, 2 Louise Coote Lupus Unit, Guy’s and St Thomas’ Hospital, London, United Kingdom, 3University of Padova, Padova, Italy, 4 Lille University, Lille, France, 5University Hospital Freiburg, Freiburg, Germany 1 8 , 3:15 pm 2830. Progression to and Type of Orthopaedic Surgery in Juvenile Vs. Adult-Onset Ankylosing Spondylitis Deepak R. Jadon1, Gavin Shaddick2, Amelia Jobling2, Athimalaipet V Ramanan3 and Raj Sengupta1, 1Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom, 2University of Bath, Bath, United Kingdom, 3University of Bristol Hospital Trust, Bristol, United Kingdom 205 B TUESDAY 3:00 pm 2829. Spondyloarthritis Is Associated with Increased Cardiovascular and Cerebrovascular Mortality Nigil Haroon1, Nisha Nigil Haroon2, Ping Li3, Michael Paterson3 and Robert D. Inman4, 1Toronto Western Research Institute, Toronto, ON, 2University of Toronto, Toronto, ON, 3Institute of Clinical Evaluative Sciences, Toronto, ON, 4University of Toronto and Toronto Western Hospital, Toronto, ON 3:45 pm 2832. The Effect of Co-Medication with Conventional Synthetic Disease Modifying Anti-Rheumatic Drugs on TNF Inhibitor Drug Survival in Patients with Ankylosing Spondylitis: Results from a Nationwide Prospective Study Elisabeth Lie1, Lars Erik Kristensen2, Helena Forsblad-d’Elia3, Johan Askling4 and Lennart T. Jacobsson3, 1Diakonhjemmet Hospital, Oslo, Norway, 2Lund University, Malmö, Sweden, 3 Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, 4Karolinska Institutet, Stockholm, Sweden n o v e m b e r 2:45 pm 2828. A Physically Demanding Job May Amplify the Effect of Disease Activity on the Development of Syndesmophytes in Patients with Ankylosing Spondylitis Sofia Ramiro1, A.M. van Tubergen2, Robert Landewé3, Annelies Boonen2, Carmen Stolwijk2, Maxime Dougados4, Filip Van den Bosch5 and Desiree van der Heijde6, 1Amsterdam Rheumatology Center/University of Amsterdam, Amsterdam, Netherlands, 2 Maastricht University Medical Center, Maastricht, Netherlands, 3 Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 4Université Paris René Descartes and Hôpital Cochin, Paris, France, 5Ghent University Hospital, Ghent, Belgium, 6Leiden University Medical Center, Leiden, Netherlands 3:30 pm 2831. Development of New Radiographic Vertebral Fractures in Patients with Ankylosing Spondylitis during 4 Years of TNF-α Blocking Therapy: Results from the Glas Cohort Fiona Maas1, Anneke Spoorenberg1, Elisabeth Brouwer2, Reinhard Bos3, Rizwana N. Chaudhry1, Freke Wink3, Hendrika Bootsma4, Eveline van der Veer1 and Suzanne Arends4, 1 University Medical Center Groningen, Groningen, Netherlands, 2 University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 3Medical Center Leeuwarden, Leeuwarden, Netherlands, 4University Medical Center Groningen, University of Groningen, Groningen, Netherlands 2:45 pm 2834. Correlation of Laboratory and Clinical Parameters with British Isles Lupus Assessment Group Response in an OpenLabel Extension Study of Epratuzumab in Systemic Lupus Erythematosus Richard A. Furie1, Michelle A. Petri2, Caroline Gordon3, Vibeke Strand4, Catrinel Galateanu5, Sabine Bongardt6, Willem Koetse7 and Daniel J. Wallace8, 1North Shore – Long Island Jewish Health System, Great Neck, NY, 2Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3 Rheumatology Research Group, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom, 4Biopharmaceutical 2014 Program Book 129 scientific sessions Consultant, Portola Valley, CA, 5UCB Pharma, Brussels, Belgium, 6 UCB Pharma, Monheim, Germany, 7UCB Pharma, Raleigh, NC, 8 Cedars-Sinai Medical Center, Los Angeles, CA 3:00 pm 2835. A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Proof-of-Concept Study to Evaluate the Efficacy and Safety of Sirukumab in Patients with Active Lupus Nephritis Cynthia Aranow1, R. van Vollenhoven2, Brad H. Rovin3, Carrie Wagner4, Bei Zhou4, Robert Gordon4 and Benjamin Hsu4, 1The Feinstein Institute, Manhasset, NY, 2The Karolinska Institute, Stockholm, Sweden, 3Ohio State University Medical Center, Columbus, OH, 4Janssen Research & Development, LLC., Spring House, PA n o v e m b e r 1 8 , TUESDAY 2 0 1 4 3:15 pm 2836. Effects of Blisibimod, an Inhibitor of B Cell Activating Factor, on Patient Reported Outcomes and Disease Activity in Patients with Systemic Lupus Erythematosus Michelle Petri1, Renee S. Martin2, Colin Hislop2, Morton A. Scheinberg3 and Richard Furie4, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2Anthera Pharmaceuticals Inc, Hayward, CA, 3Rheumatology Hospital Abreu Sodre Pesquisa Clínica, São Paulo, Brazil, 4North Shore – Long Island Jewish Health System, Great Neck, NY 130 3:30 pm 2837. Induction of Clinical Remission By Low-Dose Interleukin-2 in Refractory SLE Jens Y. Humrich1, Caroline von Spee-Mayer1, Elise Siegert1, Angelika Rose1, Tobias Alexander1, Falk Hiepe1, Andreas Radbruch2, Gerd Burmester3 and Gabriela Riemekasten1, 1 Charité – University Hospital, Berlin, Germany, 2German Rheumatism Research Centre Berlin (DRFZ), an institute of the Leibniz Association, Berlin, Germany, 3Charité University Medicine, Dept. Medicine/Rheumatology and Clinical Immunology, Berlin, Germany 3:45 pm 2838. Exploratory Analysis of Pharmacokinetic Effects of Atacicept in Patients with Moderate to Severe Systemic Lupus Erythematosus David Wofsy1, Caroline Gordon2, Yong Li3, Stephen D. Wax4 and David Isenberg5, 1Division of Rheumatology, University of California, San Francisco, CA, 2Rheumatology Research Group, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom, 3R&D Global BioStatistics, EMD Serono, Billerica, MA, 4Global Clinical Development Center – Immunology, EMD Serono Inc, Rockland, MA, 5Centre for Rheumatology Research, University College Hospital London, London, United Kingdom 2014 Program Book 156 B PM PS Systemic Lupus Erythematosus – Human Etiology and Pathogenesis II: Pathogenic Targets, Genetic Variants and Apoptosis Moderators: Gary S. Gilkeson, MD and Susan A. Boackle, MD 2:30 pm 2839. BCL-2 As a Potential Therapeutic Target in Human Lupus Tubulointerstitial Inflammation Kichul Ko1, Denisse Yanez1, Natalya Kaverina1, Vladimir M. Liarski1, Yahui Peng2, Li Lan1, Stuart Perper3, Annette Schwartz3, Liz O’connor3, Andrew Souers4, Steven Elmore4, Lisa Olson3, Maryellen L. Giger1, Li Chun Wang3 and Marcus R. Clark1, 1 University of Chicago, Chicago, IL, 2Beijing Jiaotong University, Beijing, China, 3AbbVie Inc, AbbVie Bioresearch Center, Worcester, MA, 4AbbVie Inc, North Chicago, IL 2:45 pm 2840. Targeting the RhoA-Rock Pathway to Reverse T Cell Dysfunction in SLE Cristina T. Rozo, Laura Leuenberger, Kyriakos A. Kirou, Margaret Robotham, Sanjay Gupta, Reena Khianey, Alessandra B. Pernis and Jane E. Salmon, Hospital for Special Surgery, New York, NY 3:00 pm 2841. Identifying Novel Lupus Severity Risk Variants through Identification of Alleles with High Ethnic Variability Worldwide Belinda A. Waltman1, Kimberly E. Taylor1, Julio Molineros2, Sarah French1, Joanne Nitiham1, Jennifer Kelly2, Adam Adler2, Judith A. James2, Swapan Nath2, Marta Alarcon-Riquelme2 and Lindsey A. Criswell1, 1University of California, San Francisco, Rosalind Russell / Ephraim P. Engleman Rheumatology Research Center, San Francisco, CA, 2Oklahoma Medical Research Foundation, Oklahoma City, OK 3:15 pm 2842. An Anti CD123 Monoclonal Antibody (CSL362) Depletes Plasmacytoid Dendritic Cells and Inhibits CpG Upregulated IFNα Production and IFNα-Inducible Gene Expression in Peripheral Blood Mononuclear Cells from Patients with Systemic Lupus Erythematosus Shereen Oon1, Nicholas Wilson1 and Ian Wicks2, 1The University of Melbourne, Melbourne, Australia, 2The Walter and Eliza Hall Institute of Medical Research, Melbourne, Australia 3:30 pm 2843. SLE Patients Carrying a Disease-Associated PTPN22 R620W Variant Show Reduced Interferon-Inducing Capacity Yaya Wang, David Ewart, Ami Yamamoto, Emily C. Baechler, Parastoo Fazeli and Erik J. Peterson, University of Minnesota, Minneapolis, MN scientific sessions 3:45 pm 2844. Intracellular Complement C3 Is Exposed on the Cell Surface upon Apoptosis Induction and Participates in the Clearance of Apoptotic Cells By Phagocytes Lucrezia Colonna1, Christian Lood1, YuFeng Peng1, Xizhang Sun1, Lena Tanaka1, Sandip Panicker2 and Keith B. Elkon1, 1University of Washington, Seattle, WA, 2True North Therapeutics, South San Francisco, CA PM 109 A T Cell Biology and Targets in Autoimmune Disease PS Medicine, IFR100 ; Department of Internal Medicine and Clinical Immunology, Dijon, France, 2INSERM UMR 1098, Besançon, Dijon, France, 3Department of internal medicine and systemic diseases, Dijon, France, 4Department of Geriatric Internal Medicine, Dijon, France, 5Department of Internal Medicine, Metz, France, 6Department of Internal Medicine, Besançon, France, 7Department of Rheumatology, Dijon, France, 8University Hospital Dijon, Dijon, France, 9INSERM UMR1098, Besançon, France, 10INSERM UMR 1098, Besançon ; University of Burgundy, Faculty of Medicine, IFR100 ; Department of Pathology, Dijon, France Moderators: Insoo Kang, MD and Andras Perl, MD, PhD 2:30 pm 2845. Altered Plasticity of Inflammatory CD4 T Cells Contributing to Th17 Shift in Rheumatoid Arthritis Jan Leipe, Fausto Pirronello, Simon Hermann, Matthias Witt, Hendrik Schulze-Koops and Alla Skapenko, University of Munich, Munich, Germany 2:45 pm 2846. CaMK4 Inhibition Ameliorates the Development of Th17 Driven Inflammatory Diseases By Preventing Recruitment of IL17 Producing Cells to Target Organs Tomohiro Koga1, Kotaro Otomo2, Masayuki Mizui2, Nobuya Yoshida2, José C. Crispin2, Atsushi Kawakami1 and George C. Tsokos3, 1Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, 2Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 3Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA Moderators: Tanaz A. Kermani, MD and Alfred Mahr, MD, PhD 2 0 1 4 2:30 pm 2851. The Relationship of ARMS2 Genotype with Idiopathic Inflammatory Vasculitis Christopher Mecoli1, Fan Wang2, Christopher Pappas3, Peter C. Grayson4, David Cuthbertson5, Simon Carette6, Christian Pagnoux6, Gary S. Hoffman7, Nader A. Khalidi8, Curry L. Koening9, Carol A. Langford10, Carol McAlear11, Paul A. Monach12, Larry W. Moreland13, Philip Seo14, Ulrich Specks15, Steven R. Ytterberg15, Rui Feng1, Gregory Hageman3 and Peter A. Merkel11, 1University of Pennsylvania, Philadelphia, PA, 2University of Pennsylvania, Philadelphia, OK, 3University of Utah School of Medicine, Salt Lake City, UT, 4National Institutes of Health, Bethesda, MD, 5University of South Florida, Tampa, FL, 6University of Toronto, Toronto, ON, 7Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 8St. Joseph’s Hospital, McMaster University, Hamilton, ON, 9University of Utah, Salt Lake City, UT, 10Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 11Vasculitis Center, University of Pennsylvania, Philadelphia, PA, 12Vasculitis Center, Boston University School of Medicine, Boston, MA, 13University of Pittsburgh, Pittsburgh, PA, 14Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 15Mayo Clinic, Rochester, MN 1 8 , 3:30 pm 2849. Involvement of CD8+ T Cells in the Pathogenesis of Giant Cell Arteritis and Polymyalgia Rheumatica Maxime Samson1, Sylvain Audia1, Malika Trad2, Marion Ciudad2, Hervé Devilliers3, Alexandrine Gautheron2, Valérie Quipourt4, Francois Maurier5, Nadine Meaux Ruault6, Patrick Manckoundia4, Paul Ornetti7, Jean-Francis Maillefert8, Jean-François Besancenot3, Christophe Ferrand9, Philippe Saas9, Laurent Martin10, Nona Janikashvili2 and Bernard Bonnotte1, 1INSERM UMR 1098, Besançon ; University of Burgundy, Faculty of Vasculitis III TUESDAY 3:15 pm 2848. T-Cell Signaling Defects Can be Corrected By Manipulating ‘TCR Signal Fine-Tuning Molecules’ That Are Altered Due to Increased Ubiquitination in Systemic Autoimmune Disease Julia Pinkhasov and Ram Raj Singh, UCLA, Los Angeles, CA 157 B n o v e m b e r 3:00 pm 2847. Survivin Co-Ordinates Formation of Follicular T-Cells in Rheumatoid Arthritis Maria Bokarewa1, Karin Andersson2, Malin Erlandsson2, Mattias Svensson2, Nicola Cavallini3 and Mikael Brisslert2, 1University of Goteborg, Goteborg, Sweden, 2University of Gothenburg, Gothenburg, Sweden, 3University of Göteborg, Göteborg, Sweden 3:45 pm 2850. MiR-125a Is Critical Regulator for Controlling Autoimmunity in Multiple Autoimmune Diseases through Stabilizing Treg Mediated Immune Homeostasis Wan Pan1, Shu Zhu1, Dai Dai1, John Harley2 and Nan Shen1, 1 Institute of Health Sciences, Shanghai Institutes for Biological Sciences (SIBS), Chinese Academy of Sciences (CAS) & Shanghai Jiao Tong University School of Medicine (SJTUSM), Shanghai, China, 2The Center for Autoimmune Genomics and Etiology (CAGE), Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, UnitedPMStatesPSof America, Cincinnati, OH 2:45 pm 2852. Evaluation of KIR3DL1/KIR3DS1 Association with Behçet’s Disease in Turkish Individuals Burak Erer1, Elaine F. Remmers1, Masaki Takeuchi1, Colleen Satorius1, Duran Ustek2, Ilknur Tugal-tutkun3, Emire Seyahi4, Yilmaz Ozyazgan5, Ahmet Gul3, Daniel L. Kastner6 and Michael J. 2014 Program Book 131 scientific sessions n o v e m b e r 1 8 , TUESDAY 2 0 1 4 Ombrello7, 1National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 2Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey, 3 Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey, 4Cerrahpasa Medical Faculty, University of Istanbul, Istanbul, Turkey, 5Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey, 6National Human Genome Research Institute, Bethesda, MD, 7National Institute of Arthritis Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD 132 3:00 pm 2853. Comparative Study of Infliximab Versus Adalimumab in Patients with Refractory Uveitis Due to Behçet´s Disease. Multicenter Study of 125 Cases Leyre Riancho-Zarrabeitia1, Vanesa Calvo-Río1, Ricardo Blanco1, Paz Rodríguez-Cundín1, Emma Beltrán2, Juan Sánchez Bursón Sr.3, Marina Mesquida4, Alfredo Adan4, M. Victoria Hernández5, Marisa Hernandez Grafella6, Elia Valls Pascual7, Lucía MartinezCosta8, Agusti Sellas-Fernandez9, Miguel Cordero-Coma10, Manuel Díaz-Llopis11, Roberto Gallego11, Jose Luis García Serrano12, Norberto Ortego-Centeno13, Jose M Herreras14, Alejandro Fonollosa15, Angel M. Garcia-Aparicio16, Olga Maiz Alonso17, Ana Blanco18, Ignacio Torre Salaberri19, Cruz FernándezEspartero20, Vega Jovani21, Diana Peiteado22, Esperanza Pato23, Juan Cruz24, Carlos Férnandez Cid25, Elena Aurrecoechea26, Miriam García-Arias27, Miguel Angel Caracuel-Ruiz28, Carlos Alberto Montilla Morales29, Antonio Atanes-Sandoval30, Félix Francisco31, Santos Insua32, Senen González-Suárez33, Maria Amalia Sanchez Andrade34, Fernando Gamero35, Luis Francisco Linares Ferrando36, Fredeswinda Romero37, A. Javier GarcíaGonzález38, Raquel Almodóvar González39, Enrique Minguez40, Carmen Carrasco Cubero41, Alejandro Olive42, Julio Vázquez43, Oscar Ruiz Moreno44, Fernando Jiménez-Zorzo44, Javier Manero44, Santiago MuÑoz Fernandez45, Javier Rueda-Gotor1, Trinitario Pina1, Montserrat Santos-Gómez1 and Miguel A. González-Gay1, 1 Hospital Universitario Marqués de Valdecilla. IDIVAL. Santander. Spain, Santander, Spain, 2Hospital General Universitario de Valencia. Spain, Valencia, Spain, 3Rheumatology. Hospital de Valme., Sevilla, Spain, 4Hospital Clinic. Barcelona. Spain, Barcelona, Spain, 5Hospital Clinic, Barcelona, Barcelona, Spain, 6 Ophthalmology. Hospital General universitario de Valencia, Valencia, Spain, 7Rheumatology. Hospital Peset, Valencia, Spain, 8Ophthalmology. Hospital Peset, Valencia, Spain, 9H. Vall d’Hebron, Barcelona, Spain, 10Hospital de León. Spain, León, Spain, 11Hospital Universitario La Fe. Valencia. Spain, Valencia, Spain, 12Ophthalmology. Hospital San Cecilio, Granada, Spain, 13 Systemic Autoimmune Diseases Unit, Hospital Clínico San Cecilio, Granada, Spain, 14Ophthalmology. Hospital Universitario, IOBA, Valladolid, Spain, 15Hospital de Cruces. Bilbao. Spain, Bilbao, Spain, 16Virgen de la Salud Hospital, Toledo, Spain, 17 Hospital Universitario de Donostia. San Sebastián. Spain, San Sebastián, Spain, 18Ophthalmology. Hospital Donosti, San Sebastián, Spain, 19Hospital Universitario de Basurto. Bilbao. Spain, Bilbao, Spain, 20Hospital Universitario de Móstoles. Madrid. Spain, Madrid, Spain, 21Rheumatology. Hospital General de Alicante, Alicante, Spain, 22Hospital La Paz – IdiPaz, Madrid, Spain, 23Rheumatology. Hospital Clínico San Carlos, Madrid, 2014 Program Book Spain, 24Rheumatology. Hospital de Pontevedra, Pontevedra, Spain, 25Ophthalmology. Hospital de Pontevedra, Pontevedra, Spain, 26Hospital Sierrallana. Torrelavega, Torrelavega, Spain, 27 Hospital Universitario de La Princesa. IIS La Princesa, Madrid, Spain, 28H. Reina Sofia, Cordoba, Spain, 29Hospital Clínico Universitario de Salamanca, Salamanca, Spain, 30Rheumatology Division. C. Hospitalario Universitario A Coruña, A Coruña, Spain, 31Hospital Doctor Negrín. Las Palmas de Gran Canaria. Spain, Las Palmas de Gran Canaria, Spain, 32Rheumatology. Hospital Universitario Santiago de Compostela, A Coruña, Spain, 33Rheumatology. Hospital Cabueñes, Gijón, Spain, 34 Hosp. Lucus Augusti, Lugo, Spain, 35Rheumatology. Hospital San Pedro Alcantara, Cáceres, Spain, 36Hospital Virgen de la Arrixaca. Murcia. Spain, Murcia, Spain, 37Jiménez Díaz Foundation University Hospital, Madrid, Spain, 38Instituto de Investigación Hospital 12 de Octubre (I+12), Madrid, Spain, 39 Hospital Universitario Fundación Alcorcón, Madrid, Spain, 40 Ophthalmology. Hospital Clínico de Zaragoza, Zaragoza, Spain, 41 Hospital de Merida, Mérida, Spain, 42Germans Trias Pujol Hospital, Barcelona, Spain, 43Rheumatology. Hospital de Ferrol, A Coruña, Spain, 44Ophthalmology and Rheumatology. Hospital Miguel Servet Zaragoza, Spain, Zaragoza, Spain, 45Sección de Reumatología, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain 3:15 PM 2854. Effect of Apremilast on Quality of Life and Physical Function in Patients with Behçet’s Syndrome Gulen Hatemi1, Melike Melikoglu1, Recep Tunc2, Cengiz Korkmaz3, Banu Turgut Ozturk4, Cem Mat5, Peter A. Merkel6, Kenneth Calamia7, Lilia Pineda8, Ziqi Liu8, Randall M. Stevens8, Hasan Yazici1 and Yusuf Yazici9, 1Istanbul University, Cerrahpasa Medical Faculty, Rheumatology, Istanbul, Turkey, 2Necmettin Erbakan University, Meram Medical Faculty, Division of Rheumatology, Konya, Turkey, 3EskiÅŸehir Osmangazi University, EskiÅŸehir, Turkey, 4Selçuk University, Konya, Turkey, 5Istanbul University, Cerrahpasa Medical Faculty, Dermatology, Istanbul, Turkey, 6 Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 7Mayo Clinic Health System in Waycross, Waycross, GA, 8Celgene Corporation, Warren, NJ, 9 New York University School of Medicine, New York, NY 3:30 pm 2855. Efficacy and Safety of Rituximab Retreatment Regimen at Clinical Relapse in Severe Cryoglobulinemic Vasculitis Luca Quartuccio1, Francesca Zuliani2, Patrizia Scaini3, Marco Lenzi4, Antonio Tavoni5, Marco Sebastiani6, Teresa Urraro7, Francesco Saccardo8, Costanza Sbreglia9, Pietro Pioltelli10, Paolo Fraticelli11, Davide Filippini12, Salvatore Scarpato13, Oreste Perrella9, Armando Gabrielli14, Dario Roccatello15, Anna Linda Zignego7, Clodoveo Ferri16, Stefano Bombardieri17, Maurizio Pietrogrande18, Massimo Galli19, Giuseppe Monti8 and Salvatore De Vita1, 1DSMB, University Hospital Santa Maria della Misericordia, Udine, Italy, 2Rheumatology Clinic, University Hospital of Udine, Udine, Italy, 3Nephrology, Spedali Civili di Brescia, Brescia, Italy, 4University of Bologna, Bologna, Italy, 5Rheumatology Clinic, University of Pisa, Pisa, Italy, scientific sessions 6 Rheumatology Clinic, University of Modena and Reggio Emilia, Modena, Italy, 7Center for Systemic Manifestations of Hepatitis Viruses (MASVE), Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy, 8Internal Medicine Unit, Saronno Hospital, Azienda Ospedaliera di Busto Arsizio, Saronno (VA), Italy, 9Rheumatology Unit, AO Cotugno, Naples, Italy, 10Hematology, S.Gerardo Hospital, Monza, Italy, 11 Istituto di Clinica Medica, Università Politecnica delle Marche, Ancona, Italy, 12Rheumatology Unit, Ospedale Niguarda Ca’ Granda, Milan, Italy, 13Rheumatology Unit, M. Scarlato Hospital, Scafati, Salerno, Italy, 14Università Politecnica delle Marche, Ancona, Italy, 15UNIVERSITY OF TURIN (ITALY), TURIN, Italy, 16Univ Modena Reggio Emilia, Modena, Italy, 17Rheumatology Unit, University of Pisa, Pisa, Italy, 18Internal Medicine Unit, Policlinico San Marco, Bergamo, Italy, 19Istituto di Malattie Infettive e Tropicali, Università di Milano c/o Ospedale L. Sacco, Milano, Italy 3:45 pm 2856. Update on Long-Term Outcomes after Reversible Cerebral Vasoconstriction Syndrome (RCVS) Seby John1, Aneesh Singhal2, Leonard H. Calabrese1, Ken Uchino1, Tariq Hammad1, Stewart Tepper1, Mark Stillman1 and Rula A HajjAli1, 1Cleveland Clinic Foundation, Cleveland, OH, 2Massachusetts General Hospital, Boston, MA ACR/ARHP COMBINED ABSTRACT SESSION 2:30 – 4:00 PM PM 160 B PS ACR/ARHP Combined Abstract Session: Rehabilitation PM PS 3:30 pm 2861. Changes in Knee Kinematics from a 6-Week Hip and Trunk Strengthening Program for Persons with Patellofemoral Osteoarthritis Lisa Hoglund1, Laura Pontiggia1, John Kelly IV2, Mark Arnott1, Olumide Babalola1, Andrew Gushen1 and James Carey2, 1 University of the Sciences, Philadelphia, PA, 2University of Pennsylvania, Philadelphia, PA 3:45 pm 2862. Satisfaction Following Total Knee Replacement: Journey or Destination? Jeffrey N. Katz1, Yan Dong1, Jamie E. Collins1, John Wright1, David Dalury2, Kirk Kindsfater3 and Elena Losina1, 1Brigham and Women’s Hospital, Boston, MA, 2Townson Orthopedics, Maryland, Baltimore, MD, 3Orthopedic Center for the Rockies, Ft. Collins, CO 1 8 , 2 0 1 4 ARHP SESSIONS 2:30 – 4:00 pm 204 A 2:45 pm 2858. Education Effects on Outcome Expectations for Exercise in Adults with Knee Osteoarthritis Tressa Gamache, Lori Lyn Price, Jeffrey B. Driban, William F. Harvey and Chenchen Wang, Tufts Medical Center, Boston, MA TUESDAY 2:30 pm 2857. Restricting Back Pain Is Strongly Associated with Disability in Community-Living Older Persons over the Course of 13 Years Una Makris1, Liana Fraenkel2, Ling Han3, Linda Leo-Summers3 and Thomas M. Gill4, 1Dallas VA Medical Ctr, Dallas, TX, 2Yale University School of Medicine, Veterans Affairs Connecticut Healthcare Systems, New Haven, CT, 3Department of Medicine, New Haven, CT, 4Yale University, New Haven, CT 3:15 pm 2860. Randomised Comparison of the Effectiveness of a NonPharmacological Multidisciplinary Face-to-Face Group-Based Treatment Program Vs. a Telephone-Delivered Treatment Program on Daily Function in Patients with Generalized Osteoarthritis Nienke Cuperus1, Thomas Hoogeboom2, Clarinda Kersten1, Leonie Rietveld1, Alfons den Broeder1, Thea Vliet Vlieland3 and Cornelia H.M. van den Ende1, 1Sint Maartenskliniek, Nijmegen, Netherlands, 2CAPHRI school for public health and primary care, CCTR centre for Care Technology Research, Maastricht University, Maastricht, Netherlands, 3Leiden University Medical Center, Leiden, Netherlands n o v e m b e r Moderators: Nancy A. Baker, MPH and Daniel K. White, PT, ScD, MSc 3:00 pm 2859. Randomized Controlled Trial of Postoperative Care Navigation in Total Knee Arthroplasty Patients: Does One Size Fit All? Elena Losina, Jamie E. Collins, John Wright, Meghan E. Daigle, Laurel Donnell-Fink, Doris Strnad, Vladislav Lerner, Stanley Abrams and Jeffrey N. Katz, Brigham and Women’s Hospital, Boston, MA PM PS Brief Action Planning (BAP): A Motivational Interviewing (MI) Technique to Enhance Patient SelfPrM Pd PS PM Ed Management and Improve Outcomes FIT Moderator: Christine A. Stamatos, DNP, ANP-C Upon completion of this session, participants should be able to: • explain how clinicians can efficiently, effectively engage their patients for enhanced self-management of chronic illness and improved outcomes • describe the eight core competencies of Brief Action Planning (BAP) and the four elements of the Spirit of Motivational Interviewing (MI) 2014 Program Book 133 scientific sessions • a pply the principles and practices of BAP and MI in routine clinical work for enhanced patient self-management and improved outcomes 2:30 pm Brief Action Planning: Eight Core Competencies and the Spirit of Motivational Interviewing Steven Cole, MD 3:15 pm Coping for Caregivers: Strength-Based Coping Strategies for Family, Friends and Partners of Patients Living with Neuropsychiatric Lupus Liz Morasso, LCSW PS PM 153 B Treatment Considerations in Chronic Pain 3:15 pm How to Apply Brief Action Planning in Your Routine Clinical Practice Joseph Weiner, MD, PhD 256 PM Upon completion of this session, participants should be able to: acute pain becomes chronic pain • d iscuss the latest research in treatment options for chronic pain • describe at least one new technique that may revolutionize our management of persistent pain Osteoporosis: Emerging Treatments Both Pharmacological and Non-Pharmacological Moderator: Karen Huisinga, MN, ARNP 2:30 pm Recent Advances in the Diagnosis and Management of Chronic Pain Daniel J. Clauw, MD Upon completion of this session, participants should be able to: • integrate new pharmacological treatment regiments for osteoporosis • evaluate current evidence supporting new treatment paradigms for osteoporosis • formulate rehabilitation recommendations for the treatment of osteoporosis for those with rheumatic diseases 3:15 pm Treatment Considerations in Chronic Pain Sean Mackey, MD, PM PhDPS ACR WORKSHOPS 4:00 – 6:00 pm Admission to Workshops requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. n o v e m b e r 1 8 , TUESDAY 2 0 1 4 3:15 pm Rehabilitation Techniques for the Treatment of Osteoporosis Jennifer L. Trizuto, MPT 257 A PM PS The Psychosocial Impact and Treatment Options for Patients with Neuropsychiatric Lupus and Their Caregivers 2:30 pm Neuropsychiatric Lupus: Health-Related Quality of Life and Treatment Options John G. Hanly, MD 134 * Sessions denoted with an asterisk were sold out as of August 30. Moderator: Shawn Rose, MD, PhD Upon completion of this session, participants should be able to: • identify the psychosocial quality of life indicators that are frequently impacted by nervous system involvement in lupus patients and to follow-through with a referral to a mental health professional, where appropriate • summarize the pharmacological and non-pharmacological approaches currently in place to treat nervous system lupus • recognize the psychological impact and lifestyle adjustments experienced by family members, friends and partners of patients with neuropsychiatric symptoms • apply strength-based strategies to assist the caregivers of patients with neuropsychiatric symptoms 2014 Program Book PS • d escribe the pathophysiologic mechanisms that occur when PS 2:30 pm Emerging Medicines for the Treatment of Osteoporosis Barry Gruber, MD PM Moderator: Afton L. Hassett, PsyD 154 Getting Electronic Health Records Right (240) Speaker: Salahuddin Kazi, MD Upon completion of this session, participants should be able to: • describe the basic structure and capability of an electronic health record • e xplain the principles and design of rheumatology-specific templates and order sets • identify the key elements in current clinical processes and workflow to help optimize the utilization of an electronic health record scientific sessions 152 managing osteoarthritis • r ecommend specific exercise prescriptions for knee and hip osteoarthritis may can be implemented in clinical practice Systemic Sclerosis: How to Perform Skin Scores (241) Speaker: Daniel Furst, MD, MPH Upon completion of this session, participants should be able to: • review the usefulness and reasons to do a modified Rodman skin score • explain how to do a modified Rodman skin score • demonstrate modified Rodman skin score under the supervision of experts 159 4:30 pm What Should I Eat to Help My Osteoarthritis? Shivani Sahni, PhD 5:00 pm Is There Evidence that Vitamins Can Help Osteoarthritis? Timothy E. McAlindon, MD, MPH, MRCP 5:30 pm Exercise for Osteoarthritis Management: Science in Action! Ewa M. Roos, PT, PhD *Ultrasound Injection Guidance (242) Speaker: Gurjit S. Kaeley, MBBS, MRCP Upon completion of this session, participants should be able to: • summarize the evidence for improved outcomes with ultrasound guidance of joint injections • describe methods to optimize needle visualization • review best practices for maintaining aseptic technique and probe positioning • explain the anatomic approach for sonographically guided injection of major joints ACR SESSIONS 4:30 – 6:00 pm PM PS 160 B Autophagy in Rheumatic Diseases Moderator: Wael N. Jarjour, MD 210 B PM PM PS PS PM Ed Pd PS PrM FIT Moderators: Michael H. Weisman, MD and Arthur Kavanaugh, MD Upon completion of this session, participants should be able to: • identify important safety issues in the drug treatment of rheumatic diseases • integrate knowledge of new safety issues into their treatment strategies • review how to more fully advise patients about the safety issues related to treatments for rheumatic diseases • recognize evolutions at the FDA that will affect drug safety monitoring and reporting 4:30 pm Rheumatological Drugs in Pregnancy: Update on Fetal Safety Gideon Koren, MD 4:50 pm Update and Safety Issues of Recently Approved Agents for Rheumatic Diseases Nikolay P. Nikolov, MD 2 0 1 4 5:30 pm Autophagy Pathways as Therapeutic Targets Andras Perl, MD, PhD Update on Safety Issues in the Treatment of Rheumatic Diseases – From the FDA and Beyond 1 8 , 5:00 pm Autophagy and Autoimmune Diseases Cornelia M. Weyand, MD, PhD PS TUESDAY 4:30 pm Autophagy-Inflammation-Cell Death Axis Jenny Ting, PhD PM n o v e m b e r Upon completion of this session, participants should be able to: • review the concept autophagy • examine the role of autophagy in autoimmune diseases • consider whether autophagy pathways are potential therapeutic targets 52 A 5:15 pm The Year in Review – Update on Safety Issues at the FDA for the Last 12 Months Janet W. Maynard, MD, MHS ACR CONCURRENT ABSTRACT SESSIONS 4:30 – 6:00 pm PM PM PS Beyond Analgesics: State of the Evidence for Nutrition, Vitamins and Exercise Prescriptions in Osteoarthritis Management Moderators: Shreyasee Amin, MD CM, MPH and David T. Felson, MD, MPH PS 104 B Antiphospholipid Syndrome Moderators: Roger A. Levy, MD and Joyce Rauch, PhD Upon completion of this session, participants should be able to: • discuss the potential role for different nutrients in osteoarthritis management • describe the current evidence for specific vitamins in 2014 Program Book 135 scientific sessions 4:30 pm 2863. IgG Antiphospholipid Antibodies Enhance Stroke Damage: An in Vivo Ischemia/Reperfusion Study Charis Pericleous1, Valerie Taylor2, Lauren Bourke3, Daniel Stuckey2, Jed Wingrove4, Mark Lythgoe2, Silvia S. Pierangeli5, Anisur Rahman4, Ian Giles1 and Yiannis Ioannou6, 1Centre for Rheumatology, University College London, London, United Kingdom, 2Centre for Advanced Biomedical Imaging (CABI), University College London, London, United Kingdom, 3Centre for Rheumatology Research, University College London, London, United Kingdom, 4University College London, London, United Kingdom, 5University of Texas Medical Branch, Galveston, TX, 6 Centre for Rheumatology Research, University College Hospital London, London, United Kingdom n o v e m b e r 1 8 , TUESDAY 2 0 1 4 4:45 pm 2864. Markers of Thrombotic Events in Autoimmune Diseases: Comparison of Antiphospholipid Score (aPL-S) and Global AntiPhospholipid Syndrome Score (GAPSS) Kenji Oku, Olga Amengual, Ryo Hisada, Kazumasa Oomura, Ikuma Nakagawa, Toshiyuki Watanabe, Toshiyuki Bohgaki, Tetsuya Horita, Shinsuke Yasuda and Tatsuya Atsumi, Hokkaido University Graduate School of Medicine, Sapporo, Japan 5:00 pm 2865. The Cellular Effects of ANTI-Factor Xa Antibodies Isolated from Patients with Antiphospholipid Syndrome ARE Inhibited By Factorxa Inhibitors, Hydroxychloroquine and Fluvastatin Bahar Artim-Esen1, Natalia Smoktunowicz2, Vera M. Ripoll3, Charis Pericleous3, Rachel Chambers2, Ian Mackie4, David Isenberg5, Anisur Rahman6, Yiannis Ioannou5 and Ian Giles3, 1 Rheumatology Division, Department of Internal Medicine, Istanbul Faculty of Medicine,Istanbul University, Istanbul, Turkey, 2 Respiratory Research Unit, University College London, London, United Kingdom, 3Centre for Rheumatology, University College London, London, United Kingdom, 4Haemostasis Research Unit, University College London, London, United Kingdom, 5Centre for Rheumatology Research, University College Hospital London, London, United Kingdom, 6University College London, London, United Kingdom 5:15 pm 2866. External Validation of the Global Anti-Phospholipid Syndrome Score in Comparison to IgG Antibodies Directed Against Domain I of ß2-Glycoprotein I. a Prospective Multicentre Cohort Study Stephane Zuily1, Bas De Laat2, Veronique Regnault3, Pierre Kaminsky4, Hilde Kelchtermans5, Zakera Shums6, Roger Albesa6, Gary L Norman6, Philip de Groot7, Anne-Christine Rat8, Jacques Ninet9, Nadine Magy-Bertrand10, Jean-Louis Pasquali11, Marc Lambert12, Bernard Lorcerie13, Thomas Lecompte14, Francis Guillemin15 and Denis Wahl16, 1CHU de Nancy, Vascular Medicine Division and Regional Competence Center For Rare Vascular And Systemic Autoimmune Diseases, Nancy, F-54000, France; Inserm, UMR_S 1116, Nancy, F-54000, France; Université de Lorraine, Nancy, F-54000, France, Nancy, France, 2Biochemistry, CARIM, Maastricht University, Maastricht, Netherlands, 136 2014 Program Book 3 Inserm, UMR_S 1116, Nancy, F-54000, France; Université de Lorraine, Nancy, F-54000, France; CHU de Nancy, Contrat d’interface, Nancy, F-54000, France, Nancy, France, 4CHU Nancy, Vandoeuvre, France, 5Biochemistry, CARIM, Maastricht University, The Netherlands; Synapse BV, Maastricht, The Netherlands, Maastricht, Netherlands, 6INOVA Diagnostics, San Diego, CA, 7Clinical Chemistry and Hematology, UMC Utrecht, The Netherlands, Utrecht, Netherlands, 8University of Lorraine, Nancy, France, 9Department of Nephrology and Internal Medicine, Hôpital Edouard Herriot, Lyon, France, Lyon, France, 10 Bensançon University Hospital, Besançon, France, 11Nouvel Hospital Civil, Strasbourg Cedex, France, 12Lille University Hospital, Lille, France, 13Hopital Du Bocage, Service de Médecine Interne et Immunologie Clinique, Dijon, France, 14Inserm, UMR_S 1116, Nancy, F-54000, France; Université de Lorraine, Nancy, F-54000, France; CHU de Nancy, Haematology Laboratory, Nancy, F-54000, France; Division of Haematology, HUG, Geneva, Switzerland (current address), Geneva, Switzerland, 15INSERM, Centre d’Investigation Clinique – Epidémiologie Clinique (CIC-EC) CIE6, Nancy, France, 16Nancy University Hospital and INSERM U961, Vandoeuvre-Les-Nancy, France 5:30 pm 2867. Antiphospholipid Antibodies Promote the Release of Neutrophil Extracellular Traps: a New Mechanism of Thrombosis in the Antiphospholipid Syndrome Srilakshmi Yalavarthi1, Levi F. Mazza1, Alexandra E. Morris1, Carlos Núñez-Álvarez2, Diego Hernández2, Paula L. Bockenstedt1, Antonio R. Cabral2 and Jason S. Knight1, 1University of Michigan, Ann Arbor, MI, 2Instituto Nacional de Ciencias Medicas y Nutricion, Mexico City, Mexico 5:45 pm 2868. Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking (APS ACTION) Clinical Database and Repository Initial Analysis Doruk Erkan1, Danieli Andrade2, Maria Tektonidou3, Amaia Ugarte4, Alessandra Banzato5, Angela Tincani6, Pier-Luigi Meroni7, Ricard Cervera8, Paul R. Fortin9, Roger A. Levy10 and On Behalf of APS Action11, 1Hospital for Special Surgery, New York, NY, 2 University of São Paulo, São Paulo, Brazil, 3First Department of Internal Medicine, Laikon Hospital, Athens University Medical School, Athens, Greece, 4Hospital Universitario Cruces, Bizkaia, Spain, 5Department of Cardiac Thoracic and Vascular Sciences, University of Padua, Padua, Italy, 6Rheumatology and Clinical Immunology, Spedali Civili and University of Brescia, Brescia, Italy, 7University of Milan, Milano, Italy, 8Hospital Clinic, Barcelona, Spain, 9Laval University, Division of Rheumatology, Centre de Recherche du CHU de Québec and Department of Medicine, Quebec City, QC, 10Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 11APS ACTION, New York, NY PM 109 A B Cell Biology and Targets in Autoimmune Disease Moderators: Jennifer H. Anolik, MD, PhD and Shaun Jackson, MD PhD 4:30 pm 2869. TLR7 Influences Autoreactive B Cell Selection in the Germinal Center Weiqing Huang1, Megan Woods1, Alexis Boneparth2, Ramalingam Bethunaickan1, Ranjit Sahu1 and Anne Davidson1, 1Feinstein Institute for Medical Research, Manhasset, NY, 2Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ 4:45 pm 2870. B Cell-Intrinsic Deletion of the Type 1 Interferon Receptor Does Not Impact the Development of Murine Lupus Shaun W. Jackson, Nicole Scharping, Socheath Khim and David Rawlings, Seattle Children’s Research Institute, Seattle, WA 5:00 pm 2871. Break of Anergy in Human Autoreactive B Cells By T Helper Signals Restores B Cell Receptor Signaling Capacity and Is Dependent on Upregulation of CD45 Phosphatase Activity-a Possible Novel Mechanism of Breech of B Cell Tolerance in Rheumatic Diseases Peter Szodoray1, Stephanie M. Stanford2, Nunzio Bottini2 and Britt Nakken1, 1Institute of immunology, Rikshospitalet, Oslo University Hospital, Oslo, Norway, 2La Jolla Institute for Allergy and Immunology, La Jolla, CA PM PS Cytokines, Mediators, Cell-Cell Adhesion, Cell Trafficking and Angiogenesis II Moderators: George D. Kalliolias, MD, PhD and Dana E. Orange, MD, MS 4:30 pm 2875. Macrophage Expression of Hypoxia-Inducible Factor-2 Alpha Promotes Rheumatoid Arthritis Progression Munitta Muthana1, William Jacob Hardy1, Sarah Hawtree1, Fiona Wright1, Ursula Fearon2, DJ Veale3, Mauro Perretti4 and Anthony G. Wilson5, 1University of Sheffield, Sheffield, United Kingdom, 2Translational Rheumatology Research Group, Dublin, Ireland, 3St. Vincent’s University Hospital, Dublin, Ireland, 4Barts and the London School of Medicine, London, United Kingdom, 5 University College Dublin, Dublin, Ireland 4:45 pm 2876. Interleukin-10 Receptor Blockade during Lcmv Infection Results in Macrophage Activation Syndrome-like Disease in Mice Lehn K. Weaver1 and Edward M. Behrens2, 1Children’s Hospital of Philadelphia, Philadelphia, PA, 2Childrens Hospital of Philadelphia, Philadelphia, PA 2 0 1 4 5:00 pm 2877. Novel Function of Tocilizumab As a Modulator of Interleukin-27-Mediated Anti-Inflammatory Responses Misato Hashizume1, Jun Kikuchi2, Keiko Yoshimoto2 and Tsutomu Takeuchi2, 1Chugai Pharmaceutical Co., Ltd., Gotemba, Japan, 2 Keio University School of Medicine, Tokyo, Japan 1 8 , 5:45 pm 2874. Pro-Inflammatory FcRL4+ Memory B Cells in Joints of RA Patients: Immunoglobulin Gene Characteristics and Antigen Specificity Khaled Amara1, Lorraine Yeo2, Natalie Sippl1, Philip Titcombe1, Andrew Filer3, Karim Raza3, Dagmar Scheel-Toellner2 and 107 B TUESDAY 5:30 pm 2873. Epratuzumab Induces Broad Inhibition of B Cell Receptor Proximal Signaling but Has Opposing Effects on Distal Signaling in B Cell Subsets: A Profile of Effects on Functional Immune Signaling By Single Cell Network Profiling Alison Maloney1, Drew Hotson2, Stephen Rapecki1, Gianluca Fossati1, Simon Lumb1, David Rosen2, Santosh Putta2, Nikil Wale2, David Spellmeyer2, Alessandra Cesano2, Rachael Hawtin2 and Anthony Shock1, 1UCB Pharma, Slough, United Kingdom, 2 Nodality Inc., South San Francisco, CA Vivianne Malmström4, 1Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, SE-17176 Solna, Stockholm, Sweden., Stockholm, Sweden, 2 Rheumatology Research Group, Centre for Translational Inflammation Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK, Birmingham, United Kingdom, 3Rheumatology Research Group, MRC Centre for Immune Regulation, School of Immunity and Infection, University of Birmingham, Birmingham, United Kingdom, 4 Rheumatology Unit, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden n o v e m b e r 5:15 pm 2872. B-Cell Autoepitope and Tetramer Analysis Reveals Expansion of Apoptotic Autoantigen La and snRNP Reactive B Cells in BXD2 Mice Jennie Hamilton1, Jun Li1, Qi Wu1, PingAr Yang1, Bao Luo1, Hao Li1, Troy Randall1, John Edwin Bradley1, Justin J. Taylor2, John D. Mountz3 and Hui-Chen Hsu1, 1University of Alabama at Birmingham, Birmingham, AL, 2Fred Hutchinson Cancer Research Center, Seattle, WA, 3Birmingham VA Medical Center, Birmingham, AL scientific sessions PS 5:15 pm 2878. G Protein Signaling Modulator 3 (GPSM3) Deficiency Is Protective in Inflammatory Arthritis Models and Altered GPSM3 Gene Products Correlate with Single Nucleotide Polymorphisms in Humans Teresa K. Tarrant1, D. Stephen Serafin1, Elizabeth Sugg1, Roman Timoshchenko1, Matthew J. Billard1, David P. Siderovski2 and Kristy Richards3, 1Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 2West Virginia University School of Medicine, Morgantown, WV, 3Dept. of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC 5:30 pm 2879. Epigallocatechin-3-Gallate (EGCG) Suppresses IL-1β2014 Program Book 137 scientific sessions Induced IL-6 and IL-8 Synthesis By Selectively Inhibiting TAK1 Activation in Human Rheumatoid Arthritis Synovial Fibroblasts Anil Singh1, Sharayah Riegsecker2, Sadiq Umar1 and Salahuddin Ahmed1, 1Washington State University, Spokane, WA, 2University of Toledo, Toledo, OH 5:45 pm 2880. Elevated Levels of Soluble Inflammatory Mediators and Lupus-Specific Connective Tissue Disease Questionnaire Scores Discern Unaffected First Degree Relatives of Lupus Patients from Unaffected Individuals Not Related to Lupus Patients Melissa E. Munroe1, Kendra A. Young2, Jennifer Fessler1, Dustin Fife1, Diane L. Kamen3, Joel M. Guthridge1, Timothy B. Niewold4, Michael H. Weisman5, Mariko L. Ishimori5, Daniel J. Wallace5, David R. Karp6, John B. Harley7, Gary S. Gilkeson3, Jill M. Norris2 and Judith A. James1, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Colorado School of Public Health, Aurora, CO, 3Medical University of South Carolina, Charleston, SC, 4Mayo Clinic, Rochester, MN, 5Cedars-Sinai Medical Center, Los Angeles, CA, 6UT Southwestern Medical Center, Dallas, TX, 7Cincinnati Children’s Hospital Medical Center; US Department of Veterans Affairs Medical Center, Cincinnati, OH PS PM 156 B Education PM Ed Pd PS PrM FIT n o v e m b e r 1 8 , TUESDAY 2 0 1 4 Moderators: Kenneth S. O’Rourke, MD and Deana M. Lazaro, MD 4:30 pm 2881. The Center of Excellence in Musculoskeletal Care and Education: A Sustainable Interprofessional, Multidisciplinary Programmatic Innovation Developed with the Department of Veterans Affairs Michael J. Battistone, Andrea M. Barker, Marissa Grotzke, Peter Beck, Jeffery Berdan, Caroline Milne, JoAnn Rolando and Grant W. Cannon, Salt Lake City VA and University of Utah, Salt Lake City, UT 4:45 pm 2882. Using Decision-Based Learning to Highlight Rheumatic Disease for Third-Year Medical Students Karen Law1, J Richard Pittman1 and Chad Miller2, 1Emory University School of Medicine, Atlanta, GA, 2Tulane University Health Sciences Center School of Medicine, New Orleans, LA 5:00 pm 2883. Rheumatology-Specific Milestones for a Musculoskeletal Radiology Curriculum Michelle Newkirk1, Liem Mansfield1, Jay B. Higgs2 and Daniel Battafarano1, 1San Antonio Military Medical Center, JBSA – Ft Sam Houston, TX, 2San Antonio Military Medical Center, JBSA – Fort Sam Houston, TX 138 2014 Program Book 5:15 pm 2884. Training the Rheumatologists of Tomorrow: The Canadian Experience Alfred Cividino1, Volodko Bakowsky2, Susan Barr3, Louis Bessette4, Nader Khalidi5, Christian A. Pineau6, Janet E. Pope7, David Robinson8, Kam Shojania9, Elaine Yacyshyn10, Lynne Lohfeld1 and Diane Crawshaw1, 1McMaster University, Hamilton, ON, 2 Dalhousie University, Halifax, NS, 3Heritage Medical Research Bldg, Calgary, AB, 4Laval University, Québec, QC, 5Division of Rheumatology, McMaster University, Hamilton, ON, 6McGill University Health Center, Montreal, QC, 7St Joseph Health Care, London, ON, 8University of Manitoba, Winnipeg, MB, 9University of British Columbia, Vancouver, BC, 10University of Alberta, Edmonton, AB 5:30 pm 2885. Clinical Training Opportunities in Two Innovative Ambulatory Resources: The Primary Care Musculoskeletal Clinic and Center of Excellence Multidisciplinary Clinic Michael J. Battistone, Andrea M. Barker, Marissa Grotzke, Peter Beck, Jeffery Berdan, Phillip Lawrence and Grant W. Cannon, Salt Lake City VA and University of Utah, Salt Lake City, UT 5:45 pm 2886. Assessing Rheumatology Fellows’ Teaching Skills Using the Objective Structured Teaching Exercise (OSTE) Eli M. Miloslavsky1, Marcy B. Bolster1, Kenneth S. O’Rourke2 and Lisa G. Criscione-Schreiber3, 1Massachusetts General Hospital, Boston, MA, 2Wake Forest School of Medicine, Winston-Salem, NC, 3Duke University Health System, Durham, NC 258 B PM PS Epidemiology and Public Health IV: Rheumatoid Arthritis Pathogenesis Moderators: Cheryl Barnabe, MD, MSc and Yvonne C. Lee, MD, MMSc 4:30 PM 2887. Post-Menopausal Factors and the Risk of Seropositive and Seronegative Rheumatoid Arthritis Phenotypes: Results from the Nurses’ Health Study Camilla Bengtsson1, Susan Malspeis2, Jeffrey A. Sparks2, Karen H. Costenbader2 and Elizabeth W. Karlson2, 1Karolinska Institutet, Stockholm, Sweden, 2Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 4:45 pm 2888. Amount of Smoking, Duration of Smoking Cessation and Their Interaction with Silica Exposure in the Risk of Rheumatoid Arthritis: Results from the Swedish Epidemiological Investigation of Rheumatoid Arthritis Study Xia Jiang1, Camilla Bengtsson1, Henrik Källberg1, Lars Klareskog2 and Lars Alfredsson3, 1Karolinska Institutet, Stockholm, Sweden, 2 Karolinska University Hospital, Stockholm, Sweden, 3The Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden scientific sessions 5:00 pm 2889. The Association Between Changes in Inflammation and High Density Lipoprotein Cholesterol Efflux Capacity in Rheumatoid Arthritis K P Liao1, Martin Playford2, Michelle A. Frits1, Christine K. Iannaccone1, Jonathan S. Coblyn1, Michael E. Weinblatt1, Nancy A. Shadick3 and Nehal N. Mehta4, 1Brigham and Women’s Hospital, Boston, MA, 2National Heart, Blood and Lung Institute, Bethesda, MD, 3Brigham and Women’s Hospital/ Harvard University, Cambridge, MA, 4University of Pennsylvania, Philadelphia, PA 5:15 pm 2890. Does a Family History of RA Influence the Clinical Presentation and Treatment Response in RA? Thomas Frisell1, Saedis Saevarsdottir2 and Johan Askling3, 1 Clinical Epidemiology Unit, Dept of Medicine, Karolinska Institutet, Stockholm, Sweden, 2Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden, 3Rheumatology Unit, Karolinska University Hospital, Stockholm, Sweden PS Osteoarthritis – Clinical Aspects II: Osteoarthritis Risk Factors and Therapies Moderators: Philip G. Conaghan, MD, PhD and Margreet Kloppenburg, MD, PhD 2 0 1 4 PM 5:15 pm 2896. A Multi-Center Double-Blind, Randomized, Controlled Trial (db-RCT) to Evaluate the Effectiveness and Safety of CoAdministered Traumeel® (Tr14) and Zeel® (Ze14) Intra‑articular (IA) Injections Versus IA Placebo in Patients with Moderate-toSevere Pain Associated with OA of the Knee Carlos Lozada1, Eve del Rio2, Donald Reitberg3, Robert Smith3, Charles Kahn4 and Roland W. Moskowitz5, 1University of Miami Miller School of Medicine, Miami, FL, Miami, FL, 2Rio Pharmaceutical Services, LLC, Bridgewater, Afghanistan, 3Rio Pharmaceutical Services, LLC, Bridgewater, NJ, 4South Florida Rheumatology, Hollywood, FL, 5University Hospitals Case Medical Center, Cleveland, OH 1 8 , 153 B 5:00 pm 2895. Habitual Running Any Time in Life Is Not Detrimental and May be Protective of Symptomatic Knee Osteoarthritis: Data from the Osteoarthritis Initiative Grace H. Lo1, Jeffrey B. Driban2, Andrea Kriska3, Kristi Storti3, Timothy E. McAlindon2, Richard Souza4, Charles B. Eaton5, Nancy J. Petersen6 and Maria E. Suarez-Almazor7, 1Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, 2 Tufts Medical Center, Boston, MA, 3University of Pittsburgh, Pittsburgh, PA, 4University of California, San Francisco, San Francisco, CA, 5Memorial Hospital of Rhode Island, Pawtucket, RI, 6Baylor College of Medicine, Houston, TX, 7The University of Texas, MD Anderson Cancer Center, Houston, TX TUESDAY 5:45 pm 2892. The Relative Risk of Incident NON-Ischemic Heart Failure in Prevalent Rheumatoid Arthritis Ängla Mantel1, Marie Holmqvist2, Johan Askling3, Lars Lund4 and Daniel Andersson5, 1Clinical Epidemiology Unit, Dept of Medicine, Karolinska Institutet, Solna, Sweden, 2Unit of Clinical Epidemiology, Department of Medicine, Stockholm, Sweden, 3 Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 4Unit of Cardiology section for Heart Failure. Department of Medicine, Stockholm, Sweden, 5 Unit of Cardiology Section for Heart Failure. Department of Medicine, Stockholm, Sweden 4:45 pm 2894. Relationship of Dermal Advanced Glycation End Products and Hand OA Charles Eaton1, Jeffrey Driban2, Bing Lu3, Mary Roberts4 and Timothy E. McAlindon2, 1Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Providence, RI, 2Tufts Medical Center, Boston, MA, 3Brigham and Women’s Hospital, Foxboro, MA, 4Center for Primary Care and Prevention, Pawtucket, RI n o v e m b e r 5:30 pm 2891. Inflammatory Genes Are Associated with Autoantibodies in Rheumatoid Arthritis-Free Individuals Who Are at-Risk for Future Disease Ryan W. Gan1, Kendra A. Young1, M. Kristen Demoruelle2, Michael H. Weisman3, Jane H. Buckner4, P. K. Gregersen5, Ted R. Mikuls6, James R. O’Dell6, Richard M. Keating7, Elizabeth W. Karlson8, Kevin D. Deane2, V. Michael Holers2 and Jill M. Norris1, 1 Colorado School of Public Health, Aurora, CO, 2University of Colorado School of Medicine, Aurora, CO, 3Cedars-Sinai Medical Center, Los Angeles, CA, 4Benaroya Research Institute at Virginia Mason, Seattle, WA, 5Feinstein Institute Medical Research and North Shore-Long Island Jewish Health System, Manhasset, NY, 6 Veteran Affairs Nebraska Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE, 7Scripps Clinic, La Jolla, CA, 8Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 4:30 pm 2893. Genome-Wide Association Study of Osteoarthritis Progression: Results from the Osteoarthritis Initiative Michelle S. Yau1, Laura M. Yerges-Armstrong1, Youfang Liu2, David J. Duggan3, Joanne M. Jordan2, Braxton D. Mitchell1, Rebecca D. Jackson4 and Marc C. Hochberg1, 1University of Maryland School of Medicine, Baltimore, MD, 2University of North Carolina, Chapel Hill, NC, 3Translational Genomics Research Institute, Phoenix, AZ, 4The Ohio State University, Columbus, OH 5:30 pm 2897. Exercise Therapy and/or Manual Therapy for Hip or Knee Osteoarthritis: 2-Year Follow-up of a Randomized Controlled Trial J. Haxby Abbott1, Cathy Chapple1, Daniel Pinto2, Alexis Wright3 and Jean-Claude Theis1, 1University of Otago, Dunedin, New Zealand, 2Northwestern University, Chicago, IL, 3High Point University, High Point, NC 2014 Program Book 139 scientific sessions 5:45 pm 2898. New Insights into the Primary Care Osteoarthritis Consultation with Implications for Practice Zoe Paskins, Tom Sanders, Peter Croft and Andrew Hassell, Keele University, Keele, United Kingdom 205 B PM PS Pediatric Rheumatology – Clinical and Therapeutic Aspects: Miscellaneous Pediatric Rheumatic Diseases PM Ed Pd PS PrM FIT Moderators: Andreas Reiff, MD and Lisa F. Imundo, MD n o v e m b e r 1 8 , TUESDAY 2 0 1 4 4:30 pm 2899. High Dose Aspirin for Treating Kawasaki Disease – Outdated Myth or Effective Aid? Gil Amarilyo1, Yael Koren2, Dafna Brik Simon1, Maskit Bar-Meir3, Hilla Bahat4, Mona Hanna Helou5, Amir Mendelson6, Yackov Berkun7, Eli Eisenstein7, Yonatan butbul Aviel5, Galia Barkai8, Yoav Bolkier8, Shai Padeh8, Philip J. Hashkes3, Riva Brik5, Liora Harel1 and Yosef Uziel6, 1Schneider Children’s Medical Center of Israel, Petach Tikvah, Israel, 2Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 3Shaare-Zedek Medical Center, Jerusalem, Israel, 4Assaf Harofeh Medical Center, Zerifin, Israel, 5Rambam Medical Center, Haifa, Israel, 6Meir Medical Center, Kfar Saba, Israel, 7Hadassah Hebrew University Medical Center, Jerusalem, Israel, 8Sheba Medical Center, Tel-Hashomer, Israel 140 4:45 pm 2900. Clinically Inactive Disease in Juvenile Dermatomyositis – a Proposed Revision to the Pediatric Rheumatology International Trials Organisation Criteria Beverley Almeida1, Raquel Campanilho-Marques2, Katie Arnold2, Lucy R. Wedderburn3, Clarissa A Pilkington1 and Kiran Nistala4, 1 Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom, 2UCL Institute for Child Health, London, United Kingdom, 3UCL, UCLH, GOSH NHS Trust, London, United Kingdom, 4University College London, London, United Kingdom 5:15 pm 2902. The Health Status of Patients with Juvenile Idiopathic Arthritis (JIA) Significantly Worsens after Transfer from Pediatric to Adult Care Kirsten Minden1, Jens Klotsche2, Martina Niewerth2, Angela Zink3 and Gerd Horneff4, 1Charité University Medicine, Berlin, Germany, 2German Rheumatism Research Center, Berlin, Germany, 3German Rheumatism Research Centre and Charité University Medicine, Berlin, Germany, 4Asklepios Klinik Sankt Augustin, Sankt Augustin, Germany 5:30 pm 2903. Early Outcomes in Pediatric Antineutrophil Cytoplasmic Antibody (ANCA) Associated Vasculitis (AAV) Kimberly Morishita1, Susanne Benseler2, Rae S.M. Yeung3, Thomas Mason II4, Dawn Wahezi5, Kenneth N. Schikler6, Erica F. Lawson7, Susan Nielsen8, Sirirat Charuvanij9, Paul Dancey10, Susan Shenoi11, Linda Wagner-Weiner12, Angelyne Sarmiento1, David A. Cabral1 and For the PedVas Initiative1, 1BC Children’s Hospital and University of British Columbia, Vancouver, BC, 2 Department of Pediatrics/University of Calgary, Calgary, AB, 3 The Hospital for Sick Children and University of Toronto, Toronto, ON, 4Mayo Clinic, Rochester, MN, 5Children’s Hospital at Montefiore, Bronx, NY, 6Univ of Louisville Schl of Med, Louisville, KY, 7University of California, San Francisco, San Francisco, CA, 8Rigshospitalet, Copenhagen, Denmark, 9Siriraj Hospital, Bangkok, Thailand, 10Janeway Children’s Hospital, St. John’s, NL, 11 Seattle Childrens Hospital, Seattle, WA, 12University of Chicago Hospital, Chicago, IL 5:45 pm 2904. Clinical and Radiological Features of Down’s Arthropathy Charlene Foley, Orla Killeen and Emma Jane MacDermott, The National Centre for Paediatric Rheumatology, Dublin, Ireland PS PM 151 A Rheumatoid Arthritis – Animal Models II Moderators: Harris R. Perlman, PhD and Thomas Pap, MD 5:00 pm 2901. Predictors of Relapse after Discontinuing Systemic Treatment in Childhood Autoimmune Chronic Uveitis Gabriele Simonini1, Claudia Bracaglia2, Marco Cattalini3, Andrea Taddio4, Alice Brambilla1, Cinzia DeLibero5, Denise Pires Marafon6, Roberto Caputo5 and Rolando Cimaz1, 1Anna Meyer Children’s Hospital-University of Firenze, Florence, Italy, 2Division of Rheumatology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy, 3Pediatric Immunology and Rheumatology Unit, Brescia, Italy, 4Institute of Child Health, IRCCS Burlo Garofolo, University of Trieste, Trieste, Italy, 5Anna Meyer Children’s Hospital, Florence, Italy, 6Ospedale Pediatrico Bambino Gesù, IRCCS, Roma, Italy 2014 Program Book 4:30 pm 2905. The IL-6/Th17 Axis Promotes