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  • Abstract Number: 1618 • 2019 ACR/ARP Annual Meeting

    Factors Associated with Damage Accrual in SLE Patients with No Clinical or Serological Disease Activity

    Diane Apostolopoulos1, Rangi Kandane-Rathnayake 1, Worawit Louthrenoo 2, Shue Fen Luo 3, Yeong-Jian Wu 3, Aisha Lateef 4, Vera Golder 1, Sargunan Sockalingam 5, Sandra Navarra 6, Leonid Zamora 7, Laniyati Hamijoyo 8, Yasuhiro Katsumata 9, Masayoshi Harigai 9, Madelynn Chan 10, Sean O'Neill 11, Fiona Goldblatt 12, Chak Sing Lau 13, Alberta Hoi 14, Mandana Nikpour 15 and Eric Morand 16, 1Monash University, Melbourne, Australia, 2Chiang Mai University Hospital, Chiang Mai, Thailand, 3Chang Gung Memorial Hospital, Guishan, Taiwan (Republic of China), 4National University Hospital, Singapore, Singapore, 5University of Malaya, Kuala Lumpur, Malaysia, 6University of Santo Tomas Hospital, Manila, Philippines, 7Santo Tomas Hospital, Manila, Philippines, 8Padjadjaran University, Bandung, Indonesia, 9Department of Rheumatology, Tokyo Women's Medical University School of Medicine, Shinjuku-ku, Tokyo, Japan, 10Tan Tock Seng Hospital, Singapore, Singapore, 11University of NSW, Ingham Institute of Applied Medical Research, Sydney, Australia, 12Royal Adelaide Hospital, Adelaide, Australia, 13Hong Kong University, Hong Kong, Hong Kong, 14School of Clinical Sciences, Monash University, Meloburne, Victoria, Australia, 15St Vincent's Hospital, Melbourne; The University of Melbourne, Melbourne, Australia, 16Monash University, Melbourne, Victoria, Australia

    Background/Purpose: Accrual of irreversible organ damage is a major risk factor for death in SLE. While unmodifiable factors, such as age at disease onset and…
  • Abstract Number: 1619 • 2019 ACR/ARP Annual Meeting

    Early Vascular Ageing as a Predictor of Future Cardiovascular Events and Mortality in Systemic Lupus Erythematosus Patients: A Prospective Cohort Study

    Viola Signorini1, Dina Zucchi 2, Chiara Tani 3, Rosa Maria Bruno 4, Elena Elefante 3, Chiara Stagnaro 5, Linda Carli 3, Alice Parma 3, Francesco Ferro 6, Sabina Armenia 7, lorenzo Ghiadoni 8, Stefano Taddei 7 and Marta Mosca 3, 1Rheumatology Unit, Department of clinical and experimental medicine, University of Pisa, pisa, Toscana, Italy, 2Rheumatology Unit. Department of clinical and experimental medicine, University of PIsa, Pisa, Toscana, Italy, 3Rheumatology Unit, Department of clinical and experimental medicine, University of Pisa, Pisa, Italy, 4Hypertension Unit, Department of clinical e experimental medicine, University di Pisa, Pisa, Italy, 5Azienda Ospedaliero Universitaria Pisana, University of Pisa, Pisa, Italy, 6Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, Pisa, Italy, 7Hypertension Unit, Department of clinical and experimental medicine, University of Pisa, pisa, Italy, 8Emergency Unit, Department of clinical and experimental medicine, University of Pisa, pisa, Italy

    Background/Purpose: Systemic Lupus Erithematosus (SLE) is associated with increased cardiovascular (CV) risk compared with general population; an accelerated atherosclerosis is considered the main underlying mechanism.…
  • Abstract Number: 1620 • 2019 ACR/ARP Annual Meeting

    T-cell Exhaustion in Prolonged Remission SLE Patients

    Francisco Treviño-Tello1, Guadalupe Lima 1, Juan Jakez-Ocampo 2, Luis Llorente 1, Yemil Atisha-Fregoso 1 and Hilda Fragoso-Loyo 3, 1Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 2Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Distrito Federal, Mexico, 3Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico

