RT Journal Article SR Electronic T1 SAT0202 Early Accrual of Organ Damage in Systemic Sclerosis: Rationale for Forming a Multinational Inception Cohort of Patients with Scleroderma (The Insync Study) JF Annals of the Rheumatic Diseases JO Ann Rheum Dis FD BMJ Publishing Group Ltd and European League Against Rheumatism SP A649 OP A649 DO 10.1136/annrheumdis-2013-eular.1928 VO 72 IS Suppl 3 A1 M. Nikpour A1 M. Baron A1 M. Hudson A1 P. Carreira A1 N. Hunzelmann A1 T. Frech A1 J. Sahhar A1 P. Nash A1 J. Roddy A1 L. Schrieber A1 W. Stevens A1 S. Proudman YR 2013 UL http://ard.bmj.com/content/72/Suppl_3/A649.1.abstract AB Background Systemic sclerosis (SSc) has the potential to result in irreversible damage in various organs. Objectives To determine the accrual of damage in each organ system in the first five years of SSc disease. Methods A panel of experts defined organ-specific indicators of damage in SSc. Using prospectively acquired data from patients entering the Australian Scleroderma Cohort Study within 2 years of disease onset, annual accrual of organ damage from years 2 to 5 following disease onset was determined. Results The frequency of each damage indicator at years 2 to 5 in 182 patients is presented in the graph. Damage occurred in all organ systems, most commonly in the skin/MSK (23.1% at 4 years), respiratory (12.1%), GI (7.1%) & GU systems (erectile dysfunction in men 31.4%). Conclusions Organ damage occurs early in SSc. This is a compelling rationale for forming a large inception cohort (INternational SYstemic Sclerosis Inception Cohort; INSYNC) of patients with SSc to determine the predictors of organ damage and to develop strategies for preventing the occurrence of organ damage in SSc. Disclosure of Interest None Declared