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  • Abstract Number: 6 • 2017 ACR/ARHP Annual Meeting

    Pregnancy  Outcomes in a Cohort of Women with Antiphospholipid Syndrome. 25- Years  Long-Term Observation 

    Dana Tegzova1, Katerina Andelova2, Iva Kucerova2, Vera Vlasakova3, Stejskal Jan4, Putova Ivana5, Marta Olejarova6 and Ctibor Dostál7, 1Clinical Department, Institute of Rheumatology and Rheumatological Clinic of 1st Medical Faculty, Charles University, Prague, Czech Republic, 2Institute of Mother and Child Care, Prague, Prague, Czech Republic, 3Dept.of Internal Medicine, City Hospital Ceske Budejovice, Ceske Budejovice, Czech Republic, 41st Medical Faculty, Dpt. of Pathology, Charles University, Prague, Czech Republic, 5Institute of Rheumatology, Dpt. of Immunology, Prague, Czech Republic, 6Clinical, Institute of Rheumatology and Rheumatological Clinic of 1st Medical Faculty, Charles University, Prague, Czech Republic, 7Institute of Rheumatology and Rheumatological Clinic of 1st Medical Faculty, Charles University, Prague, Czech Republic

    Background/Purpose: The goal of this long-term project was to investigate the course of pregnancy in patients with APS (primary or secondary with SLE) in 1993-2017,…
  • Abstract Number: 7 • 2017 ACR/ARHP Annual Meeting

    Predictive Value for Thrombosis of Double or Triple Positivity in Secondary APS Depends on the Component Assays and the Type of Thrombosis

    Michelle Petri1, Daniel Goldman2 and Laurence S Magder3, 1Medicine (Rheumatology), Division of Rheumatology, Johns Hopkins University School of Medicine, MD, USA, Baltimore, MD, 2Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Epidemiology and Public health, University of Maryland School of Medicine, Baltimore, MD

    Background/Purpose: The lupus anticoagulant (LAC) is individually the antiphospholipid antibody (aPL) most associated with thrombotic risk in both primary and secondary APS. Anticardiolipin (aCL) and…
  • Abstract Number: 8 • 2017 ACR/ARHP Annual Meeting

    Antiphospholipid Syndrome Leukocytes Demonstrate Increased Adhesive Potential:  a Search for Novel Therapeutic Targets

    Gautam Sule1, William J. Kelley1, Srilakshmi Yalavarthi1, Alison Banka1, Omolola Eniola-Adefeso1 and Jason S. Knight2, 1University of Michigan, Ann Arbor, MI, 2., University of Michigan, Ann Arbor, MI

    Background/Purpose: Adhesion of leukocytes to the endothelium is an initiating event in the thrombosis inherent to antiphospholipid syndrome (APS). Over the years, a number of…
  • Abstract Number: 9 • 2017 ACR/ARHP Annual Meeting

    Renal Protective Effect of Antiplatelet Therapy in Antiphospholipid Antibody-Positive Lupus Nephritis Patients without the Antiphospholipid Syndrome

    Hironari Hanaoka1, Tomofumi Kiyokawa1, Harunobu Iida1, Yukiko Takakuwa1, Takahiro Okazaki2, Hidehiro Yamada3, Shoichi Ozaki4 and Kimito Kawahata1, 1Division of Rheumatology and Allergology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan, 2Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan, 3Rheumatology, Seirei Yokohama Hospital, Yokohama, Japan, 4Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan

    Background/Purpose: Lupus nephritis (LN) class III or IV is associated with a poor prognosis for both patient and renal survival. Since antiphospholipid syndrome (APS) is…
  • Abstract Number: 10 • 2017 ACR/ARHP Annual Meeting

    Arterial Events in Primary Antiphospholipid Syndrome Are Associated with High Values of the Adjusted Global Antiphospholipid Syndrome Score

    Flavio Signorelli1, Gustavo G M Balbi2, Roger A. Levy2 and Savino Sciascia3, 1Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 2Rheumatology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 3Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Torino, Italy

    Background/Purpose: The adjusted Global AntiPhospholipid Syndrome Score (aGAPSS) was described as a tool to estimate the risk of thromboses in patients with APS. The aim…
  • Abstract Number: 11 • 2017 ACR/ARHP Annual Meeting

    Possible Therapeutics for Antiphospholipid Antibody Related Thrombocytopenia: A Systemic Review and Meta-Analysis

    Nobuya Abe1, Kenji Oku1, Olga Amengual1, Yuichiro Fujieda1, Masaru Kato1, Toshiyuki Bohgaki1, Shinsuke Yasuda1, Rintaro Mori2, Eriko Morishita3, Katsue Suzuki-Inoue4 and Tatsuya Atsumi1, 1Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan, 2Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan, 3Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan, 4Department of Clinical and Laboratory Medicine, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan

    Background/Purpose: Despite the pro-thrombotic nature of antiphospholipid antibodies (aPL), thrombocytopenia is frequently observed in patients with antiphospholipid syndrome (APS) or in non-APS patients with aPL.…
  • Abstract Number: 12 • 2017 ACR/ARHP Annual Meeting

    Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking (APS ACTION) Clinical Database and Repository Analysis: Pregnancy Outcomes Since Inception

    Ecem Sevim1, Danieli Andrade2, Alessandra Banzato3, D. Ware Branch4, Ricard Cervera5, Guilherme Ramires de Jesus6, Jason S. Knight7, Pier Luigi Meroni8, Maria Tektonidou9, Angela Tincani10, Amaia Ugarte11, Zhang Zhuoli12, Doruk Erkan13 and , on Behalf of APS ACTION .14, 1Umraniye Research and Training Hospital, Istanbul Health Sciences University, Istanbul, Turkey, 2Rheumatology, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Sao Paulo, Brazil, 3Department of Cardiac Thoracic and Vascular Sciences, Clinical Cardiology, Thrombosis Centre, University of Padova, Padova, Italy, 4Obstetrics and Gynecology, University of Utah and Intermountain Healthcare, Salt Lake City, UT, 5Department of Autoimmune Diseases, Institut Clínic de Medicina i Dermatologia, Hospital Clínic de Barcelona, Barcelona, Spain, 6Obstetrics, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 7., University of Michigan, Ann Arbor, MI, 8Istituto Ortopedico Gaetano Pini, University of Milan, Milano, Italy, 9First Department of Internal Medicine, School of Medicine, National University of Athens, Athens, Greece, 10Rheumatology and Clinical Immunology, Spedali Civili and University of Brescia, Brescia, Italy, 11Autoimmune Diseases Research Unit, Department of Internal Medicine, BioCruces Health Research Institute, Hospital Universitario Cruces, University of the Basque Country, Biscay, Spain, 12Department of Rheumatology and Immunology,Peking University First Hospital, Peking University First Hospital, Beijing, China, 13Rheumatology, Hospital for Special Surgery- Weill Cornell Medicine, New York, NY, 14., New York, NY

    Background/Purpose: APS ACTION Clinical Database and Repository (‘‘Registry’’) was created to study the natural course of disease over 10 years in persistently antiphospholipid antibody (aPL)…
  • Abstract Number: 13 • 2017 ACR/ARHP Annual Meeting

    Epidemiology of Antiphospholipid Syndrome: A Population-Based Study

    Ali Duarte-Garcia1, Michael Pham1, Cynthia S. Crowson2, Kevin Moder3, Rajiv Pruthi4 and Eric L. Matteson5, 1Mayo Clinic, Rochester, MN, 2Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 3Rheumatology, Mayo Clinic, Rochester, MN, 4Mayo Clinic, R, MN, 5Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN

    Background/Purpose: The epidemiology of definite antiphospholipid syndrome (APS) in the general population has not been described. A recent meta-analysis (Andreoli L, et al. Arth Care…
  • Abstract Number: 14 • 2017 ACR/ARHP Annual Meeting

    Abnormalities in Th1, Th2 and Th17 Lymphoid Subpopulations in Long-Term Evolution Primary Antiphospholipid Syndrome

    Gabriela Medina1, Oscar I Florez-Durante2, Laura Arcelia Montiel Cervantes3, Rubiraida Molina Aguilar2, Elba Reyes Maldonado2 and Luis J. Jara4, 1Clinical Research Unit, Hospital de Especialidades Centro Medico La Raza,IMSS, Mexico City, Mexico, 2Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Mexico City, Mexico, 3Hematology Laboratory, Hospital de Especialidades Centro Médico La Raza, IMSS, Mexico City, Mexico, 4Direction of Education and Research, Hospital de Especialidades Centro Médico La Raza, IMSS, Mexico City, Mexico

    Background/Purpose: Primary antiphospholipid antibody syndrome (PAPS) is characterized by recurrent thrombosis and pregnancy morbidity in the presence of antiphospholipid antibodies (aPL). Lymphoid subpopulations and innate…
  • Abstract Number: 15 • 2017 ACR/ARHP Annual Meeting

    Methodology and Systematic Review of the Literature for the Mcmaster RARE-Best Practice Clinical Practice Guideline on Diagnosis and Management of the Catastrophic Antiphospholipid Syndrome

    Kimberly Legault1, Christopher Hillis1, Cindy Yeung1, Elie Akl2, Marc Carrier3, Ricard Cervera4, Mark Crowther1, Francesco Dentali5, Doruk Erkan6, Gerard Espinosa7, Munther A Khamashta8, Joerg Meerpohl9, Karen Moffatt10, Sarah O'Brien11, Vittorio Pengo12, Jacob Rand13, Ignasi Rodriguez14, Lisa Thom15, Holger Schunemann1 and Alfonso Iorio1, 1McMaster University, Hamilton, ON, Canada, 2American University of Beirut, Beirut, Lebanon, 3University of Ottawa, Ottawa, ON, Canada, 4Department of Autoimmune Diseases, Institut Clínic de Medicina i Dermatologia, Hospital Clínic de Barcelona, Barcelona, Spain, 5Insubria University, Insubria, Italy, 6Rheumatology, Hospital for Special Surgery- Weill Cornell Medicine, New York, NY, 7Autoimmune Diseases Department. Hospital Clínic de Barcelona, Barcelona, Spain, 8Graham Hughes Lupus Research Laboratory, The Rayne Institute, London, United Kingdom, 9University of Freiburg, Freiburg, Germany, 10Hamilton Health Sciences, Hamilton, ON, Canada, 11Nationwide Children's, Columbus, OH, 12Azienda Ospedaliera of Padova, University of Padova, Padova, Italy, 13NY Presbyterian Hospital, New York, NY, 14Rheumatology, Hospital Clinica, Barcelona, Spain, 15None (patient representative), Oxford, United Kingdom