    Background/Purpose: Cellular exhaustion is a cellular dysfunction characterized by the progressive loss of the effector function, and an increased expression of multiple inhibitory receptors. Exhaustion…
  • Abstract Number: 1621 • 2019 ACR/ARP Annual Meeting

    The Impact of Disease Activity and Related Factors on Cognitive Dysfunction in SLE

    Erik Anderson1, Elisabeth Ploran 2, Joseph Hong 3, Betty Diamond 4, Bruce Volpe 5, Cynthia Aranow 6 and Meggan Mackay 7, 1Northwell Health System, Feinstein Institute for Medical Research, New York, 2Hofstra University, Hempstead, 3Northwell Health System, Feinstein Institute for Medical Research, Manhasset, 4Feinstein Institutes for Medical Research, Manhasset, 5Feinstein Institutes for Medical Research, Manhasset, NY, 6Feinstein Institute for Medical Research, Manhasset, NY, 7Feinstein Institute for Medical Research, New York

    Background/Purpose: Attribution of cognitive dysfunction (CD) to SLE is compromised by potential confounders. Studies reveal conflicting results on the relationship between CD and disease activity,…
  • Abstract Number: 1622 • 2019 ACR/ARP Annual Meeting

    Cognitive Impairments in SLE Negatively Related to Participation and Quality of Life: A Systematic Review

    Sofia Alfred1, Lina Khoja 1, Melanie Anderson 2, Zahi Touma 3 and Lisa Engel 4, 1University of Toronto, Toronto, Canada, 2University Health Network, Toronto, Canada, 3University Health Network, University of Toronto, Toronto, Canada, 4University of Manitoba, Winnipeg, MB, Canada

    Background/Purpose: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease affecting multiple organ systems. Approximately 33 to 43% of individuals with SLE experience cognitive impairments…
  • Abstract Number: 1623 • 2019 ACR/ARP Annual Meeting

    Mortality in a SLE Inception Cohort of Hispanic Patients

    Maria del Carmen Zamora Medina1, Jessica Roldan Ortega 2, Mario Cesar Ocampo Torres 3, Pilar Lara Reyes 1, Ivon Bautista Mejia 1, Alba Cicero Casarrubias 1 and Juanita Romero-Diaz 4, 1Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, MEXICO CITY, Mexico, 2Monterrey Institute of Technology and Higher Education, MEXICO CITY, Mexico, 3Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, MEXICO CITY, 4Instituto Nacional de Ciencias Medicas y Nutricion Salvador, Zubiran Vasco de Quiroga, Mexico City, Mexico

    Background/Purpose: To determine mortality and identify risk factors for mortality at 10 years in a mexican-mestizo SLE inception cohort at a tertiary care center in…
  • Abstract Number: 1624 • 2019 ACR/ARP Annual Meeting

    Progression and Factors Associated with Damage Accrual in a SLE Inception Cohort of Hispanic Patients

    Maria del Carmen Zamora Medina1, Jessica Roldan Ortega 2, Mario Cesar Ocampo Torres 3, Pilar Lara Reyes 1, Alba Cicero Casarrubias 1, Ivon Bautista Mejia 1 and Juanita Romero-Diaz 4, 1Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, MEXICO CITY, Mexico, 2Monterrey Institute of Technology and Higher Education, MEXICO CITY, Mexico, 3Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, MEXICO CITY, 4Instituto Nacional de Ciencias Medicas y Nutricion Salvador, Zubiran Vasco de Quiroga, Mexico City, Mexico

    Background/Purpose: The aims of our study were to determine the cumulative prevalence of damage at baseline, 5 years and 10 years of follow-up, to identify…
  • Abstract Number: 1625 • 2019 ACR/ARP Annual Meeting

    Severe Infection Prior to Diagnosis of Systemic Lupus Erythematosus (SLE) Is Associated with Disease-Specific Attributes and Long-Term Comorbidities