Autoantibody-Associated Autoimmune Valvular Carditis in Mice Jennifer L. Auger, Brianna J. Engelson, Yaya Wang, Erik J. Peterson and Bryce A. Binstadt, University of Minnesota, Minneapolis, MN 4:45 pm 2906. Systemic Delivery of Short Hairpin RNA Targeting Calcium Release-Activated Calcium Channel 3 Down-Regulates Severity of Collagen-Induced Arthritis Shuang Liu1, Takeshi Kiyoi2, Shohei Watanabe3 and Kazutaka Maeyama1, 1Informational Biomedicine, Ehime University Graduate School of Medicine, Toon-shi, Ehime, Japan, 2 Integrated Center for Sciences, Ehime University, Ehime, Japan, 3 Japan Community Health Care Organization Uwajima Hospital, Ehime, Japan scientific sessions 5:00 pm 2907. Loss of microRNA-146a Exacerbates Inflammatory Arthritis Victoria Saferding1, Antonia Puchner1, Eliana Goncalvesalves1, Birgit Niederreiter1, Silvia Hayer1, Gernot Schabbauer2, Marije Koenders3, Josef S. Smolen1, Kurt Redlich1 and Stephan Blueml1, 1 Medical University of Vienna, Vienna, Austria, 2Medical University Vienna, Vienna, Austria, 3Radboud University Nijmegen Medical Center, Nijmegen, Netherlands 5:15 pm 2908. Flip Deficiency in Dendritic Cells Promotes Spontaneous Arthritis Mediated By Reduced Treg and Increased Autoreactive CD4+t Cells Qiquan Huang1, Harris R. Perlman1, Robert Birkett1, Renee E. Doyle1, Deyu Fang1, G Kenneth.Haines2, William H. Robinson3, Syamal K. Datta1, Hyewon Phee1 and Richard M. Pope4, 1 Northwestern University Feinberg School of Medicine, Chicago, IL, 2Mount Sinai Hospital School of Medicine, New York, New York, NY, 3VA Palo Alto Health Care System and Stanford University, Palo Alto, CA, 4Northwestern University Feinberg school of Medicine, Chicago, IL 5:30 pm 2909. Tolerogenic Splenic IDO+ Dendritic Cells from the Mice Treated with Induced-Treg Cells Could Suppress CollagenInduced Arthritis Jie Yang1, Huahua Fan2 and Hejian Zou1, 1Division of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China, Shanghai, China, 2Blood Engineering Laboratory, Shanghai Blood Center, Shanghai 200051, China, Shanghai, China Rheumatoid Arthritis – Clinical Aspects VI: Impact of Treatment and Other Interventions Moderators: Clifton O. Bingham, III, MD and Nancy A. Shadick, MD, MPH 4:30 pm 2911. Clinical Outcomes of Early RA after 7 Years – Does T2T Approach Overcome Delay of Therapy? Tuulikki Sokka1, Hannu Kautiainen2, Tuomas Rannio3, Juha Asikainen1 and Pekka Hannonen1, 1Jyvaskyla Central Hospital, Jyväskylä, Finland, 2Medcare Oy, Äänekoski, Finland, 3Kuopio University Hospital, Kuopio, Finland 5:15 pm 2914. The Clinical and Radiographic Course of Early Undifferentiated Arthritis Under Treatment Is Not Dependent on the Amount of Erosions at Diagnosis. Results from the Swiss Prospective Observational Cohort Ruediger Mueller1, Toni Kaegi1, Sarah Haile2 and Johannes von Kempis3, 1Kantonsspital St. Gallen, St. Gallen, Switzerland, 2 University of Zurich, Switzerland, Zurich, Switzerland, 3St. Gallen Hospital, CH- 9007 St.Gallen, Switzerland 2 0 1 4 PS 1 8 , PM TUESDAY Ballroom East 5:00 pm 2913. Does Corticosteroid Therapy at Disease Onset Influence Disease Progression of RA? Results from the Swiss Prospective Observational Cohort Ruediger Mueller1, Nazim Reshiti2, Toni Kaegi1, Axel Finckh3, Hendrik Schulze-Koops4, Michael H. Schiff5 and Johannes von Kempis6, 1Kantonsspital St. Gallen, St. Gallen, Switzerland, 2 Division of Rheumatology, St. Gallen, Switzerland, 3Geneva University Hospital, Geneva, Switzerland, 4University of Munich, Munich, Germany, 5University of Colorado, Denver, CO, 6St. Gallen Hospital, CH- 9007 St. Gallen, Switzerland n o v e m b e r 5:45 pm 2910. Tofacitinib Facilitates the Expansion of Myeloid-Derived Suppressor Cells and Ameliorates Arthritis in SKG Mice Keisuke Nishimura, Jun Saegusa, Fumichika Matsuki, Kengo Akashi, Goichi Kageyama and Akio Morinobu, Kobe University Graduate School of Medicine, Kobe, Japan 4:45 pm 2912. Impact of Failure to Adhere to Treat-to-Target of Rheumatoid Arthritis in Real World Practice: Data from the International Rheumatoid Arthritis Biomarker Program WP Maksymowych1, M. Østergaard2, O Elkayam3, R Landewé4, J Homik5, C Thorne6, M Backhaus7, S Shaikh8, G Boire9, M Larche10, B Combe11, T Schaeverbeke12, A Saraux13, G Ferraccioli14, M Dougados15, C Barnabe16, M Govoni17, PP Tak18, D. van Schaardenburg19, D van der Heijde20, R Dadashova1, E Hutchings1, J Paschke1 and Oliver FitzGerald21, 1CaRE Arthritis, Edmonton, AB, 2Copenhagen Center for Arthritis Research, Glostrup, Denmark, 3Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 4 Amsterdam Rheumatology Center, Amsterdam, Netherlands, 5 University of Alberta, Edmonton, AB, 6Southlake Regional Health Centre, Newmarket, ON, 7Charite University Hospital, Berlin, Germany, 8Niagara Peninsula Arthritis Centre, Hamilton, ON, 9CHUS-Sherbrooke University, Sherbrooke, QC, 10St Joseph’s Healthcare Hamilton, Hamilton, ON, 11Hôpital Lapeyronie, Montpellier, France, 12Bordeaux University Hospital, Bordeaux, France, 13CHU Brest and EA 2216, UBO, Brest, France, 14Catholic University of The Sacred Heart, Rome, Italy, 15Hopital Cochin, Paris, France, 16University of Calgary, Calgary, AB, 17Universita di Ferrara, Ferrara, Italy, 18Academic Medical Center, Amsterdam, Netherlands, 19Jan van Breemen Research Institute, Amsterdam, Netherlands, 20Leiden University Medical Center, Leiden, Netherlands, 21St. Vincent’s University Hospital, Dublin, Ireland 5:30 pm 2915. Effects of Methotrexate on Anti-TNF Treatment in Rheumatoid Arthritis: An in-Depth Analysis of a Prospective Observational Study with Adalimumab Marc Schmalzing1, Frank Behrens2, Eva C. Scharbatke1, Michaela Koehm3, Bianca Wittig4, Gerd Greger5, Harald Burkhardt2 and Hans-Peter Tony1, 1University of Würzburg, Würzburg, Germany, 2 Goethe-University Frankfurt, Frankfurt, Germany, 3Fraunhofer 2014 Program Book 141 scientific sessions Institute for Molecular Biology and Applied Ecology IME, Project Group Translational Medicine & Pharmacology TMP, Frankfurt/Main, Germany, 4Abbvie Deutschland GmbH & Co. KG, Wiesbaden, Germany, 5AbbVie GmbH & Co KG, Wiesbaden, Germany 5:45 pm 2916. Effects of Exercise on Body Composition, Cardiovascular Fitness, Muscle Strength and Cognition in Patients with Rheumatoid Arthritis: A Randomised Controlled Trial of a Patient-Specific Exercise Programme Maha Azeez1, Ciara Clancy2, Tom O’Dwyer2, Fiona Wilson2 and Gaye Cunnane1, 1St James’s Hospital and Trinity College Dublin, Dublin, Ireland, 2Trinity College Dublin, Dublin, Ireland 157 B PM PS Rheumatoid Arthritis – Human Etiology and Pathogenesis II: Citrullination, Autoantibodies and Genes Moderators: Erik J. Peterson, MD and Jeremy Sokolove, MD n o v e m b e r 1 8 , TUESDAY 2 0 1 4 4:30 pm 2917. Inhibition of PAD4 Activity and the Formation of Neutrophil Extracellular Traps Via PTPN22, but Not Its Rheumatoid Arthritis-Prone W620 Variant I-Cheng Ho1, Hui-Hsin Chang1, Nishant Dwivedi1, Hsiao-Wei Tsao1 and Anthony Nicholas2, 1Brigham and Women’s Hospital, Boston, MA, 2University of Alabama at Birmingham, Birmingham, AL 4:45 pm 2918. Fine-Mapping Major Histocompatibility Complex Associations in ACPA-Positive Rheumatoid Arthritis Identified Shared HLA Amino Acid Polymorphisms in Asian and European Populations Yukinori Okada1, Kwangwoo Kim2, Buhm Han3, Nisha E. Pillai4, Rick T-H. Ong4, Woei-Yuh Saw4, Ma Luo5, Lei Jiang6, Jian Yin6, SoYoung Bang7, Hye-Soon Lee7, Matthew A. Brown8, Sang-Cheol Bae9, Huji Xu10, Yik-Ying Teo4, Paul IW. de Bakker11 and Soumya Raychaudhuri3, 1Tokyo Medical and Dental University, Tokyo, Japan, 2Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 3Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, 4National University of Singapore, Singapore, Singapore, 5University of Manitoba, Winnipeg, MB, 6 The Second Military Medical University, Shanghai, China, 7 Hanyang University Guri Hospital, Guri, South Korea, 8University of Queensland Diamantina Institute, Brisbane, Australia, 9 Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 10Shanghai Changzheng Hospital, Shanghai, China, 11University Medical Center Utrecht, Utrecht, Netherlands 5:00 pm 2919. The Novel Rheumatoid Arthritis (RA) Risk Gene, LBH, Is Regulated By TGFß and PDGF and Modulates Cell Growth in Fibroblast-like Synoviocytes Anna-Karin Ekwall1, Deepa Hammaker2, John W. Whitaker3, William Bugbee4, Wei Wang5 and Gary S. Firestein6, 1UC San 142 2014 Program Book Diego, La Jolla, CA, 2University of California San Diego, La Jolla, CA, 3UCSD, San Diego, CA, 4Scripps Clinic, La Jolla, CA, 5UCSD, La Jolla, CA, 6University of California at San Diego School of Medicine, La Jolla, CA 5:15 PM 2920. WITHDRAWN 5:30 PM 2921. Contraceptive Factors Are Associated with Serum Antibodies to Citrullinated Protein Antigens in Women at Elevated Risk for Future Rheumatoid Arthritis Sonia Khatter1, Mark C. Parish1, Marie L. Feser1, Jason R. Kolfenbach1, Ryan W. Gan2, Michael H. Weisman3, James R. O’Dell4, Ted R. Mikuls5, Richard M. Keating6, Peter K. Gregersen7, Jane H. Buckner8, V. Michael Holers1, Kevin D. Deane1, Jill M. Norris2 and M. Kristen Demoruelle1, 1University of Colorado School of Medicine, Aurora, CO, 2Colorado School of Public Health, Aurora, CO, 3Cedars-Sinai Medical Center, Los Angeles, CA, 4Veteran Affairs Nebraska Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE, 5Omaha VA Medical Center and University of Nebraska Medical Center, Omaha, NE, 6Scripps Clinic, La Jolla, CA, 7Feinstein Institute for Medical Research, Manhasset, NY, 8Benaroya Research Institute at Virginia Mason, Seattle, WA 5:45 pm 2922. Association of Single Nucleotide Polymorphisms of PADI4 Gene with Susceptibility to Rheumatoid Arthritis-Related Lung Disease Seong-Wook Kang, Seung-Taek Song, Song Soo Kim, Ji Young Kim, So Young Lee, Su-Jin Yoo, In-Seol Yoo, Jinhyun Kim and SeungCheol Shim, Chungnam National University School of Medicine, Daejeon, South Korea 253 B Rheumatoid Arthritis – Small Molecules, Biologics PS PM and Gene Therapy VI: Biomarkers and Predictors of Rheumatoid Arthritis Disease Response and Outcomes Moderators: Stanley B. Cohen, MD and Duncan Porter, MD 4:30 pm 2923. Protein Quantification Using Mass Spectrometry Methods to Predict Response to Abatacept and Methotrexate Combination Therapy in Rheumatoid Arthritis A Obry1, P Cosette1, T Lequerré2, Maria-Antonietta d’Agostino3, C Gaillez4, M Le Bars5 and O Vittecoq2, 1UMR 6270 CNRS, PISSARO Proteomic Facility, IRIB, Normandy University, University of Rouen, Rouen, France, 2Rouen University Hospital, Rouen, France, 3AP-HP Ambroise Paré Hospital, Boulogne-Billancourt, France, 4Formerly of Bristol-Myers Squibb, Rueil-Malmaison, France, 5Bristol-Myers Squibb, Rueil-Malmaison, France scientific sessions 4:45 pm 2924. Clinical Utility of Random Anti-TNF Drug Level Testing and Measurement of Anti-Drug Antibodies on Long-Term Treatment Response in Rheumatoid Arthritis Meghna Jani1, Hector Chinoy1, Richard B. Warren2, Christopher E.M Griffiths2, Ann W. Morgan3, Anthony G. Wilson4, Kimme L. Hyrich1, John Isaacs5, Darren Plant1 and Anne Barton6, 1Centre for Musculoskeletal Research, University of Manchester, Manchester, United Kingdom, 2Dermatology Centre, University of Manchester, Manchester, United Kingdom, 3University of Leeds, Leeds, United Kingdom, 4University College Dublin, Dublin, Ireland, 5Institute of Cellular Medicine, University of Newcastle, Newcastle, United Kingdom, 6NIHR Manchester Musculoskeletal Biomedical Research Unit, Manchester Academic Health Science Centre, Manchester, United Kingdom 5:00 pm 2925. Serum MMP-3 Predicts a Subgroup with No Radiographic Progression in Rheumatoid Arthritis Patients with Low-Dose Methotrexate (MTX) Monotherapy Kazuko Shiozawa1, Takashi Yamane1, Miki Murata1, Chihiro Tanaka1, Noriaki Yo1, Ryosuke Yoshihara1, Yasushi Tanaka1, Ken Tsumiyama2 and Shunichi Shiozawa2, 1Kohnan Kakogawa Hospital, Kakogawa, Japan, 2Kyushu University Beppu Hospital, Beppu, Japan 102 A Sjögren’s Syndrome I: Clinical Perspectives Moderators: Arthur A. M. Bookman, MD and Stefano Bombardieri, MD 4:30 pm 2929. Molecular Diagnostics for Patient Subsetting in Sjögren’s Syndrome John C. Hall1, Alan N. Baer1, Mi Y. Lam2, Lindsey A. Criswell3, Antony Rosen1 and Livia Casciola Rosen1, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2University of California San Francisco, San Francisco, CA, 3University of California, San Francisco, Rosalind Russell / Ephraim P. Engleman Rheumatology Research Center, San Francisco, CA 2 0 1 4 4:45 pm 2930. Precisely Quantified Fibrosis in Labial Salivary Glands Predicts Sjögren’s Syndrome Classification in a Multiple Regression Model Kerry M. Leehan1, Michael Brown2, Courtney Montgomery2, Astrid Rasmussen2, David M. Lewis1, Lida Radfar1, Donald U. Stone1, Stephen Young1, R. Hal Scofield1, Kathy L. Sivils2 and A. Darise Farris2, 1University of Oklahoma Health Sciences Center, Oklahoma City, OK, 2Oklahoma Medical Research Foundation, Oklahoma City, OK 1 8 , 5:45 pm 2928. Serum IL-33 Level Is Increased in Rheumatoid Arthritis and Predicts Response to Rituximab in Combination with High Serum IgG Level and Autoantibody Positivity: An Open-Label, Prospective, Multicentre Biological Trial Jérémie Sellam1, Houria Chavez2, Stéphanie Rouanet3, Nathalie Vernet3, Bineta Ly4, Sandrine Marion-Thore5, Bernard Combe6, PS TUESDAY 5:30 pm 2927. Baseline Serum Interferon Beta/Alpha Ratio Predicts Response to Tumor Necrosis Factor Alpha Inhibition in Rheumatoid Arthritis Priyanka Vashisht1, Jessica M. Dorschner2, Mark A. Jensen2, Beverly Chrabot3, Theresa Wampler Muskardin2, Marlena Kern4, Tetrad Investigators5, ABCoN Consortium6, S. Louis Bridges Jr.7, P.K. Gregersen8 and Timothy B. Niewold2, 1University of Nebraska Medical Center, Omaha, NE, 2Mayo Clinic, Rochester, MN, 3University of Chicago, Chicago, IL, 4Feinstein Institute for Medical Research, Manhasset, NY, 5AL, 6NY, 7University of Alabama at Birmingham, Birmingham, AL, 8The Feinstein Institute for Medical Research, Manhasset, NY PM n o v e m b e r 5:15 pm 2926. Calprotectin Serum Levels Reflect Residual Inflammatory Activity in Patients with Rheumatoid Arthritis and Psoriatic Arthritis on Clinical Remission or Low Disease Activity Undergoing TNF-Antagonists Therapy Jose Inciarte-Mundo1, M. Victoria Hernández1, Sonia CabreraVillalba1, Julio Ramirez1, Andrea Cuervo1, Virginia Ruiz-Esquide1, Azucena González Navarro1, Jordi Yagüe2, Juan D. Cañete1 and Raimon Sanmarti1, 1Hospital Clínic of Barcelona, Barcelona, Spain, 2Hospital Clinic Barcelona, Barcelona, Spain Jean Sibilia7, Jacques Tebib8, Gilles Chiocchia9, Maxime Dougados10, Yassine Taoufik2 and Xavier Mariette11, 1AP-HP, SaintAntoine Hospital, Rheumatology Department and DHU i2B, Paris, France, 2Hopital Bicetre, Université Paris Sud, AP-HP, Kremlin Bicetre, France, 3Roche France, Boulogne-Billancourt, France, 4 Universite Paris-Sud, Kremlin Bicetre, France, 5Université Versailles Saint-Quentin, Montigny le Bretonneux, France, 6 Hôpital Lapeyronie, Montpellier, France, 7University Hospital of Strasbourg, Strasbourg, France, 8University Hospital Lyon, Lyon, France, 9Université Versailles-Saint Quentin, Montigny le Bretonneux, France, 10INSERM (U1153): Clinical Epidemiology and Biostatistics, PRES Sorbonne Paris-Cité, Paris, France., Paris, France, 11Université Paris-Sud, Le Kremlin Bicêtre, France 5:00 pm 2931. Longitudinal Examination with Salivary Gland Ultrasonography (SGUS) of Patients with Primary Sjögren’s Syndrome: A Single Center Experience Chiara Baldini1, Nicoletta Luciano1, Francesca Sernissi1, Daniela Martini1, Francesco Ferro1, Marta Mosca2 and Stefano Bombardieri2, 1Rheumatology Unit, Pisa, Italy, 2Rheumatology Unit, University of Pisa, Pisa, Italy 5:15 pm 2932. Increased Risk of Deep Vein Thrombosis and Pulmonary Embolism in Sjögren’s Syndrome: A General Population-Based Cohort Study Marko Yurkovich1, Hyon K Choi2, Eric C. Sayre3, Kamran Shojania1 and J. Antonio Avina-Zubieta3, 1University of British Columbia, Vancouver, BC, 2Boston University School of Medicine, Boston, MA, 3Arthritis Research Centre of Canada, Richmond, BC 2014 Program Book 143 scientific sessions 5:30 pm 2933. Metabolic Syndrome, Adipocytokines and Inflammation in Sjögren’s Syndrome Kristopherson Lustosa Augusto1, Eloisa Bonfá2, Rosa M. R. Pereira1, Cleonice Bueno1, Vilma S. T. Viana3 and Sandra G. Pasoto1, 1Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil, 2University of Sao Paulo, Sao Paulo, Brazil, 3 Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil 5:45 pm 2934. Abatacept reduces Circulating Effector Memory T-Helper Cells in Patients with Primary Sjögren’s Syndrome Gwenny Verstappen1, Wayel H. Abdulahad2, Petra M. Meiners1, Suzanne Arends1, Silvia Beijer-Liefers1, Arjan Vissink1, Frans G.M. Kroese1 and Hendrika Bootsma1, 1University Medical Center Groningen, University of Groningen, Groningen, Netherlands, 2 University Medical Center Groningen, Groningen, Netherlands Ballroom West PM PS Spondyloarthropathies and Psoriatic Arthritis V – Clinical Aspects and Treatment Moderators: Filip Van den Bosch, MD, PhD and Robert B. M. Landewé, MD, PhD 4:30 pm 2935. Attainment of Minimal Disease Activity Using Methotrexate in Psoriatic Arthritis n o v e m b e r 1 8 , TUESDAY 2 0 1 4 Barry J. Sheane, Arane Thavaneswaran, Dafna D. Gladman and Vinod Chandran, University of Toronto, Toronto Western Hospital, Toronto, ON 4:45 pm 2936. Is Ankylosing Spondylitis a Risk Factor for Cardiovascular Diseases and How Does These Risks Compare to Those in Rheumatoid Arthritis? Johan Askling1, Lennart Jacobsson2 and Jonas Eriksson1, 1Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 2Sahlrenska Academy, Gothenburg, Sweden 5:00 pm 2937. Evaluation of Referral Models for Axial Spondyloarthritis in Primary Care in the Spondyloarthritis Caught Early Cohort Ozair Abawi, Rosaline van den Berg, Désirée van der Heijde and Floris van Gaalen, Leiden University Medical Center, Leiden, Netherlands 5:15 pm 2938. A Randomized, Double-Blind, Placebo-Controlled, 16Week Study of Subcutaneous Golimumab in Patients with Active Nonradiographic Axial Spondyloarthritis J Sieper1, D van der Heijde2, M Dougados3, W Maksymowych4, J Boice5, G Bergman5, S Curtis5, A Tzontcheva5, S Huyck5 and HH Weng5, 1University Clinic Benjamin Franklin, Berlin, Germany, 2 Leiden University Medical Center, Leiden, Netherlands, 3Paris- 144 2014 Program Book Descartes University, Paris, France, 4University of Alberta, Alberta, AK, 5Merck & Co., Inc., Whitehouse Station, NJ 5:30 pm 2939. Increased Diagnosis of Spondyloarthritis in Female Patients Started in the Early Biologic Era Nisha Nigil Haroon1, Ping Li2, Michael Paterson2 and Nigil Haroon3, 1Department of Medicine, University of Toronto, Toronto, ON, 2Institute of Clinical Evaluative Sciences, Toronto, ON, 3Toronto Western Research Institute, Toronto, ON 5:45 pm 2940. Do Patients with Non-Radiographic Axial Spondyloarthritis and Ankylosing Spondylitis Respond Similarly Well to Nsaids? – a Prospective Study Including Magnetic Resonance Imaging Xenofon Baraliakos1, Uta Kiltz1, Frank Heldmann1, Heiner Appel2, Friedrich Dybowski3, Manfred Igelmann4, Ludwig Kalthoff5, Dietmar Krause6, Hans-Jürgen Menne7, Ertan Saracbasi8, Elmar Schmitz-Bortz9 and Jürgen Braun1, 1Rheumazentrum Ruhrgebiet, Herne, Germany, 2Rheumatology and Nephrology Practice, Hamm, Germany, 3Rheumatology Practice, Herne, Germany, 4 Rheumatology Practice, Bochum, Germany, 5Rheumatology practice, Herne, Germany, 6Rheumatology practice, Gladbeck, Germany, 7Rheumatology practice, Dortmund, Germany, 8 Rheumatology practice, Oberhausen, Germany, 9Rheumatology PS PM practice, Hattingen, Germany ACR MEET THE PROFESSOR SESSIONS 4:30 – 6:00 pm Admission to Meet the Professor sessions requires a separate registration and ticket. To verify which session you registered for, the registration code on your ticket needs to match the three-digit code in parentheses below. If you are interested in participating in one of these sessions or exchanging your ticket, visit the ACR registration desk to check space availability. View the session overview and learning objectives online in the Annual Meeting App. Access and download the app at www.ACRannualmeeting.org. * Sessions denoted with an asterisk were sold out as of August 30. Westin – Paine (Lobby) Adult Inflammatory Myopathy (081) Speaker: Robert L. Wortmann, MD, MACR Upon completion of this session, participants should be able to: • review the clinical manifestations of inflammatory myopathies including important extra-muscle manifestations • discuss diagnostic pearls for the evaluation of someone suspected of having an inflammatory myopathy • discuss the treatment paradigm for inflammatory myopathies scientific sessions • d escribe key elements of preclinical risk assessment and Westin – Otis (Lobby) Behçet’s Syndrome (082) Speaker: Yusuf Yazici, MD Upon completion of this session, participants should be able to: • discuss the epidemiology, disease mechanisms and the differential diagnosis of Behçet’s syndrome • describe current approaches to the management of patients with Behçet’s syndrome Westin – Hancock (Lobby) Calcium Crystal Arthritis (083) PM Upon completion of this session, participants should be able to: • d escribe the common clinical pictures of calcium pyrophosphate disease and basic calcium phosphate arthritis as well as appreciate unusual presentations • d escribe currently available and emerging diagnostic modalities to confirm suspected calcium crystal arthritis, including ultrasound and novel techniques for BCP crystal identification • describe currently available therapies and understand the rationale behind some promising new therapies for these diseases Westin – Revere (Lobby) Pd PS PrM Westin – Adams (Mezzanine) Pulmonary Manifestations of Rheumatic Disease (087) Speaker: Aryeh Fischer, MD PS Speaker: Ann K. Rosenthal, MD PM Ed Juvenile Dermatomyositis (084) counseling for women who desire a future pregnancy • d iscuss the impact of active maternal autoimmune disease upon pregnancy outcomes. • discuss the risk-to-benefit analysis of common anti rheumatic and immunosuppressive medications during pregnancy FIT Speaker: Susan Kim, MD, MMSc Upon completion of this session, participants should be able to: • differentiate myositis mimics from idiopathic inflammatory myopathies • d escribe the importance of myositis antibodies and muscle magnetic resonance imaging in diagnosis and prognosis • review myositis diagnosis in difficult cases including review of clinical features, muscle biopsy and electromyography • review management of refractory myopathy including management of extra-muscular manifestations especially interstitial lung disease Westin – Webster (Lobby) Pregnancy and Rheumatic Diseases (086) Speaker: Eliza Chakravarty, MD, MS Upon completion of this session, participants should be able to: • describe risk factors for adverse maternal and fetal outcomes in systemic autoimmune diseases. Westin – Douglas (Mezzanine) Rheumatoid Arthritis: Challenging Cases (089) Speaker: Stephen A. Paget, MD 2 0 1 4 Speaker: Rohit Aggarwal, MD, MS Upon completion of this session, participants should be able to: • discuss the current understanding of the pathogenesis of Raynaud’s phenomenon • classify type of Raynaud’s phenomenon and differentiate it from mimics • describe the appropriate investigations for Raynaud’s phenomenon and be aware of those patients at risk for the development of an autoimmune rheumatic disease • discuss current options and evidence for treatment of Raynaud’s phenomenon, threatened digital ischemia and digital ulcers 1 8 , Myopathy: Issues in Diagnosis and Treatment (085) Raynaud’s and Digital Ischemia (088) Speaker: Fredrick M. Wigley, MD TUESDAY Westin – Stone (Lobby) Westin – Alcott (Mezzanine) n o v e m b e r Upon completion of this session, participants should be able to: • discuss what is known about the pathogenesis and epidemiology of juvenile dermatomyositis • discuss the approach to the evaluation of a patient referred with possible juvenile dermatomyositis • discuss different therapeutic approaches to the treatment of juvenile dermatomyositis, ranging from mild to severe Upon completion of this session, participants should be able to: • identify emerging concepts regarding the pathophysiology of inflammation and fibrosis in autoimmune lung disease • recognize the appropriate use of diagnostic tests in the evaluation of patients with rheumatic disorders and autoimmune lung disease • discuss the limits of traditional therapeutic options and possible emerging therapies in managing autoimmune lung disease Upon completion of this session, participants should be able to: • discuss the management of patients with refractory rheumatoid arthritis • identify novel treatment options for those failing conventional therapies • create effective management plans for complicated rheumatoid arthritis patients Westin – Faneuil (Mezzanine) Temporal Arteritis (090) Speaker: Robert F. Spiera, MD Upon completion of this session, participants should be able to: • discuss current concepts in the diagnosis of temporal arteritis including use of imaging modalities • identify evolving concepts of the treatment of temporal arteritis including the appropriate use of glucocorticoids and the efficacy of “steroid-sparing” agents 2014 Program Book 145 scientific sessions • d escribe the relationship between temporal arteritis and polymyalgia rheumatica • outline current concepts of the pathogenesis of temporal arteritis 5:30 pm Comparative Effectiveness Research and Optimization of Patient Outcomes Jeffrey R. Curtis, MD, MPH, MS ARHP SESSIONS 4:30 – 6:00 pm 255 PM PS Multidisciplinary Management of the Juvenile FIT PrM Pd PS Ed Idiopathic Arthritis Patient PM Moderator: Michael Blakley, MD Upon completion of this session, participants should be able to: • review how to perform the cursory history and physical exam that may lead to the diagnosis of juvenile idiopathic arthritis • facilitate and initiate the multidisciplinary management of a child with juvenile idiopathic arthritis • employ techniques to trouble shoot difficult juvenile idiopathic arthritis cases 4:30 pm Review of Seven Subtypes of Juvenile Idiopathic Arthritis Peter Chira, MD, MS 4:55 pm Nursing Management of the Juvenile Idiopathic Arthritis Patient Karla Jones, RN 5:45 pm Questions and Answers n o v e m b e r 1 8 , TUESDAY 2 0 1 4 5:20 pm Physical and Occupational Therapy Management of the Juvenile Idiopathic Arthritis Patient Speaker to be determined 256 5:00 pm Patient Advocacy, Patient Reported Outcomes and Social Media Seth Ginsberg PM PS Patient-Reported Outcomes Data for Comparative Effectiveness Research in Arthritis Care Moderator: Jonathan Krant, MD, MPH Upon completion of this session, participants should be able to: • review patient reported outcomes (PRO) • review comparative effectiveness research (CER) • recognize the differences between print and social media as regards messaging and data capture • translate PRO and CER into policy regarding quality metrics and assessment of physician performance 4:30 pm Introduction of Speakers and Overview of Rheumatology Practice Management for Complex Diagnoses Jonathan Krant, MD, MPH 257 A PM PS State-of-the-Art Interventional Recommendations for PS PM Chronic Low Back Pain Moderators: David G. Borenstein, MD and Kimberly F. Kimpton, PT Upon completion of this session, participants should be able to: • evaluate the current evidence for the use of transcutaneous electrical nerve stimulation for chronic low back pain • discuss the benefits of physical therapy for chronic low back pain • r eview existing evidence for the efficacy of epidural steroid injections and other interventional procedures for chronic low back pain and spinal stenosis and delineate appropriate patient selection • identify clinical characteristics of chronic low back pain and spinal stenosis that warrant referral for surgical evaluation, as well as treatment to include standard and minimally invasive surgical options 4:30 pm Physical Therapy for Chronic Low Back Pain Adam Goode, DPT, PT 5:00 pm Interventional Pain Management for Chronic Low Back Pain Chad M. Brummett, MD 5:30 pm Surgical Considerations for Lumbar Stenosis and Chronic Low Back Pain Barton L. Sachs, MD, MBA PS PM 204 A Successful Aging in Rheumatic Disease Moderator: Patricia P. Katz, PhD Upon completion of this session, participants should be able to: • recognize the traits that contribute to successful aging • recommend interventions that can help patients successfully age • explain how rheumatic disease affects the aging process 4:30 pm Successful Aging: What Does the Research Say? Marian R. Stuart, PhD 5:15 pm Successful Aging in Rheumatic Disease Kim M. Huffman, MD, PhD 146 2014 Program Book scientific sessions ARHP CONCURRENT ABSTRACT SESSION of Medicine Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 3University of California, San Francisco, San Francisco, CA, 4Hospital Special Surgery (HSS), New York, NY, 5Hebrew SeniorLife & Boston Univ, Boston, MA 2:30 – 4:00 pm PM PS 254 A 5:45 pm 2946. The Association Between Accelerometer Monitored Sedentary Behavior and Observed Physical Function Loss Pamela Semanik1, Rowland W. Chang2, Jing Song2, Jungwha Lee2 and Dorothy D. Dunlop2, 1Rush University College of Nursing, Chicago, IL, 2Northwestern University Feinberg School of Medicine, Chicago, IL Epidemiology/Public Health Moderators: Kelli D. Allen, PhD and Uyen Sa D.T. Nguyen, DSc, MPH 4:30 pm 2941. Physical Function Is Independently Associated with Mortality Among Individuals with Knee and/or Hip OA: The Johnston County Osteoarthritis Project Rebecca Cleveland1, Todd Schwartz1, Jordan B. Renner2, Joanne M. Jordan3 and Leigh F. Callahan4, 1University of North Carolina at Chapel Hill, Chapel Hill, NC, 2University of North Carolina Department of Radiology, Chapel Hill, NC, 3University of North Carolina Dept of Epidemiology, Chapel Hill, NC, 4University of North Carolina, Chapel Hill, NC 4:45 pm 2942. A Longitudinal Population-Based Study 1994-2010 of Age, Period and Cohort Effects in the Prevalence of Arthritis: The Effect of Improving Socioeconomic Status and Increasing Obesity over Time Elizabeth M. Badley1, Mayilee Canizares2, Anthony V. Perruccio2, Sheilah. Hogg-Johnson2 and Monique A.M. Gignac2, 1Toronto Western Research Institute, Toronto, ON, 2University of Toronto, Toronto, ON 5:00 pm 2943. Severity of Foot Pain Is Linked to the Prevalence of Depressive Symptoms: The Framingham Foot Study Arunima Awale1, Alyssa B. Dufour2, Patricia P. Katz3, Virginia A. Casey1 and Marian T. Hannan4, 1Hebrew SeniorLife, Boston, MA, 2Hebrew SeniorLife, Harvard Medical School & Beth Israel Deaconess Medical Center, Boston, MA, 3University of California, San Francisco, CA, 4Institute for Aging Research, Hebrew SeniorLife, Dept. of Medicine Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA These symposia are both CME-accredited and non-CME company-directed programs. For CME-accredited symposia, the sponsoring organization is responsible for planning and providing CME credit. All non-CME programs are wholly sponsored and supported by commercial entities. Please visit the organization’s exhibit booth, the industry-supported symposia booth or see page 239 for more information. WEDNESDAY, NOVEMBER 19, 2014 ACR SESSIONS 7:30 – 8:30 am 52 A PM PS Co-Stimulation Pathways: Therapeutic Opportunities for the Rheumatic Diseases Moderators: Gregg J. Silverman, MD and Adam Mor, MD, PhD Speaker: Vassiliki A. Boussiotis, MD, PhD Upon completion of this session, participants should be able to: • examine the roles of co-receptor-mediated inhibitory pathways for the immunosurveillance of cancer and the development of autoimmune diseases, including rheumatoid arthritis and lupus • appraise the relative contributions of the CD28, CTLA4, PD-1, ICOS and VISTA systems to immunoregulation • review emerging data from therapeutic trials for the potential utility of manipulating these signaling pathways PM 1 9 , PS Rheumatology Roundup: Highlights from the 2014 Annual Meeting 2 0 1 4 Ballroom East WEDNESDAY 5:30 pm 2945. Foot Structure and Function Show Associations with Lower Extremity Physical Function Yvonne M. Golightly1, Marian T. Hannan2, Patricia P. Katz3, Howard J. Hillstrom4, Alyssa B. Dufour5 and Joanne M. Jordan1, 1 University of North Carolina Dept of Epidemiology, Chapel Hill, NC, 2Institute for Aging Research, Hebrew SeniorLife, Dept. 6:30 – 9:30 pm n o v e m b e r 5:15 pm 2944. Sedentary Time Is an Independent Risk Factor for Disability Onset Among Adults at Elevated Risk: Prospective Cohort Study Jungwha Lee1, Jing Song1, Barbara Ainsworth2, Rowland W. Chang1, Linda S. Ehrlich-Jones3, Christine Pellegrini1, Pamela Semanik4, Dorothy D. Dunlop1 and Leena Sharma5, 1 Northwestern University Feinberg School of Medicine, Chicago, IL, 2Arizona State University, Phoenix, AZ, 3Rehabilitation Institute of Chicago, Chicago, IL, 4Rush University, Chicago, IL, 5 Northwestern University, Chicago, IL INDUSTRY-SUPPORTED SYMPOSIA Moderator: Chester V. Oddis, MD Speakers: John J. Cush, MD and Arthur Kavanaugh, MD Upon completion of this session, participants should be able to: • list research highlights from the scientific presentations • discuss the clinical impact of selected research reports presented at the ACR meeting • evaluate the therapeutic potential of selected clinical trials presented at the meeting 2014 Program Book 147 scientific sessions ARHP SESSIONS • r eview the molecular and cellular pathways that link complement activation to systemic autoimmunity 7:30 – 8:30 am 255 PM PS Physical and Occupational Therapy for Juvenile Dermatomyositis: Treatment Planning and Case FIT PrM Pd PS Ed Presentations PM Moderator: Sandra Mintz, BSN Upon completion of this session, participants should be able to: • review the unique therapy needs of the juvenile dermatomyositis population at all stages of the disease process • evaluate a patient with juvenile dermatomyositis • formulate appropriate treatment plans for patients with juvenile dermatomyositis 7:30 am Juvenile Dermatomyositis Stages, Physical Therapy Evaluation and Treatment Jill R. Blitz, PT, DPT 8:00 am Occupational Therapy Evaluation and Treatment for Juvenile Dermatomyositis Talitha Cox, MA, OTR/L PS PM 256 Rheumatic Manifestations of Malignancy Moderator: Kori A. Dewing, DNP, ARNP Upon completion of this session, participants should be able to: • review how patients can have a rheumatic disease as the presenting feature of a hidden malignancy • explain the clinical features of paraneoplastic rheumatic disorders • describe the evaluation and management of paraneoplastic rheumatic disorders n o v e m b e r 1 9 , WEDNESDAY 2 0 1 4 7:30 am Rheumatic Disease as a Manifestation of Malignancy David I. Daikh, MD, PhD 8:00 am Vasculitis as a Manifestation of Malignancy John H. Stone, MD, MPH 9:00 – 10:30 am 9:30 am The Role of Complement in CD4⁺ T Cell Homeostasis and Effector Function Claudia Kemper, PhD Ballroom East PM PS Moving Toward Personalized Medicine for Systemic Lupus Erythematosus Management: From Bench to Bedside Moderators: Shreyasee Amin, MD CM, MPH and Swamy Venuturupalli, MD Upon completion of this session, participants should be able to: • describe major subsets of lupus patients defined by cytokine, autoantibody and genetic profiles • recognize how this information may influence therapeutic strategies and responses • describe emerging biomarkers that may help with disease monitoring and treatment decisions 9:00 am Defining Biological Subsets in Systemic Lupus Erythematosus: Progress Toward Personalized Therapy Timothy B. Niewold, MD 9:30 am Influence of Biomarkers, Race and Ethnicity on Disease Severity and Treatment Response in Systemic Lupus Erythematosus David A. Isenberg, MD PM PS 253 B Complement in Rheumatic Disease Moderators: Susan A. Boackle, MD and Leendert A. Trouw, PhD Upon completion of this session, participants should be able to: • review current evidence that supports a key role for complement and its receptors in regulating T-cell function • review the repertoire of complement-mediated effector responses in autoimmunity 2014 Program Book 9:15 am Immune-Mediated Membranolytic Pathways: Key to Rheumatoid Arthritis Felipe Andrade, MD, PhD 10:00 am Improving Return on Investment: Molecular Analysis of the Kidney Biopsy for Lupus Nephritis Brad H. Rovin, MD ACR SESSIONS PM 148 9:00 am Effector Pathways Linking Complement Activation to Systemic Lupus Erythematosus Susan A. Boackle, MD Ballroom West PS Primary Angiitis of the Central Nervous System and Its Mimics Moderators: Elana J. Bernstein, MD, MSc and Rula Hajj-Ali, MD Upon completion of this session, participants should be able to: • formulate a diagnostic approach to primary angiitis of the central nervous system and describe “best practices” in the management of primary angiitis of the central nervous system • discuss the pathophysiology, clinical manifestations, diagnosis and treatment of the reversible cerebrovascular scientific sessions vasoconstriction syndromes • d escribe non-atherosclerotic cerebral vasculopathies that can mimic primary angiitis of the central nervous systems 9:00 am Primary Angiitis of the Central Nervous System Leonard H. Calabrese, DO 9:30 am Reversible Cerebrovascular Vasoconstriction Syndromes Aneesh Singhal, MD 10:00 am Non-Atherosclerotic Central Nervous System Vasculopathies Cenk Ayata, MD ACR CONCURRENT ABSTRACT SESSIONS 9:00 – 10:30 am 160 B PM PS Biology and Pathology of Bone and Joint II: Cartilage Biology and Synovial Activation Moderators: Anne-Marie Malfait, MD, PhD and Antonios O. Aliprantis, MD, PhD 9:00 am 2947. Adenosine a2A Receptor As a Potential New Therapeutic Target for the Prevention/Treatment of Osteoarthritis Carmen Corciulo1, Aranzazu Mediero1, Tuere Wilder1 and Bruce N. Cronstein2, 1NYU School of Medicine, New York, NY, 2NYU School of Medicine, Division of Rheumatology, New York, NY 9:15 am 2948. S100 Proteins Induce Canonical Wnt Signaling, Which Causes Increased Expression of MMPs in the Synovium Martijn H. van den Bosch1, Arjen B. Blom1, R. Pelle Hoek1, Rik F. Schelbergen1, Sylvia W. Suen1, Anke E. van Erp1, Wim B. van den Berg1, Peter M. van der Kraan1 and Peter L. van Lent2, 1Radboud university medical center, Nijmegen, Netherlands, 2Experimental Rheumatology, Radboud University, Nijmegen, Netherlands 10:00 am 2951. Syndecan-4 Regulates Chondrocyte Phenotype and Cartilage Homeostasis Via the WNT Signaling Pathway Charlotte Kimberley Clarke1, Annelena Held1, Richard Stange2, Uwe Hansen2, Lars Godmann2, Jessica Bertrand2, Thomas Pap3, Giovanna Nalesso4, Frank Echtermeyer5, Francesco Dell’Accio6 and Joanna Sherwood4, 1Institute of Experimental Musculoskeletal Medicine (IEMM), Muenster, 48149, Germany, 2 University Hospital Münster, Münster, Germany, 3University Hospital Muenster, Muenster, Germany, 4Queen Mary University London, London, United Kingdom, 5University Hospital Hannover, Hanover, Germany, 6William Harvey Research Institute, Barts and the London Queen Mary’s School of Medicine and Dentistry, Centre for Experimental Medicine and Rheumatology, London, United Kingdom 10:15 am 2952. S100A9 Inhibitor Paquinimod (ABR-215757) reduces Joint Destruction in Experimental Osteoarthritis and Blocks Activating Effects of S100A9 in OA Synovium Peter L. van Lent1, Rik Schelbergen1, Arjen B. Blom1, Tomas Leanderson2, Helena Eriksson3 and Wim B. van den Berg1, 1 Radboud university medical center, Nijmegen, Netherlands, 2 Lund University, Lund, Sweden, 3Active Biotech AB, Lund, Sweden 153 B PM PS Genetics, Genomics and Proteomics II: Genetics of Autoimmunity Moderators: Lindsey A. Criswell, MD, MPH and Patrick Gaffney, MD 1 9 , 2 0 1 4 2014 Program Book WEDNESDAY 9:00 am 2953. International Immunochip Study in the Idiopathic Inflammatory Myopathies Identifies Novel Susceptibility Loci and Confirms HLA As Strongest Genetic Risk Factor Simon Rothwell1, Robert G. Cooper2, Ingrid E. Lundberg3, Frederick W. Miller4, Peter K. Gregersen5, Jiri Vencovsky6, Katalin Danko7, Lucy R Wedderburn8, Vidya Limaye9, Albert Selva O’Callaghan10, Michael G. Hanna11, Pedro Machado11, Lauren M. Pachman12, Ann M. Reed13, Lisa G. Rider4, Joanna Cobb1, Hazel Platt14, Øyvind Molberg15, Olivier Benveniste16, Pernille Mathiesen17, Timothy Radstake18, Andrea Doria19, Jan De Bleecker20, Boel De Paepe20, Britta Maurer21, William E. Ollier14, n o v e m b e r 9:30 am 2949. Activation of AMP-Activated Protein Kinase (AMPK) By Berberine Limits Both Surgical Knee Instability-Induced and Aging-Related Osteoarthritis in Mice Ru Bryan1, Xianling Zhao2, Yun Wang3, Han Sol Lee2, Hyunje Kim4, Alifah Akasdi2 and Robert Terkeltaub5, 1VA Medical Center/ University of California San Diego, San Diego, CA, 2VAMC, San Diego, CA, 3VA Medical Ctr/UCSD, San Diego, CA, 4Yeungnam University, Daegu, South Korea, 5VA Medical Ctr/University of California San Diego, San Diego, CA 9:45 am 2950. Synovial Macrophages Promote TGF-β Activation after Intra-Articular Injections of Oxidized LDL in Naïve Murine Knee Joints, Preventing Production of Pro-Inflammatory Factors S100A8/9, Chemokines and Aggrecanase-Induced NeoEpitopes Wouter de Munter, Peter M. van der Kraan, Wim B. van den Berg and Peter L. van Lent, Radboud university medical center, Nijmegen, Netherlands 149 scientific sessions Leonid Padyukov3, Terrance P. O’Hanlon4, Annette Lee22, Hector Seldin7 and Lindsey A. Criswell1, 1University of California, San Chinoy and Janine Lamb , Centre for Genetics and Genomics, Francisco, Rosalind Russell / Ephraim P. Engleman Rheumatology Arthritis Research UK, University of Manchester, Manchester, Research Center, San Francisco, CA, 2Johns Hopkins University United Kingdom, University of Liverpool, Liverpool, United School of Medicine, Baltimore, MD, 3Feinstein Institute for Kingdom, 3Rheumatology Unit, Karolinska University Hospital, Medical Research, Manhasset, NY, 4Genentech, Inc., South Solna, Karolinska Institutet, Stockholm, Sweden, Environmental San Francisco, CA, 5Division of Rheumatology, University of Autoimmunity Group, NIEHS, NIH, Bethesda, MD, The Feinstein Pittsburgh School of Medicine, Pittsburgh, PA, 6University of Institute for Medical Research, Manhasset, NY, Institute of Pittsburgh, Pittsburgh, PA, 7University of California, Davis, Davis, Rheumatology and Department of Rheumatology, 1st Faculty of CA 1 14 1 2 4 5 6 Medicine, Charles University in Prague, Prague, Czech Republic, 7 9:45 am UK Centre for Adolescent Rheumatology, University College 2956. Identification of Autoimmune Functional Variants Under London, London, United Kingdom, 9Royal Adelaide Hospital, Positive Selection in the Gullah African American Population of University of Debrecen, Debrecan, Hungary, 8Arthritis Research Adelaide, Australia, Vall d’Hebron General Hospital, Barcelona, South Carolina Spain, 11MRC Centre for Neuromuscular Diseases, UCL Institute Paula S. Ramos1, Satria Sajuthi2, Jasmin Divers2, Yiqi Huang3, Uma of Neurology, London, United Kingdom, 12Ann & Robert H. Lurie Nayak3, Wei-Min Chen3, Kelly J. Hunt1, Diane L. Kamen1, Gary Children’s Hospital of Chicago Research Center, Chicago, IL, S. Gilkeson1, Jyotika K. Fernandes1, Ida J. Spruill1, W. Timothy 10 Mayo Clinic, Rochester, MN, Centre for Integrated Genomic Garvey4, Michèle M. Sale3 and Carl D. Langefeld2, 1Medical Medical Research, University of Manchester, Manchester, United University of South Carolina, Charleston, SC, 2Wake Forest Kingdom, Department of Rheumatology, Oslo University School of Medicine, Winston-Salem, NC, 3University of Virginia, Hospital Rikshospitalet, Oslo, Norway, 16Pitié-Salpêtrière Charlottesville, VA, 4University of Alabama at Birmingham, Hospital, APHP, Paris, France, Paediatric Department, Holbaek Birmingham, AL 13 14 15 17 University Hospital, Holbaek, Denmark, 18University Medical Center Utrecht, Utrecht, Netherlands, 19University of Padova, 10:00 am Padova, Italy, 20University of Ghent, Ghent, Belgium, 21Division 2957. The Rheumatoid Arthritis -Risk Locus CCR6 and Its SNP- of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Dependent Response to Estrogen: A Possible Genomic Link Between Sex Hormones and the IL-17 Inflammatory Pathway Feinstein Institute Med Rsch, Manhasset, NY 22 Ming-Fen Ho, Richard M. Weinshilboum, Liewei Wang and Tim Bongartz, Mayo Clinic, Rochester, MN 9:15 am 2954. The Amino Acid Positions 11, 13 and 26 of HLADR Beta Chain 1 Explain the Majority of the Association 10:15 am Between Systemic Lupus Erythematosus and the Major 2958. Polygenic Analysis of Transport, Metabolism and Histocompatibility Complex Locus Immune Related Genomic Compartments in Serum Urate and Kwangwoo Kim , So-Young Bang , Hye-Soon Lee , Yukinori Gout Okada3, Woei-Yuh Saw4, Paul IW. de Bakker5, Yik-Ying Teo6, Eli A. Stahl1, Tony R. Merriman2, Amanda Dobbyn3, David Soumya Raychaudhuri and Sang-Cheol Bae , Brigham and B. Mount4, Peter Kraft5 and Hyon Choi6, 1Mt Sinai School of Women’s Hospital, Harvard Medical School, Boston, MA, Medicine, New York City, NY, 2University of Otago, Dunedin, New 1 2 2 7 2 1 Hanyang University Hospital for Rheumatic Diseases, Seoul, n o v e m b e r 1 9 , WEDNESDAY 2 0 1 4 2 Zealand, 3Icahn School of Medicine at Mount Sinai, New York, South Korea, Broad Institute, Cambridge, MA, National NY, 4Brigham and Women’s Hospital, Boston, MA, 5Program in University of Singapore, Singapore, Singapore, University Molecular and Genetic Epidemiology, Harvard School of Public Medical Center Utrecht, Utrecht, Netherlands, 6Genome Health, Boston, MA, 6Harvard Medical School, Boston, MA 3 4 5 Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore, 7Broad Institute of MIT and 104 B PM PS Harvard, Cambridge, MA Metabolic and Crystal Arthropathies II: Mechanisms of Disease 9:30 am Moderators: Nicola Dalbeth, MBChB, MD and Alexander So, MD 2955. The Impact of Northern European Ancestry and 9:00 am Susceptibility Loci on the Risk of Lupus Nephritis Sarah French1, Kimberly E. Taylor1, Sharon A. Chung1, Joanne Nitiham1, Michelle Petri2, Peter K. Gregersen3, Ward Ortmann4, Annette T. Lee , Timothy W. Behrens , Susan Manzi , F. Yesim 3 4 5 Demirci , M. Ilyas Kamboh , Robert R. Graham , Michael F. 6 150 2014 Program Book 6 4 2959. Twenty-Eight Loci That Influence Serum Urate Levels: Analysis of Association with Gout Tony R. Merriman1, Marilyn E. Merriman1, Ruth Topless1, Sara Altaf1, Grant Montgomery2, Christopher Franklin3, Gregory T. Jones1, Andre M. van Rij1, Douglas HN White4, Lisa K. Stamp5, scientific sessions Nicola Dalbeth3 and Amanda Phipps-Green1, 1University of an der Technischen Universität Dresden, Dresden, Germany, Otago, Dunedin, New Zealand, Queensland Institute of Medical 19 Research, Brisbane, Australia, University of Auckland, Auckland, of Auckland, Auckland, New Zealand, 21Université Paris Diderot, New Zealand, Waikato Clinical School, Waikato Hospital, Paris, France, 22CHUV, Lausanne, Switzerland 2 3 4 University of Otago, Christchurch, New Zealand, 20University Hamilton, New Zealand, 5University of Otago, Christchurch, New Zealand 10:00 am 9:15 am Acid Homeostasis and Its Activity May be Altered in Gout 2960. Urate Genetic Loci and the Risk of Incident Cases of Patients and in Drug-Induced Hyperuricemia Confirmed Gout in Two Prospective Cohort Studies Philip K. Tan, Sha Liu and Jeffrey N. Miner, Ardea Biosciences, Hyon K Choi1, Gary Curhan2, Ying Bao3, Eli A. Stahl4, Peter Kraft5, Inc., San Diego, CA 2963. The URAT1 Uric Acid Transporter Is Important in Uric Robert M. Plenge3, Yuqing Zhang1 and Tony R. Merriman6, Boston University School of Medicine, Boston, MA, 2Harvard 10:15 am Medical School, Boston, MA, Brigham and Women’s Hospital, 2964. Association Analysis of Apolipoprotein B and Very Low- 1 3 Boston, MA, 4Mt Sinai School of Medicine, New York City, NY, Density Lipoprotein with Hyperuricemia and Gout 5 Program in Molecular and Genetic Epidemiology, Harvard Humaira Rasheed1, Angela Hsu1, Nicola Dalbeth2, Lisa K. Stamp3, School of Public Health, Boston, MA, 6University of Otago, Sally McCormick1 and Tony R. Merriman1, 1University of Otago, Dunedin, New Zealand Dunedin, New Zealand, 2University of Auckland, Auckland, New Zealand, 3University of Otago, Christchurch, New Zealand 9:30 am 2961. Conditional Analysis of 30 Serum Urate Loci Identifies 25 Additional Independent Effects Eli Stahl , Hyon Choi , Murray Cadzow , Tanya Flynn , Ruth 1 2 3 3 Topless3 and Tony R. Merriman3, 1Mt Sinai School of Medicine, New York City, NY, 2Harvard Medical School, Boston, MA, University of Otago, Dunedin, New Zealand PM 107 B PS Pain: Basic and Clinical Aspects II/Orthopedics, Low PS PM Back Pain and Rehabilitation Moderators: Yvonne C. Lee, MD, MMSc and M. Elaine Husni, MD, MPH 3 9:00 am 2965. Effects of Anti-NGF Strategies in Two Animal Models of 9:45 am 2962. Association of the Toll-like Receptor 4 (TLR4) Gene with Gout Kannangara , Kenneth Williams , Linda Bradbury , Matthew 3 4 Brown5, Catherine Hill6, Susan Lester7, Maureen Rischmueller8, Malcolm Smith6, Mariano Andrés9, Thomas Bardin10, Michael Doherty11, Matthijs Janssen12, Tim Jansen13, Leo Joosten13, Fernando Perez-Ruiz , Timothy Radstake , Philip L. Riches , 14 15 16 Ed Roddy17, Anne-Kathrin Tausche18, Lisa K. Stamp19, Nicola Dalbeth , Frederic Lioté , Alex So , Cushla McKinney and 20 21 22 1 South Wales, Sydney, Australia, 4The University of Queensland, United Kingdom, 2Array BioPharma, Boulder, CO 9:15 am 2966. Genome-Wide Association Analysis of Pain Reduction in Rheumatoid Arthritis Patients Treated with TNF Inhibitors Marieke J.H. Coenen1, Maša Umicevic-Mirkov1, Sophine B. Krintel2, Julia Johansen3, Corinne Miceli-Richard4, Henrik Kallberg5, Hans Scheffer1, Wietske Kievit1, Mart A. van de Laar6, Piet L.C.M. van Riel1, X. Mariette7, Saedis Saevarsdottir8, Institute, Brisbane, Australia, 6Queen Elizabeth Hospital, 1 Adelaide, Australia, Queen Elizabeth Hospital, Woodville 2 7 South, Australia, 8The Queen Elizabeth Hospital, SA, Australia, Hospital General Universitario de Alicante, Alicante, Spain, 9 Hôpital Lariboisière, Paris, France, City Hospital, Nottingham, 10 11 United Kingdom, 12Rijnstate Hospital, Arnhem, Netherlands, Radboud University Medical Center, Nijmegen, Netherlands, 13 Hospital De Cruces, Baracaldo, Spain, 15University Medical 14 Center Utrecht, Utrecht, Netherlands, 16University of Edinburgh, Edinburgh, United Kingdom, Keele University, Staffordshire, 17 Radboud university medical center, Nijmegen, Netherlands, Copenhagen University Hospital at Glostrup, Glostrup, 2 0 1 4 Merete Lund Hetland9, Sita Vermeulen1 and Cornelis A. Albers1, 1 9 , Brisbane, Australia, 5University of Queensland Diamantina WEDNESDAY St. Vincent’s Hospital, Sydney, Australia, University of New 3 Research UK Pain Centre, University of Nottingham, Nottingham, n o v e m b e r Tony R. Merriman1, 1University of Otago, Dunedin, New Zealand, 2 Lilian Ngozi Nwosu1, Paul Mapp1, Karyn Bouhana2, Steven Andrews2, Victoria Chapman1 and David Walsh1, 1Arthritis Humaira Rasheed1, Ruth Topless1, Richard Day2, Diluk 3 Osteoarthritis (OA) Denmark, 3University of Copenhagen, Frederiksberg, Denmark, Université Paris-Sud 11, Bicêtre Hospital,, Kremlin Bicêtre, 4 France, 5Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, 6University Twente & Medisch Spectrum Twente, Enschede, Netherlands, 7Paris-Sud University, Paris, France, 8Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden, 9DANBIO, Center for Rheumatology and Spine Diseases, Glostrup Univ Hospital, Glostrup, Denmark United Kingdom, 18Universitätsklinikum Carl Gustav Carus 2014 Program Book 151 scientific sessions 9:30 am 9:15 am 2967. Patient Reported Pain By the Paindetect Questionnaire 2972. Elevations of Certain Memory-Effector T Cell and Reveals Multimodal Elements to Pain Perception in Inflammatory Monocyte Subpopulations in Rheumatoid Rheumatoid Arthritis Arthritis Are Associated with the Presence of Subclinical Saqa Ahmed1, Tejal Magan1, Mario Vargas1, Abiola Harrison1 and Coronary Artery Atherosclerosis Nidhi Sofat , St George’s, University of London, London, United Robert Winchester1, Jon T. Giles1, Simona Nativ2, Hui-Zhu Zhang1, Kingdom, St. George’s University of London, London, United Kendall Downer1 and Joan Bathon1, 1Columbia University, New Kingdom York, NY, 2Morristown Medical Center, Morristown, NJ 2 1 2 9:45 am 9:30 am 2968. Improvement Following Total Knee Replacement (TKR) 2973. The Multi-Biomarker Disease Activity Score As a Surgery: Exploring Preoperative Symptoms and Change in Predictor of Radiographic Progression in a Registry of Patients Preoperative Symptoms with Rheumatoid Arthritis Ernest R. Vina , Michael J. Hannon and C. Kent Kwoh , Eric H. Sasso1, George Wu1, CC Hwang1, Michael E. Weinblatt2, University of Pittsburgh and VA Healthcare System, Pittsburgh, Nancy A. Shadick2, Claire Alexander1 and Oscar Segurado1, 1 2 3 1 PA, University of Pittsburgh School of Medicine, Pittsburgh, PA, 2 Crescendo Bioscience Inc., South San Francisco, CA, 2Brigham 1 and Women’s Hospital, Boston, MA University of Arizona, Tucson, AZ 3 10:00 am 2969. Mortality after Knee Replacement Surgery for 9:45 am Osteoarthritis in a Population-Based Propensity-Score Matched 2974. Multi-Biomarker Disease Activity Score Is Associated Cohort with Power Doppler Ultrasound in Patients with Rheumatoid Devyani Misra , Tuhina Neogi , Na Lu , David T. Felson , Thomas Arthritis in Low Disease Activity State Einhorn1, Hyon Choi2, Jessica Maxwell3 and Yuqing Zhang1, Margaret H. Ma1, Toby Garrood2, Wanying Li3, Nadine A. Boston University School of Medicine, Boston, MA, Harvard Defranoux3, Gabrielle H. Kingsley4, Andrew P. Cope5 and David L. Medical School, Boston, MA, 3Boston University, Boston, MA Scott6, 1King’s College Hospital, London, United Kingdom, 2Guy’s 1 1 1 1 1 2 and St. Thomas’ Foundation Hospital NHS Trust, London, United 10:15 am Kingdom, 3Crescendo Bioscience Inc., South San Francisco, CA, 2970. Psoriatic Arthritis is Associated with Heterotopic 4 Kings College London, London, United Kingdom, 5King’s College Ossification after Total Hip Arthroplasty London, London, United Kingdom, 6King’s College London, Mario Cedillo , Arielle Fein , Susan M. Goodman , Rebecca Zhu , 1 2 2 2 Department of Rheumatology, London, United Kingdom Mark P. Figgie2, Michael Alexiades2, Jayme C. Burket2 and Lisa A. Mandl2, 1Weill Cornell Medical College, New York, NY, 2Hospital 10:00 am for Special Surgery, New York, NY 2975. Residual Large Joint Synovitis By Power Doppler 258 B PM PS Rheumatoid Arthritis – Clinical Aspects VII: New Aspects of Monitoring Disease n o v e m b e r 1 9 , WEDNESDAY 2 0 1 4 Moderators: Merete Lund Hetland, DMSc, MD, PhD and Barbara Goldstein, MD, MMSc 9:00 am 2971. Patient’s Self-Monitoring Via Smartphone: The Compass Study Correlation Between Patient Self-Assessment of Rheumatoid Arthritis Disease Activity Via Smartphone Technology and Physicians’ Validated Scores Ruediger Mueller1, Ulrich Walker2, Diego Kyburz3, Robert Theiler4, with Established Rheumatoid Arthritis Yu Xiao Guo1, Manjari Lahiri2 and Peter Cheung2, 1Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore, 2Division of Rheumatology, National