    Background/Purpose: Catastrophic antiphospholipid syndrome (CAPS), a rare disease, is characterized by the rapid onset of widespread thrombosis associated with multi-organ failure in patients meeting the…
  • Abstract Number: 16 • 2017 ACR/ARHP Annual Meeting

    Anti-Phosphatidylserine/Prothrombin Antibodies in Primary                   Antiphospholipid Syndrome

    Paola Bermudez-Bermejo1, Gabriela Hernandez-Molina2, Diego Hernández-Ramírez3, Victor Zamora-Legoff2, Elizabeth Olivares-Martínez3, Antonio R. Cabral4 and Carlos Núñez-Álvarez5, 1Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion SZ, Mexico City, Mexico, 2Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición SZ, mexico city, Mexico, 3Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico, 4Department of Medicine. Division of Rheumatology, The Ottawa Hospital.University of Ottawa, Ottawa, ON, Canada, 5Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion S.Z., Mexico city, Mexico

    Background/Purpose: Several studies have showed conflicting results regarding the presence and meaning of anti-phosphatidylserine/prothrombin (aPS/PT). However aPS/PT antibodies seem to be a risk factor for…
  • Abstract Number: 17 • 2017 ACR/ARHP Annual Meeting

    Thrombotic Events in Pediatric Systemic Lupus Erythematosus: A Preliminary Analysis of a Large, Single-Center Cohort

    Jennifer Rammel1, Martha Curry2 and Marietta M. de Guzman3, 1Department of Pediatrics, Division of Immunology, Allergy and Rheumatology, Baylor College of Medicine, Houston, TX, 2Pediatric Immunology, Allergy and Rheumatology, Baylor College of Medicine, Houston, TX, 3Immunology, Allergy and Rheumatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX

    Background/Purpose: While pediatric systemic lupus erythematosus (pSLE) represents only 20% of all SLE cases, pSLE patients often have more aggressive disease with multi-organ involvement. These…
  • Abstract Number: 18 • 2017 ACR/ARHP Annual Meeting

    Increased Frequency of Nailfold Videocapillaroscopy Abnormalities in Primaryantiphospolipid (PAPS) Patients

    Tatiana Sofia Rodriguez-Reyna1, Eduardo Martín Nares2, Paola Bermudez-Bermejo3, Victor Zamora-Legoff4 and Gabriela Hernandez-Molina5, 1Immunology 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, Mexico, 3Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion SZ, Mexico City, Mexico, 4Rheumatology and Immunology, Instituto Nacional de Ciencias Medicas y Nutricion SZ, Mexico D.F., Mexico, 5Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición SZ, mexico city, Mexico

    Background/Purpose: Primary antiphospholipid syndrome (PAPS) is characterized by venous and arterial thrombosis, obstetric morbidity and the presence of antiphospholipid antibodies. The utility of nailfold videocapillaroscopy…
  • Abstract Number: 19 • 2017 ACR/ARHP Annual Meeting

    The Transcription Factor Specificity Protein 1 up-Regulates IL-21 Receptor Expression on B Cells in Rheumatoid Arthritis Leading to Altered Cytokine Production and Maturation

    Elizabeth Dam1, Alison Maier1, Anne Hocking1, Jeffrey Carlin2 and Jane H. Buckner1, 1Benaroya Research Institute at Virginia Mason, Seattle, WA, 2Rheumatology, Virginia Mason Medical Center, Seattle, WA

    Background/Purpose: Growing evidence suggests that IL-21 has a role in B cell dysfunction in rheumatoid arthritis (RA). Previous studies have reported that IL-21 levels are…
  • Abstract Number: 20 • 2017 ACR/ARHP Annual Meeting

    Low Molecular Weight BAFF Receptor Antagonists Restrain Infiltration of B Cells into Organs of Autoimmune Model Mice By Suppressing B Cell Activation

    Keiko Yoshimoto1, Noriyasu Seki2, Katsuya Suzuki3, Kunio Sugahara4 and Tsutomu Takeuchi1, 1Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, 23) Research Unit/Immunology & Inflammation, Mitsubishi Tanabe Pharma Corporation, Yokohama, Japan, 3Division of Rheumatology, Department of Internal Medicine, Keio University School of Medcine, Tokyo, Japan, 4Research Unit/Immunology & Inflammation, Mitsubishi Tanabe Pharma Corporation, Yokohama, Japan

    Background/Purpose: We have reported that soluble BAFF (sBAFF) robustly increased IL-6 production by peripheral monocytes of patients with primary Sjögren’s syndrome (pSS) and that the…
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