    Yu Deng 1, Anh Chung 2, Abel Kho 1, Yuan Luo 1, Rosalind Ramsey-Goldman 2 and Theresa Walunas2, 1Northwestern University, Chicago, 2Northwestern University, Chicago, IL

    Background/Purpose: Lupus is a systemic autoimmune disease whose mechanism of development is largely unknown. Prior infection is a suspected sentinel event that may trigger disease…
  • Abstract Number: 1626 • 2019 ACR/ARP Annual Meeting

    Baseline Serum Osteopontin (OPN) Level Is Associated with Early Coronary Artery-calcification and Its Progression in Patients with Systemic Lupus Erythematosus

    Mario Cesar Ocampo Torres 1, Elizabeth Olivares-Martinez 2 and Juanita Romero-Diaz3, 1Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, MEXICO CITY, 2Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Distrito Federal, Mexico, 3Instituto Nacional de Ciencias Medicas y Nutricion Salvador, Zubiran Vasco de Quiroga, Mexico City, Mexico

    Background/Purpose: Background/purpose Premature atherosclerosis has been recognized as a major cause of morbidity and mortality in SLE patients. We aimed to determine 1) the incidence…
  • Abstract Number: 1627 • 2019 ACR/ARP Annual Meeting

    Bronchoalveolar Lavage Fluid Analysis and Mortality Risk in Systemic Lupus Erythematosus Patients with Pneumonia and Respiratory Failure

    Chien-Chih Lai1, Yi-Syuan Sun 1 and Chang-Youh Tsai 2, 1Division of Allergy, Immunology, Rheumatology, Taipei Veterans General Hospital, Taipei, Taiwan (Republic of China), 2Division of Allergy, Immunology & Rheumatology/Taipei Veterans General Hospital, Taipei, Taiwan (Republic of China)

    Background/Purpose: To evaluate the pathogens from bronchoalveolar lavage fluid (BALF) and risk factors of mortality in SLE patients with pneumonia and respiratory failure.Methods: Twenty-four SLE…
  • Abstract Number: 1628 • 2019 ACR/ARP Annual Meeting

    Lung Function Decline in Patients with Systemic Sclerosis-Associated Interstitial Lung Disease in the SENSCIS Trial: Subgroup Analysis by Time Since First Non-Raynaud Symptom

    Aryeh Fischer1, Oliver Distler 2, Dinesh Khanna 3, Yannick Allanore 4, Anna Maria Hoffmann-Vold 5, Gabriele Valentini 6, Toby Maher 7, Martin Aringer 8, Leslie Meng 9, Margarida Alves 10, Martina Gahlemann 11, Manuel Quaresma 10 and Masataka Kuwana 12, 1University of Colorado School of Medicine, Denver, Colorado, USA, Denver, CO, 2Dept. of Rheumatology, University Hospital Zürich, Zürich, Switzerland, Zürich, Switzerland, 3Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA, Ann Arbor, 4Dept. of Rheumatology A, Descartes University, APHP, Cochin Hospital, Paris, France, Paris, France, 5Department of Rheumatology, Oslo University Hospital, Oslo, Norway, Oslo, Norway, 6Dipartimento di Medicina di Precisione, II Policlinico U.O. Reumatologia, Napoli, Italy, Napoli, Italy, 7National Heart and Lung Institute, Imperial College London, UK and National Institute for Health Research Clinical Research Facility, Royal Brompton Hospital, London, UK, London, United Kingdom, 8Division of Rheumatology, Department of Medicine III, University Medical Center & Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany, Dresden, Germany, 9Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA, Ridgefield, 10Boehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany, Ingelheim am Rhein, Germany, 11Boehringer Ingelheim (Schweiz) GmbH, Basel, Switzerland, Basel, Switzerland, 12Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan, Bunkyo-ku, Tokyo, Japan

    Background/Purpose: Interstitial lung disease (ILD) is a common and usually early manifestation of systemic sclerosis (SSc). Decline in lung function in patients with SSc-ILD is…
  • Abstract Number: 1629 • 2019 ACR/ARP Annual Meeting