University Hospital, Singapore, Singapore 10:15 am 2976. Lung Ultrasound Screening for Interstitial Lung Disease in Rheumatoid Arthritis. Comparison with Usual Detection Algorithms in Clinical Practice Marco Antivalle, Michel Chevallard, Michele Battellino, Adrian Forster5, Fabiana Ganz6 and Patrick Dufner6, 1Kantonspital MariaChiara Ditto, Valentina Varisco, Federica Rigamonti, St. Gallen, St. Gallen, Switzerland, 2Department of Rheumatology, Alessandra Mutti, Fabiola Atzeni, Alberto Batticciotto and Basel University, Basel, Switzerland, 3University Hospital, Basel, Piercarlo Sarzi-Puttini, L. Sacco University Hospital, Milano, Italy Switzerland, 4Triemli spital, Zurich, Switzerland, 5Spital Thurgau AG, Diessenhofen, Switzerland, 6Abbvie AG, Baar, Switzerland 152 Ultrasonography Is Associated with Higher Disease Activity and Significant Impact of Disease in Multi-Ethnic Asian Patients 2014 Program Book scientific sessions PS PM 157 B 9:45 am Sjögren’s Syndrome II: Insights Into Pathophysiology 2980. Genome-Wide DNA Methylation Analysis of CD19+ B Cells in Primary Sjögren’s Syndrome Gunnel Nordmark1, Juliana Imgenberg-Kreuz2, Jonas Carlsson Moderators: Alan N. Baer, MD and Kathy L. Sivils, PhD Almlöf2, Jessica Nordlund2, Roald Omdal3, Katrine B. Norheim3, 9:00 am Maija-Leena Eloranta4, Lars Rönnblom4 and Johanna K. Sandling2, 2977. Distinct Serum Protein Signature and Novel Biomarkers 1 of primary Sjögren’s Syndrome Revealed by comprehensive University, Uppsala, Sweden, 2Molecular Medicine and Science High-Throughput Proteomic Analysis for Life Laboratory, Department of Medical Sciences, Uppsala Rheumatology, Department of Medical Sciences, Uppsala University, Uppsala, Sweden, 3Clinical Immunology Unit, Ayumi Nishikawa , Katsuya Suzuki , Yoshiaki Kassai , Yuumi 1 1 2 Gotou , Takahiro Miyazaki , Maiko Takiguchi , Masaru Takeshita , Department of Internal Medicine, Stavanger University Hospital, Atsuko Murota1, Rimpei Morita5, Akihiko Yoshimura5 and Stavanger, Norway, 4Department of Medical Sciences, SciLife Lab, Tsutomu Takeuchi1, 1Keio University School of Medicine, Tokyo, Rheumatology, Uppsala University, Uppsala, Sweden, Uppsala, Japan, Takeda Pharmaceutical Company Limited, Kanagawa, Sweden 3 2 4 1 2 Japan, 3Takeda Pharmaceutical Company Limited, Tokyo, Tokyo, 10:00 am Japan, 4Takeda Pharmaceutical Company Limited, Tokyo, Japan, 5 2981. Prognostic Value of the Complex P2X7 Receptor- School of Medicine, Tokyo, Japan Inflammasome in Patients with Primary Sjögren’s Syndrome at 9:15 am Chiara Baldini1, Eleonora Santini2, Chiara Rossi2, Francesca 2978. Characterization of the Sjögren’s Syndrome Intergenic Sernissi1, Daniela Martini1, Alessia Gallo3, Valentina Donati2, Non-Coding RNA 1 (SSINCR1) Nicoletta Luciano1, Francesco Ferro1, Illias Alevizos3, Anna Department of Microbiology and Immunology, Keio University Lymphoma Risk John A. Ice , He Li , Indra Adrianto , Mikhail G. Dozmorov , Astrid Solini2 and Stefano Bombardieri2, 1Rheumatology Unit, Pisa, Rasmussen , Graham B. Wiley , Jennifer A. Kelly , Kimberly Italy, 2Rheumatology Unit, University of Pisa, Pisa, Italy, 3NIDCR, 1 1 1 1 1 1 1 Bethesda, MD S. Hefner2, Donald U. Stone3, Raj Gopalakrishnan4, David M. Lewis , Stephen Young , Michael D. Rohrer , Juan-Manuel Anaya , 3 3 4 5 Swamy Venuturupalli6, Barbara M. Segal7, Nelson L. Rhodus4, 10:15 am Lida Radfar3, Michael H. Weisman8, Judith A. James1, Courtney 2982. Identification of Whole Blood Gene Expression Signature in Primary Sjögren’s Syndrome Associated Lymphoma G. Montgomery1, R. Hal Scofield9, Patrick M. Gaffney1, Linda F. Thompson , A. Darise Farris , Susan Kovats , Jonathan D. Wren , Shereen Al-Ali1, Simon Cockell2, Andrew Skelton3, Katherine Kathy L. Sivils and Christopher J. Lessard , Oklahoma Medical James2, Jessica Tarn2, David Young3, Bridget Griffiths4, Simon Research Foundation, Oklahoma City, OK, Hefner Eye Care and Bowman5, James Locke2 and Wan-Fai Ng2, 1University of Basrah, Optical Center, Oklahoma City, OK, 3University of Oklahoma Basrah, Iraq, 2Newcastle University, Newcastle upon Tyne, Health Sciences Center, Oklahoma City, OK, University of United Kingdom, 3Newcastle University, Newcastle Upon Tyne, Minnesota, Minneapolis, MN, Center for Autoimmune Diseases United Kingdom, 4Freeman Hospital, Newcastle Upon Tyne, Research (CREA), Universidad del Rosario., Bogota, Colombia, United Kingdom, 5University Hospital Birmingham, Birmingham, 1 10 1 3 1 1 1 2 4 5 Cedars-Sinai Medical Center, West Hollywood, CA, 7Hennepin 6 County Medical Center, Minneapolis, MN, Cedars-Sinai Medical United Kingdom 8 Research Foun, Oklahoma City, OK PM PS Spondyloarthropathies and Psoriatic Arthritis VI – Imaging and Biomarkers Collaborate in Driving the Systemic IFN Signature and Amplify the Pathogenic Loop: Potential New Targets for Therapy in Primary Sjögren’s Syndrome Naomi I Maria1, Cornelia G. van Helden-Meeuwsen1, Eline C. Steenwijk1, Arne S. IJpma2, Wouter Beumer1, Zana Brkic1, Virgil A. Dalm1, Paul L. van Daele1, P. Martin van Hagen1, Peter J. van der 2 0 1 4 9:30 am 2979. Nucleic Acid Sensing Receptors TLR7, RIG-I and MDA5 1 9 , Moderators: Robert Inman, MD and Juergen Braun, MD WEDNESDAY Medical Center, Oklahoma City, OK, 10Oklahoma Medical 205 B n o v e m b e r Center, Los Angeles, CA, 9US Department of Veterans Affairs 9:00 am 2983. Infliximab Added to Naproxen Does Not Increase Frequency of New Fatty Lesions on MRI of the Sacroiliac Joints and of the Spine As Compared to Naproxen Alone in Early Axial Spondyloarthritis Denis Poddubnyy and Joachim Sieper, Charité Universitätsmedizin Berlin, Berlin, Germany Spek , Hemmo A. Drexhage and Marjan A. Versnel , Erasmus 2 1 1 1 Medical Center, Immunology, Rotterdam, Netherlands, 2Erasmus Medical Center, Bioinformatics, Rotterdam, Netherlands 2014 Program Book 153 scientific sessions 9:15 am Germany, 3Department of Pathology Ghent University Hospital, 2984. Degenerative Changes of the Spine on MRI in Patients Ghent, Belgium, 4University Children’s Hospital Muenster, with Inflammatory Back Pain Muenster, Germany F. de Bruin1, Marc Olivier Treyvaud2, Antoine Feydy2, Maxime Dougados3, Laure Gossec4, J.L Bloem1, Désirée van der Heijde1 and Monique Reijnierse , Leiden University Medical Center, 1 1 Leiden, Netherlands, 2Paris Descartes University, Radiology B department, Cochin Hospital, Paris, France, 3Descartes University, Cochin Hospital, Paris, France, 4UPMC Paris 06 University, GRC 08, Paris France and Pitié Salpétrière Hospital Paris France, Paris, France 2985. Autoantibodies to 14-3-3η Are Novel Biomarkers Associated with Inflammation and Radiographic Progression in Joel A. Block1 and Meenakshi Jolly1, 1Rush University Medical Ankylosing Spondylitis Center, Chicago, IL, 2Department of internal medicine and Murphy and Anthony Marotta , University of Alberta, 9:15 am BC 2990. Risk Factors for Posterior Reversible Encephalopathy 9:45 am Center Study Syndrome in Systemic Lupus Erythematosus Patients: A Single 2986. Fat Metaplasia on MRI of the Sacroiliac Joints Is a Lead Javier Merayo-Chalico1, Elia Apodaca2, Ana Barrera-Vargas1, Indicator of Radiographic Progression in the Spine of Patients Jorge Alcocer-Varela1 and Diana Gómez-Martín1, 1Instituto with Ankylosing Spondylitis Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 2Instituto Nacional de Ciencias Médicas y WP Maksymowych , S Wichuk , P Chiowchanwisawakit , RG 1 1 2 Lambert1 and Sj Pedersen3, 1University of Alberta, Edmonton, AB, Mahidol University, Bangkok, Thailand, Copenhagen Center for 2 Nutrición, Mexico City, Mexico 3 Arthritis Research, Copenhagen, Denmark 9:30 am 2991. Anti-Ribosomal P Antibody Is a Key Autoantibody Associated with Complications of NP-SLE with High-Levels of 10:00 am CSF IL-8 2987. Value of Color Doppler Ultrasound Assessment of Sacroiliac Joints in Patients with Inflammatory Chronic Low Hidenaga Kawasumi1, Takahisa Gono1, Yasushi Kawaguchi1, Back Pain Yasuhiro Katsumata1, Hisae Ichida1, Akiko Tochimoto1, Masanori Maximiliano Bravo1, Leandro Ferreyra Garrott1, David A. Navarta1, Hanaoka1, Yuko Okamoto1, Sayuri Kataoka1 and Hisashi Emmanuel Bertiller , Ricardo Garcia-Monaco , Santiago Ruta , Yamanaka2, 1Tokyo Women’s Medical University, Tokyo, Japan, Javier Rosa3 and Enrique Soriano1, 1Rheumatology Unit, Internal 2 1 2 1 Medical Services, Hospital Italiano de Buenos Aires, Buenos 2 0 1 4 systemic diseases, Dijon, France 2 1 Edmonton, AB, 2Augurex Life Sciences Corp., North Vancouver, 1 9 , 9:00 am Disease Activity in Lupus 2 WEDNESDAY Moderators: Dafna D. Gladman, MD and Stacy P. Ardoin, MD, MS David Giangreco1, Hervé Devilliers2, Narender Annapureddy1, WP Maksymowych1, Stephanie Wichuk1, RG Lambert1, Mairead n o v e m b e r PS PM Systemic Lupus Erythematosus – Clinical Aspects and Treatment: Central Nervous System and Other Clinical Aspects 2989. Lupus Impact Tracker Is Responsive to Changes in 9:30 am Aires, Argentina, 2Radiology and Imagenology Department, Hospital italiano de Buenos Aires, Buenos Aires, Argentina, Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan 9:45 am 3 2992. Usefulness of Diagnostic Biomarker for Neuropsychiatric de Buenos Aires, Buenos Aires, Argentina Systemic Lupus Erythematosus By Anti-Microtubule Associated 10:15 am Yusuke Yamada, Department of Internal Medicine and Rheumatology Unit, Internal Medicine Service, Hospital Italiano 2988. Calgranulin Levels Are Elevated in Spondyloarthritis and Reflect the Presence of Acute Microscopic Gut Inflammation Heleen Cypers1, Gaëlle Varkas1, Liesbet Van Praet1, Johannes Roth2, Thomas Vogl2, Claude Cuvelier3, Dirk Föll4, Miha Lavric4, Filip van Den Bosch1 and Dirk Elewaut1, 1Department of Rheumatology Ghent University Hospital, Ghent, Belgium, Institute of Immunology University of Muenster, Muenster, 2 154 52 A 2014 Program Book Protein 2 Antibody in Cerebrospinal Fluid Rheumatology, Juntendo University Faculty of Medicine, Tokyo, Japan 10:00 am 2993. MRI in Neuropsychiatric Lupus: Correlations with the 1999 ACR Case Definitions Minyoung Her1, Dongyook Kim1, Na young Park1, Seong-Kyu Kim2, Lee Sung Won3 and Lee sang Yeob3, 1Inje University, Pusan scientific sessions Paik Hospital, Busan, South Korea, Busan, South Korea, 2Catholic 9:45 am University of Daegu, Daegu, South Korea, Daegu, South Korea, 2998. Screening for Interstitial Lung Disease in Systemic Dong-A university, Busan, South Korea, Pusan, South Korea 3 Sclerosis: Performance of High-Resolution Computed Tomography with Limited Number of Slices – a Prospective 10:15 am Study 2994. WITHDRAWN Thomas Frauenfelder1, Anna Winklehner1, Thi Dan Linh Nguyen1, Rucsandra Dobrota2, Stephan Baumüller1, Britta Maurer3 and Oliver Distler3, 1Institute of Diagnostic and Interventional 151 A Systemic Sclerosis, Fibrosing Syndromes and PM Raynaud’s –PSClinical Aspects and Therapeutics III: Updates in Predictors and Outcomes in Systemic Sclerosis Radiology, University Hospital Zurich, Zurich, Switzerland, Department of Internal Medicine and Rheumatology, 2 Dr.I.Cantacuzino Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, 3Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland Moderators: Laura K. Hummers, MD, ScM and Sindu R. Johnson, MD, PhD 10:00 am 2999. Development of a Composite Index for Clinical Trials in 9:00 am 2995. Surrogate Measures of Extent of Interstitial Lung Disease As Measured By Quantitative Radiographic Analysis in Patients with Systemic Sclerosis Elizabeth Volkmann , Donald Tashkin , Chi-hong Tseng , Kim 1 2 1 Hyun1, Jonathan Goldin1, Philip J. Clements3, Daniel E. Furst1, Dinesh Khanna4, Eric Kleerup1, Michael Roth1 and Robert Elashoff , University of California, Los Angeles, David Geffen 5 1 School of Medicine, Los Angeles, CA, University of California 2 at Los Angeles, Los Angeles, CA, 3University of California, Los Angeles, Department of Medicine, Los Angeles, CA, 4University of Michigan Health System, Ann Arbor, MI, University of 5 California, Los Angeles, Los Angeles, CA Early Diffuse Cutaneous Systemic sclerosis—the Combined Response Index in Systemic Sclerosis Dinesh Khanna1, Veronica Berrocal2, Edward Giannini3, Maureen Mayes4, Peter A. Merkel5, Jeffrey Siegel6, James R. Seibold7, Murray Baron8, Philip J. Clements9, Yannick Allanore10, Virginia D. Steen11, Christopher P. Denton12, Oliver Distler13, Sindhu R. Johnson14, Marco Matucci-Cerinic15, Lazlo Czirjak16, Janet E. Pope17, Susanna Proudman18, Weng Kee Wong19, Athol U. Wells20 and Daniel E. Furst9, 1University of Michigan Scleroderma Program, Ann Arbor, MI, 2University of Michigan, Ann Arbor, MI, Childrens Hosp Med Ctr, Cincinnati, OH, 4University of TX Health 3 Science Center -Houston, Houston, TX, 5Boston University School of Medicine, Boston, MA, 6Genentech, South San Francisco, CA, Scleroderma Research Consultants LLC, Avon, CT, 8Lady David 7 9:15 am 2996. Intestinal Pseudo-Obstruction in Patients with Systemic Sclerosis: An Analysis of the Nationwide Inpatient Sample Antonia Valenzuela1, Shufeng Li1, Laren Becker1, Nielsen Fernandez-Becker1, Dinesh Khanna2, Linda Nguyen1 and Lorinda Chung , Stanford University School of Medicine, Palo Alto, CA, 1 1 University of Michigan Health System, Ann Arbor, MI 2 Institute for Medical Research and Jewish General Hospital, Montreal, QC, 9University of California, Los Angeles, Department of Medicine, Los Angeles, CA, 10Department of Rheumatology, University Paris Descartes and Cochin Hospital, Paris, France, Georgetown University Medical Center, Washington, DC, 12UCL 11 Medical School Royal Free Campus, London, United Kingdom, University Hospital Zurich, Zurich, Switzerland, 14Division of 13 Rheumatology, Toronto Western Hospital, University Health Mortality Risk Stratification Tool for Early Diffuse Systemic 4 5 Denton and Thomas A. Medsger Jr. , University of Pittsburgh, 6 1 1 Pittsburgh, PA, 2Royal Free and University College Medical School, London, United Kingdom, 3University of Pittsburgh, of Pécs, Pécs, Hungary, 17Western University, London, ON, Royal Adelaide Hospital, Adelaide, Australia, 19UCLA Fielding 18 School of Public Health, Los Angeles, CA, 20Department of Radiology, London, United Kingdom 10:15 am Graduate School of Public Health, Pittsburgh, PA, 4University of 3000. Comparison of Systemic Sclerosis Subsets As Predictors Pittsburgh and Center for Health Equity Research and Promotion, of Mortality and Morbidity VA Pittsburgh Healthcare, Pittsburgh, PA, 5The University of Hebah Alhajeri1, Marie Hudson1, Canadian Scleroderma Arizona Arthritis Center, Tucson, AZ, 6Centre for Rheumatology, Royal Free and University College Medical School, London, United Kingdom 2 0 1 4 R. Wisniewski , Michael J. Fine , C. Kent Kwoh , Christopher P. 3 Hospital, Mount Sinai Hospital and University of Toronto, Toronto, ON, 15University of Florence, Florence, Italy, 16University 1 9 , Sclerosis Patients Robyn T. Domsic1, Svetlana I. Nihtyanova2, Mary Lucas1, Stephen Network Pulmonary Hypertension Programme, Toronto General WEDNESDAY 2997. Development and External Validation of a Five-Year n o v e m b e r 9:30 am Research Group CSRG1 and Murray Baron2, 1McGill University, Montreal, QC, 2Lady David Institute for Medical Research and Jewish General Hospital, Montreal, QC 2014 Program Book 155 scientific sessions 156 B PM 8-Isoprostane Inhibits the Pro-Angiogenic Effect of Vascular Moderators: Sandeep K. Agarwal, MD, PhD and Romy Christmann, MD, PhD Pei-Suen Tsou1, George Zakhem2, Beatrix Balogh2, M. Asif Amin3, 9:00 am 3001. Targeting IL-6 By Both Passive or Active Immunization Strategies Prevents Inflammation-Driven Skin Fibrosis Jerome Avouac1, Lucille Desallais2, Maxime Fréchet3, Muriel Elhai3, Jean François Zagury2 and Yannick Allanore1, 1Paris Descartes University, Rheumatology A Department and INSERM U1016, Cochin Hospital, Paris, France, 2Chaire de Bioinformatique, Laboratoire Génomique, Bioinformatique et Applications, EA 4627, Conservatoire National des Arts et Métiers, Paris, France, 3INSERM U1016, Cochin Institute, Paris, France n o v e m b e r 1 9 , WEDNESDAY 2 0 1 4 9:15 am 3002. Anti-Fibrotic Effects of a Newly Discovered HGF Receptor Carboxy-Terminal Fragment in Systemic Sclerosis Yuichiro Shirai1, Ilia Atanelishvili2, Tanjina Akter1, Richard Silver3 and Galina Bogatkevich1, 1Medical University of South Carolina, Charleston, SC, 2Medical University of South Carolina, Charleston,USA, Charleston, SC, 3Medical University of South Carolina, Charleston, SC 3006. Activation of the Thromboxane A2 Receptor By Endothelial Growth Factor in Scleroderma Phillip Campbell3, Gautam Edhayan3, Ray A. Ohara3, Elena Schiopu3, Dinesh Khanna1, Alisa E. Koch4 and David A. Fox3, University of Michigan Scleroderma Program, Ann Arbor, MI, 1 University of Michigan Medical School, Ann Arbor, MI, 3Division 2 of Rheumatology, University of Michigan Medical Center, Ann Arbor, MI, 4Department of Veteran’s Affairs and University of Michigan, Ann Arbor, MI ARHP SESSIONS 9:00 – 10:30 am 256 PM PS Exercise Adherence in Arthritis: The Role of Technology Moderator: Jennifer M. Hootman, PhD Upon completion of this session, participants should be able to: • identify established barriers to/risk factors of poor exercise adherence • discuss the prevalence of aerobic and strength exercise in arthritis 9:30 am 3003. Am80 Ameliorates Bleomycin-Induced Dermal Fibrosis By Suppressing the Pro-Fibrotic Phenotype of Fibroblasts, Endothelial Cells and Immune Cells Tetsuo Toyama1, Yoshihide Asano1, Takehiro Takahashi1, Ryosuke Saigusa1, Yohei Ichimura1, Takashi Taniguchi1, Shinji Noda1, Kaname Akamata1, Shinichi Sato1, Takafumi Kadono1 and Koichi Shudo2, 1University of Tokyo Graduate School of Medicine, Tokyo, Japan, 2Reseach Foundation ITSUU Laboratory, Tokyo, Japan • review the measurement of activity adherence and challenges 9:45 am 3004. Autoantibody-Mediated Raynaud’s Phenomenon: Animal Model and Human Disease Dana P. Ascherman1, Yunjuan Zang2, Laisel Martinez1, Judith Pignac-Kobinger2, Irina Fernandez2 and Eric L. Greidinger2, 1 Miami VAMC, Miami, FL, 2University of Miami, Miami, FL 10:00 am 3005. Essential Role for Alternately Spliced Tenascin C and TLR4 Signaling in Persistent Organ Fibrosis Swati Bhattacharyya1, Wenxia Wang1, Luisa Morales-Nebreda1, Katja Lakota1, Robert Lafyatis2, Monique E. Hinchcliff1, GR Scott Budinger1, Zenshiro Tamaki1 and John Varga3, 1Northwestern University, Feinberg School of Medicine, Chicago, IL, 2Boston University School of Medicine, Boston, MA, 3Northwestern 9:30 am University Feinberg School of Medicine, Chicago, IL 156 10:15 am PS Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s – Pathogenesis, Animal Models and Genetics II 2014 Program Book and opportunities in the field • describe the innovative use of technology to promote adherence and the evidence to support it 9:00 am Barriers to Exercise Adherence: Challenges and Opportunities to Foster Adherence Julie J. Keysor, PhD, PT Exercise Adherence in Arthritis: Can We Improve It with Technology? Kristin Baker, PhD 10:00 am Environmental Barriers to Physical Activity in Arthritis Molly Vaughn, PhD scientific sessions PS PM 255 Francisco Rodríguez-Salvanés1, Lorena Vega1, Santos Castañeda1 Nothing About Us without Us: Engaging Patients in Rheumatology Research PM PS and Javier P Gisbert3, 1Hospital Universitario de La Princesa, Moderator: Janet L. Poole, OTR, PhD Díaz, Madrid, Spain, 3Hospital Universitario de La Princesa. IIS La Upon completion of this session, participants should be able to: • evaluate and apply best practices for engaging patients in the research process, from the investigator perspective, including specific examples of successes and challenges • describe the patient experience as a member of the research team • review the funding agency perspective regarding expectations and best practices for patient engagement on the research team IISP, Madrid, Spain, 2Hospital Universitario Fundación Jiménez Princesa, Madrid, Spain 9:30 AM 3009. Stem Cell Augmentation for Cardiovascular Risk in Rheumatoid Arthritis Nidhi Garg1, Ashit Syngle2 and Pawan Krishan1, 1Punjabi University Patiala, India, Patiala, India, 2Healing Touch City Clinic, Fortis Multispeciality Hospital, Chandigarh, India 9:45 am 9:00 am Patient Engagement from the Researcher Perspective Monique A. Gignac, PhD 3010. The Development and Evaluation of a Self-Monitoring and Patient-Initiated Follow-up Service for People with Rheumatoid or Psoriatic Arthritis on Methotrexate Hayley McBain1, Michael Shipley2, Abigail Olaleye2, Samantha 9:25 am The Patient Experience: A Research Team Member Amye L. Leong, MBA Moore3, Shashi Hirani4 and Stanton Newman4, 1East London Foundation Trust, London, United Kingdom, 2University College Hospital London, London, United Kingdom, 3University College London, London, United Kingdom, 4City University London, 9:50 am Funding Agency Perspective on Patient Engagement Suzanne Schrandt, JD London, United Kingdom 10:00 am 3011. Ambulatory Gait Analysis in Clinical Practice: Single or 10:15 am Dual Task Conditions? Panel Discussion Bernard Auvinet1, Claude Touzard2 and Vincent Goëb3, 1Polyclinic, ARHP CONCURRENT ABSTRACT SESSIONS LAVAL, France, 2Hospital of Laval, LAVAL, France, 3Amiens University Hospital, Amiens, France 9:00 – 10:30 AM PM PS 257 A Clinical Practice/Patient Care Moderator: Marian T. Hannan, DSc, MPH 9:00 am Daniel White1, Tuhina Neogi2, W. Jack Rejeski3, Michael Walkup3, Cora E. Lewis4, Michael Nevitt5, Capri Foy3 and David T. Felson2, Winston-Salem, NC, 4The University of Alabama at Birmingham, Birmingham, AL, 5UCSF, San Francisco, CA 9:15 am 3008. High Prevalence of Subclinical Ultrasonographic Enthesopathy and Synovitis in Patients with Inflammatory Bowel Disease without Clinical Signs or Symptoms of Spondyloarthritis Tel-Aviv Medical Center, Sackler Faculty of Medicine, Tel-Aviv 2 University, Tel-Aviv, Israel PM PS 259 A Innovations in Rheumatologic Care PM Ed Pd PS PrM Moderators: Carol M. Greco, PhD and Elizabeth M. Badley, PhD FIT 2 0 1 4 School of Medicine, Boston, MA, 3Wake Forest University, N. Ablin1, 1Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 1 9 , Boston Univ School of Med, Boston, MA, 2Boston University 1 Dysfunction Among Patients at a Tertiary Rheumatology Clinic Sharon Nesher Peleg1, Ori Elkayam2, Bruria Yahini1 and Jacob WEDNESDAY Among Those at High Risk? 3012. Needs Assessment Survey – Evaluation of Sexual n o v e m b e r 3007. Can Knee Pain be Prevented through Diet and Exercise 10:15 am 9:00 am 3013. The Reserve Capacity Model in Patients with Rheumatoid Arthritis: Understanding the Relationship of Socioeconomic Status, Psychosocial Resources, Mood and Pain Desiree Azizoddin1, Taylor Draper1, Sarah Ormseth1, Perry M. Nicassio1, Michael R. Irwin1, Michael Weisman2 and Hilary Wilson1, 1University of California, Los Angeles, Los Angeles, CA, Cedars-Sinai Medical Center, Los Angeles, CA 2 Esther Vicente1, Silvia Pérez-Esteban2, María Chaparro1, 2014 Program Book 157 scientific sessions 9:15 am Reade, Amsterdam, the Netherlands, Amsterdam, Netherlands, 3014. Does the Order or Amount of Risk-Benefit Information 3 Presented Influence patients’ Perceived Value of a Proposed 4 New Medication? of Southern Denmark, Odense, Denmark, 6University of Lorraine, Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands, Glasgow Caledonian University, Glasgow, Scotland, 5University Liana Fraenkel1, Richard Street2, Harjinder Chowdhary3, Sarah Nancy, France, 7INSERM, Centre d’Investigation Clinique – Swift and Ellen Peters , Yale University School of Medicine, Epidémiologie Clinique (CIC-EC) CIE6, Nancy, France, 8Istituto Veterans Affairs Connecticut Healthcare Systems, New Haven, CT, Ortopedico Rizzoli, Bologna, Italy, 9Basurto University Hospital, 3 4 1 Bilbao, Spain, 10Diakonhjemmet Hospital, Oslo, Norway Texas A&M University, College Station, TX, Yale University, New 2 3 Haven, CT, 4Ohio State University, Columbus, OH ACR SESSION 9:30 am 11:00 am – Noon 3015. Evaluation of the effuc Educational Needs Assessment PM Tool (ENAT) Focused Patient Education on Health Outcomes in Patients with Rheumatoid Arthritis – a Randomised Controlled PS Exhibit Hall C Inflammation and Atherothrombosis Trial Moderators: Swamy Venuturupalli, MD and Anne Bass, MD Adewale O. Adebajo1, Dawn Johnson2, Hardware Bernadette3, Speaker: Paul M. Ridker, MD, MPH Claire Hale4 and Mwidimi Ndosi4, 1University of Sheffield, Upon completion of this session, participants should be able to: Sheffield, United Kingdom, 2Barnsley Hospital NHS Foundation • discuss the immune mechanisms responsible for Trust, Barnsley, United Kingdom, Barnsley Hospital NHS 3 atherothrombosis Foundation Trust, Baarnsley, United Kingdom, 4University of Leeds, Leeds, United Kingdom • explain the use of statins to prevent venous thromboembolic 9:45 am • r eview the recent AHA/ACC guidelines for statin events 3016. Measuring the Impact of an Early RA Support and Education Program Using a Program Evaluation with Patient ACR SESSIONS Identified Outcomes 11:00 am – 12:30 pm Adena Batterman1, Kathryn Klingenstein1, Roberta Horton1, Linda Leff1, Theodore R. Fields2 and Vivian P. Bykerk1, 1Hospital for Special Surgery, New York, NY, 2Hospital for Special Surgery Weill Cornell Medical College, New York, NY • review the role of proteomics-based profiling in rheumatic Clinical Service for Patients with Hip or Knee Osteoarthritis J. Haxby Abbott , Helen Harcombe , Chris Crane , Liam Hutton , 1 1 2 2 Kirsten Stout , Cathy Chapple and David Gwynne-Jones , 2 1 1 University of Otago, Dunedin, New Zealand, 2Southern District 1 2 0 1 4 Health Board, Dunedin, New Zealand 1 9 , WEDNESDAY Advances in Molecular Profiling and Relevance to Autoimmune Disease Upon completion of this session, participants should be able to: 3017. Program Evaluation of ‘the Joint Clinic’: An Innovative n o v e m b e r PS Moderator: Dana P. Ascherman, MD 10:00 am 10:15 am 3018. Testing of a Newly Developed Computerized Animated Activity Questionnaire for Assessing Activity Limitations in Patients with Hip and Knee Osteoarthritis. Wilfred FH Peter1, Mick Loos1, Henrica de Vet1, Maarten Boers1, Jaap Harlaar1, Leo D. Roorda2, Rudolf Poolman3, Vanessa Scholtes3, Jan Bogaard1, Hilda Buitelaar1, Martijn P.M. Steultjens4, Ewa M. Roos5, Anne-Christine Rat6, Francis Guillemin7, Maria 158 PM 52 A disease with respect to biomarker development, delineation of pathogenesis • describe metabolomics and its relationship to human autoimmune/rheumatic disease • a cknowledge differences between metabolomics and proteomics • d emonstrate the utility versus limitations of molecular profiling 11:00 am Proteomics – Composite Signaling Molecule Profiles William H. Robinson, MD, PhD 11:30 am Grazia Benedetti8, Antonio Escobar Martinez9, Nina Østerås10 and Proteomics 2 – Assessment of Post-Translationally Modified Caroline Terwee1, 1VU University Medical Center, Amsterdam, Target Molecules Netherlands, 2Amsterdam Rehabilitation Research Center | Paul Eggleton, PhD 2014 Program Book scientific sessions Noon 11:00 am Metabolomics – Relevance to Autoimmune Disease Accommodations Work: Evidence for People with Arthritis Stephen Young, BSc, PhD Linda C. Batiste, JD PM Ballroom East PS Non-Radiographic Axial Spondyloarthritis: The Controversy of Diagnosis and Optimal Treatment Moderators: Alan N. Baer, MD and Grant H. Louie, MD, MHS 11:30 am Overview of Arthritis-Attributable Work Limitation in U.S. Adults Kristina A. Theis, MPH Upon completion of this session, participants should be able to: Noon • describe the concept of non-radiographic axial The Meaning and Importance of Work spondyloarthritis Nancy A. Baker, MPH, OTR, OTR/L • explain the natural history of non-radiographic axial spondyloarthritis • discuss differential treatment response in non-radiographic axial spondyloarthritis and ankylosing spondylitis 11:00 am Non-Radiographic Axial Spondyloarthritis: A Primer Michael M. Ward, MD INDUSTRY-SUPPORTED POST MEETING SYMPOSIA 1:00 – 4:00 pm For CME-accredited symposia, the sponsoring organization is responsible for planning and providing CME credit. Please visit the organization’s exhibit booth, the industry-supported symposia booth or see page 239 for more information. 11:30 am Does Non-Radiographic Axial Spondyloarthritis Represent PreRadiographic Axial Spondyloarthritis? Maxime Dougados, MD, PhD Noon Are Treatment Responses in Non-Radiographic Axial Spondyloarthritis Similar Axial Spondyloarthritis? Jürgen Braun, MD ARHP SESSION 11:00 am – 12:30 pm PM 255 PS Work and Worker Health: Easy Accommodations Keep People with Arthritis Employed Moderator: Julie J. Keysor, PhD, PT WEDNESDAY n o v e m b e r Upon completion of this session, participants should be able to: • describe the prevalence and impact of arthritis-attributable work limitations in U.S. adults 1 9 , • discuss justification for the importance of working for people with arthritis’ health and well-being 2 0 1 4 • share information with participants on the Job Accommodation Network and how this resource can be used to facilitate workers remaining in the workforce • explain necessary steps for disclosing and/or requesting legally protected accommodations 2014 Program Book 159 ACR POSTER INDICES SUNDAY, NOVEMBER 16, 2014 16. Differential Assay Reactivity of IgA Anti-B2glycoprotein I Antibodies: Implications for Clinical Interpretation of Antiphospholipid Antibody Testing 17. Antiphospholipid Syndrome Following Infection: A Systematic Review of Case Reports 18. The Effect of Clinically Significant Antiphospholipid Antibody Positivity on Organ Damage in Systemic Lupus Erythematosus Poster Hall (Exhibit Hall B) Antiphospholipid Syndrome 1. Lymphocyte Proliferation to a Cross-Reactive Gut Commensal Candidate in Antiphospholipid Syndrome 2. Thrombocytopenia in Primary Antiphospholipid Syndrome Is Related to Arterial Thrombosis 3. Is There an Association Between Persistently High Positive Antiphospholipid Antibody Profile and Organ Damage Accrual in Lupus Patients? 4. Detection of Anti-Beta2glycoprotein I Domain 1 Antibodies By an Automated Chemiluminescence Assay in a Cohort of 400 Clinically Characterized Consecutive Routine Samples Antiphospholipid-Associated Nephropathy Is a Risk for Developing Arterial Thromboses in Patients with Systemic Lupus Erythematosus 5. Performance Evaluation and Clinical Associations of the Aphl ELISA Compared to Criteria Antiphospholipid Immunoassays in Lupus Patients 6. Beneficial Effects of in Vivo Ubiquinol Supplementation on Athero-Thrombosis Prevention in Antiphospholipid Syndrome Patients 7. 8. Safety and Efficacy of New Oral Direct Inhibitors of Thrombin and Factor Xa in Antiphospholipid Syndrome 9. A Risk-Stratified Perioperative Management Strategy for Antiphospholipid Antibody Positive Patients Undergoing Kidney Transplantation 10. 11. 12. 160 Antiphospholipid Antibodies and Neuropsychiatric Events in Pediatric Patients Sustained Moderate Intensity Levels of Oral Anticoagulant Therapy and the Rate of Recurrent Thrombosis in Patients with Primary Antiphospholipid Syndrome Non-Criteria Antiphospholipid Antibodies in Obstetrical “seronegative Anti-Phospholipid syndrome” Biology and Pathology of Bone and Joint: Osteoclasts, Osteoblasts and Bone Remodeling 19. Adenosine Receptors Stimulate Bone Regeneration 20. High Systemic LDL Cholesterol Levels during Experimental Osteoarthritis Lead to Increased Synovial Activation and Ectopic Bone Formation at End-Stage Osteoarthritis, While Excessive Levels Accelerate Development of Joint Pathology Already at Early-Stage O 21. Mendelian Randomization Analysis to Examine for Causal Relationships Between Serum Urate Levels and Bone Mineral Density 22. Adenosine a2A Receptor (A2AR) Stimulation Inhibits Osteoclast Differentiation and Promotes Osteoblast Formation By Regulation of Axon Guidance Proteins 23. Activation of EPAC1/2 Is Essential for Osteoclast Formation By Modulating NFkB Nuclear Translocation and Actin Cytoskeleton Rearrangements 24. Netrin1 Is Highly Expressed and Required in Inflammatory Infiltrates in Wear Particle-Induced Osteolysis 25. DC-STAMP Modulates Osteoblast Differentiation and Regulates Bone Repair 26. Functional Osteoclasts Differentiate Spontaneously from the Rheumatoid Joint 27. CD115+ Osteoclast Precursors Arise before Clinical Onset of Arthritis and Are Regulated By Proinflammatory Cytokines 28. Evidence for Receptor Activator of NF-Kb (RANK)Independent Bone Erosion in the Cherubism Mouse Model of Inflammatory Arthritis 13. Eculizumab in Antiphospholipid Antibody Syndrome 14. Rivaroxaban Use in Patients with Antiphospholipid Syndrome Patients and Previous Poor Anticoagulation Control with Vitamin K Antagonists 29. Impaired Bone Healing in Patients Suffering from Rheumatoid Arthritis - Anti-Inflammatory Therapy As Confounder 15. Performance of an Automated Chemiluminescence Assay for Anti-Cardiolipin and Anti-Beta2glycoprotein I Antibodies Detection in a Cohort of 400 Clinically Characterized Consecutive Routine Samples 30. Inhibiting Autocrine Interleukin-6 (IL-6) Trans-Signalling in Human CD14+VE Monocultures Reduces Osteoclast Differentiation 2014 Program Book ACR POSTER INDICES 31. Interaction of FGF-8 and TNF-a in the Regulation of BMPInduced Osteoblast Differentiation 46. Xanthine Oxidase Inhibitors and Risk of Type 2 Diabetes in Patients with Gout 32. Regulation of Senescence and Inflammatory Mediators By N- and C-Terminal Parathyroid Hormone-Related Protein in Osteoarthritic Human Osteoblasts 47. The Risk of Aplastic Anemia and Pancytopenia with Colchicine: A Retrospective Study of Integrated Health System Database 33. Stimulation of the Adenosine a2A receptor (A2AR) Regulates the Expression of Netrin1 and Their Receptors (Unc5b, DCC) and Inhibits Osteoclast Differentiation and Inflammatory Bone Destruction 48. Osteoporotic Women at High Risk for Fractures Despite Two Years of Oral Bisphosphonate Therapy: Analysis Using the Canadian Multicentre Osteoporosis Study 49. 34. Pro-Nerve Growth Factor (ProNGF) Stimulates Bone Growth By Stimulating Osteoblasts and Inhibiting Osteoclast Differentiation, an Explanation for Anti-NGFMediated Osteonecrosis; Prongf Is a Novel Therapeutic Target for Treatment of Osteonecrosis and Charc Long-Term Oral Bisphosphonate Use for Osteoporosis Among Older Women – US and Canadian Perspective 50. Incidence and Risk Factors for Osteoporotic Vertebral Fracture in Low-Income Community-Dwelling Elderly: A Population-Based Prospective Cohort Study in Brazil. the São Paulo Ageing & Health (SPAH) Study 51. High Incidence of Non-Vertebral Osteoporotic Fracture and Hip Fracture in Brazilian Low-Income CommunityDwelling Elderly: A Population-Based Prospective Cohort Analysis from the São Paulo Ageing & Health (SPAH) Study 52. Visceral Fat Measured By Dual-Energy X-Ray Absorptiometry Is Associated with Increased Risk of Non-Spine Fractures in Nonobese Elderly Women: a Population-Based Prospective Cohort Analysis from the São Paulo Ageing & Health (SPAH) Study 53. Spine-Hip Diagnostic Discordance in the United Arab Emirates 54. Concordance with the National Osteoporosis Foundation Treatment Guidelines After DXA Result Notification 55. Validation of the Diagnosis of Avascular Necrosis of Bone in Administrative Data 56. High Prevalence of Cervical Malignant and Premalignant Lesions Among Women with Rheumatoid and Psoriatic Arthritis 57. Risk of Hospitalized Infection in a Psoriasis/Psoriatic Arthritis Cohort 58. What Does the Patient Global Assessment Mean for Patients with Psoriatic Arthritis? A Post-Hoc Analysis of 223 Patients with Psoriatic Arthritis 59. Assessing Dietary Habits in a Large Cohort of Rheumatoid Arthritis and Psoriatic Arthritis Patients: Results of the Spanish Imid Consortium 60. Epidemiology of Polymyalgia Rheumatica in Korea 61. Advocating for Pediatric Rheumatology Care in the Mid-Canadian Provinces: Large Geographic Area, Large Pediatric Population, Low Number of Pediatric Rheumatologists and Allied Health Workers Identified As Unique Challenges 35. Hydrogen Sulfide Inhibits Human Osteoclast Differentiation in Vitro By Triggering Sustained Antioxidant Response and Inhibiting the RANKL/OPG Ratio 36. The Use of Three-Dimensionally Printed β-Tricalcium Phosphate/Hydroxyapatite to Further Understand the Regulation of Adenosine Receptors in Osteoclast Formation and Promotion in Bone Regeneration 37. Regulation of Osteoclast and T Cell Differentiation By DCSTAMP and TRAF3 38. 39. Angiopoietin-like 4 Is over-Expressed in Rheumatoid Arthritis: A Potential Role in Pathological Bone Resorption Human CD14+ Monocytes Stimulated with a Combination of TNFα and IL-6 Differentiate into Osteoclast-like Cells with Bone-Resorption Activity Epidemiology and Public Health: Osteoporosis, Non-Inflammatory Arthritis and More 40. Prevalence of Spondyloarthritis (ASAS Criteria) in FirstDegree Relatives of Patients with Ankylosing Spondylitis 41. The Impact of Ankylosing Spondylitis on Work Impairment: Data from the Scotland Registry for Ankylosing Spondylitis 42. The Prevalence of Ankylosing Spondylitis in Sweden – a Nationwide Register Study 43. Deaths Associated with Ankylosing Spondylitis in France from 1969 to 2009 44. Physical Function, Hyperuricemia and Gout in Older Adults 45. Body Mass Index Across the Lifespan and Lifetime Incidence of Gout in Men 2014 Program Book 161 ACR POSTER INDICES 62. Severe Spine Osteoarthritis in Older Men Is Associated with the Risk of Incident Fragility Fracture 77. Epigenome Profiling Reveals Robust Hypomethylation of Interferon Signature Genes in Lupus Neutrophils 63. Spine Osteoarthritis Is Associated with All Cause Mortality in Older Men 78. 64. Effect of Family Support on Short-and Intermediate Term Pain and Function Outcomes after Knee or Hip Replacement a HPLC-SRM-MS Based Method for the Detection and Quantification of Methotrexate Used at Doses in Clinical Practice for Patients with Rheumatological Disease in Urine 79. PECAM-1 GENE Polymorphisms and Soluble PECAM-1 LEVEL in Rheumatoid Arthritis and Systemic LUPUS Erythematosus Patients Is There a Link with Clinical Atherosclerotic Events? 80. Cellular Responses of IL6 Inhibition (Tocilizumab) in Rheumatoid Arthritis Using High-Accuracy Tandem Mass Spectrometry 81. Elevated Peripheral Blood Leukocyte Inflammatory Gene Expression in Radiographic Progressors with Symptomatic Knee Osteoarthritis: NYU and OAI Cohorts 82. HLA-DPB1*04:01 Confers Risk for PR3-ANCA Positive ANCA-Associated Vasculitis (AAV), but Protects Against MPO-ANCA Positive AAV, in a Japanese Population 83. Whole Exome Sequencing Analysis Performed on a Patient with Fibroblastic Rheumatism 84. Amerindian Ancestry Influences Polyautoimmunity 85. Protective Association of HLA-DRB1*13:02 Against MPOANCA Positive ANCA-Associated Vasculitis in a Japanese Population 86. Association of Leukocyte Immunoglobulin-like Receptor A3 (LILRA3) with Systemic Sclerosis 87. Association of TRIM21 (RO52) Polymorphisms with Systemic Lupus Erythematosus in a Japanese Population 88. Microbiomes of Inflammatory and Non-Inflammatory Thoracic Aortic Aneurysms 89. Global miRNA Expression Profiling in Peripheral Blood and Synovial Fluid Mononuclear Cells of Patients with Enthesitis Related Arthritis 90. Genetic Variants in IL-6, IL-10, C5-TRAF1 and FCRL3 and Progression of Joint Damage in Rheumatoid Arthritis; A Study on Six Cohorts 91. Quantitative Proteomics Using Dimethyl Isotope Labeling for Comparison of Fresh Frozen Versus Formalin-Fixed, Paraffin-Embedded Tissue for Lupus Nephritis 92. Long Noncoding RNA Nron Regulates the Activity of NFAT5 through Ubiquitin-Independent Proteasome Pathway in Rheumatoid Arthritis 65. Impact of Dropout and Total Knee Replacement on Joint Space Narrowing Estimation: Data from Osteoarthritis Initiaive 66. Association of Knee Osteoarthritis and Limitations in Physical Function in a Rural Chinese Population: The Wuchuan OA Study 67. Effects of Exercise on Depressive Symptoms in Adults with Arthritis: A Systematic Review with Meta-Analysis 68. Physical Inactivity to Activity Associated with Less Decline in Physical Function 69. Assessment of Exercise Status in Routine Care Using Patient Reported Outcomes: Initiating Exercise Is Associated with Better Outcomes Than No Exercise 70. The Odds of Work Disability, Unemployment and Depending on Living Allowances Are More Influenced By the Number of Morbidities Than By the Presence of a Musculoskeletal Disease 71. Prevalence of Pain Reporting in Different Ethnic Groups in the UK: Results from a Large Biobank 72. The Association Between Doctor-Diagnosed Arthritis and Falls and Fall Injuries Among Middle-Aged and Older Adults 73. Frequency and Risk Factors for Recurrent Falls in Community-Dwelling Elderly: A Population-Based Prospective Cohort Study in Brazil. the São Paulo Ageing & Health (SPAH) Study Genetics, Genomics and Proteomics I 162 74. Influence of the Polymorphism IL1ß (-511 A/C) and IL6 (- 174 G/C) on the Activity, Radiographic Damage and Clinical Forms of Patients with Psoriatic Arthritis (PSA) 75. Robust Identification of Anti-TNF Non-Responders in RA from Blood 76. Identification of Synovial Genes and Pathways Associated with Disease Progression in a Cohort of Early Symptomatic Osteoarthritis Patients Using a Transcriptomic Approach 2014 Program Book ACR POSTER INDICES 93. Protein Profiling of Secretome Human Cartilage to Identify Potential EARLY Specific Biomarkers in Osteoarthritis Health Services Research 94. Possible Effects of Medicare-Only Insurance Coverage on the Use of Biologics in Patients with RA 95. Comparison of Patient Characteristics, Healthcare Costs, and Biologic Persistence Between Patients with Rheumatoid Arthritis Initiating First- or Second-Line Subcutaneous Abatacept, Adalimumab, or Etanercept 96. 97. Comparison of Cardiovascular Risk Factor Management in Patients with RA and Matched Non-RA Patients Identification of Tuberculosis in Rheumatoid Arthritis Patients Initiating Therapy with Biologic or Non-Biologic Disease-Modifying Anti-Rheumatic Drugs Using Health Insurance Claims Data 108. Patient Reported Outcomes Following Total Knee Arthroplasty in Rheumatoid Arthritis and Osteoarthritis 109. Knee Arthroscopy in an International Training Centre: An Audit of Safety and Impact on Work Days 110.Use of Smartphones in Collecting Patient Reported Outcomes: Can Passively-Collected Behavior Determine Rheumatic Disease Activity? Early Results from a NationWide Pilot Study 111. Low Rates of Bone Mineral Density Testing in Medicare Beneficiaries with Breast Cancer Starting Aromatase Inhibitor Therapy 112. Relationship Between Rheumatology Physician Supply and Travel Distances to Rheumatologists for Medicare Beneficiaries in the United States 113. Dermatologic Rheumatism: Our Experience with a Multidisciplinary Dermatology/Rheumatology Clinic 114. Treat-to-Target (T2T) and Measuring Outcomes in RA Care: a 2014 Longitudinal Survey of US Rheumatologists 115. Biologic Dmards Modify the Association Between Patient Expectations and Outcomes of Total Knee Replacement in Rheumatoid Arthritis Patients 98. Costs of Musculoskeletal Diseases in the United States, 1996-2011: Population Growth, Population Aging, Health Care Utilization, or Prices? 99. Impact of Comorbidities on Health Resource Utilization in Patients with Spa 100. Evaluation of Real World Experience with Non-Biologic DMARD in the Treatment of RA: Data from an Electronic Health Record Database 116. Is Socioeconomic Status at Diagnosis Associated with Long-Term Direct Medical Costs in Systemic Sclerosis? a General Population-Based Cohort Study 101. Country of Residence and Its Wealth Determine Disease Activity Levels in RA: Results from Multi-National Study Across 17 Countries (COMORA) 117. Predictors of Gout Flares in a US Managed Care Setting 118. Difficult to Treat Gouty Arthritis Associated with Poor Health Related Quality of Life and High Resource Utilization: Post- Hoc Analysis 102. Real-World Utilization, Patient Characteristics and Persistency of Certolizumab Pegol Vs Other Anti-TNFs for the Treatment of Rheumatoid Arthritis in the United Kingdom Imaging of Rheumatic Diseases: Ultrasound 103. Rheumatology e-Consult Services: a Rheumatology Workforce Management Model 119. Sonographic Evaluation of the Fifth Metatarsophalangeal Joint Erosion in Rheumatoid Arthritis 104. Reasons for Leaving an Academic Career in Research Among Rheumatologists in the United States 120. 105. Resource Use and Health Related Quality of Life Burden of Gout Exacerbated By Common Comorbidities: Results from the 2012-2013 National Health and Wellness Survey Can We Use Ultrasound to Identify Rheumatoid Arthritis Patients in Remission Who Cannot Taper Their Medication? 121. Predictors of Persistence of Power Doppler Ultrasound Synovitis in Rheumatoid Arthritis Patients in Clinical Remission Patient Reported Outcomes Following Upper Extremity Arthroplasties in RA -a Report from the Swedish National Register of Rheuma Surgery (RAKIR) 122. The Use of Ultrasound to Detect Residual Joint Inflammation in Patients with Rheumatoid Arthritis in Clinical Disease Remission 107.Use of Internet in Adolescents and Young Adults with JIA 123. Combination with Joint Power Doppler Signals with AntiCitrullinated Peptide Antibody Predicts Joint Destruction in Rheumatoid Arthritis 106. 2014 Program Book 163 ACR POSTER INDICES 124.Ultrasound Power Doppler Findings in the Wrists and Hands Joints of Anti-CCP Antibody Positive Individuals with Non-Specific Musculoskeletal Symptoms and the Development of Inflammatory Arthritis 125. PD Signal Detected By Ultrasonography Relates to Joint Destruction in Rheumatoid Arthritis Under Biologics Therapy in Real World 126. Asymptomatic Versus Symptomatic Ankle Joints in Rheumatoid Arthritis: A High Resolution B-Mode and Power Doppler Ultrasound Study 127. Metacarpophalangeal Cartilage Loss in Rheumatoid Arthritis. a Simple and Fast Ultrasonographic Assessment Comparing Patients and Healthy Controls 128. A Rapid 4- Joint Ultrasonographic Score to Daily Monitoring Disease Activity in Patients with Rheumatoid Arthritis: Validity and Sensitivity to Change 129. 130. Inter-Rater Reliability of the US-7 Score in a Population of Volunteers: Is a Post-Hoc Analysis of Still Images Comparable to the Dynamic Analysis? Results from the German “Rheuma-Truck” Cohort 131. Detection of Synovitis and Erosions with an Automated Ultrasound System: Data from a Prospective Cohort with Early and Established RA 132. 133. 134. Do Ultrasound (PDUS) and DAS28 Measure Different Aspects of Disease Activity? Analyses from the First Prospective International Phase IIIb Study of PDUS Response in Abatacept-Treated Patients with Rheumatoid Arthritis (RA) On-Demand Ultrasonography Assessment in the Most Affected Joint Is Efficient for Management of RA Patients in Daily Practice Histopathological Correlation of Ultrasound-Defined Active Synovitis in Patients with Rheumatoid Arthritis in Clinical Remission. Preliminary Results 135. Comparison of the Ultrasonography Images and Synovial Pathology of the Joints in Patients with Rheumatoid Arthritis Treated with Biological Agents 136. Serum Calprotectin (S100A8/9) Is an Independent Predictor of Ultrasound Synovitis in Patients with Rheumatoid Arthritis 137. 164 Seven Joints Ultrasound Scoring System May be Useful and Effective in Assessing Disease Activity in Patients with Rheumatoid Arthritis in the State of Remission in Daily Clinical Practice Evaluation of Metalloproteinase-3 As a Soluble Biomarker of Synovitis Using Weighted Joint Counts Assessed Clinically and on Ultrasound Imaging 2014 Program Book 138. Can Ultrasonography of Peripheral Entheses Play a Role in the Diagnosis and Understanding of Diffuse Idiopathic Skeletal Hyperostosis (DISH)? 139.Ultrasound Enthesitis in Primary Care Psoriasis Patients with Musculoskeletal Complaints 140. Are Entheses Ultrasound Findings Similar in Axial Spa Patients and in Athletes? 141. Prevalence of Subclinical Enthesopathy in Asymptomatic First Degree Relatives of Patients with Spondyloarthritis 142. Prevalence of Subclinical Entheseal Involvement in Patients with Paediatric Inflammatory Bowel Disease: An Ultrasonographic Study 143. Detailed Anatomical Distribution of Synovial Inflammation Revealed By Ultrasound in Patients with Blau Syndrome 144. Sonographic Differentiation of Heel Pain: Focal Degenerative Versus Systemic Inflammatory Enthesitis 145. A Cut-Off Value Analysis By Ultrasound for the Diagnosis of Giant Cell Arteritis (GCA) 146.Ultrasonographic Evaluation of Joint and Tendon Involvement in Patients with Early Systemic Lupus Erythematosus (SLE) in Comparison with Early Rheumatoid Arthritis (RA) 147.US Lung Examination in SSc Patients: A Comparison of Two Different Scoring Systems 148. Value of Ultrasonography Parotid Glands in Patients with Suspected Primary Sjögren’s Syndrome 149. Automated Digital Analysis of Major Salivary Gland Ultrasound Images 150.Ultrasonographic Evaluation of Major Salivary Glands in Primary Sjögren’s Syndrome: Comparison of Two Scoring Systems and Diagnostic Value of Sonoelastography 151. Sonographic Measurements Can be Misleading for Diagnosing Carpal Tunel Syndrome in Patients with Rheumatoid Arthritis 152. Subclinical Synovial Inflammation in Gout 153. Musculoskeletal Ultrasound of Finger and Foot Joints in a Population of Volunteers: Is Osteoarthritis an Underestimated Problem? Results from the German “Rheuma-Truck” Cohort 154. Cimt in Individuals with Rheumatoid Arthritis Compared to Individuals with Type2 Diabetes ACR POSTER INDICES Metabolic and Crystal Arthropathies: Clinical Aspects 171. High-Protein Diet (Atkins Diet) and Uric Acid Response 155. Cost-Effectiveness Analysis of HLA-B5801 Genotyping in the Treatment of Gout Patients with Chronic Renal Insufficiency in Korea 172. Sleep Apnea and Risk of Incident Gout: A PopulationBased Body-Mass Index Matched Cohort Study 156. Colchicine and the Risk of Acute Cardiovascular (CV) Events Among Gout Patients: The New York Department of Veterans Affairs Retrospective Cohort Study 173. Self-Management Education for Patients with Gout: A Review of Existing Resources 174. Long Term Safety and Efficacy of Canakinumab Liquid Formulation in Acute Gouty Arthritis Patients: Results from a 36 Week Extension Study Efficacy and Safety of Canakinumab in Acute Gouty Arthritis Patients with Chronic Kidney Disease Stage Greater Than or Equal to 3: A Post-Hoc Analysis of 12Week Data 157. 158. 159. 160. Can We Diagnose Acute Gout without Joint Aspiration? Results of a Prospective Study of 112 Patients Presenting with Acute Arthritis Performance of Joint Ultrasonography in the Diagnosis of Suspected Acute Crystal Arthritis : Results of a Prospective Study of 112 Patients 176. Canakinumab in Frequently Flaring Gouty Arthritis Patients, Contraindicated, Intolerant or Unresponsive to non-Steriodal Anti-Inflammatory drugs and/or Colchicine: Safety and Efficacy Results from Long Term Follow-up Comparative Cardiovascular (CV) Risk and Outcomes Among Patients with Gout, Osteoarthritis (OA), or Both 177. Increase in Thyroid Stimulating Hormone (TSH) Levels in Patients with Gout Treated with Inhibitors of XanthineOxido-Reductase All Men with Gout Should be Screened for Erectile Dysfunction 178. The Effect of Initiating Pharmacologic Insulin on Serum Uric Acid Levels in Patients with Diabetes 179. Effect of Allopurinol on All-Cause Mortality in Adults with Incident Gout: Propensity Score Matched Landmark Analysis 180. Analytical Comparison Between Point of Care Uric Acid Testing Meters 181. Adherence to Treatment Recommendations of Gout: A Patient Survey in China 182. Effect of Urate-Lowering Therapy on Radiographic Changes in Gout Patients 183. Musculoskeletal Ultrasound Reveals Calcific Deposition Arthropathy in Seronegative Inflammatory Arthritis Patients 161.Ultrasonographic Measurement of Renal and Carotid Artery Resistive Indices and Diastolic Function of the Heart in Gout Patients 162. Development of Preliminary Remission Criteria for Gout Using Delphi and 1000Minds Consensus Exercises 163. Is the Rate of Skin Reactions to Febuxostat Increased in Patients with a History of Skin Intolerance to Allopurinol? a Retrospective, Hospital-Based Study Involving 101 Patients Consecutively Treated with Allopurinol and Febuxostat 164. Gouty Patients with History of Adverse Reaction to Allopurinol Are Not at Higher Risk of Reaction to Febuxostat 165. Prevalence of Gout in the Adult Population of France in 2013 166. Risk Factors for Gout Attack Recurrence during UrateLowering Allopurinol Treatment 167. Target Serum Urate: Do Patients Know Their Goal? 168. Positive Association Between Tomato Consumption and Serum Urate: Investigating an Anecdotal Trigger of Gout Flares 169. 170. 175. Is Gout a Coronary Heart Disease Risk Equivalent, Similar to Diabetes? Increased Risk of Skin Reactions with Gout Medications: An Analysis of VA Databases 184.Ultrasound Versus X-Rays Versus Synovial Fluid Analysis for the Diagnosis of Calcium Pyrophosphate Dihydrate Deposition Disease: Is It CPPD? Ask US! 185. Distribution of Haemochromatosis Arthropathy. High Ankle and Mid Foot Prevalence; A Diagnostic Clue ? Orthopedics, Low Back Pain and Rehabilitation 186. The Association Between Low Back Pain and Radiographic Features: A Systematic Review with Meta-Analysis 187. Revision Arthroplasty in Rheumatoid and Osteoarthritis: Does Methotrexate Decrease Radiographic Lucency in RA Patients? 2014 Program Book 165 ACR POSTER INDICES 188. Time Trends in Total Ankle Arthroplasty in the U.S.: A Study of the Nationwide Inpatient Sample 189. Sex Differences in Characteristics, Utilization and Outcomes of Patient Undergoing Total Elbow Arthroplasty: A Study of the U.S. Nationwide Inpatient Sample 190. Hospital Volume Predicts Outcomes and Complications after Total Shoulder Arthroplasty 191.Utilization and Outcomes Following Total Shoulder Arthroplasty in Elderly and Non-Elderly Patients 192. Title: Use of Non-Traditional Modalities for Pain Management after Knee or Hip Joint Replacement Risk Factors for Increased Extrusion of the Meniscus Body in Subjects Free of Radiographic Knee Osteoarthritis: 6-Year MRI Data from the Osteoarthritis Initiative 207. Changes in Knee Compartment Distriubtion of Cartilage Loss and Bone Marrow Lesions over 7 Years: The MOST Study 208. Correlates of Knee Bone Marrow Lesions in Younger Adults 209. Physical Performance and Obesity Measures Are Associated with Tibial Cartilage Volume and Explains the Sex Difference in Cartilage Volume 210. Preliminary Assessment of Predictive Validity of Cartilage Thickness MRI Biomarkers in Knee OA - the Fnih OA Biomarkers Consortium 211. Association Between Baseline External Knee Adduction and Flexion Moments during Gait and Medial Tibiofemoral Cartilage Thickness Loss over Two Years in Persons with Knee Osteoarthritis (OA) 193. Pre-Operative Pain and Function: Profiles of Patients Selected for Total Knee Replacement Among Surgeons in the United States 194. Differences in Total Knee Replacement Outcomes Based on Age 195. Dependence on Walking Aids and Patient-Reported Outcomes after Total Knee Arthroplasty 212. Relation of Shoe Stability to Risk of Knee Cartilage Damage: The Multicenter Osteoarthritis Study 196. Dependence on Walking Aids Is Associated with Pain and Mobility Limitation after Total Hip Arthroplasty 213. 197. Differences in Total Hip Replacement Outcomes Based on Age Foot Center of Pressure in Knee Osteoarthritis (OA) and Its Association with Knee Load Reduction with Barefoot Walking 214. Knee Instability and Advanced Function Decline in Persons with Knee Osteoarthritis 215. External Hip Adduction Moment and Progression of Medial Tibiofemoral Cartilage Damage and Bone Marrow Lesions in Persons with Knee Osteoarthritis 216. Hip Adiposity, Not Local Knee Adiposity, Is Associated with Knee Pain Independent of Radiographic Osteoarthritis Severity 217. The Relationship of Quadriceps and Hamstrings Intramuscular Fat and Lean Muscle with Power in Women with Knee Osteoarthritis 218. Surface Area and Fatty Infiltration of Vastus Medialis Measured By Magnetic Resonance Imaging Are Risk Factors for the Progression of Knee Osteoarthritis and Discriminate Two Osteoarthritis Phenotypes 219. DXA Body Composition, Sarcopenia and Knee and Hip Osteoarthritis: Results from the Khoala Cohort 204.Ultrasonographic Predictors for Clinical and Radiological Progression in Knee Osteoarthritis after 2 Years Follow up 220. Lower Extremity Presarcopenia Is Associated with the Severity of Knee Pain 205. 221. An Analysis of Age-Related Loss of Skeletal Muscle Mass and Its Significance on Osteoarthritis in a Korean Population 198. Implant Survival and Patient-Reported Outcomes after Total Hip Arthroplasty in Young Patients with JIA 199. Increasing Complexity of Patients Undergoing Primary Total Hip Arthroplasty in the U.S Osteoarthritis - Clinical Aspects: Imaging and Biomechanics 166 206. 200. Leg Length Inequality and Hip Osteoarthritis 201. Measures of Hip Morphology Are Related to Development of Incident Radiographic Hip Osteoarthritis over 6 to 13 Year Follow-up: The Johnston County Osteoarthritis Project 202. Is Schuss View Alone Enough for the Diagnosis of Femorotibial Osteoarthritis ? the Khoala Cohort Study 203. Predictors of Radiographic Progression of Interphalangeal Finger Joints in Erosive Osteoarthritis: A Prospective Study Natural History and Clinical Significance of Meniscal Tears over 8 Years in a Largely Non-Osteoarthritic Cohort 2014 Program Book ACR POSTER INDICES 222. OA Phenotypes Rather Than Disease Stage Drive Structural Progression – Identification of Structural Progressors from 2 Phase III Randomized Clinical studies with Symptomatic Knee OA Osteoporosis and Metabolic Bone Disease - Clinical Aspects and Pathogenesis: Osteoporosis: Pathogenesis, Epidemiology and Diagnosis 223. 224. 225. 226. Risk Factors for Clinical Vertebral Fractures in Japanese Men and Women with Rheumatoid Arthritis: Results from a Large Prospective Observational Cohort Study Is the Protective Effect of Obesity Against Hip Fracture Due to Changes of Proximal Femur Shape? Association Between Lean Mass and Hip Bone Mineral Density Improved Prediction of Hip Fracture Using the Health Assessment Questionnaire-Disability Index and FRAX® in Japanese Patients with Rheumatoid Arthritis: A Prospective Observational Study 238. RANKL and OPG Gene Polymorphisms: Association with Vertebral Fractures and Bone Mineral Density in Premenopausal Systemic Lupus Erythematosus 239. Does Adjusting BMI for Lean Mass Deficits Affect Calculated Fracture Risk Using FRAX in Rheumatoid Arthritis? 240. An Observational Study on the Influence of Glucocorticoid Exposure on Bone Pain: Basic and Clinical Aspects 241. Reduced Estimated Glomerular Filtration Rate Was Improved after Cessation of NSAID and Switching to Tramadol Hydrochloride/Acetaminophen Tablets (UltracetTM) in Patients with Chronic Musculoskeletal Pain 242. WOMAC Pain Score Reflects Preceding Daily Pain Ratings in Knee Osteoarthritis Interventional Randomized Clinical Trials 227. Increasing Fat-Mass May Reverse Bone Loss As Detected By DXA Scan 243. Safety of Solumatrix Diclofenac in Adults with Osteoarthritis: Results of a 12-Month, Phase 3 Study 228. Is Adult Hypophosphatasia a Cardiovascular Risk Factor? 244. 229. Correlates of Heel Bone Mass in Young Adults: The Role of Cholesterol over 20 Years from Childhood to Early Adulthood Onset, Magnitude, and Durability of Pain Relief in Patients with Knee OA Receiving a Fixed-Dose Combination Tablet of Enteric-Coated (EC) Naproxen Plus Immediate-Release (IR) Esomeprazole Magnesium Versus Celecoxib and Placebo: Pooled Results from Two Ran 230. Risk Factors That Predict Poor Bone Health in Those Aged over 75 Years - a Cross Sectional Study 245. WITHDRAWN 246. Neuropathic PAIN in Patients with Ankylosing Spondylitis 231. Factors Predicting Fracture in the over-75s: An Observational Case-Control Study 247. Cognitive Task Related Hypoperfusion of Frontal Gyrus in Patients with Chronic Fatigue Significance of Serum Srankl and Osteoprotegerin Concentration in Patients with Rheumatoid Arthritis 248. Is the Basdai Score Driven By Pain in Ankylosing Spondylitis Patients Treated with Anti-TNF? 249. A Phase 3 Open-Label Trial of Low-Dose Solumatrix Diclofenac in Patients with Osteoarthritis Pain: Impact of Long-Term Administration on Patient-Reported Outcomes 250. Early Gout Pain Response at 28 Hours Predicts Response at 5 Days on Both Patient Pain and Physician Global Assessment 251. Chronic Fatigue Is Associated with Hypoperfusion of Parahippocampal Gyrus 252. Preliminary Validation of the Michigan Body Map 253. Evaluating Neuropathic Complaints By DN4 and Lanss Scales after Local Corticosteroid Therapy in Carpal Tunnel Syndrome 232. 233. Significance of Serum Marker Levels of Wnt/ß-Catenin Signaling Pathway in Patients with Systemic Autoimmune Diseases Under Glucocorticoid Therapy; A Prospective Study 234. The Decrease in Prescription of Anti-Osteoporotic Drugs Has No Impact on Hip Fracture Incidence 235. Lower P1NP Serum Levels: a Predictive Marker of Bone Loss after One-Year Follow-up in premenopausal SLE Patients 236. Risk Factors for Prevalent and Progressive Bone Deficits Among Adult Men and Women with Cystic Fibrosis 237. Analysis of Vitamin D Receptor Gene Polymorphisms and Bone Mineral Density in a Population of Women with Rheumatoid Arthritis in Use of Steroid 2014 Program Book 167 ACR POSTER INDICES 254. The Effect of Milnacipran on Pain in Rheumatoid Arthritis Patients with Widespread Pain: a Randomized Blinded Crossover Trial 255. Pain As Predictor of Organ Involvement in Fabry Disease 256. Characteristics of Pain in Fabry Disease 257. Quality of Life Assessment of Adults Patients with X-Linked Hypophosphoremia 258. Pain Characteristics Among Patients with Rheumatoid Arthritis in the Context of Patient-Physician Discordance in Disease Activity Assessments Development of Pediatric Item Banks to Measure Pain Behavior in the Patient Reported Outcomes Measurement Information System 259. 260. Validation of the Dutch-Flemish Promis Physical Functioning Item Bank in Patients with Chronic Pain 261. Validation of the Dutch-Flemish Promis Pain Behavior and Pain Interference Item Banks in Patients with Chronic Pain 262. Longitudinal Assessment of Promis Pediatric Item Banks in Children with Chronic Musculoskeletal Pain 263. Nutraceutical Products and Pain or Non-Pain Medications Use in Patients with Knee Osteoarthritis 264. Efficacy and Safety of Cannabinoid Treatments in the Rheumatic Diseases: A Systematic Review of Randomized Controlled Trials 265. Prevalence of Medicinal Marijuana Use Among 1000 Rheumatology Patients Attending a Community-Based Rheumatology Clinic: A Prospective Cross-Sectional Study 266. An Examination of the Interaction of Opioid Use, Pain, and Depression 267. Selective and Peripheral-Specific Trk Inhibitor Shows Potent Analgesic Effect Comparable to Morphine in Rat Osteoarthritis Model without CNS Toxicity 268. The Effect of Treatment with Resiniferatoxin and Capsaicin on Dynamic Weight Bearing Measures and Evoked Pain Responses in a Chronic Inflammatory Arthritis Murine Model Pediatric Rheumatology - Clinical and Therapeutic Aspects: Juvenile Idiopathic Arthritis 168 269. Discontinuation of Concomitant Medication for EnthesitisRelated Arthritis during 52 Weeks of Treatment with Adalimumab 270. Disease Burden Is Comparable in Children with EnthesitisRelated Arthritis and Polyarticular Juvenile Idiopathic Arthritis 2014 Program Book 271. Predicting Treatment Response to Etanercept in Juvenile Idiopathic Arthritis: Results from the British Society for Paediatric and Adolescent Rheumatology Etanercept Cohort Study (BSPAR-ETN) 272. Factors Associated with Choice of First Biologic Among Children with Juvenile Idiopathic Arthritis: A Combined Analysis from 2 UK Paediatric Biologic Registers 273. Long-Term Safety and Effectiveness of Adalimumab in Children with Moderately to Severely Active Polyarticular or Polyarticular-Course Juvenile Idiopathic Arthritis 274. Treatment Prescribing Patterns in a Cohort of Patients with Juvenile Idiopathic Arthritis (JIA). Data from the Childhood Arthritis Prospective Study 275. Environmental Risk Factors and Development of Juvenile Idiopathic Arthritis 276. Growth during Tocilizumab Therapy for PolyarticularCourse Juvenile Idiopathic Arthritis: 2-Year Data from a Phase 3 Clinical Trial 277. Nearly 20% of Children ARE NOT Correctly Classified According to Current ILAR Classification in a Printo Dataset of More THAN 12,000 Juvenile Idiopathic Arthritis Patients 278. Is It Worth Allowing the Presence of Morning Stiffness in the Definition of Inactive Disease in Juvenile Idiopathic Arthritis? 279. Focus on Patient Reported Outcomes in Juvenile Idiopathic Arthritis: There Is Room to Improve Care 280. Biologic Treatment of Adult Patients with Juvenile Idiopathic Arthritis Followed in the National Registry 281. Retrospective Review of Immobilization Vs. Immediate Resumption of Activity in Patients with Oligoarticular Juvenile Idiopathic Arthritis and Corticosteroid Knee Injections 282. Pharmacovigilance in Juvenile Idiopathic Arthritis Patients (PHARMACHILD) Treated with Biologic Agents and/or Methotrexate. Consolidated Baseline Characteristics from Pharmachild and Other National Registries 283. Agreement Between Enthesitis Evaluation By Manual Palpation and Dolorimetry in Juvenile Spondyloarthritis 284. Single Hub and Access Point for Paediatric Rheumatology in Europe (SHARE)– Evidence Based Recommendations for Diagnosis and Treatment of Juvenile Idiopathic Arthritis 285. Drug Safety in Treatment of Juvenile Idiopathic Arthritis (JIA): Biologic Therapy Compared with MTX ACR POSTER INDICES 286.Using the 2011 ACR Recommendations for the Treatment of Juvenile Idiopathic Arthritis (JIA) to Evaluate a Single Centre Treatment Pathway: A Feasibility Study 303. Predicting Chronic Pain in Children with Juvenile Idiopathic Arthritis: Results from the Childhood Arthritis Prospective Study 287. Role of Joint Status in Decreased Accelerometer-Assessed Daily Physical Activity in Juvenile Idiopathic Arthritis 304. Juvenile Rheumatoid Arthritis and Future Risk for Cardiovascular Disease; A Multicenter Population-Based Study 288. Establishing Clinical Meaning and Defining Important Differences in Patient Reported Outcome Measures of Physical Function, Fatigue and Pain Interference in Juvenile Idiopathic Arthritis 289. 290. Patient-Reported Outcomes in Children with Moderately to Severely Active Polyarticular or Polyarticular-Course Juvenile Idiopathic Arthritis Who Are Prescribed and Treated with Adalimumab Patterns of Active Joint Involvement in JIA Pediatric Rheumatology - Pathogenesis and Genetics 305.Understanding the Molecular Pathogenesis of and Response to Canakinumab Treatment in TNF ReceptorAssociated Periodic Syndrome By Gene Expression Profiling of Whole Blood from Patients 306. Association of Kawasaki Disease with Tropospheric Winds in Central Chile: Is Wind-Borne Desert Dust a Risk Factor? 307. Sibling Exposure and Risk of Juvenile Idiopathic Arthritis 308. Tenascin-C, a TLR4 Ligand Levels in Enthesitis Related Arthritis Category of Juvenile Idiopathic Arthritis: CrossSectional and Longitudinal Study 309. Clinical Significance of Cytokine Profile with Interleukin-18 and -6 in Systemic Juvenile Idiopathic Arthritis 291. Development of a Serious Game Designed for Children with Juvenile Idiopathic Arthritis 292. Flares in Children with JIA: Results from the Reacch-out Cohort 293. Long Term Functional Outcome and Quality of Life of Patients with Refractory Juvenile Idiopathic Arthritis Treated with Etanercept: Results of the Dutch Arthritis and Biologicals in Children Register 310. 294. Long-Term Pharmacokinetics of Body Surface AreaAdjusted Doses of Golimumab Following Repeated Subcutaneous Administrations in Pediatric Patients with Polyarticular Juvenile Idiopathic Arthritis Differential Expression of microRNA in Monocytes from Children with Systemic Juvenile Idiopathic Arthritis: Implications for Polarized Phenotype 311. Intra-Articular Corticosteroid Injections in Juvenile Idiopathic Arthritis: Results from a UK Prospective Collaborative Study Inhibition of Natural Killer (NK) Cell Cytotoxicity By Interleukin-6 (IL-6): Implications for the Pathogenesis of Macrophage Activation Syndrome 312. Countermeasures Against Methotrexate Intolerance in Juvenile Idiopathic Arthritis Instituted By Parents Show No Effect Mutations in the MTHFR Gene Are Not Associated with Methotrexate Intolerance in Patients with Juvenile Idiopathic Arthritis 313. Elevated Cardiovascular Disease Burden and Inflammatory Biomarker Levels in Adults with Juvenile Idiopathic Arthritis 314. Next Generation Sequencing Reveals Restriction of the Treg Cell Repertoire and an Abundance of Shared Synovial Treg Clonotypes in JIA 295. 296. 297. S100 Proteins in Oligoarticular Juvenile Idiopathic Arthritis 298. Long-Term Impact of Juvenile Idiopathic Arthritis in the Greek adults’ Psychosocial Life 299. A Controlled Trial of Intra-Articular Corticosteroids with or without Methotrexate in Oligoarticular Juvenile Idiopathic Arthritis 315. NLRC4-Related Macrophage Activation Syndrome (NLRC4MAS): A Novel Primary Autoinflammatory Syndrome Caused By Activating Mutations in NLRC4 300. Patient-Reported Joint Count in Juvenile Idiopathic Arthritis: The Reliability of a Mannequin Format 316. 301. Pregnancies in Females with Juvenile Idiopathic Arthritis (JIA) Who Were Exposed to Biologics and/or Methotrexate – Results from a Biologic Register Cytokines in Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome: Tipping the Balance Between Interleukin-18 and Interferon-Gamma 317. Myeloid Related Proteins 8 and 14 (MRP 8/14) - Potential Biomarkers of Disease Activity of Arthritis in Children with Trisomy 21 302. Qualitative Assessment of Important Long-Term Outcomes in Juvenile Idiopathic Arthritis 2014 Program Book 169 ACR POSTER INDICES 318. HLA-B27 Subtypes in Enthesitis Related Arthritis Category of Juvenile Idiopathic Arthritis 334. Inflammatory Arthritis in K/BxN Mice Is Associated with Abnormal HDL Function 319. Systemic Juvenile Idiopathic Arthritis and Exposure to Fine Particulate Air Pollution 335. Interleukin-33 Suppresses Experimental Arthritis through Promoting Foxp3⁺ Regulatory T-Cells and Type-2 Immune Responses in Mice 320. Autoantibodies in Juvenile Systemic Sclerosis 336. 321. Mutations of Familial Hemophagocytic Lymphohistiocytosis (FHL) Related Genes and Abnormalities of Cytotoxicity function tests in Patients with Macrophage Activation Syndrome (MAS) Occurring in Systemic Juvenile Idiopathic Arthritis (sJIA) The Additive Inflammatory in Vivo and in Vitro Effects of Thymic Stromal Lymphopoietin (TSLP) and IL-7 in Arthritis Underscore the Therapeutic Rationale for blockade of Their Common Receptor Subunit 337. Effect of Etanercept on Endothelial Dysfunction in Rat Adjuvant-Induced Arthritis 338. Bombina Variegate peptide8/Prokineticin 2: A Novel Arthritis-Inducible Chemokine Toll-like Receptor Dependent Autoantigens and Vesicles from P.Gingivalis in Animal Models of RA to Modulate Collagen and Collagen Antibody Induced Arthritis Rheumatoid Arthritis - Animal Models 322. Superior Therapeutic Efficacy of a Novel Oral Small Molecule Retinoic Acid Receptor-Related Orphan Receptor Gamma T [Rorgt] Inverse Agonist Inv-17: A Promising Safe & Efficacious Treatment for Rheumatoid Arthritis 323. Anti-Inflammatory Marine Compound, Lyy-B2, Ameliorates Rheumatoid Arthritis through Inhibition of Osteoclast Differentiation 324. 340. Role of Beta-Catenin Signaling to Control Dendritic Cell Function in Collagen-Induced Arthritis 341. Death Receptor 3 Causes Vascular Dysfunction in a Murine Model of Rheumatoid Arthritis 342. Vascular Permeability As an Imaging Biomarker for Chronic Inflammatory Arthritis: A Dynamic Contrast Enhanced Magnetic Resonance Imaging Study 343. The Caspase 8/RIPK3 Signaling Axis Has Opposing Roles in Myeloid and Dendritic Cells during Progression of a Murine Model of Acute Inflammatory Arthritis 344. Reduced Macrophages in the Synovium Contribute to the Effective Treatment of Spontanneous Arthritis Observeded in Human TNF-Transgenic Mice 325. Tadalafil Decreases Joint Inflammation in TNF-Tg Mice By Restoring Passive Lymphatic Transport 326. IL-1 Receptor Antagonis (IL-1Ra)-Fc Ameliorate Autoimmune Arthritis By Regulation of the Th17 Cells/ Treg Balance and Arthrogenic Cytokine Activation 327. AMPK Activation in Inflammatory Arthritis 328. Etanercept, Abatacept and Anakinra Treatment Ameliorates Inflammation and Pain in a Novel MonoArthritic Multi-Flare Model of Streptococcal Cell Wall Induced Arthritis: Further Characterization in a Rodent Model of Collagen Induced Arthritis 345. A Low Salt Diet Ameliorates Clinical Manifestations in Collagen-Induced Arthritis 346. A Novel, Small Molecule Cyclin-Dependent Kinase 4/6 Inhibitor As the New Option for Treatment of Rheumatoid Arthritis Treatment of Collagen Induced Artritis with Human Embrionic Stem Cell-Derived Multipotent Mesenchymal Stromal Cells (hESC-MSC) 347. Salt Aggravates Arthritis By Th17 Polarization 329. 330. 170 Regulation of TNF-α-Mediated Activation of Rheumatoid Synovial Fibroblasts By Transcription Factor Snail 339. Prolactin Reduces Bone Erosion in Adjuvant-Induced Arthritis 331. WITHDRAWN 332. Improvement of the Stability of RNA Aptamers Against Interleukin-17A 333. Deletion of the Prolactin Receptor Aggravates the Course of Antigen-Induced Arthritis 2014 Program Book Rheumatoid Arthritis - Clinical Aspects: Novel Biomarkers and Other Measurements of Disease Activity 348. Smoking Status Is Associated with Inflammatory Cytokine Profile and Disease Activity: Decreased Inflammation and Disease Improvement with Smoking Cessation? 349. Galectin-3 in the Systemic Circulation Is Increased in Newly Diagnosed Rheumatoid Arthritis and Is Associated with Anti-CCP and Bone Marrow Edema ACR POSTER INDICES 350. Rho-Associated Protein Kinase (ROCK) Activity Is Elevated in Rheumatoid Arthritis (RA) Patients and May be Responsive to RA Therapies 364. In Early Rheumatoid Arthritis, the Multi-Biomarker Disease Activity Score at Different Time-Points Is Predictive of Subsequent Radiographic Progression 351. Doctor, Will My Fatigue be Better If I’m in Remission? an Exploratory Analysis of 1284 Rheumatoid Arthritis (RA) Patients Indicates Fatigue Is the Only Aspect of PatientPerceived Impact to Remain Significant in ACR/EULAR Boolean Remission 365. Differential Relative Contribution of Individual Components on DAS28 over Time: An Analysis from the Prospective, Observational, Biological Treatment Registry Across Canada 352. Remaining Pain in Spite of Suppressed Inflammation in Early Rheumatoid Arthritis – Long-Term Strongly Increased Risk for Widespread Pain and Fatigue 366. Soluble 4-1BB Is a Marker of Joint Involvement and Disease Activity in Rheumatoid Arthritis 367. In Early Rheumatoid Arthritis Patients with NonResponse to Methotrexate Monotherapy the Change in Multi-Biomarker Disease Activity Score Is Differentially Associated with Subsequent Response to Non-Biological Versus Biological Therapy 368. Serum C1M Level Predicts Disease Progression and Early Treatment Efficacy in Rheumatoid Arthritis Validation of Snapshot, a Rheumatoid Arthritis Assessment Tool, Against CDAI, DAS28 (ESR), and DAS28 (CRP) in Canadian Patients with Rheumatoid Arthritis 353. Sensitivity of Unique Multidimensional Health Assessment Questionnaire Items Compared to Items on Both the HAQ and MDHAQ in Patients with RA and SLE 354. Increased Vascular Wall Inflammation in Patients with Active Rheumatoid Arthritis As Measured By an 18F-FDGPET/CT Scan 355. 356. 357. 358. 359. Increased Left Ventricular Mass Index and Decreased Ejection Fraction Are Associated with Disease Activity in Rheumatoid Arthritis Patients without Cardiac Symptoms; Comparison Between Non-Biologic and Biologic Dmards Treatment Groups, Using a Cardiac Mag 369. 370. Double Positivity of RA Serologies More Prevalent Yet Associated with Clinical Response in Ethnic Minority Patients with Rheumatoid Arthritis 371. The Impact of Missing Anti-Citrullinated Protein Antibody (ACPA) on Outcomes in Early Rheumatoid Arthritis: From the Canadian Early Arthritis Cohort 372. Diagnostic Accuracy and Associated Costs of Rheumatoid Factor Testing in Primary Care: A Population-Based Cohort Study in Spain 373. Parity and Severity of ACPA-Positive/Negative Rheumatoid Arthritis. Results from the Swedish EIRA Study Biomarkers of Cardiac Dysfunction and Inflammation in Plasma Predict Occult Coronary Plaque Burden and Composition in Rheumatoid Arthritis 374. 14-3-3η Cit:Arg Antibody Ratios: Are We Overlooking the Prognostic Utility of Citrullinated Antibodies By Only Looking at Titers? IL-33 and Soluble ST2 Levels As Novel Predictors for Remission and Progression of Carotid Plaque in Early Rheumatoid Arthritis: A Prospective Study 375. Evaluation of RAPID3 with Minimal Joint Count and ACR/ EULAR Provisional Remission Definitions As Predictors of Future Good Radiographic + Functional Outcome in a Double-Blind, Phase 3, Randomized Controlled Trial of Tocilizumab The Rheumatoid Arthritis Impact of Disease Score Is Associated with Disease Activity By Clinical, Laboratory and Ultrasonographic Measures: Validation in an inception Cohort of DMARD naïve Patients with Rheumatoid Arthritis Development and Validation of a Diagnostic BeadBased Multiplex Autoantibody Assay:Screening for Autoantibodies to Detect “Seronegative” Rheumatoid Arthritis 360. 88% of Recent Onset Polyarthritis Patients Are Positive for 14-3-3η Markers and 14-3-3η Auto-Antibodies Inform a Favourable Prognosis 361. Citrullinated 14-3-3η Antibodies Are Specific for Early and Established RA and Are Complementary to ACPA 376.Using the Multi-Biomarker Disease Activity Score As a Complementary Inclusion Criterion for Clinical Trials in Rheumatoid Arthritis May Enhance Recruitment 362. 14-3-3η Early RA Biomarkers: Does Seronegative RA Exist? 377. 363. Increased Prevalence of Plasma Anti-Nuclear, Anti-SSA, and Connective Tissue Disease Associated Antibodies in African American Patients with Rheumatoid Arthritis Fatigue Fluctuates Substantially over Time in Rheumatoid Arthritis Patients Despite Stable Disease Activity during Treatment with Biological Agents 378. The Use of Week 12 CDAI, RAPID3 and DAS28(CRP) Responses to Predict Optimal Response to Methotrexate 2014 Program Book 171 ACR POSTER INDICES 395. Could Osteoprotegerin and TNF-Related ApoptosisInducing Ligand Assessments Help Us to Manage Early Rheumatoid Arthritis? Results from the Espoir Cohort In Palindromic Rheumatism, Older Age, Shorter Interval Between Attacks and Positive Anti-CCP Antibodies May Predict Progression to RA 396. Disease Activity Scoring: Comparing Patient and Physician Global Assessment of Disease Activity in Rheumatoid Arthritis 381. Distribution and Clinical Significance of Anti-Heterogenic Nuclear Ribonucleoprotein A2 Antibody in Connective Tissue Diseases 397. Th9 Lymphocytes in Rheumatoid Arthritis 398. 382. What Is More Predictive of Achieving Remission at 12 Months: The Percentage of Baseline Improvement or the Actual Disease State Achieved at 6 Months? Anti-Rheumatic Therapy Decreases Syndecan-1 Shedding in Rheumatoid Arthritis (RA) 399. Lipid Concentrations and Particle Sizes in Drug Naive Patients with Rheumatoid Arthritis How Low Is Low Disease Activity? an Analysis from a Prospective, Observational Registry 400. Clinical Utility of 14-3-3η in the Evaluation of Inflammatory Arthritis 401. Association of Anti-Thyroid Autoantibodies with Fibromyalgia in Rheumatoid Arthritis 402. Can GP88 (Progranulin) be Used As a Biomarker for the Diagnosis and Therapy Evaluation of Rheumatoid Arthritis? 403. Metaflammation, PEDF and Chemerin: Potential Systemic Factors Which Link Obesity to Response to Therapy in Early Rheumatoid Arthritis 404. The Relationship Between Disease Activity and Levels of HMGB1 in Patients with Rheumatoid Arthritis 405. 14-3-3η: A Mechanistic Biomarker That Supports the Concept of “Uncoupling” of Inflammation and Joint Damage 406. The Utility of HLA-DR Genotypification As a Complementary Tool to Discriminate Undifferentiated and Rheumatoid Arthritis Patients in Early Arthritis 407. Serum 14-3-3η Protein Supplements Traditional Rheumatoid Arthritis Biomarkers 408. 14-3-3η Auto-Antibody Positivity Informs Better Clinical Outcomes in RA 409. Soluble CD163 Is a Marker of Disease Activity in Early Rheumatoid Arthritis and Reflects TNFα Levels 410. Vascular Endothelial Function Changes during Treatment in Patients with Rheumatoid Arthritis 411. ABCB1 and ABCG2 Drug-Efflux Transporters Function and Its Association with Disease Activity in a Cohort of Patients with Rheumatoid Arthritis 412. Determinants of Radiological Progression in Rheumatoid Arthritis: Relationship with Serum Levels of OPG, RANKL and DKK-1 379. What Level of Disease Activity at 6 Months Predicts Achieving or Sustaining Remission at 12 Months? 380. 383. 384.Using Patient Reported Outcome Measures to Classify Disease Activity States in Rheumatoid Arthritis: A Comparison of Patient Activity Score (PAS) and Routine Assessment of Patient Index Data (RAPID) 385. 386. Association of Pharmacogenetic Markers with Treatment Response in Patients with Rheumatoid Arthritis 387. Levels of IgG Autoantibodies to Oxidation-Associated MDA Neo-Determinants Are a Biomarker for Systemic Inflammation and Disease Activity in SLE and RA 388. Soluble TREM-1 Is a Biomarker of Anti-CCP-Positive, DMARD-Naive Early Rheumatoid Arthritis 389. High 11B-HSD1 Activity Is Associated with Progression to Rheumatoid Arthritis in Patients with a New Onset of Inflammatory Arthritis 390. Prevalence and Correlates of Patient-Physician Discordance in Early Rheumatoid Arthritis 391. Self-Assessment Tool of Rheumatoid Arthritis Disease Activity: Handgrip Strength Measured By a Smartphone Connected to a Dynamometer 392. 172 Validation of a Prognostic Model to Predict Structural Damage Assessed By X-Ray in Patients with RA Using MRI Data from a Clinical Trial Neuroendocrine Hormone and Metabolic Peptide Levels in the Earliest Phases of Rheumatoid Arthritis – Do Free Fatty Acids Play a Role? 393. Influence of Body Mass Index on Disease Activity and Radiographic Joint Damage in Rheumatoid Arthritis : A Systematic Review and Meta-Analysis 394. Very Low or High Body Mass Index Negatively Affects patients’ Ability to Achieve Sustained Remission in Early RA in a Multicenter Canadian Cohort 2014 Program Book ACR POSTER INDICES 413. Association of Antinuclear Antibodies with Lung Disease, Malignancy and Joint Replacement in Rheumatoid Arthritis 414. Relationship Between Range of Motion of Joints in Upper Limbs and Physical Function in Patients with LongStanding Rheumatoid Arthritis: Multicenter Prospective Cohort Study for Evaluation of Joint Surgery on Physical Function 415. a Dual-Center, Double Blind Randomized Study for a New Scientific Approach in Assessment of Tender Joints in Inflammatory Arthritis Using the Smart Joint Assessor Glove Device (Smart JAG Device) 416.Using Patient Reported Outcome Measures to Classify Disease Activity States in Rheumatoid Arthritis: A Comparison of Patient-Derived Versions of Clinical Disease Activity Index (CDAI), Simplified Disease Activity Index (SDAI) and Disease Activity Score 28 Normal Scores of “0” (floor effects) Are Seen in 33-83% 417. of Patients with Rheumatoid Arthritis (RA) on 8 HAQ Activities Which Also Are Found on the MDHAQ, but in Fewer Than 32% of Patients on 2 Unique MDHAQ Complex Activities “Walk 2 Miles or 3 Kilometers, 418. 419. Prevalence of Morning Stiffness in a US Registry Population of Rheumatoid Arthritis Patients Comparative Dynamics of Rheumatoid Arthritis Disease Activity and Disease Severity Measures Using Rarbis, Ciras and DAS28 in a Population Based Cohort of Patients with RA 426. Exploring the DAS: What Is the Level of Agreement in the Classification of Remission and Low Disease Activity (LDA) Among the Various Versions of the Disease Activity Score (DAS) and Their Correlation? an Analysis from a Prospective, Observational Registr 427. Multimedia Patient Education Tool for Patients with Rheumatoid Arthritis 428. Patient-Physician Discordance of Disease Activity Assessments Predicts Inadequate Treatment Response in Early Rheumatoid Arthritis 429. Investigation of MRI Bone Changes in Early-Stage RA Patients Achieved in Sustained Clinical Good Response: Sub-Analysis from Nagasaki University Early Arthritis Cohort 430. Minimally Important Difference in the European Quality of Life-Five Dimensions in Patients with Rheumatoid Arthritis 431. Joint Dermal Temperature Specifically Identifies the Individual RA Patient Most Likely to Develop Radiographic Change on Sharp Score; An Exam in Less Than a Minute Can Predict Who Specifically Needs Biologic Therapy 432. Rheumatoid Arthritis-Associated Interstitial Lung Disease: Risk Factors for Disease Progression Rheumatoid Arthritis - Human Etiology and Pathogenesis 433. Less Is More: The Shorter Physical Function Measure Promis-PF10a Outperforms HAQ in an Ethnically Diverse, Urban Rheumatoid Arthritis Clinic Population Bronchiectasis: A Model for Chronic Bacterial Infection Inducing Autoimmunity in Rheumatoid Arthritis 434. Characterization of Lung Inflammation in the Lungs of Early Rheumatoid Arthritis 421. Prediction of Remission By Patients and Physicians: Does the Doctor Know Best? 435. 422. Correlation of RAPID3, DAS28 and CDAI in Disease Activity and Effects of Education Level and Co-Morbid Diseases on This Assesment in RA Smoking Functions As a Negative Regulator of IGF-1 Levels and Adipokine Network in Patients with Rheumatoid Arthritis 436. Increasing Cartilage Turnover in Smokers Developing Rheumatoid Arthritis Is Associated with High Disease Activity in Early Disease 437. Anti-Citrullinated Heat Shock Protein 90 Antibodies Identified in Bronchoalveolar Lavage Fluid Are a Marker of Lung-Specific Immune Responses 438. Distinct Profiles of Proinflammatory Macrophages in Rheumatoid Arthritis and Coronary Artery Disease 439. The Anti-IL-6 Antibody Sirukumab Inhibits Vascular Inflammation in a Human Surrogate Model of Atherosclerosis 420. 423. Circulating Anti-Citrullinated Peptide Antibodies and Cytokines As Biomarkers of Response to DiseaseModifying Antirheumatic Drugs Therapy in Early Rheumatoid Arthritis 424. The Comparison Between Physical and Ultrasound Joint Examination for the Hand Joints in Patients with Rheumatoid Arthritis 425. Beyond Disease Activity: Patient Global Scores Also Reflect Treatment Expectations and Emotional Reactions to Living with Rheumatoid Arthritis 2014 Program Book 173 ACR POSTER INDICES 440. 441. Arthritis Associated Autoantibodies in Non-Rheumatoid Arthritis Patients with Mucosal Inflammation 442. Anti-Carbamylated Protein Antibody Levels Are Elevated in Seropositive Rheumatoid Arthritis and Correlate with Anti-Sa/Citrullinated Vimentin Antibody Levels 443. 456. AAA-Atpase p97 Regulates Autophagy-Associated Cell Death in Arthritis Rheumatoid Arthritis - Small Molecules, Biologics and Gene Therapy: Safety of Biologics and Small Molecules in Rheumatoid Arthritis 457. First Confirmation Data of Long Term Safety for Tocilizumab in Real-World Setting; 3 Year Follow-up Postmarketing Surveillance of 5573 Patients with Rheumatoid Arthritis in Japan Sputum Anti-Citrullinated Protein Antibodies in Patients with Long Standing Rheumatoid Arthritis 458. Meta-Analysis of Serious Infections with Tofacitinib and Biological Treatment in Rheumatoid Arthritis Clinical Trials 444. Evidence for Citrullination of the Nuclear Transciption Factor Inhibitor of DNA Binding 1 (Id1) in Rheumatoid Arthritis 459. Evaluation of the Effect of Tofacitinib on Measured Glomerular Filtration Rate in Patients with Active Rheumatoid Arthritis 445. Differing Specificities of Anticitrullinated Peptide/Protein Antibodies in Palindromic Rheumatism and Rheumatoid Arthritis: A Case-Control Study 460. Analysis of Non-Melanoma Skin Cancer Across the Tofacitinib Rheumatoid Arthritis Clinical Program 446. Immunoglobulin a Antibodies to Cyclic Citrullinated Protein Predominate in Individuals at-Risk for Future Rheumatoid Arthritis Rheumatoid Factor Isotypes in Relation to Antibodies Against Citrullinated Peptides in Individuals before Onset of Rheumatoid Arthritis 461. Comprehensive Summary of the Efficacy and Safety of Tofacitinib 5mg Twice Daily in Patients with Rheumatoid Arthritis and an Inadequate Response to DiseaseModifying Antirheumatic Drugs 462. Infections and Gastrointestinal Side Effects in a Comparison of Rheumatoid Arthritis Therapies 463. Golimumab 5-Year Safety: an Analysis of Pooled Data from the Long Term Extensions of Randomized, DoubleBlind, Placebo-Controlled Studies in Rheumatoid Arthritis, Psoriatic Arthritis, and Ankylosing Spondylitis 464. Analysis of Pooled Data from Two Randomized Controlled Trials and Their Open-Label Extensions: Long-Term Safety in Rheumatoid Arthritis before and after Certolizumab Pegol Dose Increase/Decrease 465. 18-Month Worldwide Post-Marketing Surveillance Experience of Tofacitinib 466. Should Anti-Tnfa treatment of RA be Stopped before Orthopedic Surgery? 467. Evaluation of the Rabbit Risk Score for Serious Infections in a UK Anti-TNF Treatment Cohort 447. 174 Comparison of C-Reactive Protein (CRP) and Erythrocyte Sedimentation Rate (ESR) with Estimated Glomerular Filtration Rate (eGFR) in Patients with Rheumatoid Arthritis (RA) 448. Citrulline-Specific Autoimmunity Resides in Quiescent Circulating Memory B Cells in Rheumatoid Arthritis 449. Citrullinated-Vimentin-Specific Regulatory T-Cell Responses Associate with ACPA Positive Individuals with Non-Specific Musculoskeletal Symptoms 450. The Mucosal Anti-Citrullinated Protein Antibody Response in Pre-Clinical Rheumatoid Arthritis 451. The Association of Fine Specificities of Anti-Citrullinated Protein Antibodies (ACPA) with disease Severity in African-Americans with RA 452. The Use of Multiplex Bead Array to Follow the Effect of Rituximab on IgG and IgA Serum Autoantibody Responses to Citrullinated Epitopes in Patients with Rheumatoid Arthritis 453. In a Periodontal Disease Cohort without RA, Indeterminate or Low-Positive Anti-CCP-2 Antibodies Are Associated with Multiple Distinct ACPA 468. Identification of Baseline Risk Factors for Adverse Events in Certolizumab Pegol Treated Rheumatoid Arthritis Patients 454. The Specificity of Anti-Carbamylated Protein Antibodies for Rheumatoid Arthritis in a Setting of Early Arthritis 469. Safety of Rituximab in Patients with Chronic Inflammatory Arthritis. Seven-Year Follow-up Observational Study 455. Clinical and Tissue Specificity of Antibodies Against Carbamylated Proteins in Patients with Rheumatoid Arthritis 470. Safety Profile of Biologic Agents for Rheumatoid Arhtisitis Treatment after the Complication with MethotrexateRelated Lymphoproliferative Disorder 2014 Program Book ACR POSTER INDICES 471. Improving of Safety in Treatment with Biologics during First Seven-Years Experiences; Long-Term Results from Observational Cohort Study of Clinical Practice Using Multicenter Registry in Japan 472. Abatacept Can be Used Safely for RA Patients with Interstitial Lung Disease 473. Complications of Varicella Zona Virus Infections Are More Frequent in Patients Treated with Biologic Drugs When Combined with Steroids 487. Assessment of Lipid Changes in Patients with Early Rheumatoid Arthritis Treated with Tofacitinib or Methotrexate over 24 Months 488. Increases in Serum Cholesterol with Baricitinib Treatment Are Associated with Favorable Changes in Apolipoprotein Content and with Improvement in DAS28-CRP in Patients with Rheumatoid Arthritis 489. Rosuvastatin Improves Arterial Stiffness in Patients with Inflammatory Joint Diseases 474. Assessment of 12-Month Efficacy and Safety of 168 Certolizumabpegol Rheumatoid Arthritis Treated Patients from a Multicenter Retrospective National Study in Spain 490. A Randomised Controlled Trial Evaluating the Effect of Humira upon Endothelial Function in ACPA Positive Rheumatoid Arthritis – an Interim Analysis 475. Risk Analysis of a First Adverse Event and Recurrent Infections during Biological Therapy in Chronic Inflammatory Arthritis 491. Do Patients with Congestive Heart Failure Treated with Biologics for RA Have a Lower Risk of Fatal Outcome of Serious Infections? 476. Medium-Term Safety of TNF-Alpha Inhibitors in Rheumatoid Arthritis: A Meta-Analysis of Randomized Controlled Trials 492. Patient-Reported Outcomes from a Canadian Study of Patients Taking Methotrexate and Etanercept 477. Leflunomide Use Is Not Associated with an Increased Risk of Lung Disease in Rheumatoid Arthritis: A Meta-Analysis of Randomised Controlled Trials 493. Efficacy and Safety of Tofacitinib Following Inadequate Response to Nonbiologic DMARD or Biologic DMARD 494. Estimation of Cost per Effectively Treated Patients with Biologic Disease Modifying Anti-Rheumatic Drugs in US Veterans with Rheumatoid Arthritis 495. Discontinuation of Biologics in Patients with Rheumatoid Arthritis after Achieving Low-Activity Disease Status 496. Efficacy and Safety of Induction Therapy for Rheumatoid Arthritis with Simultaneous Administration of Methotrexate and Low-Dose Tacrolimus: A Retrospective Study 497. Efficacy and Safety Study of a Sequential Therapy of Tocilizumab and, If Initially Inadequately Responded to Tocilizumab, Followed By Rituximab in Patients with Rheumatoid Arthritis and Inadequate Response to Traditional Disease Modifying Anti-Rheumatic Drugs 498. Patient Experience with Initiation of SQ and Oral MTX 499. Biologic Discontinuation in Rheumatoid Arthritis: Experience from a Canadian Clinic 500. Prediction of Successful Dose Reduction or Discontinuation of Adalimumab or Etanercept Using Serum Drug Levels and Antidrug Antibody Measurement 501. Bio-naïve Patients with Rheumatoid Arthritis Benefit More from Abatacept Treatment Compared to Those Who Are Inadequate Responders to Other Biologics – Results from the National Swedish Rheumatology Quality Register 478. 479. Adverse Events and Infections in Patients with Rheumatoid Arthritis Treated with Conventional Drugs or Biologic Agents: A Real World Study Long Term Safety of Intravenous Golimumab and Comparison with Subcutaneous Golimumab in Rheumatoid Arthritis: Results through 2 Years 480. Serious Infection Risk By Treatments and Types in Patients with RA 481. Efficacy and Safety of Etanercept in Rheumatoid Arthritis Patients over 75 Years Old 482. Incidence of Opportunistic Infections in Rheumatoid Arthritis Treated with Biological Agents 483. Risk of HBV Reactivation in Rheumatoid Arthritis Patients Undergoing Treatment with Newer Biological Dmards, Tocilizumab and Abatacept: A Single-Center Real Life Experience 484. Reactivation of Hepatitis B Virus in Patients with Rheumatoid Arthritis after Anti-TNF Therapy 485. Incidence of Clinical and Serological Lupus-like Disease during Anti-Tnfα-Treatment – a Two-Year Prospective Study in an Interdisciplinary Patient Cohort 486. Tofacitinib Improves Arterial Stiffness Despite upRegulating Serum Cholesterol with Chronic Cardiovascular Disease in Methotrexate-Resistant Active Rheumatoid Arthritis Patients. a Cohort Study 2014 Program Book 175 ACR POSTER INDICES 502. Tocilizumab Use in Patients with Rheumatoid Arthritis Having Failed One Previous Anti-TNF Agent: Comparison with Adalimumab, Etanercept and Infliximab 518. Risk of Infection Associated with Subsequent Biologic Use Following Rituximab—Results from a National RA Patient Registry 503. Does a Higher Dose of Folic Acid Reduce Adverse Effects of Methotrexate in Rheumatoid Arthritis? a Randomized Controlled Trial 519. Patterns of Tocilizumab Use and Safety in Patients with Rheumatoid Arthritis: Interim Results from a Multinational Observational Study 504. Abatacept after Rituximab in Rheumatoid Arthritis. a Pan-European Collaboration of RA Registries 505. A Structured Approach for Comparative BenefitRisk Assessment of Rituximab for the Treatment of Rheumatoid Arthritis 520. Genetic Variant and High Levels of CCL11 in Serum Are Associated with the Occurrence of Lymphoma and Disease Activity in Primary Sjögren’s Syndrome Patients (pSS) 506. Trial of Six Weeks Interval of Tocilizumab Infusion in Patients with Rheumatoid Arthritis 521. CXCL13 Serum Levels Is Associated with Lymphoma, High B Cells Markers and Diseases activity in Primary Sjögren ’s Syndrome Patients 507. Efficacy and Safety of Adalimumab Therapy in Japanese Patients with Rheumatoid Arthritis 522. Whole Blood microRNA Signature for Primary Sjögren’s Syndrome-Related Lymphoma 508. Relationship Between NK Cell Count and Important Safety Events in Rheumatoid Arthritis Patients Treated with Tofacitinib 523. Serum CXCL4 Is Increased in Patients with Primary Sjögren’s Syndrome and Is Associated with Features of Microvascular Impairment 509. Etanercept Have Better Drug Survival Than Monoclonal Antibodies in Rheumatoid Arthritis: Results of Single Center Hur-BIO Registry 524. Distinct Patterns of DNA Methylation in Labial Salivary Gland Tissue Based on Sjögren’s Syndrome Disease Status 510. Similar Short Term Survival on Drug for Patients with Rheumatoid Arthritis Treated with Subcutaneous and Intravenous Abatacept - Results from the National Swedish Rheumatology Quality Register 525. The Genetic Basis of Sjögren’s Syndrome (SS) Clinical Manifestations from Genome-Wide Association Analysis of Subphenotype Extremes in an International Cohort 526. A Descriptive and Comparative Study of the Transcriptome from Salivary Exosomes of Sjögren’s Syndrome Patients Using RNA-Seq 527. Salivary Expression of S100A7/Psoriasin and Oral Damage in Primary Sjögren’s Syndrome and Overlapping Disorders 528. Calcium-Calcineurin-NFAT Signaling Pathway Regulates AQP5 Expression in Primary Salivary Gland Acinar Cells 511. 512. 176 First and Second Line Continuation Rates of Non Anti-TNF-α Biological DMARD for the Treatment of Rheumatoid Arthritis Effect and Safety of Concomitant Methotrexate and Tacrolimus on Clinical Response of Abatacept in Rheumatoid Arthritis Patients with Prior Use of Biological Dmards Sjögren’s Syndrome: Pathophysiology 513. Analysis of Shoulder Joint Destruction in Rheumatoid Arthritis Patients Treated with Biologics 529. IP3R3 Deficit Underlies the Loss of Fluid Secretion in Salivary Glands from Sjögren’s Syndrome Patients 514. Methotrexate Reduces the Frequency of Prediabetes in Patients with Rheumatoid Arthritis or Psoriatic Arthritis 530. Downregulation of Microrna-183 in Sjögren’s Syndrome Minor Salivary Glands. Implications in Control of Ezrin Expression and Salivary Gland Function 515. Dosing of Intravenous Tocilizumab in a Real-World Setting—Analyses from a US RA Registry 531. Expression of Indoleamine 2,3 Dioxygenase-1 and -2 in Focal Sialoadenitis of Patients with Sjögren’s Syndrome 516. The Safety and Treatment Efficacy of Abatacept in Rheumatoid Arthritis Patients with Pulmonary Complications: From the Tsurumai Biologics Communication Registry (TBCR) Multicenter Study 532. Adipose Tissue Is Prominent in Salivary Glands of Sjögren’s Syndrome Patients and Appears to Influence the Autoimmune Microenvironment in These Organs 517. Real-World Use of Tocilizumab in Rheumatoid Arthritis Patients in Canada: Interim Results 533. Predictive Significance of CCL21 and CXCL13 Levels in the Minor Salivary Glands of Patients with Sjögren’s Syndrome 2014 Program Book ACR POSTER INDICES 548. Apremilast, an Oral Phosphodiesterase 4 Inhibitor, Is Associated with Long-Term (52-Week) Improvement in Measures of Disease Activity in Patients with Psoriatic Arthritis: Results from 3 Phase 3, Randomized, Controlled Trials 549. Reliability and Construct Validity of the Psoriasis Symptom Inventory in Subjects with Psoriatic Arthritis 550. Secukinumab, an Anti–Interleukin-17A Monoclonal Antibody, Improves Physical Function, Quality of Life and Work Productivity in Patients with Active Psoriatic Arthritis: Results from a Phase 3, Randomized, Controlled Trial 551. Predictors Associated with Rheumatologist Referral Time in Patients with Ankylosing Spondylitis 552. Secukinumab, a Monoclonal Antibody to Interleukin-17A, Significantly Improves Physical Function and Quality of Life in Subjects with Active Ankylosing Spondylitis: Results of a Phase 3 Randomized, Placebo-Controlled Trial with Intravenous Loading and Subc Sustained Improvement in Physical Function, HealthRelated Quality of Life, and Work Productivity with Adalimumab Treatment in Non-Radiographic Axial Spondyloarthritis 553. Efficacy and Safety of Ustekinumab in Psoriatic Arthritis Patients with Spondylitis and Peripheral Joint Involvement: Results from a Phase 3, Multicenter, DoubleBlind, Placebo-Controlled Study Comparison of Baseline Extra-Articular Manifestations, Comorbidities, and Long-Term Safety in Patients Treated with Adalimumab for Ankylosing Spondylitis and NonRadiographic Axial Spondyloarthritis 554. Myocardial Infarction Risk with Diclofenac Use in Spondyloarthropathy Versus Non-Inflammatory Low Back Pain 540. Two Years Sacroiliac Radiographic Progression Rate and Influence of Baseline Markers of Inflammation in Recent Onset Spondyloarthritis 555.Urinary Excretion of Type II Collagen C-Telopeptide and Glucosyl-Galactosyl-Pyridinoline As Prognostic Biomarkers in Early Spondyloarthritis 541. Collagen II Neo-Epitopes in Spondyloarthritis. 556. 542. Predictors for Cardiovascular Events in Patients with Psoriatic Arthritis – a Cohort Study Defining Flare in Spondyloarthritis : Thresholds of Disease Activity Variations 557. Translation and Cross-Cultural Adaptation of the ASAS Health Index and the environmental Item Set into 15 Languages 558. Therapeutic Response in Adalimumab-Treated Patients with Non-Radiographic Axial Spondyloarthritis Is Similar Regardless of Body Mass Index 534. Serum Biomarkers of Inflammation and Fibrosis in Advancing Diagnosis, Prognosis and Treatment of Anti-Ro Associated Congenital Heart Block 535. WITHDRAWN Spondylarthropathies and Psoriatic Arthritis - Clinical Aspects and Treatment I 536. Secukinumab, a Monoclonal Antibody to Interleukin-17A, Significantly Improves Signs and Symptoms of Active Ankylosing Spondylitis: Results of a Phase 3, Randomized, Placebo-Controlled Trial with Subcutaneous Loading and Maintenance Dosing 537. Secukinumab, a Human Anti–Interleukin-17A Monoclonal Antibody, Significantly Reduces Psoriasis Burden in Patients with Psoriatic Arthritis: Results from a Phase 3 Randomized Controlled Trial 538. 539. 543. 544. Disease Activity and Clinical Response Early in the Course of Treatment Predict Long-Term Outcomes in Axial Spondyloarthritis Patients Treated with Certolizumab Pegol Observed Incidence Rates of Uveitis over 96 Weeks of Certolizumab Pegol Treatment in Patients with Axial Spondyloarthritis 559.Ultra Sonographic Evaluation of the Anterior Chest Wall in Spondyloarthritis. a Prospective Study 545. Long-Term Safety and Efficacy of Certolizumab Pegol over 96 Weeks in Patients with Psoriatic Arthritis with and without Prior Tumor Necrosis Factor Inhibitor Exposure 560. High Sensitivity of the ASAS Classification Criteria in Patients with HLA-B27 Positive Undifferentiated Spondyloarthritis with Onset of Disease after Age 45 546. Psoriatic Arthritis Mutilans: Characteristics and Radiographic Progression 561. A Psychometric Analysis of Outcome Measures in Trials of Peripheral Spondyloarthritis 547. Comparison of Clinical and Imaging Characteristics of Axial Psoriatic Arthritis and Axial Spondyloarthritis 562. Clinical Response and Remission in Patients with NonRadiographic Axial Spondyloarthritis after Three Years of Adalimumab Therapy 2014 Program Book 177 ACR POSTER INDICES 563. Evaluation of Clinical Parameters and Quality of Life in Smokers with Ankylosing Spondylitis: Results from the Scotland Registry for Ankylosing Spondylitis 579. Patients with Ankylosing Spondylitis Do Not Adapt to Their Disease: Evidence from the ‘then Test’ in Patients Treated with TNF-Inhibitors 564. Cardiovascular Events in Ankylosing Spondylitis. an Updated Meta-Analysis 580. MRI Is Often Negative in Clinically Suspected NonRadiographic Axial Spondyloarthritis 565. Effect of Certolizumab Pegol over 96 Weeks of Treatment on Inflammation of Spine and Sacroiliac Joints Measured By Magnetic Resonance Imaging in Patients with Axial Spondyloarthritis 581. Evaluation of the Nonsteroidal Anti-Inflammatory DrugSparing Effect of Etanercept in Axial Spondyloarthritis: Results of a Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial 566. Structural Progression of the Spine Measured By X-Ray in Patients with Axial Spondyloarthritis Treated with Certolizumab Pegol over 96 Weeks, Including Ankylosing Spondylitis and Non-Radiographic Axial Spondyloarthritis 582. Non-Steroidal Anti-Inflammatory Drugs in Axial Spondyloarthritis: A Cochrane Review 583. What Is the Correlation of Individual HAQ and Basdai Questions with Disease Activity Measures in Ankylosing Spondylitis? Implications for Instrument Reduction 584. Flare in Spondyloarthritis: Proposal of a Meaningful Change in Symptomatic Outcome Measures in Axial Spondyloarthritis 585. Optimism Levels Are Moderate and Similar in Patients with Axial Spondyloarthritis and Chronic Low Back Pain, and Are Related to Mental Quality of Life but Not Physical Quality of Life. a Cross Sectional Study of 277 Patients 586. Helplessness in Coping Is Associated with Worse Patient Reported Outcomes Among Patients with Ankylosing Spondylitis: A Longitudinal Multi-Country Cohort Study 587. Clinical Characteristics of Nonradiographic Axial Spondyloarthritis in Korea: A Comparison with Ankylosing Spondylitis 588. Blacks with As Have Greater Disease Severity Than Whites 589. Patients with Nr-Axspa Show a Statistically Higher Disease Burden in Clinical Practice Compared with Patients with Radiographic Axial Spa 590. Factors Associated with a Poor Functional Prognosis in Early Inflammatory Back Pain: Results from the DESIR Cohort 591. The Fat Spondyloarthritis Spine Score (FASSS) Independently Predicts Radiographic Progression in Patients with Ankylosing Spondylitis 592. Clinical and Psychological Correlates of Sleep Difficulties in Patients with Spondyloarthropathies Compared to Patients with Rheumatoid Arthritis 567.Use of Monotherapy Anti-Tnf Agents in Ankylosing Spondylitis Patients from the rhumadata® Registry: 8-Year Comparative Effectiveness of Adalimumab, Etanercept and Infliximab 568. Secondary Amyloidosis Complicating Spondyloarthritis: Still Present after All These Years 569. Better Outcomes in Ankylosing Spondylitis: The Synergistic Association Between Exercise and Tumor Necrosis Factor Inhibitors 570. Sleep Disturbances in Korean Patients with Ankylosing Spondylitis Are Associated with Increased Disease Activity 571.Unraveling the Familial Tendency for Ankylosing Spondylitis in Korea 572. 573. 178 Objective Evaluation of Physical Functioning after TNFi Therapy in Ankylosing Spondylitis Patients; A Selection of Three Feasible Performance-Based Tests Three-Year Course and Prediction of Physical Functioning in Ankylosing Spondylitis Patients Treated with TNFInhibitors 574. Do Extra-Articular Manifestations Influence Outcome in Ankylosing Spondylitis? a 12 Year Follow-up Study 575. Disease Activity Strongly Influences Work Productivity and Physical Health Related Quality of Life in Early Axial Spondyloarthritis: Data from the SPACE-Cohort 576. Dikkopf-1 (Dkk-1) Serum Levels in Axial Spondyloarthritis (axSpA) Are Related to Disease Duration 577. A Substantial Decrease in Work Productivity and Physical Health-Related Quality of Life in Chronic Back Pain of Recent Onset: Data from the SPACE-Cohort 593. The Clinimetric Outcomes of Two Bath Ankylosing Spondyltis Metrology Indices in Treatment with TNF-á Blockers 578. Female Patients but Not Male Patients with Ankylosing Spondylitis Are at Increased Risk of Developing Ischemic Heart Disease: A Population-Based Cohort Study 594. Do Bone Marrow Edema Lesions in the Sacroiliac Joint Change into Fatty Lesions over a 1-Year Period in Patients with Axial Spondyloarthritis or Possible Spondyloarthritis 2014 Program Book ACR POSTER INDICES 595. Radiographic Sacroiliitis Progression in an Early Axial Spondyloarthritis Cohort 596. Clinical Value of ASDAS Index in Spanish Patients with Ankylosing Spondylitis 597. Inflammatory Burden in Recent-Onset Axial Spondyloarthritis 598. Anti-Drug Antibodies As a Predictor for the Discontinuation of Anti-TNF Agents in Patients with Spondyloarthrtis 599. Is There Any Gender Specific Difference in the Cut Off Values of Ankylosing Spondylitis Disease Activity Score (ASDAS) in Patients with Axial Spondyloarthritis? 