    Significance of Abnormal Nailfold Videocapillarscopy Among Patients with Raynaud’s Phenomenon And/or Suspected Connective Tissue Disease: A Cross-Sectional Single-Center US Experience

    Yasser Radwan1, Tina Gunderson 2, Cynthia Crowson 3, Alicia Hinze 1, Kevin Moder 4, Floranne Ernste 4, Shreyasee Amin 4, Uma Thanarajasingam 2, Thomas Osborn 1, Kenneth Warrington 4, Paul Wennberg 4 and Ashima Makol 1, 1Mayo Clinic Minnesota, rochester, MN, 2Mayo Clinic, Rochester, MN, 3Mayo Clinic Rochester, Rochester, 4Mayo Clinic Rochester, rochester, MN

    Background/Purpose: Nailfold videocapillaroscopy (NVC) is a simple, non-invasive & highly sensitive tool to evaluate structural abnormalities of the microcirculation in vivo and considered a key…
  • Abstract Number: 1630 • 2019 ACR/ARP Annual Meeting

    Contribution of Chest Wall Muscle Atrophy to Decline of Forced Vital Capacity in Patients with Systemic Sclerosis-associated Interstitial Lung Disease

    Takashi Nawata1, Mikito Suzuki 2, Yuichiro Shirai 3 and Masataka Kuwana 3, 11. Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan. 2. Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan, Tokyo, Japan, 2Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan, Tokyo, Japan, 3Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan, Bunkyo-ku, Tokyo, Japan

    Background/Purpose: Interstitial lung disease (ILD) is the leading causes in patients with systemic sclerosis (SSc). Forced vital capacity (FVC) is routinely used for assessment of…
  • Abstract Number: 1631 • 2019 ACR/ARP Annual Meeting

    Assessment of the Repeatability and Convergent Validity with Dermal Collagen of High Frequency Ultrasound in Systemic Sclerosis

    Victoria Flower1, Shaney Barratt 2, Darren Hart 3, Amanda Mackenzie 4, Jacqueline Shipley 3, Stephen Ward 4 and John Pauling 1, 1Department of Rheumatology, Royal National Hospital of Rheumatic Diseases, Royal United Hospitals NHS Foundation Trusts, Bath, England, United Kingdom, 2North Bristol NHS Trust, Bristol, England, United Kingdom, 3Department of Clinical Measurement, Royal National Hospital for Rheumatic Diseases, Royal United Hospitals NHS Trust, Bath, England, United Kingdom, 4Centre for Therapeutic Innovation & Department of Pharmacy and Pharmacology, University of Bath, Bath, England, United Kingdom

    Background/Purpose: There have been a number of recent negative clinical trials of SSc utilising the modified Rodnan Skin Score. High Frequency Ultrasound (HFUS) allows objective…
  • Abstract Number: 1632 • 2019 ACR/ARP Annual Meeting

    Evidence-based Consensus Statements for the Identification and Management of Interstitial Lung Disease in Systemic Sclerosis

    Anna-Maria Hoffmann-Vold1, Toby M. Maher 2, Edward E. Philpot 3, Ali Ashrafzadeh 4 and Oliver Distler 5, 1Dept. of Rheumatology, Oslo University Hospital, Oslo, Norway, Oslo, Norway, 2National Heart and Lung Institute, Imperial College London; Interstitial Lung Disease Unit, Royal Brompton Hospital, London, UK, London, United Kingdom, 3Respiratory Center of Excellence, IQVIA, Durham, NC, USA, Durham, NC, 4Rheumatology Center of Excellence, IQVIA, San Diego, CA, USA, San Diego, CA, 5Dept. of Rheumatology, University Hospital Zürich, Zürich, Switzerland, Zürich, Switzerland

    Background/Purpose: Guidelines are needed to aid early recognition and treatment of interstitial lung disease in systemic sclerosis (SSc-ILD). This study was conducted to develop expert…
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