600. Differing Patterns of Axial Spondyloarthritis in Females and Males 601. Combined Hip Abduction Angle Measured By Using Iphone Compass Application; A Novel Measurement Tool to Asses Hip Mobility 602. A Phase 3, Randomized, Controlled Trial of Apremilast, an Oral Phosphodiesterase 4 Inhibitor, for Treatment of Psoriatic Arthritis: Long-Term (52-Week) Improvements in Physical Function Spondylarthropathies and Psoriatic Arthritis - Pathogenesis, Etiology 611. Autophagy and Unfolded Protein Response: A Fine Balance That Can Influence the Pathogenesis of Ankylosing Spondylitis and Inflammatory Bowel Disease 612. Association of Platelet Endothelial Cell Adhesion Molecule-1 and beta1 Integrin Gene Polymorphisms with Uveitis Development in Ankylosing Spondylitis 613. The Amount of Free Heavy Chain and β2-Microglobulin in the Cytoplasm of B*2705 Ankylosing Spondylitis Patients Compared to B*2705 and B*2709 Healthy Subjects Does Not Support the UPR Theory. Influence of ERAP1 Polymorphisms 614. The Association of PPM1A with Inflammasome Activation in Ankylosing Spondylitis 615. Analysis of the Gut Transcriptome in HLA-B27 Transgenic Rats By RNA-Seq Reveals Prominent Interferon and IL-23/ IL-17 Axis Signatures 616. In Situ Analysis of Mechanisms of New Bone Formation in Zygapophyseal Joints from Patients with Ankylosing Spondylitis 617. Shared HLA Class I and II Alleles in Susceptibility to Ankylosing Spondylitis Among Three Ethnic Groups 618. A Gender Bias in Gut Microbiota of SKG Mice Colonized with a Limited Bacterial Consortium Associated with Severity of Spondyloarthritis and Ileitis Triggered By BetaGlucan 619. Effect of ERAP1 Knockdown on Conformation of HLA-B27 and Other HLA Class I Molecules in Human Monocytic Cells 603. Periostin May Have a Role in Ankylosing Spondylitis and It Is Associated with Wnt Signalling Pathway Regulators 604. Characterisation of Mucosal-Associated Invariant T (MAIT) Cells in Ankylosing Spondylitis Patients 605. Decreased Frequencies of Circulating Follicular Helper T Cell Counterparts and Plasmablasts in Ankylosing Spondylitis Patients Naïve for TNF Blockers 620. Innate Immune Stimulation Triggers Altered IL-1a/b Gene Expression and Experimental Spondyloarthritis in HLA-B27/huβ2m Transgenic Rats 606. The Immunological Basis of the Sex-Bias in Ankylosing Spondylitis: Th17 Expansion Is Restricted to Male Patients and Correlates with Sex-Related Alteration in Vitamin D Metabolism 621. ERAP1 Knockdown Affects HLA-B27 Misfolding and Endoplasmic Reticulum Stress in HLA-B27 Transgenic Rat Macrophages 607. The HLA-B27 Peptidome in Vivo in Transgenic Rats 622. Gut Microbiota Variations Correlate with Disease Activity in Spondyloarthritis (SpA) and Rheumatoid Arthritis (RA) 608. Identification of Novel Autoantibodies in Patients with Ankylosing Spondylitis Using Human Protein Microarray 623. Epigenetic Studies in Maternally Versus Paternally Transmitted Psoriatic Disease 609. Induced Pluripotent Stem Cells (iPSCs) As a Tool for Unraveling the Role of Different Cell Types in the Disease Process of Spondyloarthritis Pathogenesis 624. Genome-Wide Methylome Investigation Reveals New Candidate Genes Associated with Arthritis Mutilans 610. Functional Implications of the Endoplasmic Reticulum Aminopeptidase 2 (ERAP2) Association with Ankylosing Spondylitis and Crohn’s Disease: Impact on the Unfolded Protein Response 625. Fine-Mapping Major Histocompatibility Complex Associations Identified Contribution of Multiple Class I and II HLA Genes on Risk of Psoriasis and Its Clinical Subtypes 2014 Program Book 179 ACR POSTER INDICES 626. The Impact of the Interaction Between Human Leukocyte Antigen Alleles and Obesity on Psoriatic Arthritis Risk 644. HM-0523, a Novel Syk Inhibitor Blocks Glomerulonephritis and Extends Life Spans in Lupus Prone MRL/Lpr Mice 627. HLA Markers for Disease Severity Are Associated with a Higher Burden of Atherosclerosis in Patients with Psoriatic Disease 645. The Combination of Metformin and 2-Deoxy-D-Glucose Normalizes CD4 T Cell Metabolism and Functions, and Reverse Disease in Murine Models of Lupus 628. The Predictive Value of Cardiovascular and Metabolic Biomarkers for Progression of Atherosclerosis in Psoriatic Disease 646. ONO-4059 - a Highly Potent and Dual Oral Inhibitor of Bruton’s Tyrosine Kinase (Btk) and Tec Kinase: Improves Anti-Nuclear Antibodies–mediated SLE in Mice 629. Biomarkers of Chondrocyte Activity Are Increased in Psoriasis Arthritis and Spondyloarthritis 647. Helminthes Derivative for Treating Lupus and Colitis in Mice Models 630. Biomarkers of Bone Remodeling Are Elevated in Psoriatic Arthritis 648. 631. Joint and Bone Related Pathways Discriminate Psoriatic Arthritis Lesional Skin from Psoriasis vulgaris Lesional Skin Influenza A (H1N1) Virus Infection Triggers Severe Pulmonary Inflammation in Lupus-Prone Mice Following Viral Clearance 649. IL-23 Mediates Psoriasis-like Inflammation in the SKG Mouse Model of Spondyloarthropathy Enhance Translatability Using Multi-Modality Disease Evaluation Approach in Lupus Model 650. Immunological and Clinical Relationships of Synovial IL17+ T Cells in Psoriatic Arthritis Decreased Severity of Pristane Induced Lupus in miR155 Deficient Mice 651. Inhibiting Tweak (TNF-like weak inducer of apoptosis) Signaling Improves Blood Brain Barrier Integrity and Protects from Neuronal Damage in Murine Neuropsychiatric Lupus 652. Identification of Eat-2 As a Lupus Susceptibility Gene in New Zealand Black (NZB) Mice That Regulates Dendritic Cell Function 632. 633. Systemic Lupus Erythematosus - Animal Models 634. 635. 636. Liposomal-Glucocorticoids: A Novel Approach to the Therapy of SLE 653. Dermal Injury Promotes Nephritis Flare in Lupus-Prone NZM2328 Mice 637. Decreased Inflammatory Dendritic Cells in Lupus-Prone Estrogen Receptor Alpha Knockout (ERαKO) Mice Correlate with Increased Survival 654. Type I Interferon Induces the Depletion and Dysfunction of Endothelial Progenitor Cells in Gld. ApoE-/- C57BL/6 Mice 638. Commensal Microbiota Influence Systemic Autoimmune Responses 655. Hydroxycholorquine Is Cardioprotective in an In Vivo Rat Model of Myocardial Ischaemic Reperfusion Injury 639. Lack of Response Gene to Complement-32 Impairs Th17 Differentiation and Attenuates Lupus-like Chronic Graft Versus Host Disease 656. Breach of B Cell Tolerance in New Zealand Black Chromosome 1 Congenic Mice 657. 640. A Peptide Mimic Inhibits the Cross Reaction of Anti-DNA Antibodies with Glomerular Antigens Distinct Contributions of C1q and C3 in Preventing Immunogenicity of Apoptotic Cells in Lupus 658. 641. Peptidylarginine Deiminase Inhibition Mitigates NET Formation and Protects Against Kidney, Skin, and Vascular Disease in Lupus-Prone MRL/Lpr Mice 17β Estradiol Regulates VCAM-1 Expression during Glomerulonephritis 659. Breakdown of Tolerance at the Tissue Level in Systemic Autoimmunity: Role of Tissue-Resident Dendritic Cells 660. Microthrombotic Renal Vascular Lesions Are Associated to Increased Renal Inflammatory Infiltration in a Mouse Model of Lupus Nephritis 642. 643. 180 Characterization of CD4+ T Cell Response and Effects of Regulatory T Cells in Pristane Induced Lupus (PIL) Mir-663 Impairs the Effects of Bone Marrow-Derived Mesenchymal Stem Cells on MRL/Lpr Mice Treatment with a Glycolipid Ameliorates Lupus Dermatitis and Expands Skin ãä T Cells That Promote the Migration of Langerhans Dendritic Cells The Effect of TNF Inhibition on the Autoreactive B Cell Repertoire in SLE Prone Mice 2014 Program Book ACR POSTER INDICES 661. Dysfunction of Glycosphingolipid Metabolism in Lupus Nephritis 678. The Effectiveness of Tacrolimus for Minor Flares of the Patients with Systemic Lupus Erythematosus 662. Interferon Regulatory Factor-5 Promotes Disease in the MRL/Lpr Mouse Model of Lupus 679. Hydroxychloroquine Dosing and Disease Activity in a Large Multi-Racial Lupus Cohort 663. STAT3 Inhibition Delays the Onset of Lupus Nephritis in MRL/Lpr Mice 680. Influence of Antimalarial doesn´t Modify the Outcome of Cytopenias in Systemic Lupus Erythematosus 664. The Pathogenesis of Neuropsychiatric Systemic Lupus Erythematosus Is Dependent on Brain Intrinsic Factors 681. Hydroxychloroquine Use Is Associated Independently with Improved Quality of Life in Systemic Lupus Erythematosus 682. Impact of Patient’s Priorities on the Management of Systemic Lupus Erythematosus 683. Impact of Lupus on Work Productivity in Patients and Caregivers: Findings from a Cross-Sectional Online Survey in the United States Systemic Lupus Erythematosus - Clinical Aspects and Treatment: Treatment and Management Studies 665. Safety and Efficiency of Low-Dose Interleukin-2 Treatment in Systemic Lupus Erythematosus 666. Approach to Discriminate Treatment Impact in Both Moderate and Severe SLE 684. Effects of Current Therapies for Lupus on Disease Activity and Renal Flares 667. 24-Month Outcomes Associated with Belimumab in Patients with Systemic Lupus Erythematosus in Clinical Practice Settings 685. Successful Withdrawal and Discontinuation of Immunosuppressants in Lupus Patients: Outcomes and Predictors 668. Evolution of Patients with Systemic Lupus Erythematous Treated with Belimumab in Clinical Practice Settings 686. 669. Predicted Chronic Exposure and Dose Selection for Belimumab Administered Subcutaneously to SLE Patients Clinicians Approaches to the Management of Background Therapy in SLE Patients in Clinical Remission: Results of an International Survey 687. 670. Decreased Disease Activity and Corticosteroid Usage and No Renal Flares during Belimumab Treatment in Patients with Systemic Lupus Erythematosus Effect of Corticosteroid Use By Dose on the Risk of Developing Organ Damage over Time in Systemic Lupus Erythematosus—the Hopkins Lupus Cohort 688. Corticosteroids in Early Treatment Pathways in SLE 671. Belimumab Reduces the Frequency of Flares in Patients with Refractory SLE: DATA from Clinical Practice Setting 689. 672. Favorable Response to Belimumab in Pediatric-Onset Systemic Lupus Erythematosus Prednisone, Disease Activity and Hypertension Independently Predict Cataracts in Systemic Lupus Erythematosus (SLE) 690. 673. A Comparison of Rheumatoid Arthritis and Systemic Lupus Erythematosus Trial Design: Ways to Improve Positive Trials in Systemic Lupus Erythematosus Lupus Patients Requiring First Corticosteroid Intervention Late in Disease Course - a Phenotypic Description 691. Prevalence of Subclinical Echocardiographic Abnormalities in Patients with Systemic Lupus Erythematosus (SLE) 692. Circulating Anti-Ro/SSA Antibodies Are Associated with the Presence of Severe Mitral Regurgitation in Systemic Lupus Erythematosus 693. Acute Myocarditis in Patients with Systemic Lupus Erythematosus: Experience from Affiliated Hospitals of Catholic University of Korea 694. Lupus Myocarditis: Clinical, Echocardiographic and Magnetic Resonance Characteristics 695. Osteonecrosis in Patients with Systemic Lupus Erythematosus: Risk Factors and Clinical Outcome 674. A Novel Strategy to Identify and Evaluate Approved Drugs and Treatments for Repositioning As Therapies for Systemic Lupus Erythematosus (SLE) 675.Use of Rituximab in Systemic Lupus Erythematosus: A Single Center Experience 676. 677. Response to Rituximab in Patients with Refractory Systemic Lupus Erythematosus (SLE): Results from a National Multicentre Register Pharmacokinetics, Safety, and Biological Activity of Intravenously or Subcutaneously Administered Tabalumab in Subjects with Rheumatoid Arthritis or Systemic Lupus Erythematosus 2014 Program Book 181 ACR POSTER INDICES 714. The Validity of Patient and Physician Global Disease Activity Assessments of Systemic Lupus Erythematosus: Results from the Lupus Activity Scoring Tool (LAST) As Compared to the Selena Sledai (SS) Modification Multicentre Study 715. The REAL Life with Lupus Study: Developing a Patient Reported Outcome Measure for Use in Clinical Trials and Clinical Care Osteonecrosis in Systemic Lupus Erythematosus: Prevalence, Patterns and Outcomes 716. Simple Disease Assessment for People with Lupus Erythematosus 700. Decreased Lung Diffusion Capacity in Asymptomatic Patients with Systemic Lupus Erythematosus Does Not Predict Future Lung Disease 717. Comparison of Responsiveness of Lupus Impact Tracker with Lupus Quality of Life to Selena Responder Index 718. 701. How Important Is Physical Activity for Patients with Systemic Lupus Erythematodes? -Results of Lula-Study Safety of Gardasil® Vaccine in Systemic Lupus Erythematosu, Trial Update 719. 702. Protein Losing Enteropathy in Systemic Lupus Erythematosus Target Modulation of a Type I Interferon (IFN) Gene Signature with Sifalimumab or Anifrolumab in Systemic Lupus Erythematosus (SLE) Patients in Two Open Label Phase 2 Japanese Trials 703. Autoimmune Hepatitis in Systemic Lupus Erythematosus 696. Clinical Characteristics and Outcome of Intestinal Pseudo-Obstruction in Patients with Systemic Lupus Erythematosus 697. Venous and Arterial Thrombosis in SLE: Differences in Natural History 698. Grip Strength Identifies Increased Physical Disability in Women with Systemic Lupus Erythematosus 699. 704.Utility and Associated Risk of Pulmonary Embolism CT Scans in the Michigan Lupus Cohort 182 Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s - Clinical Aspects and Therapeutics: Systemic Sclerosis Measures and Outcomes 705. Lupus Chest Pain in the Emergency Department: a Common Diagnostic Dilemma 720. Measures of Disease Status in Systemic Sclerosis: Systematic Review 706. Humoral Immunodeficiency in Patients Presenting with Clinical Features of Systemic Lupus Erythematosus 721. Muscle Disease in Systemic Sclerosis Is Associated with an Increased Risk for Cardiac Involvement 707. Characteristics of Lupus Patients with Interstitial Lung Disease and Relationship with Jo-1 Antibody 722. Prediction of Improvement in Skin Fibrosis in Diffuse Cutaneous Systemic Sclerosis 708. Determining Risk Factors That Increase Hospitalizations in Patients with Systemic Lupus Erythematosis 723. 709. Impact of Sleep Disorders in Quality of Life, Pain and Disease Activity Using Actigraphy and Pittsburgh Sleep Quality Index (PSQI)in Female with Systemic Lupus Ertyhematosus (SLE). Early Mortality in Australian, Canadian and Spanish Scleroderma Patients: Rationale for Establishing a MultiNational Inception Cohort of Patients with Systemic Sclerosis 724. Moderate Decline in Forced Vital Capacity is Associated with a Poor Outcome in Systemic Sclerosis Patients 725. Reduced Diffusing Capacity of Carbon Monoxide Is Independently Associated with Worse Subclinical Left Ventricular Function on Speckle-Tracking Echocardiography in Systemic Sclerosis 726. Risk of Ischemic Stroke in Patients with Systemic Sclerosis: A Systematic Review and Meta-Analysis 727. International Classification of Functioning, Disability, and Health (ICF) Core Sets for Connective Tissue Disease Interstitial Lung Disease (CTD-ILD) and Idiopathic Pulmonary Fibrosis (IPF) – a Necessary Map to Health Care Provision in the Era of ICD-11 710. Splenectomy in Systemic LUPUS Erythematosus and AUTOIMMUNE Hematological Diseases. a Comparative Analysis 711. Is the Disease-Specific Lupusqol Sensitive to Changes of Disease Activity in SLE Patients after Treatment of a Flare? 712. Mapping the Disease-Specific Lupusqol to the SF-6D 713. Lupuspro Is Responsive to Changes in Disease Activity over Time 2014 Program Book ACR POSTER INDICES 728. Prediction and Impact of Attacks of Raynaud’s Phenomenon, As Judged By Patient perception Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s Pathogenesis, Animal Models and Genetics 729. A Dilated Esophagus Is an Independent Risk Factor for Interstitial Lung Disease in SSc 744. Integrin Inhibitor Modulates Pulmonary Fibrosis in the Reactive Oxygen Species Murine Model of Systemic Sclerosis 730. Prediction of Cardiac and Vascular Events in Systemic Sclerosis: Input from Endothelin-1 Type a Receptor Antibodies 745. Genetic Susceptibility Loci of Idiopathic Interstitial Pneumonitis Do Not Represent Risk for Systemic Sclerosis 731. Performance of the Old ACR and the New ACR-EULAR Systemic Sclerosis Classification Criteria in Patients with Limited Cutaneous Disease: Effect on the Ascertainment of Severe Pulmonary Arterial Hypertension 746. Elevated Pentraxin 3 in Patients with Systemic Sclerosis: Associations with Vascular Manifestations and Defective Vasculogenesis 732. Predictors of Inpatient Mortality in Patients with Systemic Sclerosis: A Case Control Study 747. Systemic Sclerosis Patients with Antitopoisomerase Antibodies Showed Significant Association with CCR6 Polymorphisms 733. Impact of Geographic Variation on the Risk of Digital Ulcers Development in Systemic Sclerosis: A Brazilian Multicenter Registry 748. Increased Expression of Chemerin in Endothelial Cells Due to Fli1 Deficiency May Contribute to the Development of Digital Ulcers in Systemic Sclerosis 734. Lower Socioeconomic Status, Male Gender and Diffuse Scleroderma Are Associated with Worse Survival in the Pulmonary Hypertension Assessment and Recognition of Outcomes in Scleroderma Cohort 749. Progranulin Overproduction Due to Fli1 Deficiency Contributes to the Resistance of Dermal Fibroblasts to Tumor Necrosis Factor a in Systemic Sclerosis 735. Sarcopenia in Systemic Sclerosis: Prevalence and Association with Functional Parameters and Quality of Life 750. Molecular Characterization of Systemic Sclerosis Esophageal Pathology Identifies Inflammatory and Proliferative Signatures with Few Fibrotic Markers 736. Serum Galectin-3 Levels in Early Diffuse Systemic Sclerosis and the Relationship to Skin Score and Skin Score Change 751. Dissecting the Heterogeneity of Skin Gene Expression Patterns in Systemic Sclerosis 737. Reliability of Nailfold Capillary Density Measurement As a Possible Outcome Measure for Systemic Sclerosis-Related Microangiopathy Troponin T as a Diagnostic and Prognostic Biomarker of Primary Cardiac Involvement in Systemic Sclerosis 752. Potential Roles of Toll-like Receptor 4 in the Murine Models of Systemic Sclerosis 753. Identification of IL12RB1 As a Novel Systemic Sclerosis Susceptibility Locus 738. 739. 740. 741. 742. 743. Lack of Association Between Esophageal Symptoms and Abnormal Findings in High-Resolution Manometry in a Mexican Mestizo Cohort with Systemic Sclerosis (SSc) 754. The Global miRNA Whole Blood Profile in Systemic Sclerosis and Its Correlation with Serum Cytokine Levels 755. Right Ventricular Diastolic Impairment Is Common in Systemic Sclerosis and Is a Marker of Several Organ-Target Damage of the Disease Increased Degradation of BMPR2 in a TGFβ Dependent Transgenic Mouse Model of Scleroderma with Susceptibility to Pulmonary Arterial Hypertension 756. Abnormal Right Ventricular Longitudinal Strain Detected in Systemic Sclerosis Patients Prior to Abnormalities in Conventional Measures of Right Ventricular Size and Function Nucleosome, a Basic Repeating Unit of Chromatin, in Patients with Systemic Sclerosis: Possible Association with Immunological Abnormalities Via Abnormal Activation of T and B Cells 757. Precision of Ultrasound Skin Thickness Measurements: Influence of Examiner and Ultrasound Transducer Distinctive Patterns of Telomere Shortening and Apoptosis in Limited and Diffuse cutaneous Systemic Sclerosis 758. Outcome of Patients with Systemic Sclerosis Admitted to the Intensive Care Unit Assessment of mRNA Gene Expression Based on Forearm Skin Score in Systemic Sclerosis Patients 759. The Anti-Fibrotic Effect of Endostatin-Derived Peptide Is Mediated By Urokinase 2014 Program Book 183 ACR POSTER INDICES 760.Use of Multiplex Cytokine Analysis of Dermal Blister Fluid to Assess Local Inflammatory and Immune Activity in Systemic Sclerosis 761. 762. 763. 764. 765. 766. HLA-DRB1 Alleles in Susceptibility to Giant Cell Arteritis: Literature Review and Meta-Analysis 776. A Candidate Gene Approach Identifies IL33 as a Novel Genetic Risk Factor for GCA 777. Influence of the IL17A Locus in Giant Cell Arteritis Susceptibility 778. PTPN22 rs2476601 and Susceptibility to Biopsy Proven Giant Cell Arteritis (GCA) in an Australian Sample 779. ERG and FLI1 in Systemic Sclerosis-Associated Pulmonary Complications Toll-like Receptor 2 Agonism Induces Inflammation, Angiogenesis and Cell Migration in Giant Cell Arteritis 780. Gene-Gene Interaction of IRF5 and BLK Polymorphisms in US and Spanish Cohorts of Systemic Sclerosis (SSc) Novel Roles for Zyxin in the Pathogenesis of Giant Cell Arteritis 781. Rho Kinase (ROCK) Activity in Aortitis: Comparison of Giant Cell Arteritis (GCA), Takayasu Arteritis (TA) and Isolated Aortitis (IA) 782. Temporal Artery Microbiome in Giant Cell Arteritis 783. Increased Migration and Proliferation Potential Characterize Vascular Smooth Muscle Cells from Patients with Giant Cell Arteritis 784. Novel Inhibitory Effects of Mast Cells in Aortitis Involves Aortic Expression of Suppressor of Cytokine Signaling-1 785. Incidence, Prevalence and Survival of Biopsy-Proven Giant Cell Arteritis in Northern Italy 786. The Incidence and Mortality Rates of Giant Cell Arteritis in Southern Norway Are Lower Than Previous Reported 787. Cardiovascular Risk Factors and Incident Giant Cell Arteritis 788. Fast-Track Diagnostic Procedure for Giant Cell Arteritis 789. Association Between Histological Features and Clinical Features of Patients with Biopsy Positive Giant Cell Arteritis 790. Correlations Between Histopathological Findings and Clinical Manifestations in a Large Monocentric Cohort of Patients with Biopsy-Proven Giant Cell Arteritis 791. Comparison of Clinical Manifestations in Different Histological Subsets of Biopsy-Proven Giant Cell Arteritis 792. Is Temporal Artery Biopsy the Gold Standard for the Diagnosis of Giant Cell Arteritis? 793. Preliminary Analysis of Histological Findings in Diagnosis of Giant Cell Arteritis Biopsy Positive Patients Specific Autoantibody Profiles and Disease Subgroups Correlate with Circulating Micro-RNA in Systemic Sclerosis IQGAP1 Enhances Contractility of Scleroderma Lung Fibroblasts and Promotes Bleomycin-Induced Pulmonary Fibrosis Caveolin-1 and Peroxisome Proliferator-Activated Receptor Gamma Co-Regulate the Differentiation of Monocytes to Adipocytes and Myofibroblasts in Vivo and in Vitro Endothelial Fli1 Deficiency Delays Wound Healing Due to Impaired Anastomosis of Newly Formed Vessels – a Possible Mechanism of Refractory Skin Ulcers in Systemic Sclerosis The Impact of Plasmacytoid Dendiritc Cells (pDCs) on Fibrosis in bleomycin–induced Murine Model of Systemic Sclerosis (SSc) 768. Transforming Growth Factor Beta Induces anti Angio and Vasculo-Genesis Phenotype in Dermal Fibroblasts through Secretion of Pigment Epithelium Derived Factor 770. 771. 772. 773. 774. 184 775. 767. 769. Vasculitis Anti-Fibrotic Effects of an Investigational Drug: BisOxetanyl Sulfoxide Detection of Proteins in Lung Tissues of Patients with Systemic Sclerosis Using Tissue Microarrays Development of a Bifluorescent Lineage Tracker Reporter Mouse Strain to Analyze the Phenotypic Conversion of Endothelial Cells into Myofibroblasts in Vivo. Application to Study the Synergistic Effects of Endothelin-1 on TGF-β1Induced Endothelial-to-Mesen RNA-Seq and Mir-Seq Analysis of SSc Skin Across Intrinsic Gene Expression Subsets Shows Differential Expression of Non-Coding RNAs Regulating SSc Gene Expression Functional Autoantibodies from Patients with Systemic Sclerosis Reactive to Angiotensin II Type 1 and Endothelin-1 Type a Receptor Induce Inflammatory Lymphocyte Infiltration into Lungs of Mice Endothelin-1 Synergistically Increases TGF-β-Induced Hif1α Expression Under Normoxic Conditions during Endothelial-to-Mesenchymal Transition in Murine Endothelial Cells. a Novel Mechanism for the Fibrogenic Effects of Endothelin 2014 Program Book ACR POSTER INDICES 794. 795. Color Doppler Ultrasonography Findings in Giant Cell Arteritis and Their Relationship with Clinical Manifestations High Interobserver Agreement on Ultrasonographic Findings in Patients with Large Vessel Vasculitis 796. Early Halo Sign Features on Ultrasound Examination of Treated Patients with Giant Cell Arteritis 797. PET/CT for the Diagnosis of Giant Cell Arteritis: A Prospective Study 798. Frequency and Predictive Variables of Relapses in Patients with Biopsy-Proven Giant Cell Arteritis 799. Peripheral Arterial Disease in Patients with Giant Cell Arteritis: A Systematic Review and Meta-Analysis 800. Hospitalization Rates and Utilization Among Patients with Giant Cell Arteritis: A Population-Based Study from 1987 to 2012 801. Venothromboembolism in Large Vessel Vasculitis 802. Inpatient Complications in Patients with Giant Cell Arteritis: Increased Risk of Thromboembolism, Delirium and Adrenal Insufficiency 803. Corticosteroid-Related Adverse Events in Patients with Giant Cell Arteritis: A Claims-Based Analysis 804. Vasculitis and Inflammatory Bowel Diseases: A Study of 32 Patients with Both Conditions and Systematic Review of the Literature 805. Takayasu Arteritis and Ulcerative Colitis –High Concurrence Ratio and Genetic Overlap 806. Association of a Single Nucleotide Polymorphism (SNP) in IL-12B Region with Clinical Features and Peripheral T Cell Profiles of Patients with Takayasu Arteritis 807. Serum Cytokine Profiles in Takayasu’s Arteritis: A Search for a Biomarker 808. Biomarkers of Disease Activity in Vasculitis 809. Risk Factors for Severe Ischemic Complications in Takayasu Arteritis: A French Multicenter Retrospective Cohort of 182 Patients 810. Damage Assessment in Takyasu Arteritis Using Takayasu Arteritis Damage Score (TADS) 811. Biologics in Takayasu Arteritis: Preliminary Data from the French Registry 812. Prognosis of Clinically Inactive Takayasu’s Arteritis 813. Long-Term Outcomes of Takayasu’s Arteritis Patients with Renal Artery Involvement 814. Tocilizumab in Giant Cell Arteritis: Multicenter Open-Label Study of 22 Patients MONDAY, NOVEMBER 17, 2014 Poster Hall (Exhibit Hall B) B cell Biology and Targets in Autoimmune Disease: Rheumatoid Arthritis and Related Diseases 982. Identification of Potential SERUM Autoantibody Biomarkers in Rheumatic Diseases Using a New Generation of Protein Arrays 983. Identification of Annexin A2 As an Autoantigen in Rheumatoid Arthritis and in Lyme Arthritis 984. Apolipoprotein B Is a Target of T and B Cell Responses in a Subgroup of Patients with Lyme Disease 985. Labial Salivary Gland Antibody-Secreting Cell Specificity and Characteristics in Sjögren’s Patients 986. Integrated Comprehensive Analysis of Immune Cell Subsets and Serum Protein Profile Identifies the Role of Pre-Germinal Center B Cells in Sjögren’s Syndrome Pathogenesis 987. Novel Auto-Antigen in Aortic Aneurysms of Large Vessel Vasculitis 988. Serum CXCL13 As a Biomarker of Disease Activity and Severity in Rheumatoid Arthritis: Comparison with Acute Phase Reactants and the Autoantibody Profile 989. Fcgamma Receptor IIb Facilitates Rapid Internalisation of Rituximab (type 1 anti-CD20 antibody) in B Cells from Patients with RA and SLE and Contributes to Less Efficient B Cell Lysis Than Type 2 Anti-CD20 Antibodies, in Vitro 990. WITHDRAWN 991. The Alternative CD20 Transcript Variant Is Not a Factor for Resistance to Rituximab in Patients with Rheumatoid Arthritis 992. Differential Antigen-Presenting B-Cell Phenotype from Synovial Microenvironment of Rheumatoid Arthritis and Psoriatic Arthritis Patients 993. Anti-Citrullinated Proteins Antibodies Promote Synovial Fibroblast Migration in Rheumatoid Arthritis 2014 Program Book 185 ACR POSTER INDICES 994. 995. IL-7 Modulates B Cell Immunoglobulin Isotype Production and Increases B Cell Activating Factor of the Tumor Necrosis Factor Family (BAFF) in Synovial Fibroblasts from Osteoarthritis (OA) and Rheumatoid Arthritis (RA) Patients Rheumatoid Arthritis Patients Have Alterations in Inherently Autoreactive 9G4+ B-Cell Subpopulations in Peripheral Blood 996. Memory B Cell Subtype Modulation in Patients with Rheumatoid Arthritis 997. Explore Translational Pharmacokinetics/ Pharmacodynamics Response/Efficacy Relationship of a Novel Bruton’s Tyrosine Kinase Inhibitor in Rat CollagenInduced Arthritis Model 998. β2 Adrenoceptor Signal Is Augmented in B Cells in the Course of Arthritis to Increase IL-10 999. Microrna-155 As an Epigenetic Regulator of B-Cell Activation in Rheumatoid Arthritis: In Vivo and in Vitro Evidences 1000. Pathogenic Role of CXC Chemokine receptor 3-Positive B Cells in Bone Destruction of Rheumatoid Arthritis Biology and Pathology of Bone and Joint: Cartilage, Synovium and Osteoarthritis 1001. Fibroblast-like Synoviocytes Inhibit Wnt Signaling Pathway By Secreting Dockcop-1 1002. Global Transcriptome Analysis in Osteoarthritic Cartilage Reveals Significant Differential Gene Expression and Associations with Histologic Disease Progression 1003. Proteomic Analysis of Connexin 43 Reveals Novel Interactors Related to Osteoarthritis 1004. Elevated Levels of BMP2 Compensate for Loss of TGF-Beta in Articular Cartilage during Experimental Osteoarthritis 1005. Histone Lysine Demethylase KDM6A Mediates Joint Destruction in Osteoarthritic Knees By Epigenetic Disturbance of SOX9 Promoter and Histone H3K27 1006. Interleukin-4 As Promising, Anti-Inflammatory Transgene for Gene Therapeutic Application in Joint Diseases 1007. Markedly Increased Mesenchymal Stem Cell Activity in MRI Bone Marrow Lesions Compared with Non-Involved Bone in Osteoarthritic Hips 1008. Autophagy Activation Protects from Mitochondrial Dysfunction in Human Chondrocytes 1009. 186 Regeneration of Articular Cartilage in Situ with Bone Marrow-Derived Mesenchymal Stem Cells 2014 Program Book 1010. Catecholaminergic-to-Cholinergic Transition of Sympathetic Nerve Fibers in Arthritis and in a Co-Culture System of Sympathetic Ganglia in Vitro 1011. Fibroblast Growth Factor-2 and Its Receptor Antagonists in Osteoarthritis 1012. Role of High Glucose Environment on Chondrocyte Activation and Characterization of Diabetic Osteoarthritic Cartilage: Toward Pathophysiological Delineation of Diabetes Mellitus-Related Osteoarthritis 1013. Mitochondrial Function Is Impaired in Human Knee Osteoarthritic (OA) Chondrocytes and Improved By Pharmacologic AMPK Activation Via SIRT1 and PGC-1α 1014. Harpagide, a Low Molecular Weight Natural Product, Suppresses IL-1â-Induced IL-6 Expression By Blocking the Activation of p38 MAPK and Transcription Factors CEBPâ and AP-1 in Primary Human Osteoarthritis Chondrocytes 1015. Mir-9/MCPIP1 Axis Mediated Regulation of IL-6 Expression in Osteoarthritis Chondrocytes 1016. Reduced Expression of Circadian Rhythm Genes in Human Osteoarthritis Cartilage: NR1D1 Suppression Alters Chondrocyte Response to IL-1β Stimulation 1017. BMP9-Induced pSmad1/5/8 Signaling and Chondrocyte Hypertrophy Are Effectively Inhibited By TGFβ1 1018. Monolayer Culture Induced the Expression of ZyxinRelated Protein 1 (ZRP-1), αvβ3 integrin Complex and Leptin in Human Articular Chondrocytes 1019. Targeting the Bone-Driven Metabolic OA Phenotype By a Novel Dual Amylin Calcitonin Receptor Agonist, KBP-056 1020. Changes in Peripheral Blood Immune Cell Composition in Osteoarthritis 1021. Transthyretin and Amyloid in Cartilage Aging and Osteoarthritis 1022. Fibroblast-like Synovial Cells and Monocytes Team up in the Organization and the Dynamic Modelling of the Synovial Tissue 1023. Chronic PTHrP Treatment Promotes Hypertrophic Differentiation and Inflammatory Gene Expression in Chondrocytes 1024. Racial Differences in Biochemical Knee Cartilage Composition Between African American and Caucasian American Women with MR-Based T2 Relaxation Time Measurements – Data from the Osteoarthritis Initiative 1025. Leptin Production By Osteoarthritis Synovial Fibroblasts: Stimulation By Glucocorticoids and Mineralocorticoids through the Glucocorticoid Receptor and GILZ (Glucocorticoid-Induced Leucine Zipper) Protein ACR POSTER INDICES 1026. Monosodium Urate Monohydrate Crystals Induces the Expression of Ihh and MMP-13 in ATDC5 Cells: Implications in Osteoarthritis (OA) Development. Cytokines, Mediators, Cell-cell Adhesion, Cell Trafficking and Angiogenesis 1027. Hematopoietic Cell Kinase (HCK) As a Novel Regulator of Fibroblast-like Synoviocyte Function in RA 1028. ADAM-10 Plays Monocyte Migration and Adhesion in Rheumatoid Arthritis Synovial Fibroblasts 1029. Anandamide and Related Eicosanoids Decrease the Production of Pro-Inflammatory Cytokines in Synovial Fibroblasts By a COX-2 Dependent Mechanism: Involvement of Calcium and TRP Channels 1042. IL-1β and TNF-α Promote Monocyte Viability through the Induction of GM-CSF Expression By Rheumatoid Arthritis Synovial Fibroblasts 1043. Identification of Putative Biomarkers and Molecular Mechanisms Associated with Adverse Tissue Reactions to Metal-on-Metal and Modular Neck Hip Implants 1044. Novel Compound Cytokine Release Inhibitory Drug 3 (CRID3) Inhibits the NLRP3 Inflammasome in Rheumatoid Arthritis 1045. Tertiary Lymphoid Organ Developmental Program: Diversgent Paradigm of Lymphoid Organogenesis 1046. Modulatory Effect of Adiponectin on Apoptosis and Proliferation of Synovial Fibroblasts from Rheumatoid Arthritis Patients 1047. Type I and II Interferon Signatures in Sjögren’s Syndrome: Contributions in Distinct Clinical Phenotypes and Sjögren’s Related Lymphomagenesis 1030. ABT-122, a Novel Dual Variable Domain (DVD)-IgTM, Targeting TNF and IL-17, Inhibits Peripheral Blood Mononuclear Cell Production of GM-CSF and Decreases Lymphocyte Expression of CXCR4 in Healthy Subjects 1031. Induction of Pro-Apoptotic Noxa Expression By Ursolic Acid Sensitizes Rheumatoid Arthritis Synovial Fibroblasts to Apoptosis: A Role of Mir-181a 1048. Oncostatin M Suppresses Activation of IL-17/Th17 Via Suppressor of Cytokine signaling3 (SOCS3) Regulation in CD4+ T Cells 1032. Neutralization of IL-17 Ameliorated Kidney Pathology Associated with Immune-Complex Mediated Autoimmune Glomerulonephritis 1049. Bioactive TGF-β Is Present on Bovine Milk-Derived Exosomes: Consequences for Patients? 1050. 1033. Stat3 Promotes IL-10 Expression in SLE T Cells through Trans-activation and Chromatin Remodeling A Role for Purinergic Receptor Signalling in Basic Calcium Phosphate Crystal-Induced Inflammation 1034. Therapeutic Potential of Targeting Sialic Acid Modified Receptors in Osteoarthritis Epidemiology and Public Health: Rheumatoid Arthritis and Systemic Lupus Erythematosus Outcomes 1035. TNF-á Modulates the Expression of Circadian Clock Genes Via Calcium Signaling in Rheumatoid Synovial Cells 1051. Rates of Renal Remission with Immunosuppressives in Lupus Nephritis: A Systematic Review and Network MetaAnalysis 1036. Synergism Between GM-CSF and IL-17 Causes Enhanced Joint Pathology Via the Production of IL-6 and IL-23 1052. Time Trends in Comorbidities Among Patients with Rheumatoid Arthritis Compared to the General Population 1037. Anti-MDA5 Antibody Associated Myositis Compared to DM Patient: A Distinct Muscular Pattern Associated with a shared IFN Signature 1053. Co-Morbidity Is Associated with Disease Severity in Early Rheumatoid Arthritis 1038. Macrophage-Fibroblast Crosstalk Pathways Amplify RA Joint Pathology 1054. Rheumatoid Factor, Not ACPA, Is Associated with Disease Activity in Rheumatoid Arthritis 1039. Interleukin-20 Is Triggered By TLR Ligands and Associates with Rheumatoid Arthritis Disease Activity 1055. Identifying Flare in Rheumatoid Arthritis (RA): Performance of the Flare-Assessment in RA (FLARE) Questionnaire in a US Population 1040. Dysregulated Serum Interleukin 16 Concentration Associated with Clinical Disease Activity in Patients with Rheumatoid Arthritis Is Efficiently Corrected By Immunological Intervention 1056. Factors Associated with Impairment on Quality of Life in Early or Established RA Patients 1041. Imaging the Role of Chemoattractants in Inflammatory Arthritis 1057. Work-Related Behavior and Experiences in Patients with Rheumatoid Arthritis 2014 Program Book 187 ACR POSTER INDICES Levels of Fatigue Are Dependent on Country of Residence in Rheumatoid Arthritis: An Analysis Among 3920 Patients from 17 Countries 1075. 1059. Patients with RA from Wealthier Countries Perform Better on Clinical Disease Activity Measures, but Tend to Show Worse Person Reported Outcomes 1076.U.S. Geographic Trends in the Distribution and Treatment Practices of Juvenile Systemic Lupus Erythematosus: An Analysis of the Childhood Arthritis and Rheumatology Research Alliance Registry 1060. Musculoskeletal Surgeries and Procedures in Patients with RA: Results from a UK Retrospective Study 1077. A Real-World Characterization of US Patients with “Moderate-to-Severe” Systemic Lupus Erythematosus 1061. How Does Rheumatoid Arthritis Disease Activity Affect Development of Upper Cervical Lesions? a Retrospective Study of Cervical Spine X-Rays Combined with a Cohort Study in Rheumatoid Arthritis Patients 1078. Work-Related Behavior and Experiences in Patients with Systemic Lupus Erythematosus 1079. Prevalence of Cardiac Arrhythmias in Systemic Lupus Erythematosus 1080. Stroke Risks Among U.S. Medicaid Recipients with Systemic Lupus Erythematosus, 2000-2006: Racial and Ethnic Variation 1081. Prediction of Mortality Risk Related to Cerebrovascular Accidents in Patients with Systemic Lupus Erythematosus (SLE) vs Anti-Phospho-Lipid-Antibody (aPL) syndrome 1082. Risk of Intra Cranial Hemorrhage among Patients with Anti-Phospho-Lipid-Antibody (aPL) syndrome vs Systemic Lupus Erythematosus (SLE) in Stroke Population: A Nationwide Analysis 1062. 1063. Impact of Obesity on 1 Year Outcomes: Results from the Meteor Foundation International Rheumatoid Arthritis Cohort Management of Hyperlipidemia Among Patients with Rheumatoid Arthritis in the Primary Care Setting 1064.Unique Profile of Cardiovascular Risk Factors in Rheumatoid Arthritis High-Risk Populations with Insufficient Risk Control 1065. Characteristics of Rheumatoid Arthritis Patients with and without Cardiovascular Diseases - Data from the Ontario Best Practice Research Initiative (OBRI) 1066. Factors Associated with Recording of Rheumatoid Arthritis on Death Certificate 1067. Mortality Trends in Rheumatoid Arthritis during the Biologic Era, 1998 to 2011 1068. Smoking-Related Mortality in Rheumatoid Arthritis: A Retrospective Cohort Study Using Electronic Medical Records 1069. Impact of Rheumatoid Arthritis on the Mortality of Patients Who Develop Cancer: A Population-Based Study Mortality Risk in Patients with Rheumatoid Arthritis Who Develop Non–Hodgkin′s Lymphoma 1070. 188 Risk of High-Grade Cervical Dysplasia and Cervical Cancer in Women with Systemic Lupus Erythematosus on Immunosuppressive Drugs 1058. 1071. What Is the Impact of Chronic Systemic Inflammation Such As Rheumatoid Arthritis on Mortality Following Cancer? 1072. Sex Ratio of Offspring Born to Women with Lupus and Rheumatoid Arthritis 1073. Prescription Medication Trends in Medicaid-Enrolled Pregnant Women with Rheumatoid Arthritis, Psoriasis, and Systemic Lupus Erythematosus 1074. A Meta-Analysis of the Risk of Venous Thromboembolism in Inflammatory Rheumatic Diseases 2014 Program Book Epidemiology and Public Health (ARHP) 1083. The Relation of Step Length to MRI Features of Osteoarthritis in the Patellofemoral Joint: The MOST Study 1084. Obesity Is a Risk Factor for Depression in Systemic Lupus Erythematosus (SLE) 1085. Trajectories and Predictors of Physical Activity over Two Years in Rheumatoid Arthritis 1086. The Effect of Foot Pain on Mobility Disability in Older Adults: The Framingham Foot Study 1087. The Prevalence of Knee Arthritis and Associated SelfReported Limitation of Activity in Chinese Populations 1088. Socioeconomic Disparities in Health Outcomes Among Individuals with, or at Risk for, Osteoarthritis from the United States: Data from the Osteoarthritis Initiative 1089. Trajectories of Disability over Time Among Patients with Systemic Sclerosis 1090. Association of Objectively Measured Physical Activity and Metabolic Syndrome Among Adults with Osteoarthritis in the United States ACR POSTER INDICES 1091. Skeletal Muscle Fat and Its Association with Physical Function and Physical Activity in Adults with Rheumatoid Arthritis 1092. Does Arthritis Status Predict Starting or Stopping Work over a 2-Year Period? Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes: Clinical Focus 1109. Impact of Age on Symptom Severity and Disease Management at Fibromyalgia Diagnosis 1110. The Comparative Efficacy of Kinesio Taping and Local Injection Therapy in Patients with Subacromial Impingement Syndrome 1111. The Effect of High Intensity Laser Therapy in the Management of Myofascial Pain Syndrome of the Trapezius: A Double Blind, Placebo-Controlled Study 1093. Female Sexual Function in Fibromyalgia 1112. 1094. Work Productivity and Healthcare Utilization in Patients with Fibromyalgia and Comorbid Depression Taking Antidepressant Medication Cognitive Symptoms in Fibromyalgia Patients Compared with Rheumatoid Arthritis Patients 1113. Mayor Trocanter Painful Syndrome. Treatment with Hyaluronic Acid Versus Triamcinolone Acetonide Injections. a Comparative Study 1114. Clinical Effectiveness of Exercise and Corticosteroid Injection for Subacromial Impingement Syndrome: A Randomised Controlled Trial 1115. The Effects of Mulligan’s Mobilization with Movement Techniques in Patients with Lateral Epicondylitis 1116. Mindfulness Is Associated with Sleep Quality Among Patients with Fibromyalgia 1117. Fibromyalgia Patients Taking Opioids Have Low SelfEfficacy and High Pain Catastrophizing but No Reduction in Pain or Improvement in Activity 1095. Treatment of Fibromyalgia with Neurostimulation: A Randomized, Double-Blinded, Sham-Controlled Trial 1096. Fibromyalgia Patients Who Have More Symptoms at Their Initial Office Visit Tend to Have a Worse Clinical Course 1097. Can We Help Identify Learning Disabilities in Fibromyalgia Patients? 1098. Clinical Efficacy of the High-Concentration Capsaicin Patch for the Treatment of Carpal Tunnel Syndrome 1099. Which Stresses Bother Fibromyalgia Patients Most? 1100. System Review: The Most Common Symptoms of Fibromyalgia Patients Other Than Pain, Fatigue, Insomnia, and Cognitive Dysfunction 1118. Olecranon Bursitis Is Often Hemorrhagic and Responds to Steroid Injections 1101. Numbness and Tingling: Neurological Symptoms in Fibromyalgia 1119. Comparison High Intensity Laser Therapy and Wrist Splint in the Treatment of Lateral Epicondylitis 1102. Anxiety in Fibromyalgia Patients 1120. 1103. Analgesic and Anti-Hyperalgesic Effects of Deep Dry Needling Therapy in Fibromyalgia Patients The Relationship Between Tender Points and Disease Severity in Patients with Fibromyalgia 1104.Utility of the 2010 ACR Diagnostic Criteria for Fibromyalgia for Pediatric Patients with Juvenile Fibromyalgia The Effectiveness of Mirror Therapy in Patients with 1105. Adhesive Capsulitis 1106. 1107. Most Patients Diagnosed with Fibromyalgia By Physicians Do Not Have Fibromyalgia: The 2012 National Health Interview Survey Fibromyalgia Study Genetics, Genomics and Proteomics II 1121. The mtDNA Haplogroups Influence the DNA Methylome of Articular Chondrocytes 1122. Transmitocondrial Cybrids: A Tool to Study the Role of mtDNA Haplogroups in OA Pathogenesis 1123. Impact of Genes Modulating Serum Low-Density Lipoprotein Cholesterol Levels on Progression of Joint Destruction in Japanese Patients with Rheumatoid Arthritis 1124. Genome-Wide Profiling of DNA from Cartilage Reveals Regions Differently Methylated in Osteoarthritis Patients 1125. The Mitochondrial Genome Influences the Risk of Incident Knee OA. DATA from the Osteoarthritis Initiative A Strong Association Between Memory Loss and Word Finding Difficulties in Fibromyalgia 1108.Understanding Baseline Clinical Characteristics May be of Use in Considering the Response to Pregabalin in FM Patients with Comorbid Depression 2014 Program Book 189 ACR POSTER INDICES 1126. Quantitative Proteomics (iTRAQ) Reveals Putative Biomarkers in Pre-Radiological Osteoarthritis 1127. Mass Spectrometry Imaging Revealed Potential Lipid Chondrogenic Biomarkers for Cell-Based Therapy in Cartilage 1128. Regulation of PIWIL4 By Histone Modifications in Rheumatoid Arthritis 1129. FCGR2A Polymorphism and Response to Anti-TNF Treatment in Rheumatoid Arthritis 1130. IRF8 Gene Contributes to Disease Susceptibility and Interacts with NF-KB By Modulating Interferon Signature in Patients with Systemic Sclerosis 1131. Identification of Genetic Variants Associated with Response to Adalimumab Plus Methotrexate in Patients with Early Rheumatoid Arthritis 1132. A Novel Epigenetic Mark, Histone H1 Fucosylation, Orchestrates Macrophage Differentiation and Plasticity By Remodeling the Enhancer Landscape in Rheumatoid Arthritis 1133. 1134. 1135. 1136. 1137. 1138. 1139. 1140. 190 Health Services Research (ACR) 1141. Comparisons of Quality of Life, Resource Use and Physical Functioning in RA Patients Classified As High, Moderate or Low Risk for Rapid Radiographic Progression 1142. Healthcare Costs Associated with Serious Infections Among Biologic-Naïve Rheumatoid Arthritis Patients Initiating First-Line Biologic Treatment 1143. Preferences of Biologic Treatment Characteristics Among Rheumatoid Arthritis Patients Who Are Current Biologic Therapy Users 1144. Economic Implications for Policies Regarding Triple Therapy Use in Patients with Rheumatoid Arthritis 1145. Evaluation of Biologic Treatment Patterns, Clinical Outcomes, and Healthcare Resource Utilization PostTumor Necrosis Factor Inhibitor Discontinuation in Rheumatoid Arthritis 1146. Cost-Effectiveness of Adalimumab for Rheumatoid Arthritis in Germany 1147. Economic Implications of Flares Among Patients with Early Rheumatoid Arthritis (RA) 1148. Evaluation of a Methodological Approach to Determine Timing of Rheumatoid Arthritis Disease Onset Using Administrative Claims Data 1149. Novel Adherence Measures for Infusible Therapeutic Agents in Rheumatoid Arthritis 1150. Marked Differences in Euro-Qol-5-Dimensions Preference Sets Based on Hypothetical or Experience Based Valuation 1151. Multiway Transcriptomic Analysis of Monocyte-Derived Dendritic Cells Discriminates Effects of Disease and of HLA-B27 in Spondyloarthritis Barriers and Facilitators of a Career in Research Among Rheumatologists in the United States 1152. Vasoactive Intestinal Peptide (VIP) Genetic Variants Determine VIP Serum Levels and Could be Used As a Prognosis Biomarker Euroqol-5-Dimensions Utility Gain in Rheumatoid Arthritis, Treated with Abatacept, Rituximab, Tocilizumab or Tumor Necrosis Factor Inhibitors 1153. TACR1 rs3771863 Single Nucleotide Polymorphism Is a Genetic Risk Factor for Sicca Syndrome in Fibromyalgia Patients Area of Residence and Socio-Economic Factors Significantly Affect Access to Biological Therapy for Rheumatoid Arthritis Patients in Romania 1154. Increasing Discrepancies Between Physician Assessment of Disease Activity and Patient Global Health in Germany Between 2000 and 2012 Economic Impact of Frequent Gout Flares in a Managed Care Setting Genetic Variants Influencing Joint Damage in Mexican Americans and European Americans with Rheumatoid Arthritis Role of NOD2 Pathway in Sarcoidosis Cases with Characteristics of Blau Syndrome Genes Involved in Cartilage Synthesis and Risk to Knee Osteoarthritis Transcriptional Heterogeneity of the SLC2A9 Gene Encoding the GLUT9 Urate Transporter Association of Polymorphisms on OPG, RANK and RANKL with ACPA Presence and Erosions: Results of a MetaAnalysis on 1570 Rheumatoid Arthritis Patients from 3 French Cohorts 2014 Program Book 1155. 1156. Satisfaction with Rural Rheumatology Telehealth Service 1157. Delay in Diagnosis from Onset of Symptoms By More Than One Year in 31% of Patients with Different Rheumatic Diseases in Australia ACR POSTER INDICES 1158. A Patient Survey Study of Zoledronic Acid Utilization and Factors Associated with Persistence 1159. Long-Term Quality of Life, Productivity Impairment, Disease Severity and Health Care Costs in Relation to Functional Impairment in Ankylosing Spondylitis Patients in the Czech Republic 1160. Annual Real-Practice Costs of Biologics for 200 Cases with Rheumatoid Arthritis, Psoriatic Arthritis and Ankylosing Spondylitis Treated By Tight Control and Treat to Target Strategy Permitting Dose Reduction 1172. Assessing the Validity and Reliability of a Novel MRI SemiAutomated Algorithm for Quantifying Bone Loss in the Hand 1173. Magnetic Resonance Imaging of Inflammatory Severity and Cartilage Damage of Finger Joints in Rheumatoid Arthritis 1174. Evaluating MRI-Detected Tenosynovitis of the Hand and Wrist in Early Arthritis 1175. Association of Hand MRI Findings with the Level of Plasma Cytokines in Patients with Newly Diagnosed Rheumatoid Arthritis 1161. The Price of a Positive Test: Is It Worth the Cost? 1162. Patterns of Use of Long-Term (> 5 Years) Oral Bisphophonate Prescription Among Primary Care Providers and Rheumatologists for the Treatment of Osteopenia and Osteoporosis in a Veteran Population 1176. Feasibility and Clinical Implication of Radiocarpal Cartilage T1ρ MR Imaging in Rheumatoid Arthritis 1177. Predictors of Cholesterol and Lifestyle Discussions in Rheumatoid Arthritis Visits: Impact of Perceived RA Control and Comparison with Other Prevention Topics Evaluation of a Simplified Version of the Rheumatoid Arthritis Magnetic Resonance Imaging Score (RAMRIS) Comprising 5 Joints (RAMRIS5) 1178. Inequity: Level of Education Is Associated with Access to Biologic Dmards Even in a Country with Highly Developed Social Welfare (Norway) Novel Quantification of MRI Provides a More Sensitive Outcome Measure Than Ramris 1179. Evaluation of Symptom Control Among Treated Gout Patients in the United States, United Kingdom, and Germany Efficacy of Tocilizumab in Patients with Rheumatoid Arthritis: Sequential Evaluation Using Whole-Body Magnetic Resonance Imaging 1180. Dynamic Magnetic Resonance Imaging in the Assessment of the Response to Certolizumab Pegol in Rheumatoid Arthritis Patients: Results from a Phase IIIb Randomized Study 1181. Effects of Tofacitinib on Bone Marrow Edema, Synovitis, and Erosive Damage in Methotrexate-Naïve Patients with Early Active Rheumatoid Arthritis (Duration ≤2 Years): Results of an Exploratory Phase 2 MRI Study 1182. Do Patients with Active RA Also Have Inflamed Atherosclerotic Plaques on PET-MRI? 1183. Validation of the Omeract Psoriatic Arthritis Magnetic Resonance Imaging Score for the Hand and Foot in a Randomized Placebo-Controlled Trial 1184. Subclinical Inflammation in Psoriatic Patients with No History of Psoriatic Arthritis: An Assessment By Magnetic Resonance Imaging Feature of Fatty Deposition in Sacroiliac Joints in Ankylosing Spondylitis Patients Seen By MRI 1163. 1164. 1165. Health Services Research (ARHP) 1166. 5 Year Budget Impact Analysis of Biosimilar Infliximab for the Treatment of Rheumatoid Arthritis in UK, Italy, France and Germany 1167. A Description and Comparison of Treatments for Low Back Pain in the United States 1168.Usng an Advanced Clinician Practitioner in Arthritis Care Trained Physiotherapist and a Standardized Electronic Medical Record Triage Assessment Tool to Detect Inflammatory Arthritis and Initiate Dmards Earlier in a Community Rheumatology Office Setting Imaging of Rheumatic Diseases: Magnetic Resonance Imaging (MRI) 1169. 1185. Hippocampal Atrophy Is Associated with Anti-NR2 Antibodies in Patients with Systemic Lupus Erythematosus and Primary Sjögren’s Syndrome 1186. Prevalence of MRI Spinal Lesions Typical for Axial Spondyloarthritis in Patients with Inflammatory Back Pain 1170. Neurological Complications during Anti-TNF Therapy: A Prospective Imaging and Electrophysiological Study 1187. 1171. Diffusion–weighted Magnetic Resonance Imaging (MRI) of Wrist and Hands in Patients with Rheumatoid arthritis –reproducibility and Correlation with Conventional MRI Scoring of Spinal Lesions Compatible with Axial Spondyloarthritis on MRI in Clinical Practice By Local Radiologist or Rheumatologist in Desir; Comparison with Central Reading 2014 Program Book 191 ACR POSTER INDICES 1188. Reproducibility of Magnetic Resonance Imaging Diffusion Weighted Imaging in Axial Spondyloarthritis Patients and Healthy Subjects 1203. NK/NKT Cells from Early and Definite Systemic Sclerosis Patients Show Different Immunological Responses after IL-2 Stimulation 1189. Conventional Magnetic Resonance Imaging (MR) and Hybrid 18F-Fluoride Positron Emission Tomography MRI (18F-F- PET/MRI) of the Spine and the Sacroiliac Joints – a Detailed Description of Pathologic Signals in Patients with Active Ankylosing Spondylitis 1204. Oral Administration of Nano-Emulsion Curcumin in Mice Suppresses Inflammatory-Induced NFkB Signaling and Macrophage Migration 1205. Osteoarthritis-like Changes Are Present in the Tibia and Femur 1 Year Following ACL Reconstruction Expression of Lectin-like Transcript 1, the Ligand for CD161, in Rheumatoid Arthritis 1206. Low Dose Colchicine Anti-Inflammatory Effects Are Transduced By AMP-Activated Protein Kinase (AMPK) 1207. Novel Role of Liver X Receptor Alpha (LXRα) in the Attenuation of TLR Signalling: Implications in Congenital Heart Block 1208. Cholesterol Loading Induces Neutrophil Extracellular Traps, and Atorvastatin Attenuates This Effect 1209. Anti-Scavenger Receptor Autoantibodies Disrupted Marginal Zone Macrophage Integrity Via Bruton’s Tyrosine Kinase 1210. The Role of the Transcription Factor cAMP Responsive Element Binding Protein 1 in Lipopolysaccharide-Induced Tolerance 1211. Gene Expression Profile in Muscle Tissue before and after Immunosuppressive Treatment in Patients with Myositis 1212. Behcets Disease in Females Due to Mutation in NEMO, the NF-Kb Essential Modulator 1213. Absence of Hormone Responsive Estrogen Receptor Alpha Reduces the Activation of Plasmacytoid Dendritic Cells in Lupus Prone Mice 1190. 1191. The Kimriss Bone Marrow Lesion Score in Patients with Osteoarthritis of the Knee Correlates with WOMAC Pain Status Using Target-Lesion Based Scoring Methodology; Data from the Osteoarthritis Initiative 1192. Erosions Detected By Magnet Resonance Imaging in Patients with Juvenile Idiopathic Arthritis (JIA) Are True Erosions As Visualized By Computed Tomography 1193. Diagnostic value of Contrast-Enhanced MR-Angiography in diagnosing large Vessel Vasculitis Innate Immunity and Rheumatic Disease: Signaling Mechanisms 1194. 1195. 1196. 1197. Activation of the nlrp3 Inflammasome By an Endogenous TLR2 Ligand in Rheumatoid Arthritis Inflammation Develops in a Toll-like Receptor 9-Independent Manner in Experimental Arthritis and Rheumatoid Arthritis Febuxostat Inhibits Monosodium Urate Crystal-Induced IL1beta Secretion and Cell Death Via ROS- and Intracellular ATP-Dependent Pathways 1198. Prolactin Is Locally Produced in the Synovium of Patients with Inflammatory Arthritic Diseases and Promotes Macrophage Activation 1199. Alarmins S100A8/S100A9 Aggravate Osteophyte Formation in Experimental Osteoarthritis and Predict Osteophyte Progression in EARLY Human Osteoarthritis in the Dutch Check Cohort 1200. 192 Cofilin-1 Is a ROS Sensor in Regulating the NLRP3 Inflammasome Plasma Levels of Pattern Recognition Molecules of the Lectin Pathway Are Altered in SLE Patients 1201. Hypoxia Modulates Peptidyl Arginine Deiminase 4 Activity and Neutrophil Extracellular Trap Formation 1202. Type I Interferon Promotes Inflammatory Cytokine Production By Inhibiting Mir-146a Maturation in SLE 2014 Program Book Metabolic and Crystal Arthropathies: Mechanisms of Disease 1214. Oxidative Stress from Use of Allopurinol - Is There a Reason for Patients with Gout to Take Vitamin C? 1215. Circulating Mediators of Bone Remodeling in Patients with Tophaceous Gout 1216. The Relationship Between Serum Homocysteine, Uric Acid and Renal Function in Chronic Gouty Patients: 2 Year Follow-up Results 1217. The Random Urine Uric Acid to Creatinine Ratio As a Predictor of 24-Hour Urine Uric Acid Excretion in Gout Patients 1218. The Reduction of Serum Uric Acid Level Might Prevent Atherosclerosis in Mice ACR POSTER INDICES 1236. IgG4 Immunostaining Is Common but Not Specific in Orbitbal Inflammatory Diseases 1237. Retroperitoneal Fibrosis and IgG4 Disease: Response to Immunosuppressive Therapy - a Single Centre Retrospective Study Serum Uric Acid As an Independent Risk Factor on Progression of Chronic Kidney Disease in Gout Patients with Uric Acid Lowering Agent 1238. Proportion of Peripheral Plasmacytoid Dendritic Cells and Plasmablasts Reflects Disease Activity in IgG4-related Disease Suppressive Effect of Butyrate on Monosodium Urate (MSU) Crystal-Induced IL-1beta Production Is Mediated Via Inhibition of Class I Histone Deacetylases 1239. Is Lymphocytic Sialadenitis IgG4-Related? 1240. Efficacy of Anakinra in Refractory Adult-Onset Still´s Disease: Multicenter Study of 41 Patients 1241. Efficacy of Tocilizumab Therapy in Korean Patients with Adults Onset Still’s Disease: Multicenter Retrospective Study of 20 Cases 1242. Switching Biologic Agents in Refractory Adult-Onset Still’s Disease: Efficacy and Safety in a Cohort of 20 Patients at a Single Referral Center 1243. Macrophage Activation Syndrome Complicating Adult Onset Still’s Disease - Single Center Experience and Literature Review 1244. The Prevalence of Malignancy in Adult-Onset Still’s Disease 1245. Long Term Outcome of Infliximab in Severe and Refractory Systemic Sarcoidosis: Report of 16 Cases 1246. Assessment of Protective Factors of Bone Mineral Density in a New Orleans Sarcoidosis Population 1247. The Prevalence of Sacroiliitis and Spondyloarthritis in Patients with Sarcoidosis 1248. Serologic and Clinical Overlap Between Sarcoidosis and the Rheumatic Autoimmume Diseases 1219. Lack of Gene-Diuretic Interactions on Risk of Incident Gout: The Nurses’ Health Study and Health Professionals Follow-up Study 1220. Higher Inflammatory Response in Elderly Patients during Gout Attack 1221. 1222. 1223. 1224. Enhancement of Proinflammatory Cytokine Production By Uric Acid in Human Cells Via Down Regulation of IL-1Ra Pegloticase for Tophus Debulking: Comparison of Dual Energy Computerized Tomography (DECT), Musculoskeletal Ultrasound (MSK-US) and Topographic Caliper Measurement for Assessing Debulking Rate Miscellaneous Rheumatic and Inflammatory Diseases 1225. 1226. Clinical Presentation and Cytokine Production Abnormalities in a Cohort of Patients Carrying NLRP12 GENE Variants Studying Patients with Autoinflammatory Diseases: The Past, Present, and a Perspective for the Future 1227. Cryopyrinopathy with a Myeloid-Specific NLRP3 Mutation 1228. Involvement of the IFN-Õ Pathway in a Patient with Candle Syndrome Carrying a Novel Variant of PSMB8 Gene 1229. Is NOD2-Associated Autoinflammatory Disease Remotely Related to Familial Mediterranean Fever or Continuum of It? 1230. Efficacy of Interleukin-1 Targeting Drugs in Familial Mediterranean Fever Patients 1249. Efficacy of Tocilizumab in Patients with Uveitis Refractory to Other Biologic Drugs: A Multicenter Study on 31 Cases 1231. Evidence Based Recommendations for Genetic Diagnosis of Familial Mediterranean Fever 1250. 1232. Canakinumab Therapy in Patients with Familial Mediterranean Fever Golimumab As an Alternative Therapy in Patients with Uveitis Refractory to Other Anti-TNFα Drugs. Multicenter Study of 29 Cases 1251. Efficacy of Certolizumab in Patients with Refractory Uveitis to Other Biologic Therapy. Study of 7 Cases 1252. Intravenous Methylprednisolone Pulse Therapy in Severe Inflammatory Eye Disease. a Multicenter Study 1253. Anakinra – a Promising New Therapy for Idiopathic Recurrent Pericarditis 1233. Tocilizumab (TCZ) in the Treatment of AA Amyloidosis in Patients with Familial Mediterranean Fever 1234. Periodic Fever Syndromes in an Academic Medical Center 1235. Recovery of Renal Function after Corticosteroid Therapy for IgG4-Related Kidney Disease 2014 Program Book 193 ACR POSTER INDICES 1254. Anakinra for the Management of Resistant Idiopathic Recurrent Pericarditis in Adults Muscle Biology, Myositis and Myopathies: Myositis Autoantibodies and Disease Phenotype Study of Autoantibodies in a cohort of Mexican patients with idiopathic inflammatory myopathies 1269. Epidemiology and Characteristics of Antisynthetase Syndrome in the African Descent Population of Martinique 1255. Pathogenic Role of Tyrosyl–Transfer RNA Synthetase in Anti-Synthetase Syndrome 1270. Distinctive Muscle Histopathological Features of AntiSynthetase Syndrome 1256. Clinical and Temporal Characterization of Anti-Jo-1 Positive Anti-Synthetase Syndrome: Preliminary Results of an International Multicentre Study 1271. Myocarditis in Antisynthetase Syndrome 1272. Myositis-Specific and Myositis Associated Autoantibodies in Indian Patients with Inflammatory Myositis 1273. Assessment of the Effect of Rituximab in the Treatment of Interstitial Lung Disease associated with the Antisynthetase Syndrome 1257. 1258. A New Multianalyte Assay for Detection of Dermatomyositis-Specific Autoantibodies Undetectable By Commercially Available Immunoassays Enzyme-Linked Immunosorbent Assays for Detection of Anti-Transcriptional Intermediary Factor-1 Gamma and Anti-Mi-2 Autoantibodies in Dermatomyositis: Utility and Crossreactivity 1259. A Multi-Center Study for Validation of a New Assay for Anti-Melanoma Differentiation-Associated Gene 5 (MDA5) Autoantibody 1260. The Early Use of Cyclosporine Is Beneficial for Long-Term Prognosis in Patients of Polymyositis/DermatomyositisAssociated Interstitial Lung Disease with Anti- Synthetase Antibodies 1261. Pulmonary Arterial Hypertension in Patients with AntiPM-Scl Antibody 1262. Mechanisms of Muscular Necrosis in Auto-Immune Myopathies Associated with Anti-Signal Recognition Particle and Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme a Reductase Antibodies: Pathogenic Role of AutoAntibodies 1263. Evidence for the Involvement of NK Cells in Antisynthetase Syndrome 1264. Analysis of Clinical Manifestations and Myositis-Specific Autoantibodies Associated with Severity of Physical Dysfunction after Treatment for Polymyositis and Dermatomyositis 1265. Diabetes and Atorvastatin Are Potential Risk Factors for Statin-Associated Myopathy with Autoantibodies Against 3-Hydroxy-3-Methylglutaryl-Coenzyme a Reductase 1266. Anti-MDA5 Is Associated with Rapidly-Progressive Interstitial Lung Disease and Poor Survival in U.S. Patients with Amyopathic and Myopathic Dermatomyositis 1267. 194 1268. Are Anti-SRP Auto-Antibodies Specific for Myositis? 2014 Program Book Osteoarthritis - Clinical Aspects: Epidemiology and Pathogenesis 1274. Patients with Osteoarthritis Do NOT Have Increased Risk of Cardiovascular Disease in Ullensaker Community in Norway 1275. Association Between Cardiometabolic Disorders and Hand Osteoarthritis Severity: A Cross-Sectional and Longitudinal Study 1276. Hyperglycemia and Risk of Osteoarthritis 1277. Retinal Arteriolar Narrowing and Incidence of Knee Replacement for Osteoarthritis: A Prospective Cohort Study 1278. Association of Low Birth Weight and Preterm Birth with the Incidence of Knee and Hip Arthroplasty for Osteoarthritis 1279. Pre-Operative Musculoskeletal Comorbidities Limit Improvement in Functional Outcomes and Hip Pain in Total Hip Arthroplasty Patients 1280. Relationship of Buckling and Knee Injury to Pain Exacerbation in Knee Osteoarthritis: A Web-Based CaseCrossover Stud 1281. Knee Pain and a Prior Injury Are Associated with Increased Risk of a New Knee Injury: Data from the Osteoarthritis Initiative 1282. Systemic Pain Modulation Is Related to Body Perception in People with Knee Osteoarthritis 1283. WITHDRAWN 1284. Sensitivity to Change of Patient Preference Outcome Measures for Pain in Trials of Patients with Knee Osteoarthritis ACR POSTER INDICES 1300. Subclinical Right Ventricle Systolic Dysfunction By TwoDimensional Speckle-Tracking Echocardiography in Childhood-Onset Systemic Lupus Erythematosus Patients 1301. Trabecular Bone Impairment Assessed By HR-pQCT in Juvenile-Onset Systemic Lupus Erythematous with Vertebral Fractures 1302. The Psychological Impact on Health-Related Quality of Life in Childhood-Onset Lupus 1303. Accuracy of Laboratory Measures and Clinical Renal Activity Indices for Reflecting Biopsy-Proven Lupus Nephritis (LN) Activity Classification of Osteoarthritis Phenotypes By Metabolomics Analysis 1304. Development of an Index to Non-Invasively Quantify Lupus Nephritis Chronicity in Children 1290. Knee Osteoarthritis Progression Is Predictable By Genetic Polymorphisms. Results from a Multicenter Association Study 1305. Adiposity and Adipokines Are Associated with Insulin Resistance in Pediatric Systemic Lupus Erythematosus 1291. Relationships Between Inflammation, Disease Severity and Synovial Fluid Calcium Crystals Detected By Scanning Electronic Microscopy in Early Osteoarthritis 1306. Outcome of Lupus Nephritis in Children Less Than 12 Years Old from North-India 1307. Synovitis Characteristics and Associated IntraArticular Pathology in a Cohort of Patients Undergoing Meniscectomy for Meniscal Tear Monitoring of Mid-Interval Plasma Levels of Mycophenolic Acid in Pediatric Lupus Nephritis Patients 1308. Identification of an Inflammation-Driven Phenotype of Osteoarthritis By Quantification of Synovial Inflammation Ex Vivo and in Serum from Patients Antinucleosome Antibodies As Potential Diagnostic and Prognostic Biomarkers in Childhood Onset Systemic Lupus Erythematosus 1309. Does Anti-C1q Antibody Have Diagnostic and Prognostic Roles in Childhood – Onset Systemic Lupus Erythematosus? Pediatric Rheumatology - Clinical and Therapeutic Aspects: Pediatric Lupus, Scleroderma and Myositis 1310. Predicting Macrophage Activation Syndrome in Pediatric Systemic Lupus Erythematosus Patients at Diagnosis 1311. Lupus Nephritis in Mexican Children 1312. Features, Treatment and Outcome of Macrophage Activation Syndrome in Pediatric Systemic Lupus Erythematosus 1313. Comorbidity Patterns in Children with Juvenile Idiopathic Arthritis and Systemic Lupus Erythematosus: The Childhood Arthritis and Rheumatology Research Alliance Registry 1314. Comparison of the Utility and Validity of Three Scoring Tools to Detect Skin Disease in Patients with Juvenile Dermatomyositis 1315. Cross-Sectional Evaluation of Hydroxychloroquine (HCQ) Therapy in Children with Juvenile Dermatomyositis (JDM) Enrolled in the Childhood Arthritis and Rheumatology Research Alliance (CARRA) Registry 1285. Prevalence of Risk Factors for Gastrointestinal Side Effects of Drugs for the Treatment of Pain in Rheumatic Diseases and the Provision of Gastroprotective Treatment – Results of a Large Non-Intervention Study 1286. The Natural Course of Physical Function in People with Symptomatic Knee Osteoarthritis: Data from the Osteoarthritis Initiative 1287. Patient Perspective of the Main Health Concerns and Needs of Living with Hand Osteoarthritis 1288. Older Adults with Osteoarthritis Do Not Have an Increased Risk of Cognitive Impairment 1289. 1292. 1293. 1294. Gender Differences in the Lupus Nephritis Biomarkers in Children 1295. Childhood-Onset Systemic Lupus Erythematosus: ShortTerm Treatment Response Rates in Proliferative Lupus Nephritis 1296. Pulse- Pediatric Update on Lupus in South Africa: Epidemiology and Management 1297. Safety and Efficacy of Rituximab in Pediatric Lupus and Other Rheumatic Diseases 1298. 1299. Macrophage Activation Macrophage Activation Syndrome: A Severe and Frequent Manifestation of Acute Pancreatitis in Childhood-Onset Compared to Adult Systemic Lupus Erythematosus Patients A Cross-Sectional Study of Mental Health Symptoms and Mental Health Care in Pediatric SLE/MCTD Patients and Their Peers 2014 Program Book 195 ACR POSTER INDICES 1316. 1317. 1318. Anti-p155/140 Autoantibodies and Selected Features at Illness Onset Are Associated with a Chronic Course of Illness in the Juvenile Idiopathic Inflammatory Myopathies The Efficacy of a Multidisciplinary Intervention Strategy for the Treatment of Benign Joint Hypermobility Syndrome (BJHS) in Childhood: A Randomized, Single Center Parallel Group Trial 1331. Factors Associated with Pain in Children with Hypermobility - a Pilot Study Illness Onset Features and Misdiagnosis in Juvenile Idiopathic Inflammatory Myopathies (JIIM) Differ Among Clinical and Autoantibody (Ab) Subgroups Psychology/Social Sciences (ARHP) Safety of Rituximab in Treating Pediatric Rheumatic disease 1320. 1322. 1323. 1324. 1332. Analysis of Risk Factors for Thrombosis in Pediatric Patients with Systemic Lupus Erythematosus From Social Support to Information Sharing, How Are Persons with Rheumatoid Arthritis Using Disease-Specific Facebook Communities? a Content Analysis 1333. A Pilot Study to Evaluate the Feasibility of Conducting Juvenile Localized Scleroderma Comparative Effectiveness Treatment Studies Bridging the Social Support Needs Gap for African American Women with Systemic Lupus Erythematosus through the Chronic Disease Self-Management Program 1334. Cardiopulmonary Involvement in Juvenile Systemic Sclerosis: Development of Recommendations for Screening and Investigation Social Support and Suicidal Ideation in Systemic Lupus Erythematosus: Georgians Organized Against Lupus Cohort 1335. Gastrointestinal Involvement in Juvenile Systemic Sclerosis: Development of Recommendations for Screening and Investigation Early Birds Versus Night Owls: Morning/Evening Preference and Its Association with Sleep Problems, Fatigue, and Emotional Well-Being Among RA Patients 1336. Associations of Physical and Mental Factors with Outcome Expectations for Exercise in a Clinical Trial Predictors of Disease Relapse in Juvenile Localized Scleroderma 1337. Mindfulness Is Associated with Symptom Severity and Pain Impact in Patients with Fibromyalgia 1338. Correlates of Body Image Dissatisfaction in Patients with Limited and Diffuse Systemic Sclerosis 1339. Is Psychological Status Related to Symptom Experience in Behçet’s Syndrome? 1325. Single Hub and Access Point for Pediatric Rheumatology in Europe (SHARE): Evidence Based Recommendations for Diagnosis and Treatment of Juvenile Localized Scleroderma and Juvenile Systemic Sclerosis 1326. Transition of Care and Long-Term Outcomes of Juvenile Systemic Sclerosis during Adulthood: Results from a French Single-Center Case-Control Study 1327. Decreased CD3-CD16CD56+ Natural Killer Cell Counts Are Associated with Disease Activity in Children with Orbital Myositis 1328. Modulation of Natural IgM-Autoantibodies to Oxidative Stress-Related Neo-Epitopes on Apoptotic Cells in Newborns of Mothers with Anti-Ro Autoimmunity 1329. Pediatrics (ARHP) 1330. 1319. 1321. 196 A Hybrid Conjoint Analysis Model Is Proposed As the Definition of Minimal, Moderate and Major Clinical Improvement in Juvenile Dermatomyositis Clinical Trials Comparison of Clinical and Serological Features of Childhood Sjögren Syndrome Based on the Presence or Absence of Parotitis 2014 Program Book Quality Measures and Quality of Care 1340. Choosing Subserologies Wisely: An Opportunity for Rheumatologic Healthcare Resource Savings 1341. Choosing Not so Wisely: The Tale of Antinuclear Antibody Testing 1342. Improving Serologic Testing for Antiphospholipid Antibodies in Patients with Systemic Lupus Erythematosus 1343. A Quality Improvement Initiative to Improve Pneumococcal Vaccination Rates in Immunosuppressed Patients 1344. Electronic Medical Record-Based Best Practice Alert Used By Clinical Staff Improved Pneumococcal Vaccination and Documentation Among Immunosuppressed Rheumatoid Arthritis Patients ACR POSTER INDICES 1345. Improving Pneumococcal Immunization Rates for Patients on Immunosuppressant Medications at an Academic Rheumatology Clinic 1346. Leveraging Electronic Health Records to Improve Vaccination Rates for Patients with Rheumatoid Arthritis 1347.Understanding Vaccination Rates Among Patients with Rheumatoid Arthritis 1348. Improvement in Herpes Zoster Vaccination and Documentation for Rheumatoid Arthritis Patients Using Electronic Medical Record 1361. Rheumatologists’ Attitudes on Cardiovascular Risk and Lipid Screening in Patients with Rheumatoid Arthritis at an Academic Medical Center Rheumatoid Arthritis - Clinical Aspects: Comorbidities, Treatment Outcomes and Mortality 1362. Impact of Rapid Attainment of Stringent Measures of Efficacy in Rheumatoid Arthritis on Patient-Reported Outcomes 1363. Psychosocial Comorbidities Are Independently Associated with Subclinical Atherosclerosis in Rheumatoid Arthritis 1364. Accelerated Diastolic Dysfunction in Premenopausal Women with Rheumatoid Arthritis 1349. A Decision Support Tool to Improve Herpes Zoster Vaccination Rates Among Patients Starting Biologic Medications 1350. Practice What You Preach? Suboptimal Guideline Adherence By Rheumatologists in Patients with Rheumatoid Arthritis 1365. ARE Erosions a Disappearing Feature in Rheumatoid Arthritis (RA)?Joint Damage in Patients with EARLY RA at 10 YEARS after Diagnosis 1351. Assessment of ACR Endorsed Quality Indicators in Rheumatoid Arthritis Patients – a Quality Improvement Initiative 1366. Outcomes of Interstitial Lung Disease Associated with Rheumatoid Arthritis in High Volume Referral Centers 1367. 1352. Rheumatoid Arthritis (RA) Disease Activity Assessment and Population Management Processes Used By Clinician Rheumatologists Cardiovascular Morbidity and Associated Risk Factors in Spanish Patients with Chronic Inflammatory Rheumatic Diseases Attending Rheumatology Clinics 1368. Are Tender Joints Better Than Synovitis to Predict Structural Damage in Rheumatoid Arthritis? 1369. Improving the Measurement of Disease Activity for Patients with Rheumatoid Arthritis: Validation of an Electronic Version of the Routine Assessment of Patient Index Data (RAPID 3) Predictors of Deterioration in Subjective Cognition: Results from a Rheumatoid Arthritis (RA) Observational Cohort Study 1370. The Association of Body Mass Index (BMI) and Radiographic Progression of Joint Disease in Rheumatoid Arthritis (RA) 1355. Population Management of Rheumatoid Arthritis (RA) in Rheumatology Practices: A Quality Improvement Project 1371. Impact of Metabolic Syndrome (MetS) on Rheumatoid Arthritis Disease Activity 1356. Collaboration Between a Third Party Payer and Community Rheumatologists to Create a Clinical Pathway for the Treatment of Rheumatoid Arthritis to Assure Proper Use of Biologics and Quality of Care 1372. Prevalence of Cardiovascular Disease in US Veterans with Rheumatoid Arthritis and Hepatitis C Infection 1373. 1357. Improving Compliance for Tuberculosis Screening for Patients on Biologics in Rheumatology Clinics Physical Function of Patients with RA Varies Importantly Across Countries, and These Differences Are Not Attributed to GDP: Results from Multi-National Study with 17 Countries 1358. A Systematic Analysis of the Safety of Prescribing AntiRheumatic Immunosuppressive and Biologic Drugs in Pregnant Women 1374. 1359. Care of Women with Rheumatological Conditions during Family Planning and Pregnancy A Comparison of the Risk for Cardiovascular Event in Patients with Rheumatoid Arthritis Treated with Biologic Disease Modifiers and Patients Treated with Methotrexate Only 1375. 1360. Monitoring Methotrexate and Leflunomide Treatment for Liver Toxicity: the Kaiser Permanente Experience Educational Level and Not Ethnicity an Important Determinant of Disease Progression in Patients with Rheumatoid Arthritis 1353. 1354. Integrating Collection of Rheumatoid Arthritis Disease Activity and Physical Function Scores into an Academic Rheumatology Practice to Improve Quality of Care 2014 Program Book 197 ACR POSTER INDICES 1376. Angiographic Pattern Among Rheumatoid Arthritis Patients Who Are Hospitalized Due to Acute Coronary Syndrome 1377. Anti-Citrullinated Peptide Antibody Titers and the Prevalence of Interstitial Lung Disease in Patients with and without Rheumatoid Arthritis 1378. 198 The Impact of Rheumatoid Arthritis Activity and Medications on Pregnancy Outcomes 1393. Periodontal Disease and Its Impact on Structural Joint Damage in a Rheumatoid Arthritis Peruvian Population 1394. Low Vitamin D Level Is Not Associated with Increased Risk of Cardiovascular Disease in Rheumatoid Arthritis Patients 1395. Disease Activity Is Associated with Insulin Resistance in Early Rheumatoid Arthritis 1396. Assessment of Pulmonary Function in Rheumatoid Arthritis Patients Attending Rheumatology Clinics in Nairobi,Kenya 1397. Impact of Corticosteroid Use on Remission Sustainability and Infection Rates Among Rheumatoid Arthritis Patients in Remission While on Infliximab: Treatment Implications Based on a Real-World Canadian Population 1379. Studies on Ageing and the Severity of Radiographic Joint Damage in Rheumatoid Arthritis 1380. Patient Global Impression of Change for Patient Reported Outcomes in Rheumatoid Arthritis: Impact of Comorbidities 1381. Subaxial Cervical Spine Involvement in Symptomatic Rheumatoid Arthritis Patients: Comparison with Cervical Spondylosis 1398. Spontaneous Regression of Methotrexate (MTX)-Related Lymphoproliferative Disorder Correlates with Lymphocyte Restoration after MTX Withdrawal 1382. The Longitudinal Course of Fatigue in Rheumatoid Arthritis – Results from the Norfolk Arthritis Register 1399. Proteinase K-like Serine Protease PCSK9 Influence on the Dyslipidemia and Endothelial Dysfunction Observed in Rheumatoid Arthritis Patients 1383. Disease Characteristics and RA Development in Undifferentiated Arthritis: A 2-Year Follow-up Study of 413 Patients with Arthritis of Less Than 16 Weeks Duration 1400. Risk of Venous Thromboembolic Events in Patients with Rheumatoid Arthritis: A Meta-Analysis of Observational Studies 1384. Fibromyalgia and Its Effect on Treatment Response in Early Rheumatoid Arthritis Patients 1401. 1385. What Discriminates Best Flares in Rheumatoid Arthritis (RA)? a Subanalysis of the Strass Treatment Tapering in RA Study Higher-Order Neuropsychological Deficits Are Frequent and Occur Early in RA and SLE: The Impact of Basic Processing Abilities on Psychological Well-Being 1402. Parameters of Periodontitis Correlate with AntiCitrullinated Protein Antibodies and P. Gingivalis Antibody Titers in Patients with Early or Chronic Rheumatoid Arthritis 1403. Psychosocial Impact of Rheumatoid Arthritis Patients on Their Family Members 1404. Presence and Significance of Anti-CCP Antibody in Patients with Interstitial Lung Disease with and without Clinically Apparent Rheumatoid Arthritis 1405. Five-Year Changes in Myocardial Structure and Function in Patients with Rheumatoid Arthritis 1406. Comorbidity in Rheumatoid Arthritis. It Is Feasible to Record Concomitant Medical Conditions and MultiMorbidity in Observational Research Studies. Can This be Extended to Routine Clinical Settings? 1407. Low HAQ and Pain Predict Patient Perceived Remission in Rheumatoid Arthritis Patients Receiving MTX or Anti-TNFAlpha Treatment 1408. Inflammatory Biomarkers, Sleep Quantity and Sleep Quality in Rheumatoid Arthritis 1386. Disease Flares during 10 Year Follow-up in Patients with Rheumatoid Arthritis Are Associated with Joint Damage Progression and Disability 1387. Radiographic Progression Differs Between Trajectory Clusters Defined By DAS28 Scores in Early Rheumatoid Arthritis 1388. Prevalence and Predictive Factors of Drug-Free and Sustained Remission in Patients with Early Arthritis 1389. Osteophytes Increase the Ambiguity of Clinical Evaluation of Joint Swelling in Rheumatoid Arthritis 1390. Heterogeneity in Cardiovascular Risk Factors, Event Rates and RA Disease Characteristics Among Patients with Rheumatoid Arthritis Across 10 Countries - Implications for CV Risk Assessment 1391. Weight Loss and Risk of Death in Rheumatoid Arthritis 1392. Predictors of Long-Term Changes in Body Mass Index in Rheumatoid Arthritis 2014 Program Book ACR POSTER INDICES 1409. Pregnancy Outcomes after Exposure to Certolizumab Pegol: Updated Results from Safety Surveillance 1426. Periodontal disease and Clinical Activity of Rheumatoid Arthritis Patients 1410. Low Rates of Cardiovascular Risk Factor Modification Among High-Risk Rheumatoid Arthritis Patients: Barrier to Cardiovascular Prevention Strategies? 1427. Low Prevalence of Sarcopenic Obesity in Rheumatoid Arthritis Patients with Moderate Clinical Activity 1411. Psychological Distress over Time in Early Rheumatoid Arthritis: Results from a Longitudinal Study in an Early Arthritis Cohort 1428. Comparison of Application of the European Society Cardiology, Adult Treatment Panel III, and ACC/AHA Guidelines for Cardiovascular Disease Prevention in a French Cohort of Rheumatoid Arthritis 1412. Sarcopenia and Its Impact on Disability in Rheumatoid Arthritis, a Pilot Study 1429. Systemic Inflammation in Alzheimer’s Disease: Relevance to Patients with Rheumatoid Arthritis 1413. The Prevalence of Renal Impairment in Patients with Rheumatoid Arthritis 1430. 1414. Investigation of the Association Between Gastroesophageal Reflux Disease and Clinical Factors in Patients with Rheumatoid Arthritis 1431. IMPACT of Initiative to Control Cardiovascular Risk Factors in Collaboration with LOCAL Doctors in Patients with Rheumatoid Arthritis Influence of Radiographic Joint Damage in Mortality Risk in a Cohort of Rheumatoid Arthritis Patients: A 20 Years Survival Study 1415. Differential Gender Impact in the Quality of Life of Patients with Rheumatoid Arthritis. Comprehensive Study Including Clinical, Comorbidity and Psicho-Social Variables. 1432. Mortality Ratio of Rheumatoid Arthritis Under Biological Treatment 1433. Clinical Characterization of Subclinical Rheumatoid Arthritis-Associated Interstitial Lung Disease Analysis of Cardiac Involvement in Patients with Amyloid a (AA) Amyloidosis Due to Rheumatoidarthritis 1434. The Longitudinal Association Between Inflammation and Blood Pressure in Rheumatoid Arthritis Red Cell Distribution Width: A Measure for Cardiovascular Risk in Rheumatoid Arthritis Patients? 1435. Changes in the Types and Prognoses of Infections Complicated in RA Patients during the Last 15 Years, in Japan. 1416. 1417. 1418. Prevalence of Vitamin D Deficiency in Rheumatoid Arthritis 1436. 1419. Rituximab Use in Patients with Rheumatoid ArthritisAssociated Interstitial Lung Disease and Other Connective Tissue Disease-Associated Interstitial Lung Disease: A Single Center Experience Impact of Depression on Clinical and Social Outcomes in Patients with Rheumatoid Arthritis: Comparative Study in Germany and Brazil 1437. Cholesterol Efflux Capacity of HDL and Coronary Atherosclerosis in Rheumatoid Arthritis Non-Use of Glucocorticoid and Osteoarthritis Absence As Predictors of Clinical Remission in AR 1438. Association Between Chronic Inflammatory Conditions and Anti Cyclic Citrullinated Peptide Antibodies in Patients with Early Rheumatoid Arthritis 1439. Miscarriage in Rheumatoid Arthritis – Association with Disease Characteristics and Medication Use 1440. Asymptomatic Carotid Plaques in RA Patients Are Associated with Increased HDL Function 1441. Accelerated Aging in DMARD and Treatment Naive Early Rheumatoid Arthritis Patients Measured By a Stem Cell Assay Is Associated with Increased LDL and Is Linked to Impaired Cardiopulmonary Function 1442. The 2013 ACC/AHA Cardiovascular Risk Prediction Model and Coronary Atherosclerosis in Patients with Rheumatoid Arthritis 1420. 1421. Preclinical Interstitial Lung Disease in Early Rheumatoid Arthritis 1422. Demographic Differences in Health Related Information Technology Use Among Patients with Rheumatic Diseases 1423. Cardiovascular Risk Estimation in Rheumatoid Arthritis: What Is Missing in Traditional Risk Estimators? 1424. Bone Erosions in Patients with RA: Exploring the Impact of the Anatomy of Interest on the Relationship Between MRI and X-Ray Erosion Detection 1425. Screening Behavior and Prevalence of Hepatitis C Virus in Mexico 2014 Program Book 199 ACR POSTER INDICES 1443. Increased Occurence of Carotid and Femoral Plaques, but Not Increased Arterial Stiffness of Hypertrophy, in Classical Risk Factor-Free Patients with Rheumatoid Arthritis Clinical Practice/Patient Care (ARHP) 1444. 1445. The Vocational Experiences of Young People with Juvenile Idiopathic Arthritis and the Role of the Multidisciplinary Team Supporting Positive Employment Outcomes Improving Osteoarthritis Outcomes Utilizing a Multidisciplinary Model of Care; Experience in a Diverse Multicultural Urban Teaching Hospital 1446.Utility of Ultrasound in the Nuffield Orthopaedic Centre Emergency Rheumatology Clinic: Survey of Clinical Effectiveness 1447. Implementing American College of Rheumatology (ACR) Quality Indicators for Rheumatoid Arthritis (RA) in the United Arab Emirates (UAE) 1448. A Questionnaire Assessment of Knowledge about Methotrexate of Patients with Rheumatoid Arthritis 1449. WITHDRAWN 1450. Spironolactone As a Novel DMARD in Rheumatoid Arthritis 1451.Use of Analgesics in Patients with Knee and/or Hip Osteoarthritis: Results from the Amsterdam Osteoarthritis Cohort 1452. 1453. Timing of Decisions to Adjust Disease Modifying AntiRheumatic Drug (DMARD) Therapy for Rheumatoid Arthritis (RA) Patients with Active Disease in a Usual Practice Setting Gastrointestinal Risk Factors and Treatment Patterns of Rheumatoid Arthritis Versus Osteoarthritis Patients in Korea 1457. Stem Cell Growth Factor Expression in Rheumatoid Arthritis 1458. Functional Phenotype of Synovial Monocytes Modulating Inflammatory T-Cell Response in Rheumatoid Arthritis 1459. IL-22 Secreted By NKp44+NK Cells Promote the Proliferation of Synovium in Patients with Rheumatoid Arthritis By Activation of STAT3 1460. Midkine, a Growth Factor, May Play a Pathophysiological Role in Patients with Rheumatoid Arthritis 1461. Quantitave Analysis of Cadherin-11 and Beta-Catenin Signaling during Proliferation of Rheumatoid ArthritisDerived Synovial Fibroblast Cells 1462. Cadherin-11 mRNA Expression in the Peripheral Blood of Rheumatoid Arthritis Patients As a Marker of Active Polyarthritis 1463. Dickkopf-1 Perpetuated Synovial Fibroblast Activation and Synovial Angiogenesis in Rheumatoid Arthritis 1464. Numbers of Circulating CD4 Positive CD28null T Cells Are Increased in Patients with Rheumatoid Arthritis and Are Associated with Rheumatoid Factor Positivity but Not Subclinical Cardiovascular Disease 1465. Follicular Helper T Cells Control Autoimmunity through IL21/IL-21 Receptor Interaction in RA Patients 1466. Patients with Active Rheumatoid Arthritis Display an Expanded Population of GM-CSF Expressing Peripheral B Cells 1467. Do G-CSF and Neutrophils Contribute to the Pathophysiology of Rheumatoid Arthritis? 1468. Mechanism of Effectiveness of IL-6 Blockade for Reduction of SAA Production and Amyloid a Deposition in AA Amyloidosis Patients with RA 1469. Methotrexate Treatment Reduces Serum IL-6 Level By Decreasing a CD14brightCD16+ Intermediate Non-Classical Subset of Monocytes in RA Patients 1470. Malondialdehyde-Acetaldehyde Adducts (MAA) and AntiMalondialdehyde-Acetaldehyde Antibody in Rheumatoid Arthritis 1471. TNFα Influences the Status of B and T Cells By Acting on BCR and TCR Pathways Via RasGRP1 and RasGRP3 Proteins 1472. Synovial Fluid from Rheumatoid Arthritis Patients Modulates the Immunophenotype and Viability of Monocytes Rheumatoid Arthritis - Human Etiology and Pathogenesis 200 1454. Quantitative and Qualitative Tracking of Expanded CD4+ T Cell Clones in Rheumatoid Arthritis Patients 1455. Ex Vivo-Expanded, but Not in Vitro-Induced, Human Regulatory T Cells Are Suitable for Cell Therapy in Rheumatological Autoimmune Diseases Thanks to Stable FOXP3 Demethylation 1456. Foxp3+ Regulatory T Cells in Peripheral Blood and Synovial Fluid of Patients with RA: A Comparative Phenotypic Analysis 2014 Program Book ACR POSTER INDICES 1487. A Phase 1 Dose-Ranging Repeated-Dose Trial of Parenteral Staphylococcal Protein A (PRTX-100) in Patients with Active Rheumatoid Arthritis on Methotrexate or Leflunamide Therapy 1488. Clinical Efficacy of Add-on Iguratimod Therapy in Patients with Active Rheumatoid Arthritis Despite of Methotrexate ~a Multicenter Registry Study~ 1489. Influences of Disease Activity at the Initiation of Iguratimod, a Small Molecule Antirheumatic Drug, on Efficacy of Iguratimod in Patients with Rheumatoid Arthritis –a Multicenter Registry Study- 1490. Rheumatoid Arthritis - Small Molecules, Biologics and Gene Therapy: Novel Therapies, Biosimilars, Strategies and Mechanisms in Rheumatoid Arthritis Can Tumor Necrosis Factor Inhibitors Protect Rheumatoid Arthritis Patients from Osteoporosis? Impact of Tumor Necrosis Factor Inhibitors on Bone Mineral Density and Bone Remodeling Markers 1491. Pharmacokinetics, Bioavailability and Safety of a Modified-Release Once-Daily Formulation of Tofacitinib in Healthy Volunteers Discovery and Characterization of COVA322, a Clinical Stage Bispecific TNF/IL-17A Inhibitor for the Treatment of Inflammatory Diseases 1492. Impact of Clinical Remission on Physical Function in Patients with Rheumatoid Arthritis Treated with ALX0061: Post-Hoc Analysis of Phase I/II Data Safety and Tolerability of NNC01140006, an Anti-IL-21 Monoclonal Antibody, at Multiple s.c. Dose Levels in Patients with Rheumatoid Arthritis 1493. Dose Selection of GLPG0634, a Selective JAK1 Inhibitor, for Rheumatoid Arthritis Phase 2B Studies: PK/PD and Exposure-DAS28 Modeling Approach A Phase 1 Study of FPA008, an Anti-Colony Stimulating Factor 1 Receptor (anti-CSF1R) Antibody in Healthy Volunteers and Subjects with Rheumatoid Arthritis (RA): Preliminary Results 1494. Phase 1 and Phase 2 Data Confirm That GLPG0634, a Selective JAK1 Inhibitor, Has a Low Potential for DrugDrug Interactions Treatment of Rheumatoid Arthritis Patients with the JAK1-Selective Inhibitor GLPG0634 Reverses an ArthritisSpecific Blood Gene Signature to Healthy State 1495. Preclinical and Clinical Phase I Profile of MK-8457, a Selective Spleen Tyrosine Kinase and Zeta-ChainAssociated Protein Kinase 70 Inhibitor, Developed for the Treatment of Rheumatoid Arthritis 1496. Exposure-Response Analysis for Mavrilimumab Phase2b Study in RA Patients with Informative Dropout 1497. Efficacy and Safety of Iguratimod for Rheumatoid Arthritis 1498. ALX-0061, an Anti-IL-6R Nanobody® for use in Rheumatoid Arthritis, Demonstrates a Different in Vitro Profile As Compared to Tocilizumab 1499. Characterization of ABT-494, a Second Generation Jak1 Selective Inhibitor 1500. Preclinical and Clinical Characterization of MK-8457, a Selective Spleen Tyrosine Kinase and Zeta-ChainAssociated Protein Kinase 70 Inhibitor, in Normotensive and Hypertensive Cardiovascular Models 1473. Manocept-Cy3 Localizes CD206 + Macrophages in Synovial Tissue and Fluid from Rheumatoid Arthritis Patients Differentially Compared to Controls 1474. Anti-Peptidyl Arginine Deiminase 4 Antibodies in AfricanAmericans with Rheumatoid Arthritis and Radiographic Scores 1475. Porphyromonas Gingivalis and Bone Turnover Biomarkers in Rheumatoid Arthritis 1476. a Dose Response Relationship Between Shared Epitope and ACPA Level: But Not All SE Alleles Are Created Equal 1477. Overweight and Obesity Are Associated with Reduced Risk of Rheumatoid Arthritis in Men, but Not in Women 1478. 1479. 1480. 1481. 1482. Response of Patient Reported Symptoms of Stiffness and Pain during the Day from Adding Low-Dose DelayedRelease (DR) Prednisone to Stable DMARD Therapy over 12 Weeks in Patients with Moderate Rheumatoid Arthritis (RA) 1483. Efficacy and Safety of Baricitinib in Japanese Rheumatoid Arthritis Patients during a 52 Week Extension Phase 1484. Discovery of ARN-4079 - a Potent, Orally Available Dual Target Inhibitor of Janus Kinase 3 (JAK3) and Interleukin-2 Inducible T-Cell Kinase (ITK) for Rheumatoid Arthritis 1485. Analysis of Patient-Reported Outcomes during Treatment with Mavrilimumab, a Human Monoclonal Antibody Targeting GM-CSFRá, in the Randomized Phase 2b Earth Explorer 1 Study 1486. Rapid Onset of Clinical Benefit Is Associated with a Reduction in Validated Biomarkers of Disease in Patients with Rheumatoid Arthritis Treated with Mavrilimumab, a Human Monoclonal Antibody Targeting GM-CSFRá 2014 Program Book 201 ACR POSTER INDICES 1517. A Phase I Trial Comparing PF-05280586 (A Potential Biosimilar) and Rituximab in Subjects with Active Rheumatoid Arthritis Analysis of Gene Expression Fluctuation with Abatacept Highlights the Involvement of the Proteasome Pathway As a Mechanism of Action of Abatacept in Rheumatoid Arthritis 1518. Disentangling the Effects of Tocilizumab on Neutrophil Survival and Function 1503. Demonstration of Functional Similarity Comparing Adalimumab to Biosimilar Candidate ABP 501 1519. 1504. Pharmacokinetic Equivalence of ABP 501 Relative to Adalimumab: Results from a Randomized, Single-Blind, Single-Dose, Parallel Group Study in Healthy Subjects Implementation of an Acid Dissociation Procedure for Immunogenicity Detection in Patients Treated with ANTITNF Drugs 1520. Gene Expression Analyses of Abatacept- and AdalimumabTreated Patients from the Ample Trial 1505. The Biosimilar Landscape: A Systematic Review of Its Current Status 1521. 1506. Incidence of Adverse Events in Patients Treated with Intended Copies of Biologic Therapeutic Agents in Colombia and Mexico Sustained Improvements in Magnetic Resonance Imaging Outcomes with Abatacept Following the Withdrawal of All Treatment in Patients with Early Rheumatoid Arthritis 1522. Impact of Sarilumab on Health Related Quality of Life (HRQoL), Fatigue, and Sleep in Rheumatoid Arthritis Patients at Week 24 - Results of a Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study 1523. Follow-up Data on the Rheumatoid Arthritis Comparison of Active Therapies Trial: Observational Cohort 1524. Rituximab Done! What’s Next in RA? 1525. Cumulative Clinical Response in Rheumatoid Arthritis Patients with Rituximab Repeated Courses after Failure to Tumor Necrosis Factor Inhibitors in Routine Clinical Practice 1526. Sustained Clinical Efficacy after Multiple Courses of Rituximab in Rheumatoid Arthritis Patients with Inadequate Response to Tumor Necrosis Factor Inhibitors: 3-Year Data 1527. Efficacy of Biologic Treatments in Early Active Rheumatoid Arthritis: An Indirect Comparison 1528. Efficacy and Safety of MK-8457, a Novel SYK Inhibitor for the Treatment of Rheumatoid Arthritis in Two Randomized, Controlled, Phase 2 Studies 1529. Evaluation of the Pharmacokinetics and Safety of the Interactions Between the Anti-Interleukin-6 Monoclonal Antibody Sirukumab and Cytochrome P450 Activities in Patients with Rheumatoid Arthritis 1530. Autologous Tolerogenic Dendritic Cells for Rheumatoid and Inflammatory Arthritis The Impact on Anti-Citrullinated Protein Antibody Isotypes and Epitope Fine Specificity in Patients with Early RA Treated with Abatacept and Methotrexate 1531. CUT-Off LEVEL of Adalimumab and Prevalence of Antibodies ANTI-Adalimumab in Patients with Ankylosing Spondylitis: Results from a LOCAL Registry TNF-Alpha Inhibitors Normalizes Melanocortin Receptor Subtype 2, 3 and 4 Expression in CD8+, CD14+ and CD19+ Leukocyte Subsets in Rheumatoid Arthritis 1532. Efficacy of the Subcutaneous Formulation of Abatacept/ Orencia in Rheumatoid Arthritis, a Single-Center Italian Experience 1501. Immunogenicity Assessment of PF-06438179, a Potential Biosimilar to Infliximab, in Healthy Volunteers 1502. 1507. 1508. 1509. A Randomized, Double-Blind, Three-Arm, Parallel Group, Single-Dose Study to Compare the Pharmacokinetics, Safety, and Tolerability of Three Formulations of Infliximab (CT-P13, EU-sourced Infliximab and US-sourced Infliximab) in Healthy Volunteers 1510. Blockade of TLR5 Ligation Is a Novel Strategy for RA Therapy 1511. COVA322: A Clinical Stage Bispecific TNF/IL-17A Inhibitor for the Treatment of Inflammatory Diseases 1512. Therapeutic Efficacy of a Novel Oral Small Molecule Macrophage Migration Inhibitory Factor [MIF] Inhibitor: A Promising Safe & Efficacious Treatment for Rheumatoid Arthritis 1513. 1514. 1515. 1516. 202 Patient Perspectives on the Introduction of Subsequent Entry Biologics in Canada Impact of Anti-Drug Antibody on Efficacy and Safety over Week 24 in Both CT-P10 and Innovator Rituximab Treatment Groups Selection of Vagus Nerve Stimulation Parameters for a First-in-Human Study in Rheumatoid Arthritis: A Unique Translational Medicine Challenge An Analysis of in-Vitro Cytokine Inhibition Profiles of Tofacitinib and Other Janus Kinase Inhibitors at ClinicallyMeaningful Concentrations 2014 Program Book ACR POSTER INDICES 1533. Study of One Vial (400mg) per Body Infusion of Tocilizumab in Patients with Active Rheumatoid Arthritis 1547. Endocrine Co-Morbidities in Patients with Psoriatic Arthritis: A Population-Based Study 1534. Disease Severity and Treatment of Rheumatoid Arthritis: A Comparative Study Between Sudan and Sweden 1548. Treatment Effect of Ustekinumab on Fatigue in Patients with Psoriatic Arthritis: Results from a Phase 3 Clinical Trial 1549. The Swedish Early Psoriatic Arhtritis (SWEPSA) Registry 5-Yeear Follow-up: Slow Radiographic Progression with Highest Scores in Male Feet and in Patients with Baseline X-Ray Abnormalities 1550. Prevalence of Enthesitis and Dactylitis, Impact on Disease Severity and Evolution over 12 Months in Psa Patients Treated with Anti-TNF in a Real-World Setting 1551. Correlation of Individual HAQ Questions with Disease Activity Measures in Psoriatic Arthritis: Implications for Instrument Reduction 1552. Sustained Improvements in Workplace and Household Productivity and Social Participation with Certolizumab Pegol over 96 Weeks in Patients with Psoriatic Arthritis 1553. Relation Between Number of Previous Anti TNF Agents and Clinical Response in Rheumatoid Arthritis Patients Treated with Rituximab Disease Activity and Clinical Response Early in the Course of Treatment Predict Long-Term Outcomes in Psoriatic Arthritis Patients Treated with Certolizumab Pegol 1554. Treatment Patterns of Biologics Used in Rheumatoid Arthritis and Ankylosing Spondylitis in the US Veterans Population Early and Sustained Modified Psarc Response in Psoriatic Arthritis Patients Treated with Ustekinumab: Results from 2 Phase 3 Studies 1555. An Indirect Comparison and Cost per Responder Analysis of Adalimumab, Methotrexate (MTX) and Apremilast in the Treatment of MTX-naïve Psoriatic Arthritis (PsA) Patients 1556. Integrated Safety of Ustekinumab in Psoriatic Arthritis: 2 Year Follow-up from the Psoriatic Arthritis Clinical Development Program 1535.Use of Rituximab Compared to Anti-Tnf Agents As Second and Third Line Therapy in Patients with Rheumatoid Arthritis: A Report from the rhumadata® Clinical Database and registry 1536. Comparing Abatacept to Adalimumab, Etanercept and Infliximab As First Line Agents in Patients with Rheumatoid Arthritis. Experience from the Rhumadata® Clinical Database and Registry 1537. Clinical Characteristics of RA Patients Newly Prescribed Tofacitinib Citrate (tofacitinib) in the United States after Food and Drug Administration Approval: Results from the Corrona US Rheumatoid Arthritis Registry 1538. Sustained Clinical Benefit with Multiple Courses of Rituximab in Second Line for All Rheumatoid Arthtritis Patients Irrespective to the Inhibitor of Tumour Necrosis Factor Previously Used 1539. 1540. 1541. Distinct Regulation of T Helper Cell Differentiation By Biologic DMARD Therapy in Rheumatoid Arthritis Spondylarthropathies and Psoriatic Arthritis - Clinical Aspects and Treatment II 1542. Predicting Successful Long-Term Treatment with Tumour Necrosis Factor-Alpha Inhibitors in Patients with Psoriatic Arthritis 1557. Clinical Response in Subjects with Psoriatic Arthritis Following One Year of Treatment with Brodalumab, an Anti-Interleukin-17 Receptor Antibody 1543. Apremilast, an Oral Phosphodiesterase 4 Inhibitor, Is Associated with Long-Term (52-Week) Improvement in the Signs and Symptoms of Psoriatic Arthritis in DMARDNaive Patients: Results from a Phase 3, Randomized, Controlled Trial 1558. Evaluation of Extreme Enthesitis and/or Patient-Related Outcome Score As Potential Surrogates for Fibromyalgia and As Potential Confounding Factors of Anti-TNF Response 1544. Economic and Comorbidity Burden Among Moderate-toSevere Psoriasis Patients Comorbid with Psoriatic Arthritis 1559. 1545. Better Performance of the Leeds and Sparcc Enthesitis Indices Compared to the Mases in Patients with Peripheral Spondyloarthritis during Treatment with Adalimumab Long Term Improvements in Physical Function Are Associated with Improvements in Dactylitis, Enthesitis, Tender and Swollen Joint Counts, and Psoriasis Skin Involvement: Results from a Phase 3 Study of Ustekinumab in Psoriatic Arthritis Patients 1560. Rheumatoid Factor Status Is a Predictor of Osteoporosis in Patients with Psoriatic Arthritis 1546. Risk of Non Melanoma Skin Cancer Among Medicare Psoriasis/Psoriasis Arthritis Patients 2014 Program Book 203 ACR POSTER INDICES 1561. Apremilast, an Oral Phosphodiesterase 4 Inhibitor, and the Impact of Baseline Weight and BMI on ACR20 and HAQ-DI Response: Pooled Results from 3 Phase 3, Randomized, Controlled Trials Value and Prediction of Minimal Disease Activity in Patients with Psoriatic Arthritis 1578. Abatacept Improves Synovitis As Assessed By Magnetic Resonance Imaging (MRI) in Psoriatic Arthritis Preliminary Analysis from a Single Centre, PlaceboControlled, Crossover Study 1579. Change in Weight from Baseline with Apremilast, an Oral Phosphodiesterase 4 Inhibitor: Pooled Results from 3 Phase 3, Randomized, Controlled Trials 1580. Gender Differences in Disease Activity Accounting for Inflammatory Biomarkers in a Psoriatic Arthritis Routine Care Cohort 1562. Psoriasis Longitudinal Assessment and Registry: Global Update upon Full Enrollment 1563. Malignancies in the Psoriasis Longitudinal Assessment and Registry Study: Cumulative Experience 1564. Long-Term (104-Week) Safety Profile of Apremilast, an Oral Phosphodiesterase 4 Inhibitor, in Patients with Psoriatic Arthritis: Results from a Phase 3, Randomized, Controlled Trial and Open-Label Extension 1565. Apremilast, an Oral Phosphodiesterase 4 Inhibitor, Is Associated with Improvement of Pain, Fatigue, and Disability in Patients with Psoriatic Arthritis: Results from 3 Phase 3, Randomized, Controlled Trials 1581. Inflammatory Back Pain in Psoriasis and Psoriatic Arthritis Is Suggestive of Undiagnosed Spondyloarthropathies 1582. The Efficacy and Safety of Biological Disease Modifying Anti-Rheumatic Drugs and Apremilast in the Treatment of Psoriatic Arthritis: A Systematic Review and Meta-Analysis Cumulative Inflammatory Burden Is Independently Associated with Increased Arterial Stiffness in Patients with Psoriatic Arthritis 1583. The Spectrum of Autoimmune Ophthalmic Manifestations in Psoriatic Disease Screening for Psa in Primary Care Psoriasis Patients with Musculoskeletal Complaints with PEST, PASE & Earp 1584. Joint Damage Is Not Associated with Smoking Status in Patients with Psoriatic Arthritis Evaluation of the Patient Acceptable Symptom State in Patients with Psoriatic Arthritis 1585. Persistence of Biologic Therapy in Psoriatic Disease: Results from the Psoriasis Longitudinal Assessment and Registry Presence of Swollen and Tender Joints in Patients Fulfilling Minimal Disease Activity Criteria 1586. Quantitative Proteomic Analysis of Synovial Fluid and Skin Identifies Putative Psoriatic Arthritis Biomarkers 1570. Relationship Between Psoriatic Arthritis Severity, Duration, and Comorbidities 1587. The Economic Impact of Psoriatic Arthritis in Toronto, Ontario 1571. Musculoskeletal Complaints and Psoriatic Arthritis in Primary Care Patients with Psoriasis 1588. Resistance Training in Patients with Psoriatic Arthritis Improves Function, Disease Activity and Quality of Life 1572. Apremilast, an Oral Phosphodiesterase 4 Inhibitor, Is Associated with Long-Term (52-Week) Improvements in Enthesitis and Dactylitis in Patients with Psoriatic Arthritis: Results from a Phase 3, Randomized, Controlled Trial 1589. Risk of Opportunistic Infection and Herpes Zoster Infection in a Psoriasis/Psoriatic Arthritis Cohort 1590. Apremilast, an Oral Phosphodiesterase 4 Inhibitor, Is Associated with Long-Term (104-Week) Improvements in Patients with Psoriatic Arthritis: Results from a Phase 3, Randomized, Controlled Trial 1591. Exploring the Association of Serum Paraoxonase and Arylesterase Activities with Cardiovascular Risk in Psoriasis and Psoriatic Arthritis 1592. Ability of Clinical Variables to Predict Radiographic Damage in Psoriatic Arthritis 1593. Neutrophil-Lymphocyte Ratio As a Marker of Disease Activity in Psoriatic Arthritis 1566. 1567. 1568. 1569. 1573. Norwegian Psoriatic Arthritis Patients Are More Obese Than Rheumatoid Arthritis and Axial Spondyloarthropathy Patients 1574.University Students with Psoriatic Nail Changes Have a Greater Number of Tender Enthesial Points Than Those with Normal Nails 1575. 1576. 204 1577. The Association Between Obesity and Disease Phenotype in Psoriatic Arthritis Reversal of Damage in Psoriatic Arthritis 2014 Program Book ACR POSTER INDICES 1594. Persistence of Low Disease Activity after Tumor Necrosis Factor Inhibitor Withdrawal in Patients with Psoriatic Arthritis 1595. Economic Evaluation of Sequencing Strategies in the Treatment of Psoriatic Arthritis in the United States 1596. Clinical Characteristics and Outcome of Golimumab Treatment Differs Between Bio-naïve and Patients Previously Exposed to Biologicals. Nationwide Results on Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA), Ankylosing Spondylitis (AS) and Other Spondyl 1597. Work Productivity Improvement Associated with Apremilast, an Oral Phosphodiesterase 4 Inhibitor, in Patients with Psoriatic Arthritis: Results of a Phase 3, Randomized, Controlled Trial 1608. Erythrocyte C4d and Antibodies to Anti-C1q Are Associated with Proteinuria in Lupus Nephritis 1609. Dissection of the Type I Interferon Response in Systemic Lupus Erythematosus : Serum IFNα Is Elevated in Lupus Nephritis and Correlates with IFN Score; IFNβ Is Elevated in Mucocutaneous Disease 1610. New Autoantigens Associated with Lupus Nephritis 1611. Modular Transcriptional Neutrophil Signature As Predictive of Nephritis and of Its Severity in SLE Patients 1612. Deficient Repair of DNA Double-Strand Breaks and Increased Apoptosis in Patients with Lupus Nephritis 1613. Circulating microRNAs As Candidate Biomarkers of Diagnosis in Systemic Lupus Erythematosus 1598. Serum Fetuin-a, Intercellular Adhesion Molecule -1 and Interleukin -18 Levels in Ankylosing Spondylitis and Psoriatic Arthritis 1614. Functional Analysis of Interferon Responsiveness in PBMC from SLE Donors Identifies Subgroups with Higher and Lower Disease Activity 1599. Comparison of Rheumatoid Arthritis, Ankylosing Spondylitis, and Psoriatic Arthritis Pregnancies: Disease Activity, Treatment, and Outcomes 1615. MiR-127-3p As a Novel Regulator of Type I Interferon Signaling Pathway in SLE 1600. Is There a Role for Inflammasome Activation in PsA Pathogenesis and Its Comorbidities? 1616. Functional Profiling of PBMC from SLE Patients Versus Healthy Controls Identifies Subgroups with DiseaseAssociated Dysfunctional Signaling 1601. Are There Gender Specific Differences in Patient Characteristics at Initiation of Biologic Treatment in Ankylosing Spondylitis and Psoriatic Arthritis? 1617. Single Cell Interferon Signatures in Lupus Patient Monocytes Reveal a Differential Impact of Interferon Signaling Between Monocyte Subtypes 1602. Th9 Cells in Inflammatory Cascades of Autoimmune Arthritis 1618. 1603. Effect of Methotrexate on the Immunogenicity of TNF Inhibitors in Spondyloarthritis Patients Suppression of IFN-α Production from Systemic Lupus Erythematosus Immune Complexes Via C1 Complex Enzymatic Properties 1619. Systemic Lupus Erythematosus - Human Etiology and Pathogenesis: Autoimmune Disease Transition, Disease Subsets and Prediction of Flares, Cytokines and Autoantibodies Interferon Dysregulation in an Academic SLE Cohort Is Associated with Distinct Signaling Differences in Blood Neutrophils Versus PBMCs 1620. IFN-γ (Th1), IL4 (Th2), and IL5 (Th2) Are Elevated in PreClinical SLE and Predict Transition to Classified Disease Prior to Appearance of Autoantibodies or Clinical Criteria Antibody to Malondialdehyde-Acetaldehyde Adducts (MAA) As a Potential Biomarker of Inflammation in Systemic Lupus Erythrematosus (SLE) 1621. A Shift Towards Trans-Signalling Explains Relatively Low CRP Despite an Active Interleukin-6 (IL-6)/IL-6-Receptor (IL-6R) System in SLE 1622. Th1 and Th2 Cytokines Are Associated with Cerebral Atrophy in Systemic Lupus Erythematosus 1623. Increased CD95 (Fas) Expression on Naive B Cells Is Associated with a Switch to Double Negative and Plasma Cells in the Peripheral Blood, and Correlates with Disease Activity in Systemic Lupus Erythematosus 1624. The Role of B Lymphocyte Stimulator in Monocyte Subpopulation Differentiation in SLE 1604. 1605. Elevated Regulatory Mediators and Interferon Gamma Associated Responses, but Not Interferon Alpha, BLyS or IP-10, Accompany High-Titer Anti-Ro Autoantibodies in Asymptomatic Mothers of Children with Neonatal Lupus 1606. Profiling a Broad Range of Autoantibodies in Healthy and Systemic Lupus Erythematosis Revealed Autoantibody Patterns Associated with Autoantibody Transition and Disease Activity 1607. B Cell and Neutrophil-Related Transcripts Predict and Characterize a Lupus Flare 2014 Program Book 205 ACR POSTER INDICES 1641. Baseline Factors That Predict High BLyS Levels in Patients with Systemic Lupus Erythematosus (SLE) and High Disease Activit 1642. A Prospective Study of Vitamin D Effects on T Cells Phenotype in Patients with Systemic Lupus Erythematosus Treated with Different Regimens of Supplementation for Two Years 1643. Role of Inflammasome Activation in Systemic Lupus Erthematosus: Are Innate Immune Cells Activated? 1644. 1628.Upregulation of Myxovirus Resistance Protein 1 in Patients with Neuropsychiatric Systemic Lupus Erythematosus Mycophenolic Acid and Ribavirin Induces Cytoplasmic Autoimmunogenic Rods and Rings Structures in Vivo 1645. Interferon Gene Signature Expression and Serological Differences in Japanese and Non-Japanese SLE Patients 1629. Added Value of the Determination of Anti-Ribosomal and Anti-Ku Antibodies for Diagnosis of Systemic Lupus Erythematosus 1646. 1630. A Novel NMR Biomarker of Inflammation (GlycA) Is Elevated in Systemic Lupus Erythematosus Molecular, Cellular and Histopathologic Assessment of Baseline Characteristics of Sixteen Subjects with Discoid Lupus Erythematosus Prior to Treatment with AMG 811 (anti-IFNγ) 1625. Interferon Stimulates Transglutaminase Activity on Human Monocytes and Their Microparticles 1626. Autoantibodies Against High Mobility Group Box 1 (HMGB1) in Patients with SLE Systemic Lupus Erythematosus - Clinical Aspects and Treatment: Biomarker, Translational and Nephritis Studies 1627. 1631. Cell Bound Complement Activation Products and Their Relationship to Disease Activity and Quality of Life Measures in Systemic Lupus Erythematosus 1632. Is Liopxin A4 a Biomarker for Systemic Lupus Erythematosus? 1633. Galectin-3-Binding Protein Is Associated with Disease Activity, but Not with Atherosclerosis in SLE Patients 1634. Thrombophilia Associated with DFS70 Antibodies 1635. Association Between Carrying at Least One Apolipoprotein1 Variant Allele and Hypertension in Lupus Patients with Normal Renal Function 1636. Disease Phenotype Is Associated with TH1, TH2 and TH17 Cytokines in Childhood-Onset Systemic Lupus Erythematosus 1637. LACK of Association of ANTI CCP and Arthritis in SLE 1638. Anti-Dense Fine Speckled 70 Antibodies: Long-Term Followup Study of Clinical Associations in a US Laboratory Patient Population 1639. Serum Anti-Müllerian Hormone Levels in SLE Patients. the Disease Severity and Cyclophosphamide Reduce the Ovarian Reserve 1640. 206 The Global Antiphospholipid Syndrome Score (GAPSS) Differentiates Between Transient Ischemic Attack and Stroke in Patients with Antiphospholipid Antibodies Cyclophosphamide Diminishes Plasmablasts and Transitional B Cells and Suppresses Autocrine Production of B Cell Activating Factor of Tumor Necrosis Factor Family (BAFF) in These Cells in Patients with Systemic Lupus Erythematosus 2014 Program Book 1647. Relationship Between Apom/S1P Levels and Atherosclerosis in Women with Systemic Lupus Erythematosus 1648.Urinary T Cells and Macrophages Strongly Reflect the Disease Activity, Kidney Function, and the Histopathologic Classification in Patients with Lupus Nephritis 1649. High Specificity of Skin Immunoglobulin Deposits for diagnosing SLE in Patients with Lupus Nephritis 1650. Prevalence and Prognostic Implications of IgG4 in Membranous Lupus Nephritis 1651. Association of Glomerular Macrophage Phenotypes and Urine Soluble CD163 with Disease Activity in Human Lupus Nephritis 1652. Biomarkers of Lupus Nephritis and Ethnic Disparities in Systemic Lupus Erythematosus 1653. Serum Cystatin C As a Biomarker for Clinical Practice in Patients with Lupus Nephritis 1654. Thrombotic Microangiopathy and Poor Renal Outcome in Lupus Patients Is Not Associated with Antiphospholipid Syndrome and/or Other Lupus Conventional Features 1655. Lupus Nephritis: Clinicopathological Correlation in 126 Biopsies 1656. Rate of Histological Transformation to Higher Grade Nephritis in Class II Mesangial Proliferative Lupus Glomerulonephritis 1657. Does Advanced Age Influence the Type of Renal Injury and the Prognosis of Lupus Nephritis? ACR POSTER INDICES 1658. Renal Thrombotic Microangiopathy in Systemic Lupus Erythematosus: Novel Risk Factors and Clinical Outcomes 1659. The Clinical Relevance of a Repeat Biopsy in Lupus Nephritis (LN) Flares 1660. A Systematic Review and Network Meta-Analysis of Cyclophosphamide and Mycophenolate Mofetil in Lupus Nephritis 1661. Are Repeat Renal Biopsies Important in Managing Lupus Nephritis Flares? 1662. Lupus Nephritis Patients Who Stopped Maintenance Immunosuppressive Therapy without Relapse 1663. Influence of Ethnicity on Efficacy of Current Immunosuppressive Protocols in Proliferative Lupus Nephritis 1664. Novel Risk Factors for Systemic Lupus Erythematosus (SLE) Flares in Patients with End-Stage Renal Disease: Is SLE in Patients with End-Stage Renal Disease a “sleeping beauty”? 1675. Regional Implantation of Adipose Tissue-Derived Cells Induces a Prompt Healing of Long-Lasting Indolent Digital Ulcers in Patients with Systemic Sclerosis 1676. Physical Therapy for Systemic Sclerosis: Systematic Review and Meta-Analysis 1677. Association of Gastrointestinal Symptoms with Immunosuppressant Use in the Prospective Registry of Early Systemic Sclerosis Cohort 1678. Initial Therapy with an Endothelin Receptor Antagonist Is Associated with Worse Outcomes in Patients with Systemic Sclerosis and Pulmonary Arterial Hypertension: Observations from the Pulmonary Hypertension Assessment and Recognition of Outcomes in Sclero 1679. A Double Blind Randomized Control Trial of Oral Tadalafil in Interstitial Lung Disease of Scleroderma 1680. An Indirect Comparisons Analysis of Medications Used for Treatment of Raynaud’s Phenomenon 1681. Heart Transplantation in 6 Patients with Systemic Sclerosis and a Primary Cardiac Involvement 1682. Mycophenolate Mofetil Versus Azathioprine in Scleroderma-Associated Interstitial Lung Disease: Results from the Australian Scleroderma Cohort Study Botulinum Toxin-a for the Treatment of Severe Raynaud Phenomenon 1665. Efficacy Versus Safety of Prednisone in Lupus Nephritis Since 1988 1666. The Relevance of Urinary Podocyte Number and Urinary Podocalyxin Level with Response to Treatment and 1 Year Renal Prognosis in Systemic Lupus Erythematosus 1667. ‘Probability of 3 and 6 Month Complete Response in Lupus Nephritis’ 1684. Treatment of Scleroderma Associated Lung Disease with Mycophenolate Mofetil: A Community-Based Study 1668. Identifying Patient Perceptions of Medication Decision Making Barriers in Minorities with Lupus Nephritis 1685. Effects of Mycophenolate Mofetil on Pulmonary Lung Function in Interstitial Lung Disease of Systemic Sclerosis 1669. Validation of a Machine Learning Lupus Nephritis Decision Support Tool to Predict Complete Response to Therapy 1686. DUAL Energy Computed Tomography for the Evaluation of Calcinosis in Systemic Sclerosis 1670. Characterization of Patients with Lupus Nephritis Included in a Large Cohort from the Spanish Society of Rheumatology Registry of Patients with Systemic Lupus Erythematosus 1687. Key Role of Cardiac Biomarkers in the Assessment of Systemic Sclerosis: Contribution of High Sensitivity Cardiac Troponin 1688. 1671. Renal Relapses Are Common in Lupus Nephritis 1672. Facilitating the Medication Decision-Making process— What Do Patients with Lupus Nephritis Say? Early Detection of Left Ventricular Morphological, Functional Abnormalities and Myocardial Characteristics in Systemic Sclerosis without Cardiac Symptoms Using Cardiac Magnetic Resonance Imaging: A Preliminary Report 1673. Disease Specific Quality of Life in Patients with Lupus Nephritis 1689. Microhaemorrages and Giant Capillaries in Nailfold Videocapillariscopies Are Able to Accurately Predict Disease Activity Level in Systemic Sclerosis Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s - Clinical Aspects and Therapeutics: Systemic Sclerosis, Diagnostic and Therapeutic Aspects 1690. Improvement of Digital Ulcerative Disease in Patients with Systemic Sclerosis Is Associated with Better Functional Prognosis 1674. 1683. Long-Term Efficacy of Rituximab in Systemic Sclerosis 2014 Program Book 207 ACR POSTER INDICES 1691. 1692. Systemic Sclerosis Patients with Pulmonary Hypertension Have a Lower Change in End Tidal Carbon Dioxide Following Three Minutes of Step Exercise Than Systemic Sclerosis Patients without Pulmonary Hypertension: A Cross-Sectional Study The Additive Value of Nailfold Videocapillaroscopy Patterns to Disease-Specific Autoantibodies in Discrimination of Patients with Systemic Sclerosis at Risk for Severe Organ Involvement The Lectin Pathway of Complement – a Potential Role in the Pathogenesis and Disease Manifestations of Systemic Sclerosis 1706. Prevention of SU5416-Induced Pulmonary Hypertension in a TGFβ Dependent Genetic Mouse Model of Scleroderma Using the Endothelin Receptor Antagonist Macitentan 1707. High Oxidative Stress in Fibrotic and Non-Fibrotic Skin of Patients with Systemic Sclerosis 1693. Progressive Disease in Systemic Sclerosis after One Year of Follow-up; Results of a Standardized Multidisciplinary Health Care Program 1708. The Pathogenic Role of Immune Complexes Containing Scleroderma-Specific Autoantibodies in the Inductor Phase of the Disease 1694. A Feasibility Study of Subjective and Objective Assessment of Sublingual Abnormalities in Systemic Sclerosis 1709. WITHDRAWN 1710. Endothelin-1 Is a Downstream Mediator of Profibrotic Effects by Transforming Growth Factor-β1 in Systemic Sclerosis Skin Fibroblasts 1711. The Relationship Between Vascular Biomarkers and Disease Characteristics in Systemic Sclerosis: Elevated MCP-1 Is Associated with Predominantly Fibrotic Manifestations 1712. Monocytic Angiotensin and Endothelin Receptor Imbalance Determines Secretion of the Profibrotic Chemokine Ligand CCL18 1713. Increased Number of CD206+cells in Peripheral Blood and Skin of Systemic Sclerosis Patients 1714. IL-6 Trans-Signalling Activates M2 Macrophage Polarisation and Mediates Fibrotic Response in Scleroderma 1715. Serum Levels of CD163/Tweak Predict Risk of Digital Ulcers in Patients with Systemic Sclerosis 1716. MHC Class I and Class II Genes Influence Systemic Sclerosis Susceptibility, Clinical Presentation and Autoantibody Profile in a Mexican Admixed Population 1717. Antiphospholipid Antibodies in Systemic Sclerosis: Prevalence and Clinical Significance? Endothelial to Mesenchymal Transition Contributes to the Development of Pulmonary Vasculopathy in Systemic Sclerosis PAH 1718. An Association of Anti-PM/Scl Antibody Reactivity with Risk of Malignancy in Scleroderma B Cell Subsets Homeostasis and Functional Properties Are Altered in a Murine Model of Systemic Sclerosis 1719. Periostin May Promote Productin of Extracellular Matrix By Modulating TGF-β Signaling in Human Skin Fibroblasts 1720. GATA6 Deficiency Activates UPR Pathways in Endothelial Cells during the Development of Pulmonary Arterial Hypertension 1721. Investigating the SCF/c-Kit Pathway in Scleroderma Fibrosis 1695. Validation of Vesmeter As a Diagnostic Tool of Scleroderma 1696. Left Atrial Area Measurement Is Useful for Evaluating Left Ventricular Diastolic Dysfunction Coexisting with Pulmonary Arterial Hypertension Associated with Systemic Sclerosis 1697. High Frequency Skin Ultrasound Detects Subclinical Diffuse Dermal Involvement in Patients with Limited Cutaneous Systemic Sclerosis 1698. 1699. Peripheral Blood Eosinophil Counts Increase in Patients with Systemic Sclerosis and Associated with Its Disease Severity Endothelial and Platelet Microparticles As Potential Novel Biomarkers of Peripheral Microvascular Dysfunction in Systemic Sclerosis and Primary Raynaud’s Phenomenon 1700. Laser Speckle Contrast Analysis in the Follow-up of Digital Ulcers in Systemic Sclerosis Patients 1701. Short-Term Effects of Iloprost on Micro-Vessels Hemodynamics in Systemic Sclerosis Patients Evaluated By Laser Doppler Flowmetry 1702. 1703. Systemic Sclerosis, Fibrosing Syndromes and Raynaud’s Pathogenesis, Animal Models and Genetics 1704. 208 1705. CXCL4 Promotes Fibrosis By Increasing Expression of Extracellular Matrix Modifying Factors and By Facilitating Epithelial/Endothelial Mesenchymal Transition 2014 Program Book ACR POSTER INDICES 1722. 1723. 1724. 1725. 1726. 1727. 1728. 1729. 1739. Immunomodulatory Properties of CD271+ and CD271Synovial Mesenchymal Cells 1740. Predicting the Evolution of Inflammatory Arthritis in ACPA-Positive Individuals: Can T-Cell Subsets Model Help? 1741. Loss of IRF5 Ameliorates Tissue Fibrosis in a Murine Model of Systemic Sclerosis Anti-TNFα Treatment Increases IL-17A+ and IL-22+ T Cells in Spondyloarthritis Regardless of Concomittant Gut Inflammation 1742. The SYK Inhibitor Fostamatinib Limits Tissue Damage and Fibrosis in a Bleomycin-Induced Scleroderma MOUSE MODEL Depletion of Reactive Oxygen Species Biases T Cells to Proinflammatory Cytokine Production in Rheumatoid Arthritis 1743. Therapeutic Efficacy of Mesenchymal Stem Cells in Diffuse Murine Hypochlorite-Induced Systemic Sclerosis Antigen-Specificity Regulates Peripheral Homeostasis of Regulatory T Cells 1744. CD4+ T Cell Subpopulations in Blood and Synovial Fluid Defined By Differential Expression of Integrins 1745. Bromodomain Inhibitor JQ1 Modulates Collagen Processing and Ameliorates Bleomycin Induced Dermal Fibrosis in Mice Memory Stem T Cells Are Selectively Enriched in Patients with Rheumatoid Arthritis, Contract upon Anti-TNF Treatment, and May Provide a Long-Term Reservoir of Arthritogenic Lymphocytes 1746. Adenosine A2A Receptor (A2AR) Promotes Collagen Type 3 Expression Via β-Catenin Activation Involvement of IL-17-Producing MAIT Cells in the Pathogenesis of Rheumatoid Arthritis 1747. WITHDRAWN TLR4 and TLR7 Are Required for Gadolinium Based Contrast Agent Induction of Dermal and Pulmonary Fibrosis in an Adenine-Induced Model of Chronic Renal Failure Identification of the Microbiome As a Potential Trigger of Systemic Sclerosis By Metagenomic RNA-Sequencing of Skin Biopsies Poly(ADP-ribose) Polymerase-1 (PARP-1) Suppresses the Profibrotic Effects of Transforming Growth Factor â in Systemic Sclerosis 1730. Identification of Novel Scleroderma –associated Antigens and Development of an Autoantibody Assay Panel Enabling Their Subsequent Validation 1748. CCR6+CD4+ Cells Are Counterparts of Follicular T-Cells Supporting Autoantibody Production in Rheumatoid Arthritis 1731. Translocation of IGFBP-5 to the Nucleus and Its Interaction with Nucleolin Do Not Dictate Its Fibrotic Effects 1749. Molecular Mechanisms Underlying 1,25(OH)2D3Mediated Suppression of Th17 Cell Activity 1732. Attenuation of Sclerodermatous Graft Versus Host Disease (sclGVHD) in IL4RA Receptor-Deficient Mice 1750. The Effect of a Pro-Inflammatory Milieu on Tregalizumab (BT-061)-Induced Regulatory T-Cell Activity 1751. CD4 Aptamer-RORγt shRNA Chimera Inhibits IL-17 Synthesis By Human CD4+ T cells T cell Biology in Rheumatoid Arthritis and Other Arthritis 1733. Immunomodulatory Effects of Dietary Non-Digestible Oligosaccharides in T Cell-Mediated Autoimmune Arthritis 1752. CD30 As a Target of Aptamers and Delivery Portal for Aptamer-shRNA to Block Th17 Cells 1734. IL-22 Plays a Significant Role in the Initiation and Augmentation of Th17-Dependent Experimental Arthritis 1753. 1735. T–cell Tolerance Induction By the Glycosylated Type II Collagen Peptide-Based Vaccination in Murine Arthritis Human T-Cells Express RANKL in Response to Combination of ZAP-70, Calcineurin and Voltage-Gated K+-Channel Signaling Following Co-Ligation of the Adhesion Molecule CD2 and the T-Cell Receptor Complex 1736. Immune Related Adverse Events Associated with AntiCTLA-4 Antibodies: Systematic Review and Meta-Analysis 1737. Altered Phenotype and Function of Senescent Regulatory T Cells in Rheumatoid Arthritis 1738. Prominent Role of CCR6+ T Helper Cells in the Pathogenesis of ACPA+ Patients with Early RA Vasculitis 1754. Peripheral CD5+ b-Cells in ANCA-Associated Vasculitis 1755. Proteomic Analysis of ANCA Vasculitis Serum Reveals Broad Neutrophil Activation, Angiogenesis, and Selective Inflammatory Pathway Activation 2014 Program Book 209 ACR POSTER INDICES 1756. Molecular Diagnosis Reveals a Surprising Prevalence of Limited Gpa Among Patients with Orbital Inflammatory Diseases 1773. Otolaryngologic Lesions Are Not Rare and Closely Related with Pachymeningitis and Cranial Neuropathy in MPOANCA Associated Vasculitis 1757. An Analysis of the Incidence and Characteristics of ANCA Positive Vasculitis before and after the Christchurch Earthquake 1774. Granulomatosis with Polyangiitis (Wegener’s): Endoscopic Management of Tracheobronchial Stenosis - Results from a Multicenter Experience in 47 Patients 1758. Environmental Risk Factors for Granulomatous Polyangiitis (GPA): Southern Hemisphere Similar to Northern Hemisphere 1775. Predicting Relapse in Patients with Granulomatosis with Polyangiitis - the Potential Use of Monitoring in Vitro ANCA Production 1759. Analysis of Employment, Work Disability and Quality of Life of Patients with ANCA-Associated Vasculitis 1776. Factors Predictive of ANCA-Associated Vasculitis Relapse in Patients Given Rituximab-Maintenance Therapy 1777. Staphylococcus Aureus Nasal Carriage and Relapses, Bvas, ANCA-Positivity and Cotrimoxazole Use in ANCAAssociated Vasculitis 1778. Rituximab Versus Azathioprine for ANCA-Associated Vasculitis Maintenance Therapy: Impact in Health-Related Quality of Life 1779. Plasmapheresis Therapy in ANCA-Associated Vasculitides: A Single-Center Retrospective Analysis of Renal Outcome and Mortality 1780. Outcomes of Triple Therapy (Plasma Exchange, Cyclophosphamide and Systemic Corticosteroid) for Anti-Neutrophil Cytoplasm Antibody (ANCA)-Associated Vasculitis 1781. Long-Term Outcomes Among Patients with Renal Disease Secondary to ANCA-Associated Vasculitis: Temporal Trends over 25 Years 1782. Long-Term Follow-up of Non-HBV Polyarteritis Nodosa and Microscopic Polyangiitis with Poor-Prognosis Factors 1783. The Importance of Histopathological Classification of ANCA-Associated Glomerulonephritis in Renal Function and Renal Survival 1784. Prognostic Factors for Interstitial Lung Disease with Microscopic Polyangiitis 1785. Survival of Microscopic Polyangiitis (MPA) Patients with and without Pulmonary Fibrosis (PF) 1786. Vasculitis As Underlying Cause of Death in the United States: 1999 – 2010 1787. HLA-DRB1*01 Is Associated with Henoch- Schönlein Purpura in the Spanish Population 1788. Association of HLA-B*41 with Henoch-Schönlein Purpura in Spanish Individuals Irrespective of the HLA-DRB1 Status 1789. Are EULAR/Printo/PRES Classification Criteria Appropriate for Classification of IgA Vasculitis in Adults? 1760.United Kingdom & Ireland Vasculitis Registry – CrossSectional Data on the First 1085 Patients 1761. Standardisation of Disease Assesment in Systemic Vasculitis: Use of a Novel Web-Based Software Training Application 1762. The Muscle Biopsy Is a Useful and Noninvasive Procedure in Diagnosing Systemic Vasculitis Affecting Small-toMedium-Sized Vessels: A Prospective Evaluation 1763. Tobacco Differentially Affects the Clinical-Biological Phenotype of ANCA-Associated Vasculitides at Diagnosis 1764. Clinical and Other Differences Observed Between Cocaine Induced and Non-Cocaine Induced Anti-Neutrophil Cytoplasmic Antibody Positive Vasculitis 1765. 1766. 1767. 1768. 210 Comparison of Clinical Characteristics of Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis By the Serotype Specificity to Myeloperoxidase and Proteinase-3 Comparison of Clinicopathologically- and SerologicallyBased Classification Systems for ANCA-Associated Vasculitis Granulomatosis with Polyangiitis (Wegener’s) According to Geographic Origin and Ethnicity: Clinical-Biological Presentation and Outcome Cardiac Involvement in Granulomatosis with Polyangiitis: A Magnetic Resonance Imaging Study of 31 Consecutive Patients 1769. Abdominal Visceral Adipose Tissue Measured By DXA As a Novel Surrogate Marker of Cardiovascular Risk in Primary Necrotizing Vasculitides 1770. Increased Risk of Chronic Obstructive Pulmonary Disease in Granulomatosis with Polyangiitis: A General Population-Based Study 1771. Arterial Thrombotic Events in Systemic Vasculitis 1772. Venous Thromboembolic Events in Eosinophilic Granulomatosis with Polyangiitis (EGPA) 2014 Program Book ACR POSTER INDICES 1790. Follow up of an Unselected IgA Vasculitis (HenochSchönlein Purpura) Population at Single Rheumatology Center 1949. Defective PTEN Regulation and Function Contributes to B Cell Hyper-Responsiveness in Systemic Lupus Erythematosus 1791. Applicability of the 2006 European League Against Rheumatism (EULAR) Criteria for the Classification of Henoch-Schönlein Purpura. an Analysis Based on 766 Patients with Cutaneous Vasculitis 1950. Circulating CD19+CD38+CD43+ B Cell Subset in SLE Patients Have More Cell Cycle Related Genes Than Healthy Controls 1792. Clinical-Biological and Pathological Spectrum and Outcome of IgA Vasculitis in Adults: A French Study 1951. A Novel CD27(-) Spleen Tyrosine Kinase (Syk) Bright Memory B-Cell Subset Is Expanded in SLE 1793. Efficacy and Safety of IFN-Alpha in Induction and Maintenance of Remission in Patients with Eosinophilic Granulomatosis with Polyangiitis (EGPA). Single Center Observational Study 1952. Elucidation of Molecular Mechanisms of Breg Induction in Autoimmune Diseases 1953. Circulating Plasmablasts from Patients with Systemic Lupus Erythematosus Produce Autoantibodies Reactive to Epstein-Barr Virus 1954. Successfull Long-Term Depletion of Memory Plasma Cells Requires a Combined Depletion of Plasma Cells and Their Precurors in NZB/W Mice 1955. Disparity in Internalisation of Monoclonal Antibodies Targeting B Cell Antigens and Regulation By Fc Gamma Receptor IIb: Implications for Targeted Therapy in SLE 1956. Increased IL-6 Production By Effector B Cells in Giant Cell Arteritis and Polymyalgia Rheumatica TUESDAY, NOVEMBER 18, 2014 Poster Hall (Exhibit Hall B) B cell Biology and Targets in Autoimmune Disease: Systemic Lupus Erythematosus and Related Diseases 1938. Effects of Mesenchymal Stem Cells on Human B Cell Proliferation 1939. Development of Cell–Based Enzyme–Linked Immunosorbent Assay for the Quantification of Anti–M– type phospholipase–a–receptor Antibodies and Its Clinical Usefulness in Patients with Membranous Nephropathy 1940. 1941. A Novel Murine Model of B Cell-Mediated Glomerular Injury Is Mediated By Cytokines Neuropsychiatric Lupus Is Substantially Unaffected By B-Cell Deficiency Cytokines, Mediators, Cell-cell Adhesion, Cell Trafficking and Angiogenesis 1957. Dysregulation of CC Chemokines at Microvascular Endothelial Cells of Blood and Lymphatic Vessels Under Inflammatory Conditions 1942. Regulation of the Responses of Human B Cell Subsets to Innate Immune Signals By Epratuzumab, a Humanized Monoclonal Antibody Targeting CD22 1958. Pyrrolopyrimidine Derivatives That Inhibit Binding of BAFF to Its Receptor, BR3, Are Drug Candidates for Primary Sjögren’s Syndrome 1943. In Vivo Effects of Epratuzumab, a Monoclonal Antibody Targeting Human CD22, on B Cell Function in Human CD22 Knock-in (Huki) Mice 1959. Interaction of PDE4 and β-Arrestin Reverses AntiInflammatory Effects of Catecholamine-Producing Cells in Chronic Arthritis Via Adrenoceptor Switching from Gαs to GαI Signalling 1944. Targeting CD22 with Epratuzumab Impacts Cytokine Production By B Cells 1960. NF-κB-Inducing Kinase (NIK) Is Expressed in Synovial Endothelial Cells in Early Arthritis Patients and Correlates with Local Disease Activity and Systemic Markers of Inflammation 1961. Chemokine-like Receptor 1 (CMKLR1) is Expressed on Synoviocytes and Proinflammatory Monocytes in Arthritis and is Predominantly Regulated By β arrestin 2 and G Protein Coupled Receptor Kinase (GRK) 6 1962. Inflammatory Properties of Inhibitor of DNA Binding 1 As a Unique Fibroblast Derived Nuclear Protein 1945. Pharmacodynamic Effects of the CD22-Targeted Monoclonal Antibody Epratuzumab on B Cells in Patients with Systemic Lupus Erythematosus 1946. CD22 Is Required for Formation of Memory B Cell Precursors within Germinal Centers 1947. Prolactin Promotes Survival of Immature B Cells from MRL/Lpr Mice 1948. A Dual Role for IFN-γ in Development of Peripheral B Cells in Lupus-Prone MRL/Lpr Mice 2014 Program Book 211 ACR POSTER INDICES 212 1963. Hierarchical Role of PI3K/Akt/mTOR Signaling Cascade on: Tissue Inflammation, Organization and Angiogenesis in Autoimmune Arthritis 1978. Role of Monocytes Subsets in the Pathology of Rheumatoid Arthritis: Involvement in Endothelial Dysfunction and Proinflammatory Profile 1964. Changes in Soluble CD18 Reflect Latency in the Immune System and Predict Radiographic Progression in Early Rheumatoid Arthritis 1979. Pseudostarvation By AMPK Activator Therapy Is Associated with Reduced Disease Activity and Downregulation of Pro-Inflammatory Responses in Rheumatoid Arthritis (RA) 1965. Characterization of the Thyroid Hormone System in Rheumatoid Arthritis 1980. 1966. CTLA4-Ig (abatacept) Modulate in Vitro the ICAM1 and VEGFR-2 Expression in Human Endothelial Cells Thrombospondin-1 Is Elevetad in the Plasma of Patients with Antiphospholipid Syndrome and Is Correlated with Soluble Fas Ligand and Free Active TGF-B levels 1967. Transforming Growth Factor Beta Is a Major Regulator of Micro-RNA Synthesis in Rheumatoid Arthritis Synovial Fibroblasts 1968. Highly activated IL-23/Th17 axis and JAK2/STAT3 signal pathway in PBMC of active AS patients involve in pathogenesis of AS 1969. Neurotrophin Receptor p75 (CD271) Defines a Distinct Synovial Fibroblast Subset in Rheumatoid and Osteoarthritic Synovial Tissues with Enhanced Proinflammatory Potential 1970. TH17 Inflammatory Responses Occur in a Subset of Patients with Erythema Migrans or Lyme Arthritis, but Are Not Predominant Responses in Joints 1971. The Role of the Proinflammatory Mediator High-Mobility Group Box Protein 1 (HMGB1) in Anti-Collagen-AntibodyInduced Arthritis Is Dependent on Vascular Endothelial Growth Factor (VEGF) Education (ACR) 1981. A Qualitative Analysis of Methotrexate Injection Videos on Youtube 1982. Final Year Medical Students Prefer E-Reading Content to Interactive Case-Based Quizzes in a Pediatric Rheumatology E-Learning Module 1983. Improving Resident Confidence with the Musculoskeletal Exam through a Rheumatology-Dedicated Musculoskeletal Workshop 1984. Implementation and Performance of an Objective Structured Clinical Examination (OSCE) in a National Certification Process of Trainees in Rheumatology. Two Years of Experience 1985. Rheumatology Learning Management System 1986. Ambulatory Rheumatology Curriculum: Effect of Multimodal Curriculum Enhancement 1972. Analysis of Anakinra in Primary Human Cell Systems Reveals an in Vitro Signature for Skin-Related Side Effects 1987. Simulation in Continuing Education: Improving EvidenceBased Decisions for Rheumatoid Arthritis Management 1973. Ectopic Lymphoid Neogenesis Is Strongly Associated with Activation of the IL-23/IL-17 Pathway in Rheumatoid Synovitis 1988. Process Outcomes and Community-Wide Efficacy of the Amigo Inter-Institutional Mentoring Initiative within Pediatric Rheumatology 1974. Sex Steroids, Interleukin-1, and Interleukin-10 Inhibit interferon–gamma (IFN-γ) Induced B Cell Activating Factor of the Tumor Necrosis Factor Family (BAFF) in Human Synovial Fibroblasts 1989. Application of an Experiential Learning Framework for Clinician Scholar Educator Training in a Rheumatology Fellowship 1975. Profiling 14-3-3η in Human Primary Cell Based BioMAP® Disease Models Reveals a Unique Pro-Inflammatory Phenotypic Signature Consistent with RA-Inflammation Biology 1990. Pilot Musculoskeletal Workshop for Internal Medicine Residents 1991. Integration of Nailfold Capillary Microscopy and Dermoscopy into the Rheumatology Fellows Curriculum 1992. Resident’s Guide to Rheumatology Mobile Application: An International Needs Assessment 1993. Does Psychological Safety Impact Learning Environments Among Rheumatology Fellows: Findings from Veterans Affairs Learners’ Perception Survey 1976. Elevation and Functional Activity of Interferon Omega in Human Systemic Lupus Erythematosus 1977. The Proangiogenic Function of the Epigenetic Regulator EZH2 in Synovial Tissue Is Mediated By Fibroblasts in Rheumatoid Arthritis 2014 Program Book ACR POSTER INDICES 1994. Incorporation of Musculoskeletal Ultrasound Curriculum and 6-Month Assessment of Knowledge Retention into the 2nd Year of Medical Student Training 1995. Design and Implementation of a Clinical Teaching Tool for Approach to Children with Suspected New Rheumatologic Diagnosis 1996. Improvement in Basic Bone Health Knowledge Among VA Primary Care Practitioners during a Focused Musculoskeletal Mini-Residency 1997. Structured Integrative Rheumatology Modules (SIRM) 1998. pGALS Training Increases Kenyan Pediatric Residents’ Confidence in Performing a Musculoskeletal Exam 1999. Internal Medicine Resident Confidence in Rheumatologic and Musculoskeletal Diseases: A Needs Assessment Survey 2000. The Effect of a Rheumatology Ambulatory Rotation for Medical Residents on Documentation of Musculoskeletal Complaints 2001. The Musculoskeletal Mini-Residency Collaborative Network: A National Department of Veterans Affairs Interdisciplinary and Interprofessional Educational Innovation for Primary Care Providers 2011. What Do State Legislators Think about Arthritis? Results of Focus Groups with State Legislators 2012. Moving Social Media Beyond Health Education and into Patient Engagement 2013. Quality Appraisal of Educational Websites on Osteoporosis and Bone Health Epidemiology and Public Health (ACR): Rheumatoid Arthritis Pathogenesis and Treatment 2014. Performance of Self-Reported Measures for Periodontitis in Rheumatoid Arthritis and Osteoarthritis 2015. Fine Particulate Air Pollution and Systemic Autoimmune Rheumatic Disease in Two Canadian Provinces 2016. Occupation and Risk of Developing Rheumatoid Arthritis 2017. Fish Consumption and Risk of Rheumatoid Arthritis Among Women in Large Prospective Cohorts 2018. Do Mediterranean or Vegetarian Diets Influence Risk of Rheumatoid Arthritis? 2019. Antibodies to Citrullinated Clusterin, Filaggrin, Vimentin, and Fibrinogen Are Associated with Blood Pressure in First-Degree Relatives of Rheumatoid Arthritis Patients: The Studies of the Etiology of Rheumatoid Arthritis 2020. Circulating Carotenoids and Subsequent Risk of Rheumatoid Arthritis 2002. Implementation of a Collaborative Rheumatology and Physiatry Musculoskeletal Ultrasound Training Program 2003. Pilot Study of a Web-Based Module on Gout 2004. Osteoporosis Screening and Fracture Risk Assessment Tool Usage Among House Staff 2021. The Association Between Rheumatoid Factor and Cardiovascular Disease in Healthy Adults 2005. Multimedia Patient Education Tool for Patients with Osteoporosis 2022. First Nations Persons Have an Increased Risk of Developing Rheumatoid Arthritis with an Early Onset Age but Are Seen Less Frequently By Rheumatologists: A Population Based Study 2023. Prevalence of Inflammatory Arthritis Conditions in the First Nations Population of Alberta 2024. Prevalence of Rheumatoid Arthritis in French West Indies, an African Ancestry Population. the Eppra Study 2025. Factors Associated with Time to Diagnosis from Symptom Onset in Early Rheumatoid Arthritis Patients 2026. Treatment Delays and Worse Outcomes Associated with Lower Socioeconomic Status in Rheumatoid Arthritis 2027. Higher Educational Level Correlates with Retarded Onset and Less Severe Disease in Rheumatoid Arthritis Patients Education (ARHP): Education/Community Programs 2006. Multiple Joint Osteoarthritis: Patient Preferences for a Generic Exercise and Self-Management Programme 2007.Using Photovoice Techniques to Empower Lupus Patients and Create Public Awareness: A Program Evaluation 2008. Personalized Risk Education for Rheumatoid Arthritis Improves Self-Perceived Risk Accuracy and Risk Factor Knowledge in First-Degree Relatives 2009. Development of Multimedia Patient Education Tools (MM-PtET) for Osteoarthritis (OA), Osteoporosis (OP) and Rheumatoid Arthritis Patients (RA) 2010. Reaching out to Physical Therapists: Results of a Survey on Physical Therapists Preferences for Learning about Evidence-Based Community Programs 2014 Program Book 213 ACR POSTER INDICES 2028. Effect of Age at Rheumatoid Arthritis Onset on Clinical, Radiographic, and Functional Outcomes: The Espoir Cohort 2029. Treatment Patterns of Multimorbid Rheumatoid Arthritis Patients: Results from an International Cross-Sectional Study 2030. Predicting Failure of Conventional Disease Modifying Antirheumatic Drugs in Treatment Naive Early Rheumatoid Arthritis Patients: A Single Centre Inception Prognostic Factor Cohort Study 2031. Early Adherence to Methotrexate in Rheumatoid Arthritis (RA) Is High: a Prospective Longitudinal Study of New Users 2032. Psychological Factors Predict Adherence to Methotrexate (MTX) in Rheumatoid Arthritis (RA); Findings from a Systematic Review of Rates, Predictors and Associations with Patient Outcomes 2033. Patient Factors Associated with Oral Glucocorticoid Prescribing Patterns in UK Primary Care for Patients with Rheumatoid Arthritis 2034. A Treat-to-Target Strategy Preserves Work Capacity in Early Rheumatoid Arthritis (RA) 2035. Joint Distribution and Outcome in 350 Patients with Monoarthritis of Less Than 16 Weeks Duration: Data from a Multicenter Longitudinal Observational Study in Eastern Norway 2036. Biologic Disease-Modifying Antirheumatic Drugs and Risk of High-Grade Cervical Dysplasia and Cervical Cancer in Women with RA 2041. Performance of a Two-Step Latent Tuberculosis Screening Algorithm in Patients with Rheumatoid Arthritis, Psoriatic Arthritis or Ankylosing Spondylitis Prior to Treatment with Tumor Necrosis Alpha Inhibitors: Prospective Observational Data from the Biorx.S 2042. Tuberculin Conversion in Patients with Autoimmune Arthropathies Receiving Biologic Therapy 2043. How Correct Are the Assumptions Made for Tuberculosis Screening Algorythms before TNF-Alpha Antagonists? 2044. Systematic Review of the Effect of Anti-Rheumatic Therapies upon Vaccine Immunogenicity Epidemiology and Public Health (ARHP) 2045. Interaction Effects Between Genes and Blood Lead Level on a Composite Score of Multiple Joint Symptoms: The Johnston County Osteoarthritis Project 2046. Perceived Discrimination in Individuals with Radiographic Knee and Hip Osteoarthritis 2047. No Association of Serum Uric Acid with Hip Fracture Risk in Older Men and Women from the Framingham Original Cohort 2048. Disability in Discretionary Valued Life Activities and SelfEfficacy Explain a Significant Portion of RA Patients’ Global Assessments 2049. Fatigue Is a Risk Factor for Subsequent Functional Decline in SLE 2050. Knee Arthritis Is Positively Associated with Physical Impairment: Conclusion Based on Physical Examinations from a Cross-Sectional Study of 17708 Chinese Residents Modification of Effects of Household Income and Homeownership By Block Group Poverty on Health Outcomes in a Cohort of African Americans with Rheumatoid Arthritis 2037. Incidence and Prevalence of Myasthenia Gravis in Rheumatoid Arthritis Patients with and without Treatment Compared with the General Population 2051. 2038. Respiratory Cause Mortality Was Significantly Predicted By Incident Rheumatoid Arthritis (RA) and Higher Pre-RA Levels (0.50+ SD) of Soluble Interleukin-2 Receptor Alpha (sIL-2Rá): Results of a 21-Year Community-Based Cohort Survival Analysis 2052. Foot and Ankle Characteristics Associated with Falls in Adults with Rheumatoid Arthritis 2053. Among Persons Assayed with Lower Serum Interleukin-1 Beta (IL-1β) Levels, Serum Androstenedione (Δ4A) and Testosterone (T) Were Significantly Lower in a Community-Based Cohort of Rheumatoid Arthritis MultiYears before Clinical Onset (Pre-RA) Than in Non- Mortality Decreases in Patients with Rheumatoid Arthritis: a 15-Year Prospective Cohort Study 2054. Physical and Mental Functioning in Patients with Established Rheumatoid Arthritis over an 11-Year Followup Period: The Role of Specific Comorbidities 2039. 2040. Opportunistic Infections in Patients Treated with Biologic Drug Therapy Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes: Research Focus 2055. 214 2014 Program Book Are There Immunological Abnormalities in Fibromyalgia Patients: Flow Cytometry Analysis ACR POSTER INDICES 2056. Fibromyalgia Symptoms Beyond the Pain and Its Impact on the Patient 2076. Predictive Modeling of a Fibromyalgia Diagnosis: Increasing the Accuracy Using Real World Data 2057. Electrophysiological Evaluation of Autonomic Nervous System and Cutaneous Silent Period in Patients with Fibromyalgia Syndrome 2077. A New Tender Point on the Plantar Arch in Primary Juvenile Fibromyalgia: A Potential Point to be Considered 2058. The Impact of Environmental Stress on Pain in Fibromyalgia Patients 2078. A Proposed Simple 3-Variable Index for Identification of Fibromyalgia, Analogous to Classification Criteria for RA and SLE 2059. Muscle Tension Is Increased in Fibromyalgia 2079. The Association Between Straight Neck and Fibromyalgia 2060. Do Fibromyalgia Patients Have a Distinct Sleep Signature? 2080. Carryover Effects in Crossover Design Studies in Fibromyalgia and Other Pain Conditions 2081. Ehlers-Danlos Hypermobile (EDS-HT) Patients and Postural Instability : Another Clue to Explain Pain and Fatigue ? 2061.Unexpectedly High Prevalence of Immunoglobulin Deficiency in Fibromyalgia 2062. WITHDRAWN 2082. 2063. Analysis of the Fibromyalgia Rapid Screening Tool Spanish Version to Detect Fibromyalgia in Primary Health Care Centers Presence of Acrocyanosis in Patients with Joint Hypermobility 2083. Evaporative Dry-Eye Disease and Aqueous Deficient DryEye Disease Associated with Fibromyalgia Assessment of the Spanish Version of the American College Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia Genetics, Genomics and Proteomics 2064. 2065. A Cross-Sectional Analysis of Psychological Symptoms, Sleep Quality, and Functional Balance in Fibromyalgia 2066.Ultra Orthodox Religious Orientation Associated with Reduced Rates of Pain, Anxiety and Fatigue in a Population Based Study 2067.Understanding the Factors Influencing Time to Diagnosis in Fibromyalgia 2068. Joint Hypermobility Syndrome and Postural Orthostatic Tachycardia Syndrome (HyPOTS) 2069. Investigation of the Effects of Physical Exercise on the Control Mechanisms of Cutaneous Circulation in Patients with Fibromyalgia Syndrome 2070. 2071. Elevated Serum Leptin Concentrations in a Subset of Fibromyalgia Patients with High Inflammatory Markers Chronic Widespread Pain Versus Multi-Site Pain: Does the Distribution Matter? 2084. Are Genetic Markers Associated with Myocardial Infarction in Patients with Early Rheumatoid Arthritis? 2085. Association of Circulating Mirnas with Spinal Involvement in Patients with Axial Spondyloarthritis 2086. Replication of PTPRC As Genetic Biomarker of Response to TNF Inhibitors in Patients with Rheumatoid Arthritis 2087. Defective Regulation of L1 Endogenous Retroelements in Primary Sjögren’s Syndrome and Systemic Lupus Erythematosus: Role of Methylating Enzymes 2088. Association of TNFAIP3 Gene Polymorphisms with the Risk for RA and Prediction of Therapy Outcome of TNFαBlocker Treatment The APOL1 Gene Is Not Associated with Lupus Nephritis in Individuals with Enriched Amerindian Ancestry 2089. 2090. Contribution of MTHFR Gene Polymorphisms in Sjögren’s Syndrome Related Lymphomagenesis 2091. Plasma Microparticle Protein Features Distinctively Classify Systemic Lupus Erythematosus and Systemic Sclerosis and Their Clinical Phenotype 2092. Proteomic Phenotyping of Rheumatoid Arthritis Disease Activity 2093. Improvement of Rituximab Response Prediction in Rheumatoid Arthritis Via Correction for PrednisoneRelated Suppression of Type I Interferon Response Gene Expression 2072.Ultrasound Assessment of Both Hands in Fibromyalgia Patients: What Could We Detect? 2073. Is Susceptibility to Fibromyalgia a Trait? 2074. Hypervigilance and FMS 2075. The Lumbar Spine in Fibromyalgia 2014 Program Book 215 ACR POSTER INDICES 2110. WITHDRAWN 2111. Overcoming Barriers to Acute Patient Access: Is There a Need for Urgent Care Clinics in Rheumatology Practices? 2112. Assessment of RA Heterogeneity in Two Independent Cohorts of Patients Patterns of Medication Use Before, During, and After Pregnancy Among Women with Systematic Lupus Erythematosus: A Population-Based Study 2113. Identification of Diagnostic and Activity Metabolomic Urine Biomarkers in Six Immune-Mediated Inflammatory Diseases The Number of Morbidities Drives the Health Care Expenditures and Presence of a Musculoskeletal Condition Is Additionally Accountable for Higher Costs 2114. Genetic Variants of the NLRP3 Inflammasome Are Associated with Stroke in Patients with Rheumatoid Arthritis Comorbidity Characteristics of Patients Starting FirstLine Acute Gout Agents - Colchicine, NSAID, and Corticosteroids 2115. Serum C-X-C Motif Chemokine 10 (CXCL10) Is Elevated in Psoriasis Patients Prior to Psoriatic Arthritis Onset Inflammatory Arthritis Treatment Outcomes at a First Nations Reserve Rheumatology Specialty Clinic 2116. Activation of NFkβ Pathways in Sjögren’s Syndrome Related Lymphomagenesis-Role of the His159Tyr Mutation of the BAFF-R Receptor Hospitalization Rates and Utilization Among Rheumatoid Arthritis Patients: A Population-Based Study from 1987 to 2012 2117. Association Between Depression and High Utilization of Emergency Department in Patients with Systemic Lupus Erythematosus from the Southeastern United States: The Goal Cohort 2118. Lower Socioeconomic Status at Disease Onset Is Associated with Higher Health Care Costs in Patients with Systemic Lupus Erythematosus: A General PopulationBased Cohort Study 2119. Off Work Days Decreased RATE in Muskuloeskeletal Disease Patients: Usefulness of the EARLY Intervention Program 2120. Societal Preferences for Rheumatoid Arthritis Treatments. Evidence from a Discrete Choice Experiment 2121. Real-World Cost Comparison of Urate Lowering Therapies in Patients with Gout and Moderate to Severe Chronic Kidney Disease 2122. Variation in the Prescribing Practices of Biologic Dmards 2123. Characterization of Social Stigma in Rheumatic Diseases and Correlation with Quality of Life and Medication Adherence Significant State-Level Variation in Source of Biologic Drug Coverage Among Beneficiaries with Rheumatoid Arthritis 2124. Characteristics of Medicare Beneficiaries Travelling Long Distances to Visit a Rheumatologist 2108. Anxiety in Caregivers of Patients with Chronic Rheumatic Conditions 2125. Burden of Illness in Refractory Gouty Arthritis: A One-Year Prospective Multinational, Observational Study 2109. Are Patient Ratings of Providers and Health Plans Associated with Technical Quality of Care in SLE? 2094. 2095. 2096. 2097. 2098. 2099. 2100. Deep Sequencing Reveals Differential RNA Expression during Malignant Transformation in Major Salivary Glands in a Mouse Model of Sjögren’s Syndrome Two Novel Serum Urate Levels Associated Genetic Loci Identified By GWAS in European Were Confirmed in Chinese Han Population 2101. Epigenetic Study of Advanced Ankylosis in Patients with Ankylosing Spondylitis 2102. A Tissue-Specific Lincrna in the TRAF1-C5 Risk Locus As a Putative Cis-Regulator, Bridging Genetics and Disease Health Services Research 2103. Benefits of Early Onset of DAS28 (CRP) <2.6 on Physical Functioning, Quality of Life and Resource Use Among RA Patients in a Clinical Practice Setting 2104. Effectiveness of a Workplace Integrated Care Intervention on Work Productivity in Workers with Rheumatoid Arthritis 2105. Nonsurgical Treatment Patterns in Patients with Chronic Spinal Cord Injury 2106. Surgical Compared with Nonsurgical Management of Fractures in Men with Chronic Spinal Cord Injury 2107. 216 2014 Program Book ACR POSTER INDICES Imaging of Rheumatic Diseases: Various Imaging Techniques 2141. Sensitivity to Change of Joint Space Width Measurements in Hand Osteoarthritis in a Two Year Follow-up Study 2126. The Utility of Digital Activity Fluorescence Optical Imaging in Quantifying Hand and Wrist Inflammation in Rheumatic Diseases 2142. Sensitivity and Precision of Automated Osteophyte Volumetric Measurement in Knee Osteoarthritis over Four Years 2127. Subclinical Arthritis Is Detected By Macrophage Targeting and Positron Emission Tomography (PET) in Early RA Patients in Clinical Remission 2143. Cortical Breaks and Bone Erosions in the Hand Joints: A Cadaver Study Comparing Conventional Radiography with High-Resolution and Micro-Computed Tomography 2128. Effectiveness of 18f-Fluoro-Dexoxyglucose Positron Emission Tomography for the Diagnosis of Polymyalgialike Illness 2144. Cuantification of Hand Bone Mineral Density By Radiogrammetry and Dual X-Ray Absorptiometry in Early Arthritis Patients 2129. Sensitivity and Specificity of the “Green Nail” Sign in Fluorescence Optical Imaging in Psoriatic Arthritis 2145. 2130. Bone Microstructure in Patients with Cutaneous Psoriasis and No History of Psoriatic Arthritis Shows Bone Anabolic Changes at a Greater Extent Than in Healthy Controls Diagnostic Performance and Disease Activity Assessment By FDG-PET in Large-Vessel Vasculitis: A Systematic Literature Review and Meta-Analysis 2146. Optimal Hand Position for Reliable Volumetric Joint Space Width Measurements Using High-Resolution Peripheral Quantitative Computed Tomography 2147. Automatically Extracted Quantitative Biomarkers for Assessing Connective Tissue Disease Using Nailfold Capillaroscopy 2148. Dual Energy CT Scanning: Variable Sensitivity for Gout in Non-Tophaceous and Tophaceous Disease and in Individual Erosions 2131. The Impact of Patient-Reported Flares on Radiographic Progression in Rheumatoid Arthritis Patients with LowDisease Activity: Secondary Analyses from a Randomized Trial 2132. What Is Associated with X- Ray Progression at 5 Years in Rheumatoid Arthritis (RA) Patients in Low Disease Activity? 2133. Efficacy of Tocilizumab Therapy in Patients with Rheumatoid Arthritis Based on FDG-PET/CT 2149. 2134. Baseline Scintigraphic Detection of TNFá As a Predictor of Therapy Response after Treatment with Certolizumab Pegol in Rheumatoid Arthritis and Spondyloarthritis Patients Relationship Between the Magnitude of Bone Formation in the Anterior Vertebral Corners, As Assessed through 18F-Fluoride Uptake, and Lumbar Spine Bone Mineral Density in Patients with Ankylosing Spondylitis 2150. The Craniocervical Junction in Ankylosing Spondylitis: A Computed Tomography Based Study Patients with Moderate Disease Activity in the First 5 Years of Rheumatoid Arthritis Still Progress Radiographically Despite Conventional Disease Modifying Therapy Infections, Infection-related Biomarkers and Impact of Biologic Therapies 2135. 2136. 2137. Rheumatoid Arthritis Erosion Detection and Measurement in Longitudinal Datasets Using High-Resolution Peripheral Quantitative Computed Tomography Linear Extrapolation of Missing Radiographic Progression Scores Does Not Spuriously overestimate overall Radiographic Progression in Rheumatoid Arthritis 2138. Radiological Outcomes after Two Years of Remission Steered Treatment in Early Arthritis Patients 2139. Predictors of Radiologic Disease Progression during the Rheumatoid Arthritis Comparison of Active Therapies Trial 2140. Agreement Among FDG-PET/CT, Ultrasound and Physical Examination in Patients with Inflammatory Arthritis 2151. Abatacept Related Infections: No Association with Gammaglobulin Reduction 2152. Frequency of Postoperative Deep Infection in Patients with Rheumatoid Arthritis Clinical Characteristics and Outcomes in Synovial Fluid Culture ̵ Negative Septic Arthritis 2153. 2154. Risk for Developing Adult T-Cell Leukemia in Patients with Human T Lymphotropic Virus Type-I Carrier Receiving Immunosuppressive Therapy 2155. Chikungunya Fever in Patients Under Biologics 2156. Persistent Arthralgia Following Chikungunya Fever . 2014 Program Book 217 ACR POSTER INDICES 2174. MicroRNA-146a in Salivary Gland Epithelial Cells Inhibits Co-Stimulatory Molecule CD80 Expression and Increases Autoreactive T Cell Activation in Sjögren’s Syndrome 2175. Macrophages from the Synovium of Active Rheumatoid Arthritis Exhibit an Activin a- Dependent ProInflammatory Profile Human T-Lymphotropic Virus Type 1 Biomarkers in Patients with Rheumatoid Arthritis 2176. Macrophages-Mediated Response to Uric Acid Crystals Is Modulated By Their Functional Polarization 2160. WITHDRAWN 2177. 2161. Interest of Systematic Lyme Serology in Context of Recent Onset Arthritis Class a Scavenger Receptor SR-a Exacerbated Synovial Fibroblasts-Mediated Inflammation in Rheumatoid Arthritis 2178. Extensive Natural Killer Cell Receptor Phenotyping on NK and T Cells Discloses Differences in RA and Psa, Potentially Mirroring Diverse Immunoregulatory Functions 2179. The Monocyte-Phagocyte System in Gout: Enhanced Inflammasome Activity and Expansion of CD14++CD16+ Monocytes in Patients with Gout 2180. Macrophage Depletion Ameliorates Nephritis Induced By Pathogenic Antibodies 2181. Investigating Myeloid and Plasmacytoid Dendritic Cell Activation within the Synovium and Peripheral Blood of Rheumatoid Arthritis Patients 2182. Investigating the Roles of Factor H-Related Proteins in Systemic Lupus Erythematosus (SLE) and Other Autoimmune Diseases 2183. Release of Enzymatically Active Peptidyl Arginine Deiminases (PADs) By Neutrophils Allows Generation of Citrullinated Extracellular Autoantigens in the Synovial Fluid of Patients with Rheumatoid Arthritis 2184. Selective Consumption of C2 Component in HCV Patients 2185. Alterations in B Cell Complement Processing Related to a Lupus-Associated Variant in Complement Receptor 2 2157. Tuberculosis Reactivation Risk in Patients Treated with Tumor Necrosis Factor Alpha Inhibitors: A Turkish Experience with Higher Mortality and Different Background Diseases 2158. Severe Neutropenia in Patients with Rheumatic Diseases at a Tertiary Care Hospital in South Korea 2159. 2162. Immunological Abnormalities in Adult Patients with Parvovirus B19 Infection : A study of 23 Cases 2163. Genetic Variants of TNFAIP3 in Patients with HCV Related Lymphoma Are Associated with the Presence of Rheumatoid Factor (RF) Innate Immunity and Rheumatic Disease: Mediators, Cells and Receptors 2164. 218 Self-Phospholipids Regulate Inflammation Via Activation of CD1d-Restricted T-cells and Induction of ‘antiinflammatory’ Myeloid-Derived Suppressor Cells (MDSC) 2165. Myeloid-Derived Suppressor Cells in Rheumatoid Arthritis: Friend or Foe? 2166. Bim Suppresses the Development of Glomerulonephritis By Inhibiting M2 Polarization 2167. Snapin Is Critical for Cathepsin D Activation and the Normal Lysosomal Function 2168. Extramedullary Myelopoiesis Drives Persistent Toll-like Receptor-Mediated Inflammation 2169. Targeting ITGAM+ Cells Successfully Treats a Model of Anti-RNP-Associated Pulmonary Hypertension 2170. Human Tolerogenic Dendritic Cells Generated with Protein Kinase C Inhibitor Are Optimal for Regulatory T Cell Induction-a Comparative Study 2171. Polymorphisms in the FCN1 Gene Coding for M-Ficolin Are Associated with Disease Activity, Radiographic Damage and Are the Strongest Predictors of DAS28 Remission in 180 DMARD naïve Early Rheumatoid Arthritis Patients Miscellaneous Rheumatic and Inflammatory Diseases 2186. Clinical and Immunologic Correlates in Cocaine Users with Serum Anti-Neutrophil Cytoplasmic Antibodies 2187. Revisiting RS3PE after Twenty Five Years: A Systematic Review of 250 Cases 2188. Incidence and Mortality of Relapsing Polychondritis in the United Kingdom: A Population-Based Cohort Study 2172. PTPN22 Promotes TLR-Induced Amelioration of Arthritis 2189. Multicentric Reticulohistiocytosis- Case Series from a Tertiary Care Center 2173. Role of Natural Killer Cells and Gamma Delta T Cells in Enthesitis Related Arthritis Category of Juvenile Idiopathic Arthritis 2190. Features of Interstitial Lung Disease Associated with Connective Tissue Disease in a Spanish Southwest Cohort 2014 Program Book ACR POSTER INDICES 2191. Intravenous Sodium Thiosulfate for Treatment of Refractory Calcinosis in Rheumatic Disease 2192. Successful Therapy with Intravenous Sodium Thiosulfate for Adult Dermatomyositis Associated Calcinosis 2193. Prevalence of Raynaud’s Phenomenon and Nailfold Capillaroscopic Abnormalities in Fabry’s Disease: A CrossSectional Study 2194. Blue Digit Syndrome: The Rheumatologist’s Perspective 2195. Eculizumab Treatment of Malignant Atrophic Papulosis (Köhlmeier-Degos Disease): World Experience to Date 2196. Treprostinil Use in Malignant Atrophic Papulosis (Köhlmeier-Degos Disease): Review of Worldwide Experience to Date 2209. Novel Biomarkers of Extracellular Matrix Remodeling in Inflammatory Bowel Disease: Different Patterns of Gut Injury in UC and CD Muscle Biology, Myositis and Myopathies: Immunological Aspects of Inflammatory Myopathy 2210. Redefining Dermatomyositis: Description of New Diagnostic Criteria That Differentiate Pure Dermatomyositis from Overlap Myositis with Dermatomyositis Features 2211. Epidemiologic and Clinical Features of Patients with Adult and Juvenile Dermatomyositis, Polymyositis and Inclusion Body Myositis from Myovision, a National Myositis Patient Registry 2212. Serum Adipokines in Dermatomyositis: Correlation with Risk Factors Associated to Cardiovascular Diseases and Metabolic Syndrome 2213. Gene Expression Profiling of T Helper Subsets in Blood and Affected Muscle Tissues Reveals Differential Activation Pathways in Patients with Juvenile and Adult Dermatomyositis 2214. Power Doppler Ultrasonography for Detection of Abnormal Fascial Vascularity: A Potential Early Diagnostic Tool in Fasciitis of Dermatomyositis 2215. Clinical Characteristics and Prognosis of Malignancies Associated with Active Myositis 2216. Muscle Type I Interferon Gene Expression May Predict Therapeutic Responses to Rituximab in Myositis Patients 2197. Malignant Atrophic Papulosis (MAP) Complicating Connective Tissue Diseases (CTDs) 2198. The Aromatase Inhibitor Induced Musculoskeletal Syndrome: Is There a Potential Role of Osteoporosis Therapy and Menopause Timing? 2199. Intravenous Immunoglobulin Therapy for Secondary Hemophagocytic Lymphohistiocytosis : A Retrospective Study of 46 Patients 2200. Elevated Serum Ferritin Levels in Adult Inpatients As a Predictor of in-Hospital Mortality and Association with Macrophage Activation Syndrome 2201. Haematological Complications in Rheumatic Diseases: Not Only Lymphomas 2202. Pilot Study of Tocilizumab in Patients with ErdheimChester Disease 2217.Ultrasonography Analysis of Carotid Parameters in Patients with Idiopathic Inflammatory Myopaties: Correlation with Demographic Profile and Disease Activity 2203. Adalimumab Therapy Improves Insulin Sensitivity in NonDiabetic Psoriatic Patients: A 6-Month Prospective Study 2218. 2204. New Onset Vitiligo Under Biological Agents: A Case Series Endoplasmic Reticulum (ER) Stress-Induced Mitochondrial Dysfunction and Atrophy Can be Prevented By Pharmacological Upregulation of Heat Shock Protein 70 (HSP) in Cultured Murine Myotubes 2205. Management of Asymptomatic Coccidioidomycosis in Patients with Rheumatic Disease 2219. 2206. The Incidence of Zoster in Patients with Cutaneous Lupus Erythematosus and Dermatomyositis Is Increased Compared to the Average U.S. Population Contribution of Tripartite Motif Proteins Modulating Membrane Repair to the Pathogenesis of AutoimmuneMediated Myositis 2220. Overexpression of Ankyrin Repeat Domain Containing Protein 1 Gene (ANKRD1) in Polymyositis Muscle Biopsies Is Correlated to Hypoxia 2221. Reduction of Ovarian Reserve in Adult Patients with Dermatomyositis 2222. Predictors of Myositis Treatments Received and Associated Treatment Responses in Myovision, a National Myositis Patient Registry 2207. 2208. Decreased Bone Mineral Density in Patients with EhlerDanlos Syndrome Ovarian Reserve Alterations in Premenopausal Women with Rheumatoid Arthritis, Behcet’s Disease and Spondyloarthritis – Impact on Anti-Muellerian Hormone Levels 2014 Program Book 219 ACR POSTER INDICES 2223. High Prevalence of Hepatitis C Virus Infection in a Japanese Inclusion Body Myositis Cohort 2224. Increased Immune Complex Levels in Children with Juvenile Dermatomyositis Are Not Associated with Levels of Von Willebrand Factor Antigen, C4, Duration of Illness, Disease Activity Score, or the Absolute NK Count 2225. Does Previous Corticosteroid Treatment Affect the Inflammatory Infiltrate Found in Polymyositis Muscle Biopsies? 2226. Systemic Treatment for Clinically Amyopathic Dermatomyositis 2227. Physical Impairment in Patients with Idiopathic Inflammatory Myopathies Is Predicted By the American College of Rheumatology Functional Status Measure 2228. Has MRI an Added Value over Serum Creatine Kinase Measurement in Myositis? 2229. How Often Are Clinically Amyopathic Dermatomyositis Patients Truly Amyopathic? 2237. Interleukin-1 Dual-Variable Domain Immunoglobulin Reduces Multiple Inflammatory Markers in Knee Osteoarthritis Patients 2238. Exploratory Six Month Phase IIa Study of a Potential Disease Modifying Drug in Patients with OA of the Knee 2239. Efficacy of Ketoprofen Lysine Salt in Reducing Inflammation and Pain in Primary Osteoarthritis of the Hand: Preliminary Results of a Retrospective and Prospective Clinical Trial 2240. An Exploratory 4-Week Study of a P2X3 Antagonist AF-219 in the Treatment of Patients with Osteoarthritis (OA) of the Knee 2241. Intermittent Analgesic Use and Risk of Pain Exacerbation in Knee Osteoarthritis: A Web Based Case-Crossover Study 2242. Effects of Intraarticular (IA) Corticosteroid Injections on Bone Markers and Endogenous Cortisol in Patients with Knee Osteoarthritis (OA): A Randomized, Double-Blind, Placebo Controlled Trial 2243. Comparison Between Two Diclofenac Diethylamine Gel Formulations, 1.16% Vs 2.32%: Is It Only Increasing the Strength of the Active Ingredient Enough? 2244. Multimedia Patient Education Tool for Patients with Osteoarthritis 2245. Characteristics of Conventional Footwear and Their Association with Reductions in Knee Loading with a Flexible Footwear Intervention 2246. Reduction of Knee Osteoarthritis Symptoms in a Cohort of Bariatric Surgery Patients 2247. Bariatric Surgery Improves Quality of Life in Patients with Osteoarthritis and Obesity Compared to Non-Surgical Weight Loss 2248. Clinical Outcomes, Neuropathic Pain and Patient Satisfaction over a 15 Year Period Following Primary Tka: A Repeat-Cross-Sectional Analysis 2249. Criteria for Clinically Important Worsening in Knee and Hip Osteoarthritis 2250. The Effects of Treatment on Disease Symptoms and Progression of Structural Changes in Knee Osteoarthritis Participants from the Osteoarthritis Initiative Progression Cohort 2251. Kneeling Disability Associated with the Treatment of Osteoarthritis: Analysis of a Copcord Study in Mexico 2252. Autoimmune Thyroid Disease Is Associated with a Higher Frequency of Spinal Degenerative Disc Disease Osteoarthritis - Clinical Aspects: Therapeutics 2230. Treatment of Symptomatic Knee Osteoarthritis with Oral Salmon Calcitonin: Results from Two Phase 3 Randomized Clinical Trials 2231. Combined Chondroitin Sulfate and Glucosamine Is Comparable to Celecoxib for Painful Knee Osteoarthritis. Results from a Multicenter, Randomized, Double-Blind, PHASE IV NON-Inferiority TRIAL 2232. 220 Cost-Effectiveness of Glucosamine, Chondroitin Sulfate, Their Combination, Celecoxib,Non-Selective Non-Steroidal Anti-Inflammatory Drugs, and Placebo in Treating Knee Osteoarthritis 2233. A PHASE 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy Study of Apremilast (CC-10004) in Subjects with Erosive Hand Osteoarthritis 2234. Safety and Efficacy of Liposome Intra-Articular Injection in Moderate Knee Osteoarthritis. a Prospective Randomized Double-Blinded Study 2235. Cost-Effectiveness of Long-Term Opioid Use in the Treatment of Knee Osteoarthritis in Older Patients with Multiple Comorbidities 2236. Plant–Derived Products Are Effective for Treatment of OA Pain and Safer Than Other Active Therapies 2014 Program Book ACR POSTER INDICES Osteoporosis and Metabolic Bone Disease - Clinical Aspects and Pathogenesis: Osteoporosis: Treatment, Safety, and Long Term Outcomes 2253. Effect of Teriparatide in Patients with Osteoporosis with Prior Vertebral Fracture 2254. Changes in Subject Characteristics in the Denosumab Pivotal Fracture Trial and Its Extension for up to 8 Years 2255. Vertebral Cortical Bone Mass and Structure Significantly Improved with Romosozumab Compared with Teriparatide: HR-QCT Analyses of Postmenopausal Women with Low BMD from a Phase 2 Study 2268. Odanacatib Anti-Fracture Efficacy and Safety in Postmenopausal Women with Osteoporosis: Results from the Phase III Long-Term Odanacatib Fracture Trial Pediatric Rheumatology - Clinical and Therapeutic Aspects: Systemic Juvenile Idiopathic Arthritis, Spondyloarthropathy and Miscellaneous Pediatric Rheumatic Diseases 2269. Efficacy and Safety of High Dose Infliximab in the Treatment of Uveitis in Pediatric Patients 2270. Changes in Cerebral Blood Flow Velocity in Patients with Familial Mediterranean Fever 2256. Effects of Pre-Dosage Alendronate Treatment on Bone Metabolic Indices and Bone Mineral Density in Patients Treated with Glucocorticoids: A Prospective Study 2271. Symptom and Treatment Characteristics of Juvenile Primary Fibromyalgia Syndrome: Are Males and Females Created Equal? 2257. How Does Non-Compliance to Prolia ® (DENOSUMAB) Impact the Change in Bone Mineral Density (BMD) in Osteoporotic Patients? 2272. Assessment of Transition Readiness in Adolescents and Young Adults with Rheumatic and Other Chronic Health Conditions 2258. WITHDRAWN 2273. 2259. Changes in serum Soluble RANKL and Osteoprotegerin Levels after Teriparatide Administration in Rheumatic Disease Patients with Glucocorticoid-Induced Osteoporosis Does a Standardized Multidisciplinary Approach Improve Outcomes for Children with NMDA Receptor Antibody Encephalitis? : A Preliminary Assessment of a Single Center Experience 2274. TNF Inhibitors Provide Long-Term Clinical Benefits in 6 Patients with Early-Onset Sarcoidosis 2275. Immunization Status and Barriers in Childhood Rheumatic Diseases 2276. Consensus Statement on the Transition Process from Pediatric Care to Adult Care in Patients with Chronic Inflammatory Rheumatic Diseases with Childhood-Onset 2260. Effects of Daily Teriparatide on the Spine and Femoral Strength Assessed By Finite Element Analysis of Clinical Computed Tomography in Rheumatoid Arthritis Patients 2261. A Meta-Anlaysis of Bisphosphonate and Parathyroid Hormone (PTH) Use in Osteoporosis 2262. Raloxifene for Osteoporosis in Postmenopausal Women with Rheumatic Diseases 2277. Inpatient Pediatric Rheumatic Diseases: Characteristics, Cost and Trends 2263. Continued Zoledronic Acid Use in a Large Healthcare System 2278. Orbital Pseudotumor As the Presenting Symptom of Pediatric ANCA-Associated Vasculitis 2264. Denosumab for Long-Term Glucocorticoid Users Who Have Inadequate Response to the Bisphosphonates: A 12-Month Randomized Control Trial 2279. Evidence Based Recommendations for Diagnosis and Management of Tumor Necrosis Factor Receptor-1 Associated Periodic Syndrome (TRAPS) 2265. Comparative Effects of Raloxifene and Bisphosphonate on Bone Mineral Density and Osteoporotic Fracture Outcomes in Rheumatoid Arthritis Patients 2280. Evidence Based Recommendations for the Management of Cryopyrin Associated Periodic Syndromes (CAPS) 2266. Risk Factors for Treatment Failure in Osteoporotic Patients with Rheumatoid Arthritis 2281. Dissecting the Heterogeneity of Macrophage Activation Syndrome 2267. Percentage of Women Achieving Non-Osteoporotic BMD T-Scores at the Spine and Hip over 8 Years of Denosumab Treatment 2282. Evidence Based Recommendatinos for Diagnosis and Management of Mevalonate Kinase Deficiency (MKD) 2283. Steroid-Sparing Effect of Anakinra (Kineret®) in the Treatment of Patients with Severe Cryopyrin-Associated Periodic Syndrome 2014 Program Book 221 ACR POSTER INDICES 2284. Joint Involvement in Pediatric Crohn’s Disease Is Related to Higher Disease Activity and Worse Quality of Life 2300. Biologic Treatment in Systemic Juvenile Idiopathic Arthritis: Single Center Experience 2285. Safety and Efficacy of Rilonacept in Patients with Deficiency of Interleukin-1 Receptor Antagonist (DIRA) 2301. The New Proposal Classification Criteria for Juvenile Spondyloarthropaties 2286. Food Allergy and Celiac Disease in Children with Juvenile Idiopathic Arthritis 2302. Classification of Juvenile Spondyloarthropathies According to ASAS Criteria 2287. Cartilage Thickness and Bone Health in Children with Juvenile Idiopathic Arthritis 2303. Clinical Observation on Ankylosing Spondylitis Patients with Different Phenotypes 2288. The Research in Arthritis in Canadian Children Emphasizing Outcomes (ReACCh Out) Cohort: Independent Risk Factors and Medication Use in New Onset Uveitis in Juvenile Idiopathic Arthritis 2304. Positive HLA-B27 in Juvenile Spondyloarthritis Is Associated to Early Sacroiliitis and Progression to Ankylosing Spondylitis 2289. Accuracy of the Use of Administrative Diagnostic Codes to Identify Pediatric in-Patient Musculoskeletal Conditions in an African Tertiary Hospital Quality Measures and Quality of Care 2290. 2291. Canakinumab in Biologic-naïve Versus Previously BiologicExposed Systemic Juvenile Idiopathic Arthritis Patients: Efficacy Results from a 12 Week Pooled Post Hoc Analysis 2292. Demographic, Clinical and Treatment Characteristics of the Childhood Arthritis and Rheumatology Research Alliance Registry Systemic JIA Cohort 2293. Preliminary Results from the Childhood Arthritis and Rheumatology Research Alliance Systemic JIA Consensus Treatment Plans Pilot Study 2294. The Presentation and Initial Treatment of Systemic Juvenile Idiopathic Arthritis According to Observational Data from the United States and the United Kingdom 2295. A Pharmacometric Based Analysis of the Occurrence of Selected Safety Events of Special Interest and Canakinumab Exposure in Systemic Juvenile Idiopathic Arthritis Patients Improving Screening for Hyperlipidemia in Patients with Rheumatoid Arthritis at an Academic Rheumatology Practice 2306. Quality of Care for Cardiovascular Prevention in RA: Compliance with Diabetes Screening Guidelines 2307. Cardiovascular Disease Prevention in Rheumatic disease: Assessing Screening in a Primary Care Setting 2308. Quality of Care for Cardiovascular Disease Prevention in RA: Compliance Lipid Screening Guidelines 2309. A Novel Approach to Assess Wait-Times to Rheumatologists 2310. Improving Access to Health Care in Rheumatology Practices through Initiation of an Outpatient Urgent Care Clinic, a Paradigm Shift 2311. Tele-Rheumatology: Despite Improved Access Could There be a Potential Delay in Care without a Skilled “Presenter”? 2312.Use of Physician Extenders to Improve Quality and Efficiency of Clinical Visits 2296. Tocilizumab Therapy in Children with Systemic Juvenile Idiopathic Arthritis. DATA from Russian Register of Sjia 2313. Best Practices for Best Practice Alerts: Evaluation of a Best Practice Alert to Detect Chronic Glucocorticoid Use 2297. Efficacy of Canakinumab in Patients with Systemic Juvenile Idiopathic Arthritis (SJIA) using JADAS Criteria an Analysis of 12-Week Pooled Data 2314. Dexa Testing in Long-Term Steroid Use 2315. Glucocorticoid Induced Osteoporosis Screening and Treatment in a Cohort of Male Patients with Underlying Rheumatologic Diagnosis in a Tertiary Care Setting 2316. Adherence to Denosumab in a Large Healthcare System 2317. Towards Reliable Implementation and Optimal Use of Medication Decision Aid Cards for Shared Decision Making in Juvenile Idiopathic Arthritis 2298. 2299. 222 Race and Other Risk Markers of Uveitis in a Prospective Cohort of Children with Juvenile Idiopathic Arthritis 2305. Canakinumab Treatment Shows Maintained Efficacy in Systemic Juvenile Idiopathic Arthritis (SJIA) Patients at Individual Patient Level: An Analysis of 12 Week Pooled Data M-Ficolin and Masp-2 As Inflammatory Markers in Oligoarticular and Systemic Juvenile Idiopathic Arthritis 2014 Program Book ACR POSTER INDICES 2318. Increasing Rates of Remission in Juvenile Idiopathic Arthritis through a Quality Improvement Learning Network – the Pediatric Rheumatology Care and Outcomes Improvement Network 2334.Understanding the Experiences of Rural CommunityDwelling Older Adults in Using a New DVD-Delivered Otago Exercise Programme 2319. Standardizing and Documenting Patient Education and Disease Indices in Childhood-Onset Systemic Lupus Erythematosus Research Methodology (ARHP) 2320. Initial Benchmarking of the Quality of Medical Care of Childhood-Onset Systemic Lupus Erythematosus 2321. Quality Improvement in the Identification of Crystals from Synovial Fluid: Hospital Laboratory Versus Rheumatology Department Evaluation 2322. Aim for Better Gout Control: A Retrospective Analysis of Preventable Hospital Admissions for Gout 2323. WITHDRAWN 2324. Only 30% Rheumatologists Collect Basdai in Patients with Axial Spa in Daily Practice: The Potential Role of a Consensual Meeting to Improve It 2335. Reliability and Validity of the Arthritis Helplessness Index in Systemic Sclerosis 2336. Evaluating the Use of Video-Stimulated Recall to Research the Osteoarthritis Consultation in Primary Care: Reaching Parts Other Methods don’t Reach 2337. The Cost and Effectiveness of Various Recruitment Strategies in a Mind Body Clinical Trial Among Older Adults with Knee Osteoarthritis 2338. Cost-Effectiveness and Yield of Different Recruitment Strategies Utilized in an Exercise Trial of Fibromyalgia Patients Rheumatoid Arthritis - Animal Models 2339. Detecting Inflammation in Vivo Using Activatable Fluorescence Contrast Agents in Inflammatory Arthritis 2340. Human Osteoclasts Are Mobilized in Erosive Arthritis of Epstein-Barr Virus-Infected Humanized NOD/Shi-Scid/IL2Rγnull Mice Rehabilitation Sciences (ARHP) 2325. A Systematic Review of the Educational Approach of Occupational Therapy for Rheumatoid Arthritis 2326. Investigation of Parameters Used to Test Quadriceps Muscle Power Using Isokinetic Dynamometer in Arthritis 2341. The Combination Therapy of Cell Cycle Regulation Therapy Combined and TNF Blockade Ameliorated the Established Arthritis 2327. Delivering ESCAPE-Pain (Enabling Self-Management and Coping of Arthritic Pain through Exercise ) - an Online Guide for Healthcare Professionals 2342. Redox Regulation of a New Autoimmune Mouse Model, Glucose-6-Phosphate Isomerase Peptide Induced Arthritis in Mice 2328. The Physical and Psychosocial Effects of Exercise on Chronic Hip and Knee Pain: A Cochrane Review with MetaAnalysis 2343. Therapeutic Effects of Mesenchymal Stem Cells, AntiTumor Necrosis Factor and Anti-CD20 Treatment on Collagen Induced Arthritis 2329. Course and Outcome of Rehabilitation Care in Different Rheumatological Diagnosis Groups. a Descriptive Study Using the STAR-Etic Registry 2344. Amelioration of Collagen-Induced Arthritis By WaterSoluble Fullerene C60(OH)36 Nanoparticles through the Inhibition of Angiogenesis 2345. Anti-IL-6 Receptor Antibody Prevents Deterioration in Bone Structure in a Mouse Model of Collagen-Induced Arthritis 2346. Specific Overexpression of FPR2 (FPRL-1) on Th1 Cells in GPI-Induced Arthritis and Patients with Rheumatoid Arthritis 2347. Therapeutic Effect of a Novel Histone Deacetylase 6 Inhibitor, CKD-L, on Collagen Induced Arthritis and Peripheral Blood Mononuclear Cells from Patients with Rheumatoid Arthritis 2330. Construct Validity of the Adult Myopathy Assessment Tool in Individuals with Inclusion Body Myositis 2331. People’s Views, Beliefs and Experiences of Exercise for Chronic Hip and Knee Pain: Cochrane Review with Qualitative Synthesis 2332.Use of Wrist Hand Orthoses during Hand Function Skills and Functional Tasks By Adults with and without Rheumatoid Arthritis 2333. The Natural Use of Activity Pacing in Daily Life Does Not Result in Lower Symptoms in Osteoarthritis 2014 Program Book 223 ACR POSTER INDICES 2348. Activatory Fc Gamma Receptor IV Plays a Crucial Role in Pathogenesis of Experimental Immune Complex Mediated Chronic Arthritis 2363. Leucine-Rich Alpha-2 Glycoprotein Is a Potential Disease Activity Marker Under IL-6 Suppression in Autoimmune Arthritis 2349. Early Sympathectomy Inhibits Egress of Lymphocytes in Control and Arthritic Animals and Ameliorates Arthritic Disease 2364. PET-CT Imaging of Joints: A Quantitative Tool for Developing Novel Anti-Inflammatory Drugs 2350. A Humanized Monoclonal Antibody Raised Against a Heat Shock Protein Epitope Suppresses Autoimmune Inflammatory Diseases By Skewing the Immune System Selectively Towards an Anti-Inflammatory Response Rheumatoid Arthritis - Clinical Aspects: Impact of Various Interventions and Therapeutic Approaches 2351. 2352. RORγt Expressing Foxp3+ Regulatory T Cells Regulates the Development of Autoimmune Arthritis in Mice Comparison of the Effects of a Pharmaceutical Industry Decision Guide and Decision Aids on Patient Choice to Intensify Rheumatoid Arthritis Therapy with Etanercept 2366. Effectiveness, Tolerability, and Safety of Subcutaneous Methotrexate in Early Rheumatoid Arthritis: Clinical Data from the St. Gallen Cohort 2367. Physician Awareness of Suboptimal Patient Adherence to MTX: Results from a Large U.S. Rheumatoid Arthritis Registry 2353. The Nitric Oxide Receptor Soluble Guanylyl Cyclase Is Found in Lymphatic Vessels of Arthritic Mice and Inhibition Alters Lymphatic Pulse 2368. 2354. Efficacy of a Novel Orally Bioavailable JAK1 Selective Compound in a Preclinical Rat Collagen-Induced Arthritis Model Impact of Physicians’ Adherence to Treat-to-Target Strategy on Outcomes in Early Rheumatoid Arthritis 2369. Apremilast, a Novel Phosphodiesterase 4 Inhibitor, and Methotrexate Independently Prevent Inflammation in Vivo and in Vitro Management of Perioperative Tumor Necrosis -á Inhibitors in Rheumatoid Arthritis Undergoing Arthroplasty: A Systematic Review and Meta-Analysis 2370. Management of Perioperative Tumor Necrosis Factor α Inhibitors in Rheumatoid Arthritis Undergoing Arthroplasty: A Systematic Review and Meta-Analysis 2371. Efficacy of First Line Biological Monotherapy in RA: Data from the Czech Registry Attra 2372. Fatigue and Related Factors in Patients with Rheumatoid Arthritis Treated with Tocilizumab in Daily Clinical Setting 2373. Compliance in the Rheumatoid Arthritis Comparison of Active Therapies Trial: Triple Vs Etanercept 2355. 2356. 2357. Toluenesulfonylamido-Chalcone, 4-(p-toluenesulfonylamido)-4-Hydroxychalcone (TSAHC) Suppresses Inflammatory Response and Joint Destruction in an Experimental Arthritic Mice and Fibroblast-like Synoviocytes Vascular Adhesion Molecule-1 Overexpression in Collagen-Induced Arthritis: Modeling Vascular Dysfunction in Rheumatoid Arthritis 2358. The Role of Dendritic Cells during Inflammatory Arthritis 2359. CGEN-15001, a Novel Immunomodulatory Fusion Protein of the B7 Family Induces Immune Tolerance and Shows Efficacy in Mouse Models of Rheumatoid Arthritis and Psoriasis 2360. Glucocorticoids and Vascular Function in Arthritis: Benefic or Deleterious Effects? Study in Rat 2361. the Role of CD146 in the Therapeutic Potential of Mesenchymal Stem Cells in Favor of CD146+ Cells for Experimental Arthritis 2362. 224 Ligand of Glucocorticoid-Induced Tumor Necrosis Factor Receptor Enhances Th17 Cells Response in CollagenInduced Arthritis Via P38 MAPK and STAT3 Pathway 2365. Enhanced Efficacy of Dexamethose with Synovial Fibroblast Targeted Micelles in a Collagen-Induced Arthritis Mouse Model 2014 Program Book 2374.Use of Hydroxychloroquine Associated with Improved Lipid Profile in Rheumatoid Arthritis Patients 2375. Should Physician Reduce patients’ Glucocorticoids to Offset the Risk of Serious Infection Event Among RA Patients Who Switched from Non-Biologic Dmards and Glucocorticoid to Biologics? 2376. Safety of Rapid Rituximab Infusion in Rheumatoid Arthritis in a Single Community Practice 2377. A Pilot Randomized Controlled Trial of a Tailored Smoking Cessation Intervention for Rheumatoid Arthritis Patients 2378. Ethnic Minorities with Rheumatoid Arthritis Achieve a Meaningful Clinical Response at 12 Months Despite Infrequent Use of Biologic Therapies ACR POSTER INDICES 2379. Minimal Radiographic Progression in RA Patients Receiving Routine Care in the Espoir Early Arthritis Cohort: Similar Prognosis According to 6 Different Remission Criteria 2380. Durability of First Biologic Is Not Influenced By Initial/ Early DAS28 2396. Treat to Target in Routine Clinical Practice 2397. Improvement of Fatigue in Patients with Rheumatoid Arthritis Treated with Biologics: Relationship with Sleep Disorders, Depression and Clinical Efficacy. a Prospective, Multicenter Study 2398. Continued Participation in a 10-Year Tight Control Treatto-Target Study in Rheumatoid Arthritis: Why Keep Patients Doing Their BeSt? 2399. Non-Adherence to Disease-Modifying Anti-Rheumatic Drugs in Patients with Rheumatoid Arthritis: An Italian Survey 2400. Comparing a Tapering Strategy to the Standard Dosing Regimen of TNF Inhibitors in Patients with Rheumatoid Arthritis in Remission or with Low Disease Activity 2401. Interrupted and Delayed Care in First Nation Patients with Rheumatoid Arthritis: The Best Target for Therapy? 2402. Evaluation of Perceived Self-Efficacy, Learned Helplessness and Functional Capacity in Patients with Rheumatoid Arthritis 2403. From Early Arthritis Clinic to Remission Clinic: Short-Term Outcome and Ultrasonographic-Synovitis Dynamics in Rheumatoid Arthritis Patients in DMARD-Induced SDAIRemission during Drug-Free Follow-up 2404. RA Patients with Inadequate Response to Oral MTX Maintain Satisfactory Disease Control and Durable LongTerm Response When Switched to SC MTX Monotherapy 2405. Determinants and Impact of Early Initiation of DiseaseModifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis Quality of Patient- Clinician Communication in a Diverse Cohort of Adults with Rheumatoid Arthritis 2406. Sustained Rheumatoid Arthritis Remission and Low Disease Activity: Analysis of 13 Years of Follow up in Clinical Practice Primary Non-Adherence, Associated Clinical Outcomes and Healthcare Resource Utilization Among Rheumatoid Arthritis Patients Prescribed Injectable Biologics 2407. Early Treatment in Rheumatoid Arthritis and Its Effect on Patient Outcomes 2408. Frequency of Rheumatoid Arthritis Flares in Clinical Practice: Analysis of a Monocentric Cohort of Patients in Stable Remission or Low Disease Activity 2409. Omega-3 Fatty Acids and Mediterranean Diet As Complimentary Therapies for Rheumatoid Arthritis 2410. Working Status and Improvements in Work Productivity over Time in an Early Rheumatoid Arthritis (ERA) Cohort 2381. Adherence to a Treat-to-Target (T2T) Strategy in Early Rheumatoid Arthritis. Is It Feasible in Daily Clinical Practice? 2382. Adherence to Dmards in the First Six Months of Treatment in Early Arthritis Patients; Comparing Three Adherence Measures 2383. The 12-Years Retention Rate of the First-Line TNF-Inhibitor in the Treatment of Rheumatoid Arthritis: Real-Life Data from a Local Registry 2384. Factors Associated with Methotrexate Treatment Duration, Including Subcutaneous Use, in Patients with Rheumatoid Arthritis: Observations from the VA Database 2385. Reasons for Non-Vaccination in Rheumatoid Arthritis and Spondyloarthritis Patients 2386. Patients’ Interpretations of Rheumatoid Arthritis Model Disease States in a Safety-Net Rheumatology Clinic 2387. Relation Between Disease Activity Indices and Their Individual Components and Radiographic Progression in Rheumatoid Arthritis: A Systematic Literature Review 2388. DMARD Use after an Initial Acute MI Is Associated with Reduced Risk of a Recurrent Event and Mortality 2389. 2390. 2391. MRI Osteitis at Baseline Predicts the Development of Rapid Radiographic Progression at 1 Year Toward Patients with Early-Stage Rheumatoid Arthritis 2392. Anti-Carbamylated Antibodies (anti-CarPA) Are Associated with Long Term Disability and Increased Disease Activity in Patients with Early Inflammatory Arthritis: Results from the Norfolk Arthritis Register (NOAR) 2393. Similar Improvements in Physical Function, Quality of Life and Work Productivity Among Rheumatoid Arthritis Patients Treated with 2 Different Doses of Methotrexate in Combination with Adalimumab 2394. 2395.Understanding Patient Preferences Associated with the Use of Therapies for Rheumatoid Arthritis: Results of a Conjoint Analysis Sustained Remission Improves Physical Function in RA Patients Treated with Tumor Necrosis Factor Inhibitor 2014 Program Book 225 ACR POSTER INDICES Assessing Treatment Durability of Infliximab in the Management of Psoriatic Arthritis and Rheumatoid Arthritis Patients in a Canadian Setting Regime of Use of Rituximab in Patients with Rheumatoid Arthritis in Daily Clinical Practice 2427. Attainment of Low Disease Activity Is Predictive of Maintenance of Disease Control upon Adalimumab Discontinuation for Two Years Following Combination Therapy in Japanese Patients with Early Rheumatoid Arthritis 2413. Similar Response Rates to Anti-Tumor Necrosis Factor and Non- Anti-Tumor Necrosis Factor Biologic Therapies in Ethnic Minority Patients at 6 Months 2428. Comparative Study of Rheumatoid Arthritis Disease Activity Indices in Two Populations of Meteor Database 2429. 2414. Etanercept in Mono Therapy or in Combination with MTX: Results from a Sub Analysis of a German NonInterventional Study Seasonal Changes May Influence Activity of Rheumatoid Arthritis 2415. Characteristics of Rheumatoid Arthritis Patients Not Receiving Early Initiation of Disease Modifying Therapy 2430. Serological and Clinical Characteristics of a Large Collection of Incomplete Lupus Erythematosus Patients 2416. Do Patterns of Joint Swelling or Tenderness in Rheumatoid Arthritis Patients Impact Disease Activity Outcomes and Pain? Implications for Clinical Practice 2431. Tai Chi and Yoga Are Effective for Improving Physical Function in Adults with Rheumatoid Arthritis- a MetaAnalysis 2417. Is Remission Really Achievable in EARLY Rheumatoid Arthritis? 2432. Nutritional Assessment in Patients with Systemic Lupus Erythematosus and Systemic Sclerosis 2418. Treatment Pattern and Direct Cost of Biologics for Rheumatoid Arthritis Patients: A Real-World Analysis of Nationwide Japanese Claims Data 2433. Efficacy of Ketoprofen Vs Ibuprofen and Diclofenac for Treating Pain in Patients with Rheumatoid Arthritis: A Systematic Review and Meta-Analysis 2419. Efficacy of Biologic Medications in Active Rheumatoid Arthritis: A Systematic Review 2434. Gait Instability in the Elderly: A New Dedicated outPatients Consultation 2420. Quality Assessment of Controlled Trials Evaluating Chinese Herbal Medicine in Patients with Rheumatoid Arthritis: a Systematic Review 2435. ‘It’s like the Worst Toothache You’ve Ever Had’ – How Persons with Rheumatoid Arthritis Describe and Manage Pain in Daily Life 2421. Patient Treatment Goals in Rheumatoid Arthritis: Results of Focus Groups Among Rheumatologists, English and Spanish-Speaking Patients 2436. Analytical and Clinical Evaluation of an Immunoassay for Estimating Immunogenicity of Infliximab and Etanercept in Indian Population 2422. A Tailored Approach to Reduce Dose of TNF Inhibitors Is Equally Effective, but Substantially Less Costly Than Standard Dosing in Patients with Rheumatoid Arthritis over One and Two Years: A Prospective Cohort Study 2437. Why Doesn’t Participation in Activity Increase Following Hip or Knee Replacement? 2438. 2423. Prevalence of Subclinical Synovitis Detected By Ultrasound in Rheumatoid Arthritis and Psoriatic Arthritis Patients Receiving Anti-TNF-α Therapy with Extended Interval of Administration A Multi-Centre Survey of Tolerability Problems for Patients on Regular Methotrexate 2439. Knee Joint Pathology in Patients with Rheumatoid Arthritis and Osteoarthritis Using a Validated Ultrasound Scoring System: A Cross Sectional Study 2424. Comparison of Medication Use in Rheumatoid Arthritis Patients Between University and Private Settings – Results from Ontario Best Practice Research Initiative 2440. Factors Influencing Health Related Quality of Life (HRQOL) for Korean Patients with Rheumatoid Arthritis 2425. Rheumatoid Arthritis Stable Follow up Visits – 3 Month Versus 6 Month Intervals 2441. Prevalence and Determinants of Treatment Adherence Among Patients with Rheumatoid Arthritis 2426. Comparison of Patient Self-Reported and Physician Reported Rheumatoid Arthritis Medication Use - Results from the Ontario Best Practices Research Initiative 2442. Aligning Ethics with Digital Health Technologies and Shared Decision-Making: Interview Accounts of Patients and Clinicians 2411. 2412. 226 2014 Program Book Clinical Practice/Patent Care (ARHP) ACR POSTER INDICES 2443. A New Meta-Analysis on Safety of Ketoprofen Vs Ibuprofen and Diclofenac: Risk and Benefit of Nsaids Beyond Efficacy Meta-Analysis 2459. Osteoprotegerin CGA Haplotype Protection Against Cerebrovascular Complications in Anti-CCP Negative Patients with Rheumatoid Arthritis 2444. Pharmacist-Developed Letters May Enhance Success in Obtaining Insurer Approval for Off-Label Use of Biologics 2460. Phospho-STAT1/3 and Gene Expression Measurement in Circulating CD4+ T Cells As Diagnostic Tools in Early Autoantibody-Negative Rheumatoid Arthritis 2461. Osteprotegerin Concentrations Are Independently Related to Established Cardiovascular Disease in Rheumatoid Arthritis 2462. Centrosomal Protein 70kDa Is Down-Regulated By Decoy Receptor 3 in Specifically Rheumatoid Synovial Fibroblasts 2463. Stromal Cell Markers Are Differentially Expressed in the Synovial Tissue of Patients with Early Arthritis 2464. Anti-Arthritic Effect of Tubastatin A, a Novel Histone Deacetylases-6 Inhibitor, Is Mediated By Stabilization of IkB Via Suppression of Ubiquitin-Proteasome Pathway 2465. Cyclic Phosphatidic Acid (cPA) Suppresses MMP-3, a Disintegrin and Metalloproteinase with Thrombospondin Motifs(ADAMTS)-4, -5 and Stimulates HAS2 Expression in Inflammatory Rheumatoid Synovial Fibroblasts Induced with IL-1β and/or TNF-α 2466. Increased Risk of Rheumatoid Arthritis (RA) Among Shared Epitope-Negative (SE-) Mothers with Shared Epitope-Positive (SE+) Children Rheumatoid Arthritis - Human Etiology and Pathogenesis 2445. 2446. A Distinct Profile of Circulating Microparticles Is Associated with Disease Features in Rheumatoid Arthritis Patients and Impairs Endothelial Functionality in Vitro DNA Methylation Profiles That Distinguish Rheumatoid Arthritis from Osteoarthritis in Fibroblast-like Synoviocytes Can be Detected in Immune Cells from Peripheral Blood 2447. The Role of TET3-Mediated DNA Demethylation By ProInflammatory Cytokines in Rheumatoid Arthritis 2448. DNA Methylation Analysis of Lymph Node Stromal Cells of Rheumatoid Arthritis Patients 2449. Microrna-346 Regulation of Follicular Helper T Cells Is Involved in the Pathogenesis of rheumatoid Arthritis Disease 2450. Downregulation of Mirna-196a and Its Downstream HOXC8 Target Gene in Rheumatoid Arthritis Synovial Fibroblasts 2451. Mir-155 Expression Correlates with Clinical Disease Activity and Has Effector Function in Rheumatoid Arthritis Rheumatoid Arthritis - Small Molecules, Biologics and Gene Therapy: Therapeutic Strategies, Biomarkers and Predictors of Outcomes in Rheumatoid Arthritis 2452. Protective Effect of the IL33 rs3939286 Gene Polymorphism in the Development of Subclinical Atherosclerosis in Patients with Rheumatoid Arthritis 2467. 2453. High-Density Genotyping of Risk Loci in African Americans with RA Effectiveness and Safety of Tocilizumab in Biologics Naïve RA Patients - Interim Analysis of PMS for Investigating Success in Achieving Clinical and Functional Remission and Sustaining Efficacy with Tocilizumab in Biologics-Naïve RA Patients Study 2454. Genetic Influences on Rheumatoid Arthritis in AfricanAmericans 2468. 2455. IL-6 Proximal Promoter SNP rs18000795 Genotype Strongly Correlates with Synovial Fibroblast IL-6 Expression Stringent Criteria for Low Disease Activity and Remission after 12 Months of Treatment, and after Treatment Withdrawal, with Abatacept Monotherapy, Abatacept with Methotrexate or Methotrexate Alone in Early Rheumatoid Arthritis 2469. The Efficacy and Safety of Tocilizumab Subcutaneous Q2W and Following Escalation from Q2W to QW Therapy in Combination with Traditional Dmards in Patients with Moderate to Severe Rheumatoid Arthritis at 96 Weeks 2470. Treatment Strategy for Maximizating the Effect of Adalimumab in Japanese Patients with Rheumatoid Arthritis : Retrospective Analyses of Data Collected from the Patient Treated with Adalimumab in Routine Clinical Practice in Hamamatsu Area 2456. Associations of Toll-like Receptor (TLR)-4 Single Nucleotide Polymorphisms and Rheumatoid Arthritis Disease Progression 2457. Anti-Major Histocompatibility Complex Class I-Related Chain a (MICA) Antibodies in Rheumatoid Arthritis Patients with Interstitial Lung Disease 2458. Targeting IL-6, JAK or SYK? : An Analysis of Transcriptome Alteration in Peripheral Blood By RA Treatments 2014 Program Book 227 ACR POSTER INDICES 2471. Effect of Teriparatide in Patients with Osteoporosis and Rheumatoid Arthritis 2472. The First, Multicenter, Double-Blind, Randomized, Parallel-Group Study of Certolizumab Pegol in Early Rheumatoid Arthritis Demonstrates Inhibition of Joint Damage Progression 2473. Post-Marketing Surveillance of Efficacy and Safety of Tacrolimus Add-on Therapy in Japanese Rheumatoid Arthritis Patients Who Failed to Show an Adequate Response to Biological Dmards : Interim Analysis 2486. Patient-Reported Outcomes Following 12 Months of Therapy with Abatacept (Plus Methotrexate or as Monotherapy) or Methotrexate and up to 6 Months after Treatment Withdrawal in Patients with Early Rheumatoid Arthritis 2487. Effects of Tofacitinib on Health Care Resource Utilization and Work Productivity in US Patients with Rheumatoid Arthritis 2488. Relationship Between Different Clinical Measurements and Patient-Reported Outcomes Analysis of Early Neutropenia, Clinical Response, and Serious Infection Events in Patients Receiving Tofacitinib for Rheumatoid Arthritis 2489. 2474. Efficacy and Tolerability of Subcutaneous Methotrexate for Inflammatory Arthritis: A Retrospective Observational Cohort Study 2475. Multiple Approaches for Implementation of Long-Term Efficacy: Interpretation of Certolizumab Pegol Data in Rheumatoid Arthritis Case Study 2476. WITHDRAWN 2477. Integrating Treatment Goals of Physicians, Patients, and Payers during Treatment with Golimumab in Patients with Rheumatoid Arthritis 2478. Assessment of Structural Benefits of SC Abatacept Using MRI in Patients with RA Who Have Failed 1 or 2 TNFs and Correlated with Clinical Outcomes As Measured By DAS28(ESR) 2491. Prognostic Factors for IV Abatacept Retention in Patients Who Have Received at Least One Prior Biologic Agent: 2-Year Results from a Prospective, International, RealWorld Study 2492. Does Body Mass Index Impact Long-Term Retention with Abatacept in Patients with RA Who Have Received at Least One Prior Biologic Agent? 2-Year Results from a Real-World, International, Prospective Study 2493. Prediction of Remission and Low Disease Activity in DMARD-Refractory Patients with RA Treated with Golimumab 2494. Persistence on Single Disease Modifying Anti-Rheumatic Drug Therapy in US Veterans with Rheumatoid Arthritis Is Extremely Rare 2495. Impact of Golimumab on Physical Function and Employability of Patients with Rheumatoid Arthritis: 5-Year Data from 3 Phase III Clinical Trials 2496. Predictors of ACR/EULAR Boolean and SDAI Remission in Patients with Established Rheumatoid Arthritis Treated with Anti-TNF: An Analysis from the Prospective, Observational, Biological Treatment Registry Across Canada 2497. Correlation Between Time to Switch and Clinical Response Amplitude to Rituximab in Second Line Treatment in Rheumatoid Arthritis Patients with Treatment Failure to Tumor Necrosis Factor Inhibitors: 3-Year Data from Repeat Observational Study 2498. Characteristics of Responding Versus Non-Responding Moderate Rheumatoid Arthritis Patients Treated with Etanercept Plus Methotrexate Analysis of the Clinical Sustained Response after Retreatment with a Lower Dose of Rituximab in Patients with Chronic Inflammatory Arthropathies 2479.Utility of Adjustment of Administration Interval in Tocilizumab in Rheumatoid Arthritis 2480. Is there a Difference in the Effectiveness in the Treatment of Rheumatoid Arthritis with Rituximab when Using a Dose of 1 or 2 Grams per Cycle? a Systematic Review 2481. Which Factors Influence the Prescription of Tocilizumab Alone or in Combination with DMARDs in Rheumatoid Arthritis Patients in a Real Life Setting?: An Interim Analysis of Safety and Efficacy at 6 Months 2482.Use of Biologic Therapy As Monotherapy in Patients with Rheumatoid Arthritis 228 2490. 2483. Treatment Adjustment Strategy after Achieving Remission or Low Disease Activity in Rheumatoid Arthritis : A Systematic Review and Meta-Analysis 2484. Adding an Initial Six-Month Course of Infliximab to an Active Combination Treatment Is Cost Saving in WorkingAged Early Rheumatoid Arthritis Patients 2485. Predictors of Drug-Free Remission Following Treatment with Abatacept (in Combination with Methotrexate or as Monotherapy) in Early Rheumatoid Arthritis 2014 Program Book ACR POSTER INDICES 2499. Early Response Indicator early Predicts Clinical Response to Certolizumab in Rheumatoid Arthritis Patients 2514. Biological Treatment for Rheumatoid Arthritis (RA): A Fifteen Years Multicentric Overview 2500. Genetic Variation in the TLR5 Locus Is Associated with Anti-TNF Response Among Rheumatoid Arthritis Patients 2515. Serum Survivin in Early Rheumatoid Arthritis 2501. Indirect Comparison of Tocilizumab and Tofacitinib in Patients with Rheumatoid Arthritis 2516. Reasons and Risk Factor for Discontinuation of Biologic Agents in Rheumatoid Arthritis Patients 2502. Ten Year Follow-up Results of Four Dynamic Treat to Target Strategies in Patients with ACPA Negative Rheumatoid Arthritis 2517. Long-Term Clinical, Structural, and Functional Consequences of Not Adopting Treatment in MTX Suboptimal Responders 2503. Early Response to Full-Dose Etanercept-Plus-Methotrexate Induction Therapy Predicts Sustained Remission with Reduced-Dose Combination Therapy in Early Rheumatoid Arthritis Patients 2518. What Is the Level of Agreement Between Disease Activity Indices and Response Criteria Among Rheumatoid Arthritis Patients Treated with TNF Inhibitors? Are Patients with Rheumatoid Arthritis Initiating a TNF Biologic Comparable to Patients Initiating a Non TNF? 2519. 2504. Impact of Concomitant Methotrexate on the Enhanced Clinical Efficacy of Abatacept after 24 Weeks in Rheumatoid Arthritis Patients 2520. Patient, Genetic and Disease Factors Influence the Response to the Disease Modifying Anti-Rheumatic Drug Leflunomide 2505. Long-Term Treatment with Tocilizumab (TCZ) Strongly Suppresses Joint Destruction in Biologic-naïve Patients with Rheumatoid Arthritis (RA) Regardless of Inflammation Status 2521. Analysis on Predictors for Long-Term Clinical Efficacies of Golimumab in Patients with Rheumatoid Arthritis 2522. Effect of Infliximab Dose Increase in Rheumatoid Arthritis at Different Trough Concentrations 2523. Are Biologic Agents Effective on the Treatment of Secondary Amyloidosis: A Multicenter Report on Turkish Rheumatoid Arthritis and Ankylosing Spondylitis Patients 2506. Decrease in the Number of Peripheral Leukocytes and Neutrophils and Increase of the Percentage of Eosinophils at 4 Week Predict the DAS28-ESR Remission at 24 Weeks after Administration of Tocilizumab 2507. Is There an Autoinflammatory Component in Rheumatoid Arthritis Associated with Better Response to Anakinra (Kineret®)? 2524. Smoking and Response to Rituximab in Anti-CCP Positive and Negative Rheumatoid Arthritis – Results from an International European Collaboration 2508. Tocilizumab Serum Trough Levels and Its Relationship with Disease Activity and Drug Dosage in Rheumatoid Arthritis Patients 2525. Infliximab Versus Conventional Combination Treatment and Work Loss in Early RA over 7 Years: A Randomized Trial 2509. ADAM-10 As a Tocilizumab Treatment Predictive Factor in Rheumatoid Arthritis 2526. 2510. Good Response to Methotrexate (MTX) and/or MTX Plus Adallimumab (ADA): 3 Yrs Study Results in Patients with Rheumatoid Arthritis (RA) Efficacy of Biological Therapies in Rheumatoid Arthritis: Graphical Modeling of DAS28 Components’ Evolution over Time 2527. Predictors of Discontinuation of Biologic DMARD Therapy Due to Remission in Patients with Rheumatoid Arthritis in a National Registry The Effect of Biological Agents on Work in Patients with Chronic Inflammatory Arthritides: A Meta-Analysis of Randomized Controlled Trials and Controlled Cohorts 2528. Golimumab Therapy Retention Rates in Patients with Rheumatoid Arthritis and Seronegative Spondyloarthritis: Data from the Italian Lorhen Registry Efficacy Meta-Analysis of Randomized Controlled Trials (RCTs) of Biologics in Methotrexate-Naive Patients with Early Rheumatoid Arthritis 2529. Efficacy of Infliximab, Adalimumab, and Tocilizumab Can be Improved Under the Baseline ADAMTS5 Selection 2530. PRE.MARK-TNF Test Based on Iga-Specific Autoantigens Predicts Therapy Response in Rheumatoid Arthritis Patients Treated with TNFα Inhibitors 2511. 2512. 2513. The Monitoring of Infliximab Levels at Early Stages Can Predict the Development of Anti-Infliximab Antibodies in a Cohort of Rheumatoid Arthritis Patients Treated with Infliximab 2014 Program Book 229 ACR POSTER INDICES Sjögren’s Syndrome: Clinical Science 2531. Risk of Venous Thromboembolism in Patients with Sjögren’s Syndrome: A Systematic Review and MetaAnalysis 2532. Characteristics of Primary Sjögren Syndrome in the Black Population of Martinique 2533.Utility of the American-European Consensus Group and American College of Rheumatology Classification Criteria for Sjögren’s Syndrome in Patients with Systemic Autoimmune Diseases in the Clinical Setting 2534. Ocular Surface Temperature in Early Sjögren’s Syndrome and Established Disease 2535. Performance of the Ocular Staining Score (OSS) Vs. the Van Bijsterveld Score in the Assessment of Sjögren’s Syndrome-Related Keratoconjunctivitis Sicca 2536. The Sjögren’s Syndrome Responder Index, a Data-Driven Combined Endpoint, Could Detect Biologics Efficacy 2537. Diagnostic Accuracies of Sialography and Salivary Ultrasonography in Sjögren’s Syndrome Patients: A MetaAnalysis 2538.Ultrasound-Guided Core Needle Biopsy of the Major Salivary Glands Is a Safe and Useful Diagnostic Tool in the Evaluation of Suspected or Established Sjögren’s Syndrome 230 2539. Antibodies to Human Interferon-Inducible Protein-16 Are Present in Primary Sjögren’s Syndrome and Systemic Lupus, but Are Rare in Dermatomyositis 2540. Sjö™, an Advanced Diagnostic Panel for Detection of Sjögren’s Syndrome Autoantibodies 2541. Autoantibodies in Pediatric Sjögren’s Patients 2542. La Positive, Ro60 Negative Subset of Primary Sjögren’s Syndrome Is a Reality 2543. Anti-Ro/SSA Positive Incomplete Sjögren’s Syndrome 2544. How Does a Younger Age at the Onset of Sjögren’s Syndrome (pSS) Influence the Clinical Presentation and the Clinical Course of the Disease? 2545. Risk of Cervical Root and Incisal Caries in Patients with Sjögren’s Syndrome 2546. Metabolic Disorders Causing Fatigue in Sjögren’s Syndrome 2547. The Impact of Primary Sjögren’s Syndrome on Female Sexual Function 2014 Program Book 2548. Primary Sjögren’s Syndrome Is Associated with Significant Cognitive Dysfunction 2549. Renal Involvement in Primary Sjögren’s Syndrome: A Multicenter French Study of 95 Biopsy Proven Cases 2550. Impaired Speckle Tracking As a Marker of Subclinical Left Ventricular Dysfunction in Patients Affected By Primary Sjögren’s Syndrome 2551. Presence of Germinal Centers at Baseline Is Associated with Clinical Response of Glandular Essdai Domain after Abatacept Treatment in Primary Sjögren’s Syndrome 2552. Effectiveness and Safety of Low-Dose Cyclosporine a in Patients with Primary Sjögren’s Syndrome (pSS) with Articular Involvement – Results of a Pilot Study Spondylarthropathies and Psoriatic Arthritis - Clinical Aspects and Treatment III 2553. Compromised Volumetric Bone Density, Bone Microarchitecture and Bone Strength in Patients with Ankylosing Spondylitis: High-Resolution Peripheral Quantitative Computerized Tomography (HRpQCT) Based Study 2554. Do TNF Alpha Inhibitors Have an NSAID Sparing Effect in Real Life in Early Axial Spa? Results from the DESIR Cohort 2555. The Effect of Co-Medication with Conventional Synthetic (cs)Dmards on Achieving Low Disease Activity While Persisting on Adalimumab Therapy in Patients with Ankylosing Spondylitis/ Axial Spondylarthritis (AS)– Analysis from the Czech Biologics Registry At 2556. Is the Degree of NSAID Treatment in Early Axial Spondyloarthritis a Reflection of the physician’s Diagnosic Confidence? Results from the DESIR Cohort 2557. Are We over-Treating with Nsaids Our Early Axial Spa Patients? Results from the DESIR Cohort 2558. Etanercept Increases Bone Mineral Density in Ankylosing Spondylitis, but Does Not Prevent Vertebral Fractures 2559. Vitamin D insufficiency and Deficiency in Two European Cohorts of Patients with Inflammatory Rheumatic Disorders 2560. Sustained Improvements in Workplace and Household Productivity and Social Participation with Certolizumab Pegol over 96 Weeks in Patients with Axial Spondyloarthritis, Including Ankylosing Spondylitis and Non-Radiographic Axial Spondyloarthritis 2561. Low Cardio-Respiratory Fitness Is Associated with Increased Arterial Stiffness in Patients with Ankylosing Spondylitis ACR POSTER INDICES 2562. The Comparative One-Year Drug Survival Rate of Tumor Necrosis Factor Inhibitors in Patients with Rheumatoid arthritis and ankylosing spondylitis; results from Turkbio Registry 2577. The Ankylosing Spondylitis Disease Activity Score More Closely Reflects MRI Parameters of Sacroiliitis Than the Bath Ankylosing Spondylitis Disease Activity Index in Patients with Non-Radiographic Axial Spondyloarthritis 2563. The Distribution of Inflammatory Lesions in the Anterior and Posterior Structures of the Spine in Patients with Active Ankylosing Spondylitis and the Effect of TNF-αBlockade 2578. Disease Activity Is the Major Determinant of Quality of Life and Physical Function in Patients with Early Axial Spondyloarthritis. Results from the Esperanza Cohort. 2579. 2564. Ileocolonoscopic Findings in the Korean Patients with Ankylosing Spondylitis How Should We Calculate the ASDAS If the Conventional C-Reactive Protein Is below the Limit of Detection? – an Analysis in the DESIR Cohort 2565. The Effect of DMARD Co-Therapy on the Clinical Efficacy of Anti-TNF Medications in Patients with Axial Spondyloarthritis 2580. A Comparison of Baseline Characteristics and Real-Life Effectiveness of Anti-TNF Therapy in Non-Radiographic Axial Spondyloarthritis Versus Ankylosing Spondylitis – a Single Center Cohort Study 2566. Spinal Mobility in the Cervical and the Lumbar Spine Correlates with Magnetic Resonance Imaging Findings in Patients with Ankylosing Spondylitis Vascular Endothelial Growth Factor and C-Reactive Protein Serum Levels Lack Predictive Value for Radiographic and Magnetic Resonance Imaging Outcomes in Patients with Active Ankylosing Spondylitis Treated with the Tumor Necrosis Factor-Inhibitor Golimumab 2581. Clinically Active Non-Radiographic Axial Spondyloarthritis Patients Who Initially Have a Negative MRI and Normal CRP May Develop a Positive MRI or Elevated CRP at a Later Timepoint 2582. Serum Levels of Bone Morphogenetic Protein-7 and Sclerostin Are Elevated in Ankylosing Spondylitis, but Not Linked with Structural Damage 2567. 2568. 2569. Routine Assessment of Patient Index Data (RAPID3) Provides Similar Information Compared to Ankylosing Spondylitis Specific Indices: Analyses of the DESIR French Cohort Profiles of Switches in Patient with Ankylosing Spondylitis: Comparing Adalimumab, Etanercept, Infliximab, Golimumab and Certolizumab 2570. Validation of Modified Disease Activity and Functional Status Questionnaires in Spondyloarthritis 2571. Disease Activity and Risk of Cardiovascular Disease in Patients with Ankylosing Spondylitis with High and Low Body Mass Index 2572. Recognition of Spondyloarthritis By General Practitioners in Daily Practice and the Effect of Education on This; A Study with Standardized Patients 2573. Preferences of Patients with Spondyloarthritis for the Items of the ASAS Health Index : A Best Worst Scaling 2574. Do Patients with Axial Spondyloarthritis (AxSpA) Perform Enough Physical Activity? a Cross-Sectional Study of 207 Patients 2575. Validation of the RAPID-3 Questionnaire in a Cohort of Patients with Axial Spondyloarthritis 2576. Diffusing Weight Magnetic Resonance Imaging May Suggest the Treatment Strategy in Ankylosing Spondylitis 2583.Unexpected High Prevalence of Cardiac Disease in Patients with Ankylosing Spondylitis 2584. Smoking Is Not Associated with Response to TNF Blockers in Patients with Axial Spondyloarthritis 2585. Association of Smoking with Acute Phase Reactants and Molecules Involved in Bone Formation in Patients with Ankylosing Spondylitis 2586. Which Characteristics of Inflammatory Back Pain (CBP) Forecast the Presence of Sacroiliitis on Magnetic Resonance Imaging (MRI)? Results from the Esperanza Cohort 2587. Predictors of Treatment Response to Tumor Necrosis Factor-Alpha Blockers in Spondyloarthritis: Systematic Review and Meta-Analysis 2588. Which Characteristics of Inflammatory Back Pain (CBP) Forecast the Presence of HLA-B27? Results from the Esperanza Cohort 2589. EULAR Recommendations for the Use of Imaging in Spondyloarthritis in Clinical Practice 2590. Comparison of Radiographic Damage Score in Ankylosing Spondylitis According to Tumor Necrosis Factor Inhibitor: Observation Study of Korean Spondyloarthropathy Registry (OSKAR) Data 2591. Effects of Self-Management Model on the Disease-Related Knowledge, Joint Function and Quality of Life in Patients with Ankylosing Spondylitis 2014 Program Book 231 ACR POSTER INDICES 2592. Assessment of Spondyloarthritis International Society Endorsed Recommendations for Early Referral of Patients Suspected for Axial Spondyloarthritis 2607. Fatigue in Ankylosing Spondylitis: A Multivariable Analysis Implicates Inflammation As the Key Determinant of Disability 2593. Patients with Non-Radiographic Axial Spondyloarthritis and Ankylosing Spondylitis Demonstrate the Same Clinical Disease Course over Two Years: Results from the Gespic Cohort 2608. Do You Assess Gastro-Intestinal Auto-Antibodies and Symptoms in Patients with Spondyloarthritis? 2609. Treating Axial-Spa to Target: Prevalence of Ankylosing Spondylitis Disease Activity Score (ASDAS) Inactive Disease in a Cohort of Patients Treated with Anti-TNFα Agents 2610. The Role of IL-20 in the Pathogenesis of Ankylosing Spondylitis with Peripheral Joint Involvement 2611. Short Term Efficacy of Tumor Necrosis Factor Inhibitors in Patients with non–radiographic Axial Spondylarthritis and ankylosing Spondylitis; Results from Turkbio Registry 2612. Different Performance of the Major Disease Activity Measures ASDAS and Basdai in Patients with Axial Spondyloarthritis Treated with Non-Steroidal AntiInflammatory Agents – Results from a Prospective Study 2613. Positive Spine MRI for Inflammation Predicts Radiographic Progression in Patients with Ankylosing Spondylitis 2614. Reliability of Electronic Patient Self-Assessment of Swollen and Tender Joints in Psoriatic Arthritis: A Comparison Study with B-Mode Ultrasonography, Physician and Nurse Assessments 2615. Preliminary Assessment of a Multi-Biomarker Disease Activity Test for Axial Spondyloarthritis 2594. Differences in Localization and Activity of the Entheseal Involvement Between Non-Radiographic and Radiographic Axial Spondyloarthritis By the Ultrasound Assessment 2595.Using Iphone Compass Application for the Assessment of Cervical Rotation in Patients with Ankylosing Spondylitis 2596. 2597. Impact of Repeating Imaging of the Sacro-Iliac Joints over One Year on the Classification According the ASAS Axial Spa Criteria of Patients 2598. Disease Characteristics Associated with the Presence of Dactylitis in Patients with EARLY Spondyloarthritis: Results from Esperenza Cohort 2599. 232 Similarities and Differences Between Axial and Peripheral Predominant Forms in patients with Early Spondyloarthritis (SpA): Results from the Esperanza Cohort. Do Patients Diagnosed As Axial Spondyloarthritis (AxSpA) Who Have Primary Inefficacy to Anti-TNF Really Have AxSpA? a Five-Year Follow-up Study of 27 Patients with Primary Inefficacy to Anti-TNF 2600. Gender-Attributable Differences in Outcome of Ankylosing Spondylitis: Long-Term Results from the Outcome in Ankylosing Spondylitis International Study 2616. 2601. Serum Biomarkers Associated with Changes in ASDAS and MRI Following Treatment of Ankylosing Spondylitis with Golimumab Comparison of Characteristics of Ankylosing Spondylitis in Association with Familial Mediterranean Fever with Those of Typical Ankylosing Spondylitis 2617. 2602. Prevalence of Subclinical Atherosclerosis in Patients with Spondyloarthritis without Clinically Evident Cardiovascular Disease Using Carotid Intima-Media Thickness No Evidence of Accelerated Atheromatosis, Increased Arterial Stiffness or Hypertrophy in Ankylosing Spondylitis: A Systematic Case-Control Study 2618. 2603. Short-Term Non-Steroidal Anti-Inflammatory Drug (NSAID) Use Induces Subclinical-Kidney-Injury in Spondyloarthritis Patients: Urinary Biomarker Study Impact of Ustekinumab on Active Inflammation and Post-Inflammatory Structural Changes As Detected By Magnetic Resonance Imaging in Patients with Active Ankylosing Spondylitis: Results of a 28-Week, Prospective, Open-Label, Proof-of-Concept Study 2604. Ankylosing Spondylitis and Non- Radiographic Axial Spondyloarthritis : the Same Syndrome or Different Diseases? Analysis from Esperanza Cohort 2605. Profiling Ankylosing Spondylitis Patients Likely to Respond to NSAID Treatment 2606. How to Classify Spondyloarthritis after a Two Year Follow up? Results from the French Recent onset spondyloarthritis Cohort 2014 Program Book Systemic Lupus Erythematosus - Clinical Aspects and Treatment: Epidemiology, Women’s Health, Cardiovascular and CNS 2619. Low Socioeconomic Status (SES) As Measured By Education Is (not) Associated with Worse Outcome in SLE: Data from the 1000 Canadian Faces of Lupus 2620. Mortality and Survival in Systemic Lupus Erythematosus Patients: Trends in a Spanish Cohort from 1985 to 2013 2621. Health-Related Quality of Life in Patients with Systemic Lupus Erythematosus ACR POSTER INDICES 2622. “Systemic LUPUS Erythematosus in Spanish Males” 2623. Treatment Patterns and Resource Utilization of Systemic Lupus Erythematosus Patients Newly Initiating Standard of Care: United States Commercial and Medicare Supplemental Claims Analysis 2624. Impact of Provider Specialty on the Diagnosis and Management of Systemic Lupus Erythematosus in the American Indian/Alaska Native Population 2639. Coronary-Artery Atherosclerosis in Males with Systemic Lupus Erythematosus 2640. Prevalence and Predictors of ECG Cardiovascular Abnormalities in Lupus Patients 2641. Cardiac Magnetic Resonance Imaging in Systemic Lupus Erythematosus 2642. Risk of Cardiovascular Events in Patients with Cutaneous Lupus Erythematosus: A Population-Based Study 2643. Angiogenic and Antiangiogenic Factors in Patients with Systemic Lupus Erythematosus 2625. Work Productivity in Systemic Lupus Erythematosus: Relationship with Clinical Features 2626. Relationship of Socio-Demographic and Disease Factors with Loss-to-Follow-up and Appointment Noncompliance in Indigent Patients with Systemic Lupus Erythematosus 2644. 2627. Comparison of Disease Characteristics and Organ Damage in Patients with Juvenile and Adult-Onset Systemic Lupus Erythematosus in Large Cohort from Turkey Carotid Intima-Media Thickness and Plaque in Mexican Mestizos with Systemic Lupus Erythematosus: A CaseControl Study 2645. 2628. Risk of Cancer Is Not Increased in Patients with Cutaneous Lupus Erythematosus: A Population-Based Study Long-Term Efficacy and Safety of Pulse Cyclophosphamide for Neuropsychiatric Systemic Lupus Erythematosus: A Two-Centre Experience 2646. 2629. Childhood-Onset and Adult-Onset Systemic Lupus Erythematosus: Distinctions in an Underserved Ethnic Minority Cohort Mood Disor